Objectives: The purpose of this study is to determine whether osteophytes are part of aging process or a cause of disease.

Patients and Methods: This was observational study of 226 cases, lasted from June 2018 to March 2019, they were (71) male and (155) female, (mean 1.69), ranging in age from (2-81) years, (mean 45.99). Referred from outpatient clinic from Ibn Sina teaching hospital to radiology department, in Mosul city, having different complaints of pain including cervical pain, backache, knee pain, heel pain, trauma, fall from height, motorcycle accident, and other painful conditions.

Results: We found three groups of patients, group 1 (< 25 years) had no osteophytes, group 2 (26-49 years) had osteophytes less than osteophytes of group 3 (> 50 years).

Conclusion: Osteophytes are common above age of 50 years, not because of disease but coming with age.