While there's no cure for diffuse idiopathic skeletal hyperostosis, there are steps you can take to reduce pain and stiffness. Treatment is also aimed at keeping the condition from worsening and preventing complications.
Because of the relationship between DISH and conditions such as obesity, insulin resistance and type 2 diabetes, treating those conditions may slow or halt the progression of DISH.
Treatment for pain
Treatment for pain caused by DISH is similar to that of other joint ailments. Your doctor may recommend acetaminophen (Tylenol, others) or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others). More severe pain can be treated with corticosteroid injections.
Treatment for stiffness
Physical therapy can reduce the stiffness associated with DISH. Exercises may also increase your range of motion in your joints. Ask your doctor about specific exercises you can do. He or she may refer you to a physical therapist for further guidance.
Surgery may be required in rare cases when diffuse idiopathic skeletal hyperostosis causes severe complications. People who experience difficulty swallowing due to large bone spurs in the neck may need surgery to remove the bone spurs. Surgery may also relieve pressure on the spinal cord caused by diffuse idiopathic skeletal hyperostosis.
Sept. 16, 2015
- 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.