Non-Specific Musculoskeletal Pain presented by Dr.Laxmi Shrikhande Consultant –Shrikhande Hospital & Research Centre Pvt Ltd Nagpur. The leading hospital in Nagpur This presentation covers the 1)Pain 2)Characteristics 3) Causes 4) Symptoms

1. • Chairperson Elect ICOG –Indian College of OB/GY
• National Corresponding Editor-Journal of OB/GY of India JOGI
• National Corresponding Secretary Association of Medical Women, India
• Founder Patron & President –ISOPARB Vidarbha Chapter
• Chairperson-IMS Education Committee 2021-23
• President-Association of Medical Women, Nagpur AMWN 2021-24
• Nagpur Ratan Award @ hands of Union Minister Shri Nitinji Gadkari
• Received Bharat excellence Award for women’s health
• Received Mehroo Dara Hansotia Best Committee Award for her work as
Chairperson HIV/AIDS Committee, FOGSI 2007-2009
• Received appreciation letter from Maharashtra Government for her work in the
field of SAVE THE GIRL CHILD
• Senior Vice President FOGSI 2012
• President Menopause Society, Nagpur 2016-18
• President Nagpur OB/GY Society 2005-06
• Delivered 11 orations and 450 guest lectures
• Publications-Thirty National & Eleven International
• Sensitized 2 lakh boys and girls on adolescent health issues
Dr. Laxmi Shrikhande
MBBS; MD(OB/GY);
FICOG; FICMU; FICMCH
Medical Director-
Shrikhande Fertility Clinic
Nagpur, Maharashtra

2. NON-SPECIFIC MUSCULOSKELETAL
PAIN
Dr Laxmi Shrikhande
Consultant –Shrikhande Hospital & Research Centre Pvt Ltd
Nagpur

3. MUSCULOSKELETAL PAIN (MSP)
• 2nd most common cause of disability worldwide.
• Approximately 1.71 billion people have musculoskeletal conditions
worldwide.
• Low back pain causes the highest burden with a prevalence of 568 million
people.
• Because of population increases and ageing, the number of people with
musculoskeletal conditions is rapidly increasing
Pain Care Essentials and Innovations,Elsevier,2021, 73-89;
https://www.who.int/news-room/fact-sheets/detail/musculoskeletal-conditions accessed on 25th may 2022

4. CHARACTERISTICS

5. PREVALENCE OF CALCIUM DEFICIENCY
VITAMIN D DEFICIENCY IN INDIA
• Widespread twin nutrient deficiency
• In the largest and longest study reported from India (1963–
2005), 52% of the population studied had nutritional bone
disease.
• It is estimated that about 25 million may be affected with
osteoporosis
Front. Endocrinol. 10:493.doi: 10.3389/fendo.2019.00493

6. PREVALENCE VITAMIN D DEFICIENCY IN
INDIA
• Ranges from 50% to 94%
J Family Med Prim Care. 2018 Mar-Apr; 7(2): 324–330.

7. CAUSES OF CALCIUM DEFICIENCY
• Low Ca2+ intake
• Vitamin D deficiency
• Insufficiency or failure of parathyroid gland
• Chronic kidney failure
• Low blood magnesium level (in cases with severe alcoholism)
• Diet high in phytate
Bone Research 4, Article number: 16041 (2016)

8. PAIN & ROLE OF VITAMIN D, CALCIUM
DEFICIENCY
• Calcium and vitamin D deficiencies are associated with abnormal muscular functions
including non-specific pain and weakness
Pain Physician 2016; 19:415-427; J Can Chiropr Assoc. 1985 Jun; 29(2): 90–91; Journal of Endocrinology (2017) 234, R23–R36
Vitamin D
Chronic
pain
Fibromyalgia
Low back pain
Rheumatoid Arthritis
Musculoskeletal pain
Pain severity
Sleep quality

9. MSK SYMPTOMS IN CALCIUM & VITAMIN D
Pain Research and Treatment 2015, Ar904967, 12
https://www.healthline.com/nutrition/vitamin-d-deficiency-symptoms accessed on 28th April 2022.

10. MUSCULOSKELETAL PAIN DURING MENOPAUSAL
TRANSITION
• One of the most severe complaints in women
undergoing menopause
• Prevalence ranges about 71%
• One of the reason for mood change and impaired
sleep
Neural Plasticity, vol. 2020, Article ID 8842110, 10 pages, 2020. https://doi.org/10.1155/2020/8842110

11. SUMMARY
• Non-specific musculoskeletal pain is an important problem
• These patient are difficult to diagnose and Higher prevalence of vitamin D deficiency and
insufficiency are commonly observed in this set of patient
• Low intake of calcium (<300mg) daily and higher vitamin D deficiency are commonly identified
factors in Indian patients
• This both factor can be corrected with supplements which provides adequate calcium and
vitamin D in cost effective manner
• Correction of deficiency state of these nutrient status would help in reducing pain and
improvement in quality of life
• Re-check improvement in vitamin D status in patients achieving pain relief
• Appropriate diagnosis and treatment of these patients would avoid inappropriate and long term
usage of NSAIDs and antidepressants

12. Questions

13. My World of sharing happiness!
Shrikhande Fertility Clinic
Ph- 91 8805577600
shrikhandedrlaxmi@gmail.com

14. The more you give, the more you will get.
Then life will become a sheer dance of love.
H. H. Sri. Sri. Ravishankar
The Art of Living
Thank you