What is osteomyelitis?
Osteomyelitis is a bone infection that requires treatment as soon as possible. When bacteria or fungi infect a bone, they can cause inflammation. Without timely treatment, this inflammation can lead to serious complications.
A rare condition, osteomyelitis can occur at any age and affect any bone. In adults, this infection usually occurs in the feet, vertebrae in your back or pelvis. Children, on the other hand, are more likely to develop osteomyelitis in the long bones of the arms and legs, such as the femur.
Osteomyelitis symptoms
Osteomyelitis can cause a variety of symptoms, but it’s not always clear that a bone infection is responsible. You may mistake signs of osteomyelitis for symptoms of another illness, such as a common viral infection. These symptoms can disrupt your life by giving you a general feeling of being ill and tired, and causing discomfort and skin changes near the infection site.
Bone infection symptoms include:
- Bone pain
- Chills
- Discharge of pus from a wound
- Discolored skin at the infection site
- Fever
- Heat, redness or swelling at the infection site
- Nausea
- Sweating
- Vomiting
When to see a doctor
Visit an urgent care center or see your primary care provider as soon as you notice osteomyelitis-like symptoms, especially if you have a wound with pus. Your medical provider can help determine whether a bone infection or a more common illness is responsible for your symptoms. If your medical provider suspects osteomyelitis, they may refer you to an orthopedic specialist or infectious disease specialist for additional evaluation and treatment.
What causes osteomyelitis?
Most cases of osteomyelitis result from bacterial infections, but fungal infections can also cause this disease. Osteomyelitis occurs when bacteria or fungi infect the bone marrow and cause inflammation. Germs can reach the bones in several ways, including:
- Entering the body through a wound caused by injury or surgery
- Spreading from nearby skin or tissue
- Traveling through the blood from infected areas of the body
Bone infection risk factors
Osteomyelitis can affect anyone, but certain people are at a higher risk, including those who:
- Are under 20 or over 50 years old
- Have open wounds from injuries or trauma
- Have recently undergone surgery, particularly joint replacements (arthroplasty) or procedures involving implanted devices like pins or screws for bone fracture repair
- Experience puncture wounds
- Develop bedsores, also known as pressure ulcers
Additionally, people with weakened immune systems due to health conditions or treatments are more likely to develop osteomyelitis. These include those with:
- Sickle cell anemia
- Diabetes, especially if they have diabetic foot ulcers
- A need for immunosuppressant medications
- Dependence on hemodialysis
Complications
The sooner you start treatment for osteomyelitis, the more likely you are to avoid serious complications. Without treatment, osteomyelitis can damage your bone. Eventually, if inflammation from the infection cuts off the bone’s blood supply, the bone may die. In rare cases, amputation may be necessary.
Bone death, or osteonecrosis, is the most serious complication of osteomyelitis, but not the only one. Other complications may include:
Abscesses
Osteomyelitis may cause pus to gather near the infection site. Buildups of pus called abscesses can be painful and burst through the skin.
How is a bone infection diagnosed?
If you experience symptoms of osteomyelitis, act quickly. Seeking medical help as soon as possible not only boosts your chances of protecting your bones and avoiding complications but can also help you find relief from symptoms faster. Your doctor will use many diagnostic tools to pinpoint the cause of your symptoms, from a medical history and exam to imaging and blood tests and, potentially, a bone marrow biopsy.
Osteomyelitis treatment
Your doctor will create a treatment plan for osteomyelitis based on your age, overall health, the severity of your condition, how well you can tolerate certain medications or procedures, what to expect during recovery and your personal preferences. The goal of treatment is to cure the infection and prevent any long-term complications. Treatment options may include:
Medication
Medications play two roles in treating osteomyelitis: They destroy the bacteria or fungi causing the infection and treat symptoms, such as pain and swelling. Whether you take bacteria- or fungi-targeting medications, be sure to finish the whole course. Stopping early, even if your symptoms get better, may leave some of the germs alive. As a result, the infection could return in the future.
- Antibiotics: If you have a bacterial infection, you’ll receive antibiotics for at least four to six weeks. You’ll likely start by receiving antibiotics intravenously (through a vein) before transitioning to oral medication.
- Antifungals: You’ll take these medications if you have osteomyelitis caused by fungi, which is less common than the bacterial version. Antifungals are available orally, and you may need to take them for a few months.
- Over-the-counter pain relievers: While the antibiotics or antifungals attack the infection itself, you can manage pain and other symptoms by taking acetaminophen or a nonsteroidal anti-inflammatory drug, which are available without a prescription.
Find specialized care for osteomyelitis
We offer several locations for your care, including orthopedic specialty centers in North and Central Texas.

