VITAMIN D FOR BACK PAIN? — TIME TO RETHINK THIS PRACTICE

Dr Shariq Masoodi

Prof  of  Endocrinology SKIMS ,Sgr Kashmir 

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Given recent research suggesting no link between vitamin D deficiency and lower back pain, it’s important to re-evaluate current practices regarding vitamin D supplementation in this context. Previously, some healthcare providers might have recommended vitamin D for lower back pain patients if they suspected a deficiency could be contributing to the problem.

However, new research indicates that vitamin D supplementation might not be helpful for lower back pain specifically. This highlights the importance of basing treatment decisions on current scientific evidence.  While vitamin D has established benefits for bone health and overall well-being, it’s crucial to target supplementation towards conditions where it has a proven positive impact.

The #Risk of #Vitamin #D #Intoxication:

Furthermore, there’s a potential risk of vitamin D intoxication if excessive supplementation occurs without proper monitoring. Vitamin D is a fat-soluble vitamin, meaning the body stores it instead of excreting any excess through urine.  High vitamin D levels can lead to a variety of health problems, including:

* Nausea and vomiting

* Kidney problems

* Increased thirst and urination

* Confusion and weakness

A More Tailored Approach:

Therefore, it’s time to move away from the practice of routinely recommending vitamin D to all low back pain patients without first measuring their vitamin D levels.  A more individualized approach is necessary.  Here’s how this might look:

* Initial Assessment: Healthcare professionals should assess vitamin D levels in patients with lower back pain if there’s a reason to suspect a deficiency (e.g., history of limited sun exposure, certain medical conditions).

* Supplementation Based on Need: If a deficiency is identified, then vitamin D supplementation can be prescribed at appropriate doses with monitoring to ensure safe and effective treatment.

* Alternative Treatment Options: For lower back pain itself, the focus should shift towards evidence-based treatment options that have been shown to be effective, such as physical therapy, pain medication, or lifestyle modifications.