Diffuse idiopathic skeletal hyperostosis (DISH) mainly involves the spine, especially the cervical spine. The onset is subtle and slow. In the early stage there is usually no or only mild symptoms so you do not have particular discomfort. As the disease develops, you may have limited mobility in the spine (especially neck), neck stiffness, back stiffness, arm and leg pain, after you are tired or after a long travelling. The disease is common in middle-aged men. If it deteriorates, it may lead to serious complications. Treatment focuses on relieving symptoms and treating complications. Nonsteroidal anti-inflammatory drugs (NSAIDs) and other analgesics can alleviate pain and stiffness. If NSAIDs are ineffective, local corticosteroid injections can be used. If there is new bone formation which causing obstruction or oppression, surgery can be considered.
How is Diffuse idiopathic skeletal hyperostosis (DISH) treated in practice?