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Spine (cervical, thoracic, lumbar) : Along vertebral edges and around facet joints where spinal segments meet Knees : Around joint margins where the thighbone, shinbone, and kneecap connect, particularly with advancing osteoarthritis Hips : Along the rim of the hip socket, where the rounded femoral head meets the acetabulum Heels and feet : Especially on the underside of the heel bone, where the plantar fascia attaches, creating painful heel spurs Shoulders : Around the acromion and glenohumeral joint, often associated with rotator cuff problems Hands and fingers : Around the distal and proximal interphalangeal joints, forming characteristic Heberden’s and Bouchard’s nodes in osteoarthritis Other joints : Including elbows, wrists, and ankles, particularly following previous injuries or chronic stress What Causes Osteophytes to Form