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CASE REPORT
Year : 2020  |  Volume : 14  |  Issue : 1  |  Page : 50-54

Effectiveness of physiotherapy treatment in a case of diffuse idiopathic skeletal hyperostosis (DISH) in 65 year old male


Department of Musculoskeletal Science, Ashok & Rita Patel Institute of Physiotherapy, CHARUSAT, Anand, Gujarat, India

Correspondence Address:
Dr. Hemal M Patel
Department of Musculoskeletal Science, Ashok & Rita Patel Institute of Physiotherapy, CHARUSAT Campus, Changa, Petlad, Anand - 388 421, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/PJIAP.PJIAP_30_19

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Diffuse idiopathic skeletal hyperostosis (DISH) is common after 50 years, which is characterized by the ossification of the anterior longitudinal ligament. The purpose of this case report is to describe the physiotherapy intervention strategies and report its effectiveness in the symptomatic management of DISH in 65-year-old male who complains of severe lower back pain and difficulty in changing side while lying on the bed, prolonged standing, and walking for the last 1 month. The condition was managed based on clinical presentations with supervised and unsupervised physiotherapy for 6 weeks. The supervised physiotherapy intervention consisted of patient's education, postural correction, electrotherapeutic modalities, exercise therapy, and counseling for 45–60 min a day for 5 days/week. The effectiveness of physiotherapy is followed for 6 weeks and symptom-specific outcome measures such as Quebec disability index, Schober's test, visual analog scale, and lumbar lateral flexion test were used. Physiotherapy interventions are found to be effective in the symptom management of DISH with increased patient satisfaction.


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