If you have signs and symptoms common to DISH, make an appointment with your family doctor or a general practitioner. After an initial evaluation, your doctor might refer you to a specialist such as a rheumatologist, physiatrist, orthopedic surgeon or neurologist.
Here's some information to help you get ready for your appointment.
What you can do
- Write down your symptoms and when they began.
- Write down key medical information, including other conditions you have as well as the names of all medications, vitamins or supplements you take.
- Write down possible causes of injury to the affected area.
- Write down questions to ask your doctor.
Preparing a list of questions will help you make the most of your time with your doctor. For DISH, some basic questions to ask include:
- What's the most likely cause of my symptoms?
- Are there other possible causes for my symptoms?
- What tests do I need?
- Which treatment do you recommend?
- What self-care steps can help me manage this condition?
- Do I need to restrict my activities?
- How often will you see me for follow-up visits?
- If the first treatment approach doesn't work, what will you recommend next?
- I have other health conditions. How can I best manage them together?
- Are there brochures or other materials I can take? What websites do you recommend?
Don't hesitate to ask any other questions.
What to expect from your doctor
Your doctor is likely to ask you a number of questions, including:
Sept. 16, 2015
- What are your symptoms, and when did you first notice them?
- Have your symptoms gotten worse over time?
- Are your symptoms worse in the morning?
- Do you have difficulty moving the affected joint?
- Are you having difficulty swallowing?
- What, if anything, seems to improve your symptoms?
- Have you previously taken long-term, prescribed medications, such as for acne or other skin conditions?
- Helfgott SM. Diffuse idiopathic skeletal hyperostosis (DISH). http://www.uptodate.com/home. Accessed Aug. 20, 2015.
- Mader R, et al. Extraspinal manifestations of diffuse idiopathic skeletal hyperostosis. Rheumatology. 2009;48:1478.
- Terzi R. Extraskeletal symptoms and comorbidities of diffuse idiopathic skeletal hyperostosis. World Journal of Clinical Cases. 2014;9:422.