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Many people don't need treatment for Paget's disease. But even if you don't need treatment, you will still need to see your doctor on a regular basis from now on. This will let your doctor watch for other problems you might get from the disease, such as arthritis, fractures, or nerve problems.
Your doctor may prescribe medicine if you have symptoms or if you have no symptoms but you are at risk for other problems from Paget's disease. Medicine can help reduce the breakdown of bone tissue, control symptoms such as bone pain, and prevent other problems such as arthritis, fractures, or nerve damage.
Bisphosphonates are usually the first medicines prescribed for Paget's disease. They often make the disease inactive, sometimes for years or decades. If it becomes active again, you may need to take this medicine off and on to keep the disease under control.
If you still have pain while taking your prescribed medicine, you can try:
An over-the-counter pain reliever such as acetaminophen, naproxen, or ibuprofen. Be safe with medicines. Read and follow all instructions on the label.
Acupuncture or relaxation techniques such as guided imagery or biofeedback.
You might also need other treatments, such as:
Physical therapy to build your muscles and improve your balance. This can help reduce falls and prevent broken bones.
Splints or braces to support your bones and joints and to help keep weak bones from breaking.
A cane or walker to help you avoid falling and breaking a bone.
A hearing aid if the disease has caused hearing loss.
Some people may need surgery to replace a damaged hip or knee joint.