Vitamin D Supplementation For Non Specific Musculoskeletal Pain Among Adults Attending Department Of Orthopaedics, Gauhati Medical College: A Randomized Controlled Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Objectives: The objective of this study was to measure the level of vitamin D in adult patients coming with nonspecific musculoskeletal pain and evaluate the effect of the correction of vitamin D deficiency on the pain, fatigue and quality of life. Methods: A pragmatic prospective study was conducted in Orthopaedics out patient department at Gauhati Medical College and Hospital, between January 1 and June 30, 2016. All patients aged 18 to 60 years consulting for diffuse nonspecific musculoskeletal chronic pain and/or chronic unexplained fatigue, were enrolled in this study. They were randomised into study group who received the vitamin D supplementation and the control group who received a placebo. Results: Eighty nine complete cases underwent the study. Out of this sixty eight patients were deficient, fifteen patients had insufficient vitamin D level and rest six had sufficient level. The correction of vitamin D deficiency resulted in a significant decrease in the level of pain intensity according to VAS (P=0.001) and the pain free duration (P<0.001), consumption of analgesics (P=0.002) and discomfort in carrying out activities of daily living following: the shopping, cleaning, walking for more than a kilometer (P<0.001) and dressing (P=0.012). Conclusion: The correction of vitamin D has had a positive impact both physical, mental and social activities. Chroninc nonspecific musculoskeletal pain should be evaluated for vitain D deficiency. Supplementation in these patients brings overall improvement in these patients.
Authors and Affiliations
H. C. Frank, P. Pegu, A. Gaikwad
Management of Tibial stress fracture in Osteoarthritic deformed Knee with Total Knee Arthroplasty
Stress fractures of the tibia which occurs due to the osteoarthritic deformities are rare and pose a great challenge in management. We managed three such patients with stress fractures of proximal tibia with deformed ost...
Growth Diferentiation of Scapular Exostisis In Relation To Its Position
Osteochondroma or exostosis is a benign tumor arising from the bone involving the long bones most commonly, pelvis, ribs and the scapula at rare instances. It can run in families called as multiple hereditary exostosis(M...
High Density Lipoprotein (HDL) Cholesterol levels in young pregnant Women
A woman's reproductive history may affect her risk for coronary heart disease. Parity has been associated with increased coronary disease risk in some studies, while other studies have shown that nulliparous women are at...
Vaginal Delivery in Maternal Cyanotic Congenital Heart Disease-Transposition of Great Arteries
Transposition of great arteries(TGA) is the most common cyanotic congenital heart disease(CHD). Pregnancy induces hemodynamic changes which in women with CHD, can endanger mother and child. We had two cases of TGA, one h...
Gitelman Syndrome in 3 Months ANC
Our patient,26 year female with 3 months ANC presented with chief complaints of bilateral upper and lower limb weakness since 8-10 days with inability to walk and get up from sitting since 8-10 days.Clinical examination...