d i s h

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   Our user asked: "Am currently treating a patient with d i s h, the patient spent most of the last 2 years immobile at home but now is trying to follow an exercise program. Has pre-disposing factors [diabetes, over weight, smoker] which are slowing things slightly. His previous physio manipulated his spine and he wants me to do the same, is this recommeded? Thanks"

Ask a PT Response: "Diffuse idiopathic skeletal hyperostosis is a unique form of arthritis and I would be concerned with manipulating your patient's spine given the nature of this condition. If you posess the training to perform manipulations, I would definitely obtain medical imaging of your patient's spine such as an x-ray to determine the extent of the arthritis and what joints are affected in order to give you a better idea if it would be safe to manipulate or not. Maybe you could contact his pevious physio to determine if a true manipulation was performed and to obtain any additional information as well."

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Ask a PT Members Profile Send Private Message Find Members Posts Add to Buddy List Senior Member Joined: Jul 07 2008 Status: Offline Points: 954	Post Options Post Reply Quote Ask a PT Report Post Thanks(0) Quote Reply Topic: d i s h Posted: Dec 08 2008 at 1:54pm
	Our user asked: "Am currently treating a patient with d i s h, the patient spent most of the last 2 years immobile at home but now is trying to follow an exercise program. Has pre-disposing factors [diabetes, over weight, smoker] which are slowing things slightly. His previous physio manipulated his spine and he wants me to do the same, is this recommeded? Thanks" Ask a PT Response: "Diffuse idiopathic skeletal hyperostosis is a unique form of arthritis and I would be concerned with manipulating your patient's spine given the nature of this condition. If you posess the training to perform manipulations, I would definitely obtain medical imaging of your patient's spine such as an x-ray to determine the extent of the arthritis and what joints are affected in order to give you a better idea if it would be safe to manipulate or not. Maybe you could contact his pevious physio to determine if a true manipulation was performed and to obtain any additional information as well."

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