Stiffness, Pain in Spine
Could Mean DISH

A noticeable stiffness or pain in the spine, or loss of range in that area, could be signs of a condition known as diffuse idiopathic skeletal hyperostosis or DISH. Also called Forestier’s Disease, DISH is a hardening of tendons and ligaments causing stiffening in the upper back, neck and lower back.

Some people even feel the effects of DISH beyond the spine when it affects tendons and ligaments in the heels, ankles, knees, hips, shoulders, elbows and hands.

Who does DISH affect? More often men than women and it’s more common in older adults. Treatment isn’t necessary in most cases, although physical therapy may delay the loss of motion in affected joints. Only in rare instance is surgery needed.

What are the signs and symptoms of DISH?

• Stiffness of the spine, usually more noticeable in the morning.
• Pain in the spine, noticed when someone presses on it (This isn’t experienced by everyone with DISH).
• Loss of range of motion, maybe the most noticeable symptom. You flex your spine laterally when doing side stretches, for example.

If you suspect you may have DISH, i.e., experiencing persistent pain or stiffness in any joint or in your back, make an appointment with your doctor. No cure exists for DISH and in many cases, treatment may not be necessary. However, your doctor may recommend treatments to control pain and maintain range of motion in your affected joints.

 

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