Treatment is generally reserved for people with symptoms. In some cases, a doctor may recommend treatment even if you don't have symptoms if imaging tests (such as a bone scan) and blood tests detect enough disease, especially if it is in areas of bone where complications may be likely (such as the skull, spine or near joints).
Medications such as including aspirin, mild pain relievers and anti-inflammatory drugs can help treat pain and inflammation. In advanced cases, your doctor may recommend medications such as alendronate (Fosamax), risedronate (Actonel), pamidronate (Aredia), zoledronic acid (Reclast, Zometa) or calcitonin (Miacalcin) to reduce the activity of cells that remodel bone.
Surgery to correct deformities is rarely necessary. If Paget's disease causes significant damage to a hip, hip replacement surgery may be considered. Hearing aids may be helpful if Paget's disease affects the bones inside the ear.
A person with Paget's disease will be monitored carefully for complications such as heart failure or an elevation in blood calcium, and these conditions will be treated if necessary.