MONOSTOTIC PAGETS-DISEASE INVOLVING THE CALCANEUS DIAGNOSTIC AND THERAPEUTIC PROBLEMS - 2 CASE-REPORTS

The authors report the cases of two patients who had chronic incapacit ating heel pain unresponsive to standard therapy, They were both found to have Paget's disease of the calcaneus. The diagnosis was difficult because the typical roentgenological changes required time to develop and because no other sites were involved, Local corticosteroid inject ions, elimination of weight-bearing, and standard analgesic therapy we re ineffective, Bisphosphonate therapy (pamidronate) given as intraven ous infusions ensured prompt lasting pain relief, making ambulation po ssible,