Signs Of Paget's Disease
Paget's disease is a bone disorder that affects about one percent of American adults. It occurs when the body fails to process new bone formation correctly. Typically, the bones are always in a state of change, and new bone replaces old at a reasonably constant rate. In Paget's disease, however, old bone is broken down too quickly, and it's not replaced with new, healthy bone. Bone pain, deformities, and fractures are possible complications of this disease, which tends to affect the bones of the pelvis, skull, legs, and spine. It's more common in older individuals, especially those over sixty years old and those with a family history of Paget's disease. Get to know the main symptoms of this condition now.
Pain Or Numbness
Paget's disease can cause pain or numbness, especially when it affects bones in the spine. As the disease progresses, it can cause these bones to deform. In turn, deformed bones in the spine can put pressure on the spinal nerve roots, causing pain, numbness, and tingling in the legs, arms, neck, shoulders, and arms. Numbness and tingling in the limbs is known as peripheral neuropathy. Another possible symptom of Paget's disease in the spine is sciatica, which is pain that travels from the spine and down into the leg. The disease can also cause problems with balance, normal range of movement, and even bowel and bladder incontinence.
Hearing Loss
Hearing loss from Paget's disease can occur when it affects the skull. The three tiny bones in the middle ear, the stapes, incus, and malleus, are arranged in a precise, delicate way. As sounds enter the ear, these bones vibrate as part of the hearing process. Paget's disease can affect the shape of these bones, causing an alteration in their form and function. This alteration can result in hearing loss. Another theory is Paget's disease causes a loss in mineral density in the complex passages of skull bones surrounding the cochlea in the inner ear. The cochlea is responsible for sending sound vibrations to the brain for further interpretation. It's how we understand speech and enjoy music. Paget's disease may also cause a decline in hearing by causing changes to occur in the nerves of the ear.
Bone Fractures
Normal bone is strong because old bone is broken down and replaced with new, healthy bone, a process called remodeling. Paget's disease causes a derangement of this normal process and bone is broken down too quickly. Instead of being replaced with healthy bone, the replacement bone is misshapen, weak, and easily broken. When the bones are weak, bone fractures can occur with normal use. Compression fractures of the vertebra may occur, and these may cause pain in the back or neck. Suggested treatments for bone fractures caused by Paget's disease are designed to help increase bone strength, inhibit the breakdown of bone, and also slow the progression of other Paget's disease symptoms, such as hearing loss.
Joint Pain
Joints are body points that connect bone to bone, and a flexible substance called cartilage protects bones from rubbing up against each other. Deformed bones caused by Paget's disease can put pressure on nearby joints, causing pain, swelling, warmth, and redness around the affected joint, similar to osteoarthritis. Paget's disease may also damage the joint's cartilage, allowing partial or full contact of bone on bone. While joint damage for Paget's disease patients is often mild, it's possible it can become severe enough to require a joint replacement of the knee or hip.
Bone Deformities
Paget's disease can cause bones to bend or bow. This happens mostly in bones of the lower legs and spine. It can cause a profound curvature of the spine, a condition known as dowager's hump. Bones in the lower legs may become so bent that walking normally is difficult. Once developed, these conditions are not easy to treat. Paget's disease also causes bones to become too large. Enlarged bones put pressure on nearby joints and nerves. Early and effective treatment of Paget's disease can help limit or even prevent the more severe types of bone deformities, leading to a better quality of life for patients.