Ankylosing Spondylitis and DISH: What’s the Difference?

Ankylosing Spondylitis (AS) and diffuse idiopathic skeletal hyperostosis (DISH) are both rheumatic conditions that can affect the spine. While they share some similarities, there are also some key differences between the two conditions.

Similarities:

* Both AS and DISH can cause pain and stiffness in the spine.

* Both AS and DISH can lead to the formation of new bone growth, which can cause the spine to become fused.

* Both AS and DISH can be difficult to diagnose, as they can mimic other conditions.

Differences:

* Age of onset: AS typically begins in young adulthood, while DISH usually occurs in older adults.

* Sex: AS is more common in men, while DISH is more common in women.

* Location of pain: AS typically causes pain in the lower back and buttocks, while DISH can cause pain in the neck, back, and shoulders.

* Type of bone growth: AS typically causes the formation of new bone growth in the spine, while DISH causes the formation of new bone growth along the edges of the vertebrae.

* Genetic factors: AS is associated with the HLA-B27 gene, while DISH is not.

Treatment:

There is no cure for AS or DISH, but there are treatments that can help to relieve pain and stiffness. Treatment options for AS and DISH may include:

* Medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, and biologics

* Physical therapy

* Exercise

* Heat and cold therapy

* Assistive devices, such as canes or walkers

Prognosis:

The prognosis for AS and DISH is generally good. Most people with AS and DISH are able to lead full and active lives. However, some people with AS may develop severe complications, such as heart problems or lung disease.

If you are experiencing pain and stiffness in your spine, it is important to see a doctor to get a diagnosis. Early diagnosis and treatment can help to improve your prognosis.