This is a somewhat controversial topic.  Currently, there are no established guidelines for treatment of CRMO in various stages.  We do know that many CRMO lesions do progress to a healing phase.  Areas that may be more concerning and require consideration of longer treatment would be those affecting the spine, areas that have had frequent flare-ups, or larger lesions affecting the pelvis.  

Deciding on the best treatment for your child’s situation is best done in a collaborative way with a patient, family and pediatric rheumatologist.