Rheumatologists from the Ichilov Medical Center are well-known in the field of treating ankylosing hyperostosis in Israel. The therapy for this condition employs the latest pharmacological developments and progressive physiotherapeutic methods, the effectiveness of which is supported by scientific research. Treatment plans are formed taking into account the morphological characteristics and health status of the patient.
The center is equipped with modern diagnostic and therapeutic equipment, including the latest three-dimensional imaging technologies. The treatment process is conducted under the supervision of a multidisciplinary team of specialists from various fields: rheumatologists, orthopedists, neurologists, surgeons, and rehabilitation specialists. The clinic pays great attention not only to the treatment process but also to ensuring a high quality of life. Patients receive comprehensive assistance with organizational issues, psychological support programs, and rehabilitation.
About the Disease
Ankylosing hyperostosis (Forestier's disease, diffuse idiopathic skeletal hyperostosis, DISH) is classified as a rheumatological pathology. The disease affects the bones and joints and also impacts the nervous system by affecting the nerve roots.
The disease primarily manifests as pathological bone tissue growth, particularly noticeable in the spinal region. This process is accompanied by the formation of bone outgrowths that can limit joint mobility and, in some cases, lead to ankylosis – a complete loss of joint mobility due to the fusion of bone surfaces.
The exact causes of ankylosing hyperostosis are not fully understood. It is believed that the disease has a multifactorial nature, including genetic predisposition and metabolic disorders. There are several theories associating the mechanisms of disease development with disturbances in calcium and phosphorus metabolism and low-intensity inflammation in the areas where tendons and ligaments attach to bones.
The most characteristic symptoms of ankylosing hyperostosis include:
- pain and stiffness in the lower back and cervical spine, predominantly occurring in the morning and after periods of immobility, and decreasing with movement;
- limited mobility and gradual reduction of spinal flexibility, especially during lateral bends and tilts;
- sensation of constant fatigue;
- formation of thickening and outgrowths on the bones, visible on X-rays.
In rare cases, if the bone outgrowths affect the sternum or cervical vertebrae and impact the corresponding muscles and joints, problems with swallowing or breathing may arise.
Treatment Methods for the Disease
Treatment of ankylosing hyperostosis aims to alleviate symptoms, maintain and restore mobility, and prevent potential complications. Given the progressive nature of the disease, the Ichilov clinic practices a comprehensive approach to treatment, incorporating several of the most effective methods.
Therapy Using Non-Steroidal Anti-Inflammatory Drugs
Basic treatment with medications that reduce pain and inflammation. The use of NSAIDs can quickly and significantly improve the quality of life for patients. Ichilov utilizes the latest generations of pharmacological agents with minimal risks of possible side effects.
Pain Therapy
Modern analgesics that eliminate or significantly reduce pain are used to control pain sensations. Medications are selected individually, taking into account the duration and type of pain, as well as potential risks and benefits.
Physiotherapy
Modern physiotherapeutic techniques show high effectiveness in treating ankylosing hyperostosis, helping to maintain joint mobility and reduce stiffness. The physical therapy program includes a set of special exercises tailored for the specific patient:
- stretching exercises to maintain flexibility of the spine and other joints;
- special strength exercises to build muscle mass to support proper posture and reduce the risk of injury;
- aerobic training. A large range of physical activities, including walking, swimming, and cycling to improve overall physical fitness and weight control.
Other physiotherapy methods may include special procedures using devices that generate heat or cold, electrostimulation, and ultrasound therapy to relieve pain and activate blood circulation in affected areas.
Orthopedic Devices
As part of comprehensive therapy to support and stabilize affected areas of the spine, in some cases, the temporary use of special orthoses or corsets may be advisable. The decision to use orthopedic supportive devices depends on the individual characteristics of the disease in each specific case.
Surgical Intervention
In rare cases, when serious complications develop or symptoms cannot be managed with conservative treatment, surgical intervention may be considered. The Ichilov clinic performs surgical operations using robot-assisted equipment, allowing for very precise and maximally safe removal of bone formations. The goal of the operation is to eliminate neurological symptoms and restore stability and function to the joints.
- Operations in Israel
- Physiotherapy
Diagnostic Methods for the Disease
At the Ichilov clinic, a comprehensive step-by-step protocol has been developed for the accurate diagnosis of ankylosing hyperostosis, allowing for a quick and precise diagnosis and the exclusion of other diseases with similar symptoms.
First Day
The doctor conducts a detailed medical history, paying attention to the patient's complaints, especially those such as pain and stiffness in the back, morning stiffness, worsening condition after periods of immobility, and any noticeable changes in joint mobility.
A physical examination is conducted to assess the range of motion in the spine and identify painful areas. The doctor may also check for visible signs of hyperostosis, such as thickening or outgrowths on the bones.
Second Day
X-ray examination
CT and MRI
Laboratory tests
Third Day
After reviewing the results of the clinical examination, X-ray data, and excluding other causes of similar symptoms, the multidisciplinary group confirms the diagnosis and selects the most appropriate treatment methods for the specific case.
- Computed Tomography
- Magnetic Resonance Imaging (MRI)
- X-ray
How Much Does Treatment Cost
Each treatment plan at the Ichilov clinic is tailored to the individual health characteristics and progression of the disease of the specific patient. The price is formed based on the volume and complexity of diagnostic studies and therapeutic procedures.
For more information, you can call, use the online chat, or fill out a special form on the website. A qualified coordinator will provide detailed explanations about the cost of treatment, the procedures included in the basic program, the technical capabilities of the medical center, as well as where to find information about various departments and doctors, their ratings, and reviews of their work.
Advantages of Treatment at the Ichilov Clinic
- High quality of medical care
- Practical experience in successfully treating rheumatological pathologies
- Coordinated work of multidisciplinary teams
- Personalized therapy and rehabilitation programs
- Comfortable stay
Israel is a country with one of the most developed healthcare systems in the world. Modern means of internet communication allow you to book a consultation with a leading rheumatology expert at the Ichilov clinic from anywhere in the world. After reviewing your medical documentation via video link (Zoom or Skype), the doctor will discuss the most effective treatment methods and options that are appropriate for your case.