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Mayo Clinic pain study suggests "Many patients who have been labeled with Fibromyalgia are, in fact, suffering from symptomatic vitamin D inadequacy."

  [ 21 votes ]   [ 5 Comments ]
By Mayo Clinic, Rochester, Minnesota • www.ProHealth.com • April 10, 2009


“Physicians who care for patients with chronic, diffuse pain that seems musculoskeletal - and involves many areas of tenderness to palpation - should strongly consider checking a vitamin D level.”Michael K Turner, MD

Mayo Clinic research shows a correlation between inadequate vitamin D levels and the amount of narcotic medication taken by patients who have chronic pain.

This correlation is an important finding as researchers discover new ways to treat chronic pain. According to the Centers for Disease Control and Prevention, chronic pain is the leading cause of disability in the United States. These patients often end up taking narcotic-type pain medication such as morphine, fentanyl, or oxycodone.

This study found that:

• Patients who required narcotic pain medication, and who also had inadequate levels of vitamin D, were taking much higher doses of pain medication - nearly twice as much - as those who had adequate levels.

• Similarly, these patients self-reported worse physical functioning and worse overall health perception.

• In addition, a correlation was noted between increasing body mass index (a measure of obesity) and decreasing levels of vitamin D.

Study results were published in a recent edition of Pain Medicine. [“Prevalence and Clinical Correlates of Vitamin D Inadequacy among Patients with Chronic Pain.”]

"This is an important finding as we continue to investigate the causes of chronic pain," says Michael Turner, MD, a physical medicine and rehabilitation physician at Mayo Clinic and lead author of the study. "Vitamin D is known to promote both bone and muscle strength. Conversely, deficiency is an under-recognized source of diffuse pain and impaired neuromuscular functioning. By recognizing it, physicians can significantly improve their patients' pain, function and quality of life."

Researchers retrospectively studied 267 chronic pain patients admitted to the Mayo Comprehensive Pain Rehabilitation Center in Rochester from February to December 2006. [Note: the Center offers three-week pain rehab programs for adults and for adolescents, and a two-day pain management education program.]

Vitamin D levels at the time of admission were compared to other parameters such as:

• The amount and duration of narcotic pain medication usage;

• Self-reported levels of pain, emotional distress, physical functioning and health perception;

• And demographic information such as gender, age, diagnosis and body mass index.

Further research should document the effects of correcting deficient levels among these patients, researchers recommend.

This study has important implications for both chronic pain patients and physicians.

"Though preliminary, these results suggest that patients who suffer from chronic, diffuse pain and are on narcotics should consider getting their vitamin D levels checked. Inadequate levels may play a role in creating or sustaining their pain," says Dr. Turner.

"Physicians who care for patients with chronic, diffuse pain that seems musculoskeletal - and involves many areas of tenderness to palpation - should strongly consider checking a vitamin D level," he says.

"For example, many patients who have been labeled with fibromyalgia are, in fact, suffering from symptomatic vitamin D inadequacy. Vigilance is especially required when risk factors are present such as obesity, darker pigmented skin or limited exposure to sunlight."

Assessment and treatment are relatively simple and inexpensive. Levels can be assessed by a simple blood test (25-hydroxyvitamin D [25(OH)D]). Under the guidance of a physician, an appropriate repletion regimen can then be devised. Because it is a natural substance and not a drug, vitamin D is readily available and inexpensive.

In addition to the benefits of strong muscles and bones, emerging research demonstrates that vitamin D:

• Plays important roles in the immune system,

• Helps fight inflammation,

• And helps fight certain types of cancer.
____
Source: Mayo Clinic (Rochester, Minnesota), news release, Mar 20, 2009

Note: This information has not been evaluated by the FDA. It is generic and is not meant to prevent, diagnose, treat or prevent any illness, condition or disease. It is very important that you make no change in your healthcare plan or health support regimen without researching and discussing it in collaboration with your professional healthcare team.




