Chronic disorder of bone remodeling causing enlarged, deformed bones that are weaker. Most commonly affects pelvis, spine, skull, and long bones. Usually asymptomatic but can cause bone pain, deformity, fractures, arthritis, neurological complications (nerve compression), and rarely transforms to bone cancer. Elevated alkaline phosphatase.
Severe symptoms. Disabling bone pain, severe deformity, multiple fractures, severe neurological complications, or high-output cardiac failure from increased bone vascularity
Moderately severe symptoms. Significant bone pain affecting multiple sites, noticeable deformity, pathological fractures, or nerve compression symptoms
Moderate symptoms. Bone pain affecting one or two skeletal sites, mild deformity, responsive to treatment
Asymptomatic or minimally symptomatic Paget's disease confirmed on imaging and elevated alkaline phosphatase
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how osteitis deformans (paget's disease) affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for osteitis deformans (paget's disease), examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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