4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093
4708 Alliance Blvd Pavilion I, Ste 810, Plano, TX, 75093
Not accepting walk-ins

600 N Park St , Brenham, TX, 77833
600 N Park St , Brenham, TX, 77833
Not accepting walk-ins

1400 8th Ave , Fort Worth, TX, 76104
1400 8th Ave , Fort Worth, TX, 76104
Accepting walk-ins

200 E Cesar Chavez St Ste G140, Austin, TX, 78701
200 E Cesar Chavez St Ste G140, Austin, TX, 78701
Not accepting walk-ins

2608 Brockton Dr , Austin, TX, 78758
2608 Brockton Dr , Austin, TX, 78758
Not accepting walk-ins

5251 US 290 , Austin, TX, 78735
5251 US 290 , Austin, TX, 78735
Not accepting walk-ins

5330 Overpass Rd Ste 100, Buda, TX, 78610
5330 Overpass Rd Ste 100, Buda, TX, 78610
Not accepting walk-ins

910 E Whitestone Blvd , Cedar Park, TX, 78613
910 E Whitestone Blvd , Cedar Park, TX, 78613
Not accepting walk-ins

800 Scott and White Dr , College Station, TX, 77845
800 Scott and White Dr , College Station, TX, 77845
Not accepting walk-ins

1700 University Dr E , College Station, TX, 77840
1700 University Dr E , College Station, TX, 77840
Not accepting walk-ins

4945 Williams Dr , Georgetown, TX, 78633
4945 Williams Dr , Georgetown, TX, 78633
Not accepting walk-ins

2600 E Pflugerville Pkwy Bldg 1, Ste 200, Pflugerville, TX, 78660
2600 E Pflugerville Pkwy Bldg 1, Ste 200, Pflugerville, TX, 78660
Not accepting walk-ins

2600 E Pflugerville Pkwy Building 2, Pflugerville, TX, 78660
2600 E Pflugerville Pkwy Building 2, Pflugerville, TX, 78660
Not accepting walk-ins

300A University Blvd , Round Rock, TX, 78665
300A University Blvd , Round Rock, TX, 78665
Not accepting walk-ins

403 Mallard Ln , Taylor, TX, 76574
403 Mallard Ln , Taylor, TX, 76574
Not accepting walk-ins

2401 S 31st St , Temple, TX, 76508
2401 S 31st St , Temple, TX, 76508
Not accepting walk-ins

12230 Coit Rd Ste 100, Dallas, TX, 75251
12230 Coit Rd Ste 100, Dallas, TX, 75251
Not accepting walk-ins

2001 N MacArthur Blvd Ste 630, Irving, TX, 75061
2001 N MacArthur Blvd Ste 630, Irving, TX, 75061
Not accepting walk-ins

6705 Heritage Pkwy Ste 203, Rockwall, TX, 75087
6705 Heritage Pkwy Ste 203, Rockwall, TX, 75087
Not accepting walk-ins

140 Hillcrest Medical Blvd Second Floor, Waco, TX, 76712
140 Hillcrest Medical Blvd Second Floor, Waco, TX, 76712
Not accepting walk-ins

5220 W University Dr Ste 220, McKinney, TX, 75071
5220 W University Dr Ste 220, McKinney, TX, 75071
Not accepting walk-ins

