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RheumatologyClinical services

Paget's disease of the bone

Paget's disease of the bone is a disorder which leads to a weakened bone structure. It occurs rarely in those under 50, but by the age of 80 about 8% of men and 5% of women will be affected. Either single or multiple bones may be affected with the commonest sites arising in the spine, skull, pelvis, hip and shin. The main symptoms include pain, possible deformity and fracture.

Why choose us?

We have expertise in assessing, diagnosing and treating this condition. Care is provided by a multidisciplinary team led by Dr Bhalla, consultant rheumatologist, who specialises in osteoporosis and metabolic bone diseases.  

What we offer

We offer a specialist service delivered by a multidisciplinary team including specialist registrars, an osteoporosis nurse, a clinical scientist and radiographers. The team is supported by specialist physiotherapy, occupational therapy, podiatry, dietetic, orthotics and laboratory services. 

We provide services on an outpatient or inpatient basis as appropriate to patient need (i.e., for control of pain, poor mobility or multiple investigations).

Treatments offered include:

  • oral medications
  • IV bisphosphonate therapy - the infusion clinic runs daily for patients requiring these therapies.

How to access our service

Our service accepts local and national referrals for adults for the diagnosis and management of Paget's disease of the bone. We can accept referrals from GPs and consultants.  All GP referrals should be made via the e-Referral Service.