Dish (Diffuse Idiopathic Skeletal Hyperostosis)

Dish (Diffuse Idiopathic Skeletal Hyperostosis)

Dish (Diffuse Idiopathic Skeletal Hyperostosis) is a condition whereby the ligaments that attach to the spine start turning to bone. It is also known as Forestier’s disease.  The word “idiopathic” means that they don’t know what causes it. It most often occurs after age 50, and in men more than women. There also has been some association with patients that have type II diabetes.

The symptoms DISH can cause are stiffness, pain, loss of range of motion, and difficulty swallowing when it occurs in the cervical spine. Not only can the pain from DISH be felt in the spine, but it can also radiate to other affected areas of your body like your elbow, knees, shoulders or heels. In more severe cases, DISH can lead to disability and complete loss of motion in your shoulders or arms. DISH can also make you more prone to spinal fractures or spinal injuries. See the examples below:


The treatment to manage this condition involves maintaining as much mobility as possible. If the growth in the cervical spine is so advanced to cause significant difficulty in swallowing surgery may be required, otherwise it should be managed conservatively. Like a lot of spinal conditions, the best treatment options are available to you here at Oahu Spine & Rehab. Not only can your DISH condition be treated with physical therapy and chiropractic manipulation, but it would also greatly improve with treatments like rehab therapy, massage therapy, and medication such as NSAIDS.  Here at OSR in Kailua, we want to bring the highest quality of life to as many people as possible. Our medical staff specializes in creating treatment plans using all facets of our integrated health center. If you are interested in learning more or to set up an appointment, call us today at 488-5555!



Leave a Comment

Schedule Your Consultation

Oahu Spine & Rehab – Over 100 Five Star Reviews!

Patient Reviews

Please contact us for a complimentary evaluation. Whether you are looking for physical therapy, rehabilitation by a medical doctor, or other physical treatments, we have you covered.

Helping Patients Restore Their Health

We are one of Hawaii’s very few physical medicine facilities that can offer you a variety of services all under one roof. If you are looking for massage, physical therapy, specific pain management, or other physical treatments we are here to help.

Scroll to Top