5245 W US Hwy 290 Service Rd , Austin, TX, 78735
5245 W US Hwy 290 Service Rd , Austin, TX, 78735
Accepting walk-ins

700 Medical Pkwy , Brenham, TX, 77833
700 Medical Pkwy , Brenham, TX, 77833
Accepting walk-ins

5330 Overpass Rd , Buda, TX, 78610
5330 Overpass Rd , Buda, TX, 78610
Accepting walk-ins

12505 Lebanon Rd , Frisco, TX, 75035
12505 Lebanon Rd , Frisco, TX, 75035
Accepting walk-ins

700 Scott and White Dr , College Station, TX, 77845
700 Scott and White Dr , College Station, TX, 77845
Accepting walk-ins

5601 Warren Pkwy , Frisco, TX, 75034
5601 Warren Pkwy , Frisco, TX, 75034
Accepting walk-ins

7600 Better Way , Frisco, TX, 75033
7600 Better Way , Frisco, TX, 75033
Accepting walk-ins

1650 W College St , Grapevine, TX, 76051
1650 W College St , Grapevine, TX, 76051
Accepting walk-ins

100 Hillcrest Medical Blvd , Waco, TX, 76712
100 Hillcrest Medical Blvd , Waco, TX, 76712
Accepting walk-ins

1901 N MacArthur Blvd , Irving, TX, 75061
1901 N MacArthur Blvd , Irving, TX, 75061
Accepting walk-ins

6800 Scenic Dr , Rowlett, TX, 75088
6800 Scenic Dr , Rowlett, TX, 75088
Accepting walk-ins

100 Medical Pkwy , Lakeway, TX, 78738
100 Medical Pkwy , Lakeway, TX, 78738
Accepting walk-ins

810 W State Hwy 71 , Marble Falls, TX, 78654
810 W State Hwy 71 , Marble Falls, TX, 78654
Accepting walk-ins

5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071
5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071
Accepting walk-ins

2600 E Pflugerville Pkwy Bldg 1, Ste 100, Pflugerville, TX, 78660
2600 E Pflugerville Pkwy Bldg 1, Ste 100, Pflugerville, TX, 78660
Accepting walk-ins

4700 Alliance Blvd , Plano, TX, 75093
4700 Alliance Blvd , Plano, TX, 75093
Accepting walk-ins

300 University Blvd , Round Rock, TX, 78665
300 University Blvd , Round Rock, TX, 78665
Accepting walk-ins

231 S Collins Rd , Sunnyvale, TX, 75182
231 S Collins Rd , Sunnyvale, TX, 75182
Accepting walk-ins

305 Mallard Ln , Taylor, TX, 76574
305 Mallard Ln , Taylor, TX, 76574
Accepting walk-ins

2401 S 31st St , Temple, TX, 76508
2401 S 31st St , Temple, TX, 76508
Accepting walk-ins

2850 E State Highway 114 , Trophy Club, TX, 76262
2850 E State Highway 114 , Trophy Club, TX, 76262
Accepting walk-ins

2727 E Lemmon Ave , Dallas, TX, 75204
2727 E Lemmon Ave , Dallas, TX, 75204
Accepting walk-ins

2400 N Interstate 35E , Waxahachie, TX, 75165
2400 N Interstate 35E , Waxahachie, TX, 75165
Accepting walk-ins

3409 Worth St Ste 300, Dallas, TX, 75246
3409 Worth St Ste 300, Dallas, TX, 75246
Not accepting walk-ins

16050 Everwell Ln Professional Pavilion I, Ste 310, Frisco, TX, 75033
16050 Everwell Ln Professional Pavilion I, Ste 310, Frisco, TX, 75033
Not accepting walk-ins

1631 Lancaster Dr Ste 230, Grapevine, TX, 76051
1631 Lancaster Dr Ste 230, Grapevine, TX, 76051
Not accepting walk-ins

5220 W University Dr POB II, Ste 220, McKinney, TX, 75071
5220 W University Dr POB II, Ste 220, McKinney, TX, 75071
Not accepting walk-ins

707 Highlander Blvd , Arlington, TX, 76015
707 Highlander Blvd , Arlington, TX, 76015
Accepting walk-ins

3900 Junius St Ste 500, Dallas, TX, 75246
3900 Junius St Ste 500, Dallas, TX, 75246
Not accepting walk-ins