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Back and leg pain lasts a year longer if low vitamin D – April 2017

Evaluation of vitamin D levels in patients with chronic low back-leg pain

Acta Orthopaedica et Traumatologica Turcica, online 21 April 2017, http://doi.org/10.1016/j.aott.2017.03.006
Yalkın Çalıka, , , Ümit Aygünb
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Objective
We aimed to examine the relationship between the levels of vitamin D and patients with chronic low back-leg pain (CLBLP) and to investigate its effects on pain and functional capacity.

Methods
145 patients (female/male:103/42) with CLBLP, aged between 35 and 65 years (mean age: 53,06 ± 8,14), participated in the study. Visual Analog Pain Scale (VAS) was used to measure the state of pain. Pain-related functional capacity was evaluated through Oswestry Disability Index (ODI). Patients were classified into three groups based on their serum vitamin D levels: normal (≥30 ng/ml), vitamin D insufficiency (21–29 ng/ml), and vitamin D deficiency (≤20 ng/ml).

Results
We found that 22,8% of patients (n:33) had vitamin D deficiency, 42,8% (n:62) had vitamin D insufficiency, and 34,5% (n:50) had normal levels of vitamin D. VAS scores were 4,75 ± 0,93; 4,66 ± 0,97 and 4,52 ± 0,90 for patients with vitamin D deficiency, vitamin D insufficiency, and normal levels of vitamin D, respectively. We found that there was no significant relationship between vitamin D level and VAS score (p>0,05). ODI scores were 18,78 ± 7,89; 15,46 ± 5,57 and 14,52 ± 7,19 for patients with vitamin D deficiency, vitamin D insufficiency, and normal levels of vitamin D, respectively. CLBLP-related functional capacity was found to be significantly lower in patients with vitamin D deficiency when compared to other two groups (p < 0,05).

Conclusion
Vitamin D deficiency may lead to lower functional capacity, and clinically, Vit D levels should be checked in musculoskeletal pain patients at risk of Vit D deficiency.

Level of Evidence: Level IV, Diagnostic study.

Attached files

ID Name Comment Uploaded Size Downloads
7935 pain months.jpg admin 23 Apr, 2017 16.16 Kb 6173
7934 back and leg pain.pdf admin 23 Apr, 2017 352.42 Kb 998