Abstract
Setting: Outpatient rehabilitation center. Patient: An 84-year-old man presented with an 8-month history of nonsevere dysphagia that was experienced only with solid foods in a patient with diffuse idiopathic skeletal hyperostosis (DISH) or Forestier’s disease of the cervical spine. An episode of pneumonia occurred in the third and sixth months previously and the patient had been admitted to hospital and treated with antibiotics. Case Description: The patient was treated with nonsteroidal anti-inflammatory drugs (10mg aceclofenac QID, maintained for 2wk/mo), a soft diet, and rehabilitation treatment (active exercises to strengthen the swallowing musculature and effortful swallow, exercises for coordinating swallowing and breathing, for strengthening the respiratory, airflow protection maneuvers to produce safer swallowing, improve airway protection, and pharyngeal and laryngeal function, etc).
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