Diffuse Idiopathic Skeletal Hyperostosis Treatment

Diffuse idiopathic skeletal hyperostosis (DISH) is a condition characterized by the hardening and calcification of ligaments and tendons where they attach to the spine. Over time, this buildup of calcium salts can lead to abnormal bone growth along the spine, reducing flexibility and causing stiffness. Although the exact cause of DISH is not fully understood, it is believed to be related to metabolic factors, aging, and certain genetic predispositions.

Also known as Forestier’s disease, DISH may not always cause noticeable symptoms. In many cases it is discovered incidentally during imaging performed for other reasons. When symptoms do occur, the most common complaints include mild to moderate pain and stiffness in the upper back. Some patients also experience reduced range of motion, especially in the morning or after long periods of inactivity. DISH can affect the neck, upper back, and lower back, and in some individuals it may also involve other joints such as the shoulders, elbows, knees, and heels.

Although DISH often progresses slowly, the condition can worsen over time and potentially lead to complications if spinal mobility becomes significantly limited. Early evaluation and appropriate management can help maintain movement and reduce discomfort.

At Tenckhoff Chiropractic, a thorough clinical examination of the affected areas of the spine is performed to determine the most appropriate course of care. Imaging studies may be recommended to better evaluate the spine and confirm the diagnosis. Dr. Tenckhoff utilizes Cox Technic Flexion Distraction and Decompression, a gentle chiropractic technique designed to widen the spinal canal, decrease intradiscal pressure, and improve disc height. This approach can help relieve pain while encouraging improved spinal mobility.

In addition to in-office care, lifestyle modifications may help support recovery and long-term spine health. Patients are often advised to avoid prolonged sitting, maintain good posture, perform spine-strengthening exercises, and use ergonomic seating. A supportive mattress, nutritional support for joint health, and modifying certain daily activities may also help reduce symptoms and improve overall function.