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Treatments for Bone Disorders

Specific treatment for a bone disorder will be determined by your�doctor based on:

  • Your age, overall health, and medical history

  • Extent of the disease

  • Your tolerance for specific medications, procedures, or therapies

  • Expectations for the course of the disease

  • Your opinion or preference

Treatment may include:

  • Assistive devices (for example, casts or crutches)

  • Core decompression. A surgical procedure in which the inner layer of bone is removed to reduce pressure, allow for increased blood flow, and slow or stop bone and/or joint destruction.

  • Osteotomy. A surgical procedure to reshape the bone and reduce stress on the affected area.

  • Bone graft. A surgical procedure in which healthy bone is transplanted from another part of the patient's body (autograft)�or from a donor (allograft)�into the affected area.

  • Arthroplasty (total joint replacement). A surgical procedure to remove and replace an arthritic or damaged joint with an artificial joint (called a prosthesis); may be considered only after other treatment options have failed to provide adequate relief from pain and/or disability.

  • Chemotherapy. When cancer is present, this systemic procedure involves the use of drugs to destroy the cancer cells.

  • Surgery. When cancer is present, surgery may include biopsy to diagnose and stage the cancer, and/or a procedure to remove the cancerous tissue or tumor.

  • Amputation. Although limb-sparing surgery normally is the goal, sometimes, the extent of the cancer requires that an entire limb be removed, a surgical procedure called amputation.

  • Radiation therapy. When cancer is present, radiation may be used to kill cancerous cells. This type of treatment may include the following:

    • External beam radiation. External beam therapy is delivered externally from a machine directed to the cancer inside the patient. Examples of external beam therapy include intensity-modulated radiation therapy and proton beam radiation. The type of machine used will be determined by the radiation oncologist.�External beam therapy delivers ionizing radiation to the cancer, destroying cancer cells.

    • Internal radiation. Radioactive pellets are implanted in the affected area.