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Dr Farah Rao, Dr Hafsa Shabbir, Dr Zamara Hamid


Vitamin D deficiency reported as musculoskeletal pain it is the most common condition which has less awareness but extensively spread in outdoor and indoor rehabilitation units. Many studies have reported that there is significant improvement when normalizing vitamin D in musculoskeletal symptoms including low back pain. Diagnosis of vitamin D deficiency is rarely made by clinicians in the rehabilitation environment. However, it is precisely this population that may be at particular risk for this diagnosis. Moreover, many of the signs and symptoms that are found in this patient population could, in part, be a result of vitamin D deficiency, and these symptoms might be ameliorated by vitamin D replacement therapy.. It is therefore incumbent on physicians to consider this diagnosis in this population, obtain the appropriate diagnostic evaluations, and ensure that appropriate replacement therapy is offered to any patient requiring it. Clinicians should be especially vigilant when treating at-risk populations and should consider screening patients who present with skeletal complaints such as nonspecific muscle pain, bone pain, and muscle weakness. The rehabilitation setting is the ideal setting to study vitamin D deficiency. Further research is needed to address the prevalence of vitamin D deficiency in the pain population, including those that have MRI findings such as spinal stenosis and degenerative disc disease. The inpatient rehabilitation population could also be invaluable in determining the effect of vitamin D deficiency on muscle strength, pain, and recovery from extended hospitalization. The effect of replacement therapy in this population could also shed considerable light on the potential functional benefit that could result from the proper diagnosis and treatment of vitamin D deficiency.


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