The clinical manifestations associated with Paget Disease vary depending on location and severity; however common presentations include pain (especially during prolonged weight bearing) swelling around joints, muscle weakness due to deformed bone structure and impingement on nearby nerves or tissue, hearing loss due to involvement in auditory ostioles, spinal cord compression due to vertebral column instability/deformity leading to difficulty walking/balance issues as well as tinnitus from middle ear involvement. Additionally neurologic deficits such as numbness/tingling sensations may occur secondary to nerve entrapment within widened foraminate where branches pass through bones into soft tissues. In extreme cases neurological sequelae such as seizures and paralysis can arise if not treated promptly.

In terms of evaluation diagnostics typically consist of a thorough physical examination including assessment for tender spots along the affected sites; imaging studies such radiography (x rays) computed tomography scans (CT), ultrasonography are also commonly employed looking for signs consistent with Paget disease like irregular trabecular patterns + enlarged medullary cavities + cortical thickening/widening foraminal spaces etc.). Blood tests are also performed measuring serum alkaline phosphatase levels which tend increase significantly more than normal when there’s involvement from pargets disease
+ other markers which may indicate how active the process is like calcium levels & parathormone etc… Finally biopsy samples taken from affected sites help confirm diagnosis & rule out other conditions like cancerous lesions prior proceeding treatment .

Treatment approaches involve both pharmacological & non-pharmacological measures both aimed at reducing pain while slowing down progression; medications used include NSAIDs (for milder forms) bisphosphonates & calcitonin injections(to reduce bone resorption); surgery is generally reserved for severe cases involving joint replacement / spine stabilization procedures depending upon individual situation . Non – pharmacologic interventions commonly prescribed focus on lifestyle modifications e g limiting high impact activities , wearing supportive shoes , weight reduction where indicated so forth ; physical therapy helps improve range motion increase strength + relieve pressure points caused by imbalanced body alignment primary goal being overall functional improvement plus long term health benefits .