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Article Comments Post a Comment

Vitamin D
Posted by: SPIDEEKMON
Apr 15, 2009
Are there any studies that show that patients with low Vitamin D levels, who supplement to get their levels to normal, improve their sympotoms and diseases?
Reply Reply

 
Vitamin D inadequacy 30-80 normal count mine is 13
Posted by: cool57one
Apr 15, 2009
I have been complaining of severe back pain for 7 years, I was put on a narcotic and my usual muscle relaxants. I have a 12 verebrae spinal fushion form scolosis 41 years ago without hardware. My fushion states at C-7 - T-1 down to L-3. I started losing height quickly and told my Doctors, not much reacion there. Recently I had a blood panel run at a different Doctor and came back with an extremely low thyroid number 0.003. I was reffered to an Endroconlogist who sent me for more tests, everything came normal except the vitamin "D". I looked up on this website about the symptoms of lack of "D" I have almost all the classic symptoms. Then I went to the pain department here and find out this can be a major factor in chronic pain. WOW, it appears that a simple blood test could help pain patients and rule out a vitamin "D" inadequacy. Today I took my 1st of four 50,000 IU pills of "D" with in a month I hope it helps. This can soften the bones which may have caused my fushion to have some failure I lost 1& 3/4 in height, parathyroid not working correctly , and complete pain all over, among other things. This is a correctable situation and I hope more people find out about this depending on their particular symptoms.Fiftten minutes of sunlight will keep this condition from happening. An easy fix! Pass this info on to anyone with the symptoms I have, although there are many things lack of "D" can cause.

 


Vitamin D inadequacy 30-80 normal count mine is 13
Posted by: cool57one
Apr 15, 2009
I have been complaining of severe back pain for 7 years, I was put on a narcotic and my usual muscle relaxants. I have a 12 verebrae spinal fushion form scolosis 41 years ago without hardware. My fushion states at C-7 - T-1 down to L-3. I started losing height quickly and told my Doctors, not much reacion there. Recently I had a blood panel run at a different Doctor and came back with an extremely low thyroid number 0.003. I was reffered to an Endroconlogist who sent me for more tests, everything came normal except the vitamin "D". I looked up on this website about the symptoms of lack of "D" I have almost all the classic symptoms. Then I went to the pain department here and find out this can be a major factor in chronic pain. WOW, it appears that a simple blood test could help pain patients and rule out a vitamin "D" inadequacy. Today I took my 1st of four 50,000 IU pills of "D" with in a month I hope it helps. This can soften the bones which may have caused my fushion to have some failure I lost 1& 3/4 in height, parathyroid not working correctly , and complete pain all over, among other things. This is a correctable situation and I hope more people find out about this depending on their particular symptoms.Fiftten minutes of sunlight will keep this condition from happening. An easy fix! Pass this info on to anyone with the symptoms I have, although there are many things lack of "D" can cause.
Reply Reply

Vit D and Lyme disease
Posted by: Sandy10m
Apr 16, 2009
I just recently discovered a link between Vit D and Lyme disease. I tested for low Vit D levels a few years ago. When I tried to supplement with Vit D, within 24 hours I had a terrible headache and felt really tired. I didn't know what was happening. I did further research and found out that Lyme disease has this exact symptom. If you have Lyme disease, then higher levels of Vit D in your system will trigger a higher production of the Lyme bacteria (Borrelia), since they love Vitamin D. Your body will feel the toxic effects from this and thus give you flu-like symptoms. Since some of us suffer from FM/CFS because of (undiagnosed) Lyme disease, take this info into consideration. I am now in the process of getting tested for Lyme, plus a follow-up test for Vit D deficiency. I obviously stopped the Vit D supplementation until I find out about these test results. Good luck! Sandy
Reply Reply

Vit. D
Posted by: Boodle
Apr 17, 2009
I have FM, and since I am lactose intolerant, I take calcium suppliments with vit D in them. I have not notised a change in pain level. I respect the Mayo Clinic, but most of us have been on the 'search for the magic bullet', and this is just one more try.
Reply Reply


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