Diffuse Idiopathic Skeletal Hyperostosis (DISH) (cont.)
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Diffuse Idiopathic Skeletal Hyperostosis Treatment
The treatment of DISH involves treating each bothersome symptom. If no bothersome symptoms are present, then no treatment is necessary. The treatment of DISH should be individualized for the patient and their specific signs and symptoms. Physical activity and physical therapy are usually beneficial for patients suffering from spinal stiffness. For example, stretching and gentle exercise generally help with stiffness. Formal physical therapy can include assistance with the appropriate stretching and exercises, as well as modalities such as ultrasound. For those patients with pain that does not respond to exercise and physical therapy, acetaminophen (Tylenol) and NSAIDs (nonsteroidal anti-inflammatory drugs) are frequently very beneficial. These medications may be taken over the counter, unless they are contraindicated due to another medical condition, or prescribed by a health care professional if necessary. A variety of topical medications can be useful for pain, such as capsaicin cream or topical NSAIDs.