Study of Beneficial Role of Vitamin D in Chronic Low Back Pain
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 7
Abstract
Introduction. Low Back pain (LBP) is the most common neurologic complaint of patients attending outpatient clinics of Orthopedics, Neurology and in general practice. In most cases, the cause may be difficult to determine. In such cases, Vitamin D deficiency or insufficiency is observed as the predominant biochemical marker. Aim. To study the association between low vitamin D levels and chronic low back pain and the beneficial role, if any, of replacement therapy with vitamin D. Methods. From April, 2014 to March, 2015, total number 50 patients with chronic low back pain were assessed clinically and with investigations like CBP including ESR, serum creatinine, plain radiograph, CT, and MRI of the lumbosacral spine. Local pathologic conditions, renal impairment, chronic liver disease were excluded and they are labeled as patients with idiopathic chronic low back pain. Serum calcium, phosphate, PTH, and 25-hydroxy vitamin D level (Electro Chemiluminescence assay) were performed and patients are categorized as having deficient, insufficient and sufficient levels of vitamin D. Oral therapy with 25(OH) cholecalceferol was administered with doses ranging from 3000-5000units/day. Clinical reassessment of lower back pain was made after three months of vitamin D therapy. Oral painkillers were strictly avoided from use. Results. All the patients deficient in vitamin D, 84% of patients having insufficient vitamin D levels and 42.85% of patients with sufficient vitamin D levels have shown remarkable symptomatic relief. Conclusions. It is prudent to include measurement of vitamin D in investigation protocol of patients suffering from lower back pain which is amply revealed by this study.
Authors and Affiliations
Dr. Ch. Ramakrishna Rao, Dr. W. Maruthi, MD
Keywords
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