Patient has "stiffening" lower back pain and TYPE I DM. Patient has DISH (Diffuse Idiopathic Skeletal Hyperostosis).

1. Clinical Case Studies

2. Patient is 63 yo with “stiffening” LB
ache and Type I DM

3. DISH
(Diffuse Idiopathic Skeletal Hyperostosis)
• Forrestier’s Disease
• “Flowing Bone”
ossification of the spinal
ligaments
• Creates synostosis of
vertebra and reduction of
ROM
• Can be found with DDD
but commonly found in
normal height discs too
• Associated with Diabetes

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