Can bone spurs be seen on an X-ray?

Generally speaking, whether bone spurs can be detected by imaging depends on the specific type of imaging performed, as well as the stage and characteristics of the bone spur. If related symptoms are present, it is recommended to seek medical attention promptly. Detailed analysis is as follows:

If imaging methods suitable for bone visualization—such as X-ray or CT—are used, and the bone spur has progressed to a certain stage with evident bone overgrowth and clear morphology, the imaging typically clearly shows the location, size, and shape of the bone spur, allowing doctors to directly identify its presence from the images. These imaging techniques provide clear visualization of bone structures and are particularly effective in detecting bone spurs in common areas such as joint margins and vertebrae.

However, if imaging modalities that focus more on soft tissue visualization—such as ultrasound or magnetic resonance imaging (MRI)—are chosen, or if the bone spur is in its early stage with minimal bone overgrowth and small size, the imaging may fail to clearly capture the bone spur or accurately identify it, potentially leading to missed diagnosis. These techniques have limited ability to detect subtle bone changes and are not ideal for identifying early or inconspicuous bone spurs.

Prior to imaging, inform your doctor about the specific area of discomfort to help determine the most appropriate imaging method. During the examination, follow healthcare professionals' instructions and maintain the correct body position to ensure clear images. If no bone spur is found on initial imaging but symptoms persist, consult your doctor about switching to another imaging method for further evaluation. Imaging results should always be interpreted by a qualified physician and combined with clinical symptoms for an accurate diagnosis—avoid drawing conclusions based on imaging alone.