It depends. Spurs usually don’t return after removal as part of a joint replacement or fusion but may recur after isolated excision/removal depending on aging, injury, and or continued overuse or traction.
Bone spurs are abnormal bony growths or projections (osteophytes) that develop around the edges of bone or joints due to localized inflammation. Some conditions associated with bone spurs are arthritis (most commonly hips, knees, hands, feet, shoulder and spine) tendonitis (achilles tendonitis–pump bump–due to friction as a result of tight shoes), plantar fasciitis/heel spur due to enthesophytes from fascia/ tendon traction, spinal stenosis (bone spurs occur with spinal disc and ligament degeneration), benign bony tumor (osteochondroma exostosis), and injury or developmental causes (such as bunions, toe exostosis, repetitive shoulder friction between rotator cuff tendons and bone or hip impingement). Most asymptomatic bone spurs do not require removal.
Many symptomatic bones spurs improve with nonsurgical care. Typically, arthritic bone spurs that have been removed as part of an arthroplasty (joint replacement) will not recur because the joint has been removed and replaced with metal and plastic parts. However, bone spurs that have been removed with arthroscopic or open surgeries may reoccur if the conditions that contributed to there development continue to exist- aging, trauma, traction, and overuse.
For more information about bone spurs, visit www.OrthoInfo.org.