Abstract

A 53 years male diabetic, hypertensive developed backache and stiffness for 6 months. Spine examination revealed local tenderness over the lower thoracic and lumbar spine with limitation of movements. Radiological diagnosis of Diffuse Idiopathic Skeletal Hyperostosis (DISH) was made. The musculoskeletal manifestations in diabetics are often neglected and DISH is an important association, insulin resistance being implicated in pathophysiology of both DISH and diabetes.