DISH can produce pain from both axial and peripheral skeletal involvement. Where metabolic disarrangement is present, it forms an additional dimension of clinical management alongside skeletal symptoms.
Symptomatic therapy is the cornerstone of management — a specific category of pain-relieving agents is used for axial and peripheral manifestations, with additional standard measures applied when metabolic factors are involved. The complete structured regimen is available below.
DOI: 10.1016/j.berh.2020.101527