Paget Disease of Bone, A Simple Guide to the Condition, Treatment and Related Diseases

By Kenneth Kee

Paget ’s disease your cause is unknown
You result in enlarged and deformed bones
Cause may be genetics or a virus germ
Men are affected more than women

Disease is chronic and slowly progressive
Any bone can be involved especially the pelvis
There may be pain and dull aches
There may be kyphosis and bowlegs

The early sign is presence of alkaline phosphatase
A bone scan can confirm the diagnosis
Complications are fractures and deformity
Lose weight and maintain joint mobility.

Treatment is with bisphosphonates and calcitonin
Together with exercise build strong bones within
Diet with vitamin D and calcium is important
Surgery may be needed to remove the deformed portion

-An original poem by Kenneth Kee

Interesting Tips about the Paget Disease

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment involves providing physical assistance including:

a. the addition of wedges in the shoe,

b. canes as walking aids and

c. the administration of physical therapy.

Medications that help reduce the pain associated with Paget's include paracetamol and anti-inflammatory drugs such as ibuprofen and naproxen.

In addition, a group of medications called bisphosphonates:

a. Reduce the pain and

b. Help the body regulate the bone-building process to stimulate more normal bone growth.

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

Alcohol use also increases the chance of falling and breaking a bone.

Alcohol can affect the bone cells.

7. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Smoking can reduce the blood flow to the bones

Chapter 1

Paget’s Disease of Bone

Paget’s disease is a widespread disease of bones often involving excessive bone resorption and replacement by coarse trabecular bone resulting in abnormal histological patterns and gross deformities.

Paget’s disease is a chronic disorder that can result in enlarged and misshapen bones.

Paget’s disease is caused by the excessive breakdown and formation of bone followed by disorganized bone remodeling.

This causes affected bone to weaken resulting in pain, misshapen bones, fractures and arthritis in the joints near the affected bones.

Often Paget’s disease is localized to only a few bones in the body.

The pelvis, femur and lower lumbar vertebrate are the most commonly affected bones.

Paget’s disease typically is localized affecting just one or a few bones as opposed to osteoporosis for example which usually affects all the bones in the body.

Paget’s disease occurs slightly more often in men than in women (3 to 2).

Paget's disease is rare in people less than 55 years of age.

TABLE OF CONTENT

Introduction

Chapter 1 Paget’s Disease

Chapter 2 Interesting Facts about Paget’s Disease

Chapter 3 FAQs on Paget’s Disease

Chapter 4 Osteoporosis

Chapter 5 Osteomalacia

Chapter 6 Osteogenesis Imperfecta

• Language: English
• Publisher: Kenneth Kee
• Release date: Dec 11, 2014
• ISBN: 9781310033049

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Paget’s

Disease

Of Bone

A

Simple

Guide

to

Condition

And

Related Conditions

by

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2014 Smashwords Edition

Published By Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes the Paget’s Disease of Bone, Treatment and Related Conditions or in vernacular terms

(What You Need to treat in Paget’s Disease)

This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

Ode to Paget ’s disease

Paget ’s disease your cause is unknown

You result in enlarged and deformed bones

Cause may be genetics or a virus germ

Men are affected more than women

Disease is chronic and slowly progressive

Any bone can be involved especially the pelvis

There may be pain and dull aches

There may be kyphosis and bowlegs

The early sign is presence of alkaline phosphatase

A bone scan can confirm the diagnosis

Complications are fractures and deformity

Lose weight and maintain joint mobility.

Treatment is with bisphosphonates and calcitonin

Together with exercise build strong bones within

Diet with vitamin D and calcium is important

Surgery may be needed to remove the deformed portion

-An original poem by Kenneth Kee

Interesting Tips about the Paget Disease

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment involves providing physical assistance including:

a. the addition of wedges in the shoe,

b. canes as walking aids and

c. the administration of physical therapy.

Medications that help reduce the pain associated with Paget's include paracetamol and anti-inflammatory drugs such as ibuprofen and naproxen.

In addition, a group of medications called bisphosphonates:

a. Reduce the pain and

b. Help the body regulate the bone-building process to stimulate more normal bone growth.

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

Alcohol use also increases the chance of falling and breaking a bone.

Alcohol can affect the bone cells.

7. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Cigarettes contain more than forty types of hazardous and possibly cancer causing chemicals which can harm the smokers and those around them.

Smoking can reduce the blood flow to the bones

Chapter 1

Paget’s Disease of Bone

What is Paget’s disease of Bones?

Paget’s disease is a widespread disease of bones often involving excessive bone resorption and replacement by coarse trabecular bone resulting in abnormal histological patterns and gross deformities.

Paget’s disease is a chronic disorder