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How to Treat Paget Disease?

Things to note:
Most cases are mild and asymptomatic and no treatment is required. Avoid high calcium diet when immobile as hypercalcaemia may occur with immobilisation.
Differentiate bone pain of Pagets, especially at night, from arthritic pain in joints near deformed bone, e.g. hip and knee joints, as well as pain resulting from fracture or complicating osteosarcoma

Medical Treatment:
For pain:
  • Ibuprofen, oral, 400 mg 8 hourly with meals.

When to refer:
  • All