Treating Bone Pain in Fibrous Dysplasia When Neuropathic Features Are Absent

This protocol addresses the management of pain in bones in a patient with fibrous dysplasia of bone, where the pain presentation does not include neuropathic features — specifically, there is no burning or stabbing pain character.

Distinguishing neuropathic from non-neuropathic bone pain in this condition matters, as the analgesic approach differs between the two presentations.

For bone pain without neuropathic features, a standard analgesic approach is used as the first step. The goal is bone pain relief.

The full evidence-based regimen — including sequencing, alternatives, and clinical decision points — is available in the structured protocol below.