What is the standard treatment for osteoid osteoma?

The standard treatment for osteoid osteoma typically involves radiofrequency ablation, which is considered the gold standard due to its minimally invasive nature and effectiveness in alleviating pain associated with this condition. Osteoid osteomas are benign bone tumors that can cause significant discomfort, often leading to nocturnal pain that is relieved by nonsteroidal anti-inflammatory drugs (NSAIDs).

Radiofrequency ablation targets the tumor using heat generated by radio waves to destroy the tumor cells while preserving surrounding healthy tissue. This approach not only provides pain relief but also allows for a quicker recovery compared to more invasive surgical techniques.

Other treatment options exist, but they are generally less preferred; for instance, observation might be sufficient in asymptomatic cases, but it does not address pain or symptoms. Corticosteroid injections are typically not effective for this type of tumor. Conventional surgical methods are more invasive, carrying more risks and longer recovery times but may be considered in certain cases where ablation is not effective or feasible. Radiofrequency ablation thus represents a balanced approach to treating osteoid osteoma, focusing on symptom relief while minimizing disruption to the patient’s lifestyle.