From the Research
Treatment for bone spurs should prioritize conservative management, including physical therapy, orthotic devices, and pain management, before considering surgical options. The goal of treatment is to alleviate symptoms, improve function, and enhance quality of life. According to the most recent and highest quality study 1, conservative management is the first-line approach for treating knee pain, which can be caused by bone spurs. This includes exercise therapy, weight loss (if overweight), education, and self-management programs.
Some key considerations for conservative management include:
- Over-the-counter pain relievers like ibuprofen (400-800mg every 6-8 hours) or naproxen (220-500mg twice daily) to reduce inflammation and discomfort
- Physical therapy focusing on stretching and strengthening exercises to improve joint mobility and reduce pressure on the affected area
- Orthotic devices such as heel cups for heel spurs or specialized shoe inserts to redistribute pressure and provide relief
- Weight loss is recommended for overweight patients as it reduces stress on weight-bearing joints
- Rest and activity modification to avoid movements that worsen symptoms are also important
For more severe pain, corticosteroid injections (typically methylprednisolone 40-80mg or equivalent) directly into the affected area can provide temporary relief lasting several weeks to months 2. However, it is essential to consider the potential systemic side effects of locally injected glucocorticoids, including Cushing syndrome, loss of bone density, infection, and hyperglycemia.
Surgical removal of the bone spur may be necessary if conservative treatments fail after 6-12 months or if nerve compression causes significant dysfunction. Surgery is typically performed as a last resort, and recovery time varies from weeks to months depending on the location and extent of the procedure. Addressing the underlying cause of bone spurs, such as osteoarthritis or repetitive movements, is crucial for long-term management.
In terms of specific treatment approaches, a multimodal approach may benefit patients with cervical radiculopathy and associated neck pain, which can be caused by bone spurs 3. This may include cervical collars, traction, medications, physical therapy, and selective nerve blocks. However, the effectiveness of individual treatments is controversial, and a focused, nonoperative treatment course is often recommended.