Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2020 , Vol 11, Issue 2
Determination of Vitamin D Levels In Patients With Chronic Widespread Musculoskeletal Pain: a Pilot Study
Bahar Dernek1
1İstanbul Fizik Tedavi Rehabilitasyon Eğitim ve Araştırma Hastanesi, Istanbul, Türkiye DOI : 10.31067/0.2018.94 Objectives: Vitamin D plays an important role, especially in bone development and various musculoskeletal functions. In cases where no pathology related to the bone is detected, pain may still occur, especially in the lower back, lower extremities and pelvis. Our aim in this study wass to determine the vitamin D level in patients with chronic widespread pain.

Patients and Methods: Between January 2012 and April 2014, the data of patients who complained of widespread pain at the physical medicine and rehabilitation outpatient clinic of our hospital were evaluated. The patients" pain severity (Visual Analogue Scale, VAS) and laboratory examinations were evaluated retrospectively. Patients with rheumatic disease, cancer patients and post-menopausal women were excluded from the evaluation.

Results: The number of patients included in the study was 504. 92.7% of the patients were female and 7.3% were male. Vitamin D levels were classified as adequate in 0.6% of patients and inadequate in 1.4% of patients. In 98% of patients, vitamin D deficiency was found at various grades (19.0% mild, 55.2% moderate, 23.8% serious deficiency). When evaluated alongside the VAS of the patients, VAS was found to be significantly higher in patients with low vitamin D levels (p <0.001).

Conclusion: In our study, it was determined that the level of vitamin D was low in patients with generalized musculoskeletal pain or with underlying systemic and rheumatological diseases, and the VAS increased significantly when vitamin D levels decreased. Keywords : Vitamin D, chronic pain, treatment