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Chiropractic Management in Diffuse Idiopathic Skeletal Hyperostosis: A Case Series


Lucian Henry, DC Bio


Annals of Vertebral Subluxation Research ~ February 28, 2013 ~ Pages 12-17 



Objective: The objective of this report is to describe the chiropractic management of patients

with spinal pain complicated by diffuse idiopathic skeletal hyperostosis.

Methods: Four patients with neck and / or back pain were examined and radiographs revealed

DISH. The patients were diagnosed with vertebral subluxation, complicated by DISH at the

cervical spine. All patients were treated with chiropractic manipulation using Diversified and / or

Gonstead technique. Group Pre VAS scores were compared to group Post VAS scores using

the paired t test. A statistically significant difference was considered to be present if the

two-tailed p-value was < an alpha of 0.05.


Results:  Follow-up VAS scores (mean = 0.875, standard deviation +/- 1.8)

were significantly less (statistically speaking) compared to the initial VAS scores (mean = 8.5,

standard deviation +/- 1.1) (p = 0.0051).

Conclusion: There is ample literature on the benefits of chiropractic care for neck and back pain

but there is little literature on chiropractic care for patients with DISH. Chiropractic is likely

beneficial for patients with DISH and further investigation is warranted.


Keywords: Chiropractic, adjustment, manipulation, Diffuse Idiopathic Skeletal Hyperostosis,

DISH, subluxation