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d i s h

Printed From: CyberPT - Your Online Physical Therapy Resource
Category: Specialty Forum for PTs/Healthcare Professionals
Forum Name: Manual Therapy
Forum Description: Discussion on Manual Therapy
URL: http://www.cyberpt.com/ptforum/forum_posts.asp?TID=335
Printed Date: Apr 08 2025 at 9:20am
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Topic: d i s h
Posted By: Ask a PT
Subject: d i s h
Date 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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