Journal Article

Assessment of vitamin D level and correlation with lowback pain and radiculopathy in lumbar disc degenerative disease in a medical college of Eastern India

Baidya, Sumana, Mandal, Manamita, Sardar, Krishnendu

2025

Overview

Introduction- Body's musculoskeletal system depends on vitamin D, and a lack of it is a widespread health issue worldwide. In terms of reduced quality of life, diminished productivity, and the expense of diagnosis and treatment, low back pain (LBP)and radiculopathy in lumbar degenerative disease is a significant health issue. The present study was conducted to investigate the relationship between vitamin D level and correlation with lowback pain and radiculopathy in lumbar degenerative disease in a medical college of Eastern India. Material and methods- The institution based descriptive observational cross-sectional study was conducted at Department of Neurosurgery, NRS Medical College and Hospital, Kolkata for a study period of one year. Complete history was taken and physical examination was done. Values of serum Vitamin D level and VAS was examined. Results were analysed using SPSS version 25.0. Results- Out of all the 150 patients selected 120 (80%) had vitamin D insufficiency (group A) and 30 (20%) had vitamin D sufficiency. No significant relation was found w.r.t. age, gender, BMI, education, occupation and marital status. The mean±SD value of vitamin D in group A was 15.48±3.12 and in group B was 38.79±6.2 and on comparison results were statistically significant with p value <0.001. The mean±SD value of VAS among low back pain in group A was 5.67±2.67 and in group B was 4.35±1.23, on comparison results were statistically significant with p value <0.001. The mean±SD value of VAS in patients of radiculopathy in group A was 5.23±2.51 and in group B was 4.13±1.04, on comparison results were statistically significant with p value <0.001. Negative correlation (-0.556; -0.558) was found between pain score and vitamin D level with statistically significant association (p<0.001) among low back pain and radiculopathy patients. Conclusion –Significant association was found between vitamin D insufficiency and pain scores of LDD. Most patients of LDD had vitamin d insufficiency in our study. So vitamin D insufficiency can be one of the risk factor for development of LDD. So widespread screening of vitamin D level should be done in all patients of LDD so that we can treat vitamin d insufficiency if present along with other treatment of LDD for overall better management.

• Publisher: NeuroQuantology
• Subject: Back pain / Calciferol / Correlation / Health services / Musculoskeletal system / Pain / Vitamin D