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Treatments and drugs
By Mayo Clinic staffWhile there's no cure for diffuse idiopathic skeletal hyperostosis, there are steps you can take to reduce pain and stiffness if you're experiencing those symptoms. In many cases, treatment may not be necessary. However, if you experience symptoms of diffuse idiopathic skeletal hyperostosis, your doctor may recommend treatments to control pain and maintain range of motion in your affected joints.
Treatment for pain
Treatment for pain caused by diffuse idiopathic skeletal hyperostosis is similar to that of other joint ailments. Your doctor may recommend acetaminophen (Tylenol, others) or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin, others). More severe pain can be treated with corticosteroid injections.
Treatment for stiffness
Physical therapy can reduce the stiffness associated with diffuse idiopathic skeletal hyperostosis. Exercises may also increase your range of motion in your joints. Ask your doctor about specific exercises you can do. He or she may refer you to a physical therapist for further guidance.
Surgery
Surgery may be required in rare cases when diffuse idiopathic skeletal hyperostosis causes severe complications. People who experience difficulty swallowing due to large bone spurs in the neck may need surgery to remove the bone spurs. Surgery may also relieve pressure on the spinal cord caused by diffuse idiopathic skeletal hyperostosis.
- Esdaile JM. Diffuse idiopathic skeletal hyperostosis (DISH). http://www.uptodate.com/home/index.html. Accessed April 13, 2010.
- Alparslan L, et al. Imaging modalities in rheumatic disease. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: W.B. Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/194678336-3/982047756/1807/375.html#4-u1.0-B978-1-4160-3285-4..10053-1--s1130_1650. Accessed April 13, 2010.
- Srikulmontree T, et al. Chronic neck pain. American Family Physician. 2009;79:595.
- Bearcroft PPW, et al. Joint disease. In: Grainger & Allison's Diagnostic Radiology. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2009. http://www.mdconsult.com/das/book/body/194678336-4/982052379/1611/54.html#4-u1.0-B978-0-443-10163-2..50053-1--cesec9_2701. Accessed April 13, 2010.
- Chang-Miller A (expert opinion). Mayo Clinic, Rochester, Minn. April 18, 2010.
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