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The Blog of Dr. Ann Conn

Mar20

Pain in Lumbar Spinal Stenosis Worsened with Vitamin D Deficiency

3/20/2013 9:33 am
Posted by Dr. Ann Conn

A study published in the March issue of Pain Physician Journal examined the relationship between pain in lumber stenosis and Vitamin D Deficiency.   The patients were evaluated bases on location and severity of pain.  The groups for analysis were separated as follows:  1) mild to moderate back or leg pain; 2) severe back pain; 3) severe leg pain; and 4) severe back and leg pain.

In the study group of 350 patients, 74% were Vitamin D Deficient.  Risk factors for Vitamin D Deficiency such as age, sex, weight, medical history, season, sunlight exposure and disability were fully considered.  The association of increased pain and vitamin D deficiency was significant even after adjustments for confounding factors.  In addition, more severe back and leg pain was associated with osteoporosis and increased bone resorption markers.

Therefore,  it can be helpful to screen patients with lumbar stenosis for vitamin D deficiency.  If there is a deficiency, treatment with vitamin D, calcium, or bisphosphonate should be considered.   In our practice, screening for Vitamin D and other vitamin deficiency is often part of our treatment plan.  At our northshore  clinic, we fully assess, diagnose and treatment our patients.  This often involved general medical issues such as vitamin deficiencies as well as spine problems.  Because, there can be a relationship between these issues.  The study discussed in this blog is a great example of why complete care is needed to fully treat patients to maximize recovery.  We are continuously evaluating new way of approaching and treating patients at our northshore pain clinic.

Prevalence of Vitamin D Deficiency in Patients with Lumbar Spinal Stenosis and Its Relationship with Pain

Tae-Hwan Kim, MD, Byung Ho Lee, MD, Hwan-Mo Lee, MD, Seung-Hwan Lee, MD, Jin-Oh Park, MD, Hak-Sun Kim, MD, Seok Woo Kim, MD, and Seong-Hwan Moon, MD

http://www.painphysicianjournal.com/2013/march/2013;16;165-176.pdf

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