Abstract

Background: Chronic lower back pain is precisely a distressing condition not only because of associated physical debilitation but the psychological hassle as well. Along with various etiological factors, low vitamin D levels in the body is also a significant cause of this ailment. This study focuses on monitoring the effect of Vitamin D repletion on intensity of chronic (non-traumatic) lower back pain.
 Methodology: This longitudinal-prospective analysis was conducted upon a sample of 374 lower back pain patients presenting with vitamin D deficiency from February to October 2018. Inquiries were made regarding basic socio-demographics, history of chronic lower back pain, dietary and medicinal supplement usage, hours of sun exposure and pain levels, assessed using a Visual Analogue Scale (VAS). The vitamin D levels and the VAS pain score were assessed upon baseline visit to the orthopedic out-patient department and followed up after 2 months (1st follow up visit) and 6 months (2nd follow up visit). Data obtained was analyzed using SPSS version 21.0 and Microsoft Excel 2013.
 Results: Among the 374 respondents, 52.67% were males while 47.33% were females with the mean age of 47.5 years. The mean baseline (pre-intervention) vitamin D levels were found to be 10.3 ng/ml, which raised significantly to 34.3 ng/ml. The mean (pre-intervention) VAS score dropped significantly, from 81.9 at baseline visit to 31.4 at 2nd follow up visit.
 Conclusion: It is concluded that vitamin D repletion has a marked impact on reducing the intensity of chronic lower back pain. Future studies may confirm further to validate the findings of this research.

Highlights

  • Back pain is the one of the most reported pain followed by headache, burdening healthcare industry globally

  • Numerous factors have been deemed responsible in the vast etiology of lower back pain, one among which is low vitamin D levels in the body[5]

  • This research is a step forward in the direction, exploring the association of two aforementioned conditions; hypovitaminosis and chronic lower back pain, as the goal through this research is to determine whether correcting vitamin D deficiency by repletion leads to any improvement. This prospective cohort study was conducted upon a sample 374 lower back pain patients presenting with vitamin D deficiency at Indus Medical College, Tando Muhammad Khan (TMK) from February to October 2018

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Summary

Introduction

Back pain is the one of the most reported pain followed by headache, burdening healthcare industry globally. The belief that chronic lower back may be a result of vitamin D deficiency is strengthened by many instances of co-occurrence of the two conditions, further research is required yet to establish a clear causality5&6. Deficiency of vitamin D has long been associated with chronic musculoskeletal pain and pain in the lower back. A heightened incidence (up to eighty-three percent) of vitamin D deficiency is reported among chronic lower back pain sufferers and comparison of vitamin D levels fall short in the general populace5&6. This study focuses on monitoring the effect of Vitamin D repletion on intensity of chronic (non-traumatic) lower back pain. The mean (pre-intervention) VAS score dropped significantly, from 81.9 at baseline visit to 31.4 at 2nd follow up visit. Future studies may confirm further to validate the findings of this research

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