73year old male presented with the low back pain only standing position and waking. Please comment on the case.



Extraspinal manifestations of diffuse idiopathic skeletal hyperostosis  DISH including obesity, increased waist circumference, hypertension, dyslipidaemia, diabetes mellitus hyperuricaemia, metabolic syndrome cardiovascular are increased this disease also treated with pain relievers acetaminophen  or NSAIDs ibuprofen Severe pain may be treated with corticosteroid injections. Muscle relaxants may also be helpful Physical therapy andexercise may reduce the stiffness associated with DISH and can help increase range of motion in the joints


X ray shows increased radiolucency of spine with osteoporosis collapse of L2 * L3 and bridging osteophyte at multiple level and lysthiasis @L4L5.Also BAASTRUP disease. pain is due to osteoporosis with collapse. Is the pt diabetic.?

Thanks sir

L2 and L3 reduced height Spondylosis At this age rule out secondaries from prostate PSA MRI screening of spine

To start with ...do TENS and US therapy. Start with stretching exercises and mckezie....and tgen see tge result in a week. Acc to that nxt week treatment plan

Calcification of anterior longitudinal ligament noted. DISH (diffuse idiopathic skeletal hyperostosis) should be ruled out .

Physiotherapy treatment

Physiotherapy treatment only

Disc prolapse

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