Diffuse idiopathic skeletal hyperostosis (DISH) is a bony hardening (calcification) of ligaments in areas where they attach to your spine. Also known as Forestier's disease, diffuse idiopathic skeletal hyperostosis may cause no symptoms and require no treatment. The most common symptoms are mild to moderate pain and stiffness in your upper back. DISH can also affect your neck and lower back. Some people have DISH in other areas, such as shoulders, elbows, knees and heels.
Treatment Physiotherapy and Chiropractic manipulative therapy shows beneficial results for decreasing pain and increasing spinal range of motion. As areas of the spine and tendons can become inflamed NSAIDs such as ibuprofen and Naproxen can be helpful in both relieving pain and inflammation associated with DISH. It is hoped that by minimizing inflammation in these areas, further calcification of tendons and ligaments of the spine leading to bony outgrowths (enthesophytes) will be prevented, although causative factors are still unknown.
Statistics DISH is well represented in the zoologic and paleontologic record. It is found in 1-3% of baboons and monkeys, as well as in gorillas, bears, camels, horses, bison, musk oxen, canids, felids, and whales. DISH was also present in dinosaurs. An age-dependent phenomenon, it occurs in 15-25% of older mammals. Major research Although a rare cause of dysphagia, DISH can cause considerable morbidity in the geriatric population. Keeping this clinical entity in the differential diagnosis is important in arriving at the diagnosis.