Estimation of vitamin D level in low backache cases and their outcome after treatment with vitamin D
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205572Keywords:
Vitamin D, Chronic low backache, Activity limitationAbstract
Background: Vitamin D has a significant role to play in bone metabolism and neuromuscular function. Several researchers have indicated that vitamin D deficiency may be possibly related to chronic musculoskeletal pain including chronic low back pain (CLBP). Objectives of this present study were conducted to rule out the vitamin D deficiency in a patient can also be a cause of low backache other than various spinal disorders like PIVD, spondylolisthesis etc.
Methods: A total of 50 patients, of any age who visited the Department of Orthopedics outpatient/Emergency, with chief complaint of low backache without any low backache disease like PIVD and spondylolisthesis etc. were thoroughly interviewed and examined for any concomitant pathological disease of spine. Patient’s Blood sample of about 5 ml with syringe of 10 cc. were taken and the serum vitamin D level was assayed by “direct competitive chemiluminescence immunoassay” (CLIA).
Results: Out of 50 patients of low backache and vitamin D deficiency, 33 patients have good outcome in their pain after getting treatment in form of Vitamin D.
Conclusions: We concluded that the vitamin D plays a major role in low backache and after treatment there is significant improvement in low backache.
References
Holick MF. 2007 Vitamin D deficiency. N Engl J Med. 357;266-81.
DeLuca HF. Overview of general physiologic features and functions of vitamin D. Am J Clin Nutr. 2004;80:1689S-6S.
Sachan A. Gupta R, Das V, Agarwal A, Awasthi PK and Bhatia V. High prevalence of vitamin D deficiency among pregnant women and their newborns in northern India. Am J Clin Nutr. 2005;81;1060-4.
Harinarayan CV, Joshi SR. Vitamin D status in India-Its implications and remedial measures. J Assoc Physicians India, 2009;57:40-8.
Lodh M, Goswami B, Mahajan RD, Sen D, Jajodia N, Roy A. Assessment of vitamin D status in patients of chronic low back pain of unknown etiology. Ind J Clinic Biochem. 2015;30(2):174-9.
de La Jara GD, Pecoud A, Favrat B. Female asylum seekers with musculoskeletal pain: the importance of diagnosis and treatment of hypovitaminosis D. Bio Med Cent Fam Pract. 2006;7(1):4.
Rodrigo MD. Peak bone mass measured by phalangeal BMD and its association with nutritional status, socio economics status and physical activity: a community based cross sectional study in Galle district, Sri Lanka. 2007.
Al Faraj S, Al Mutairi K. Vitamin D deficiency and chronic low back pain in Saudi Arabia. Spine (Phila Pa 1976). 2003;28(2):177-9.
Lotfi A, Abdel-Nasser AM, Hamdy A, Omran AA, El-Rehany MA. Hypovitaminosis D in female patients with chronic low back pain. Clin Rheumatol. 2007;26(11):1895-901.
Tiwari RR, Mrinalini CP, Sanjay PZ . Low back pain among textile workers. Ind J Occupat Environment Medic. 2003;7(1):27-9.
Haldiya KR, Mathur ML, Mathur NC, Mathur A. Epidemiology of musculoskeletal conditions in India. Annual Report. 2009-2010.
Babita Ghai MD, Dipika Bansal MD, Raju Kanukula M. High prevalence of hypovitaminosis D in Indian chronic low back patients. Pain Physic. 2015;18(E853):E853-62.
Goon M, Ghoshal S, Chandrasekaran B, Sharma C. Prevalence of Low back pain in long distance truck drivers of mountainous terrain. Advanc Occupat Soc Organizat Ergonom. 2010:3(4):S1-4.
Bihari V, Keasavachandran C, Pangtey BS, Srivastva AK, Mathur N. Musculoskeletal pain and its associated risk factors in residents of National Capital Region. Ind J Occupat Environmen Med. 2011;15(2):59-63.
Banerjee A, Jadhav SL, Bhawalkar JS. Limitations of activities in patients with musculoskeletal disorders. Ann Med Heal Sci Res. 2012;2(1):15-9.
Cui Z, Schoenfeld MJ, Bush EN, Chen Y, Burge R. Characteristics of hip fracture patients with and without muscle atrophy/weakness: predictors of negative economic outcomes. J Med Econo. 2015;18(1):1-1.
Siddque SA, Malik YM. Frequency of Vitamin D Deficiency in Patients of Low Backache. Ann Pak Inst Med Sci. 2011;7(4): 208-12.
Rkain H, Bouaddi I, Ibrahimi A, Lakhdar T, Abouqal R, Allali F et al. Relationship between vitamin D deficiency and chronic low back pain in postmenopausal women. Curr Rheumatol Rev. 2013;9(1):63-7.
Bandhopadhyay A, Dev S, Gangopadhyay S. A study on prevalence of musculoskeletal disorders among the coalminers of eastern coalfields of India. Int J Occupat Safe Heal. 2012;2(2):34-7.
Hegazy AM, Salama BM, Elgaml AM, Alzyat AR. Association of low back pain with vitamin D deficiency and other common risk factors: A hospital based case–control study. Europ J Prevent Medic. 2015;3(1):1-5.
Harinarayan CV, Ramalakshmi T, Prasad UV, Sudhakar D. Vitamin D status in andhra pradesh: A population based study. Indian J Med Res. 2008;127:211-8.
Sharma SC, Singh R, Sharma AK, Mittal R. Incidence of low back pain in work age adults in rural North India. Ind J Medic Sci. 2003;57:145-7.
Bodhare T, Valsangar S, Bele S. An epidemiological study of work related musculoskeletal disorders among construction workers in Karimnagar, Andhra Pradesh. Ind J Commun Med. 2011;36(4):98-9.
Monga A, Singh S. Impact of back muscle functions, spinal range of motion and fear avoidance beliefs on disability in chronic nonspecific low back pain. Hum Biol Rev. 2012;2(1)46-55.