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Some of the most common causes include: Osteoarthritis, the most frequent cause, resulting from cartilage breakdown in joints Aging and natural wear and tear on the spine Repetitive movement or overuse injuries, often seen in athletes Degenerative disc disease, where spinal discs wear down and trigger bone growth Poor posture or spinal misalignment Bone spurs can appear in several areas of the body, including: The cervical spine (neck) The lumbar spine (lower back) Shoulders and hips Knees and ankles The heel or foot Osteoarthritis, in particular, contributes to chronic pain in as many as 1 in 5 Americans

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