Four Most Common Causes of Bone Pain

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Today, bone pain is one of the common discomforts that we feel every day and many people complain about it. Any kind of discomfort, feeling pain in one or more bone points, is called bone pain, and this type of pain is associated with muscle pain and It is a different joint. Bone diseases and problems are one of the main causes of bone pain, which can cause pain and also changes in bone function. Dr. Berg discusses the main causes of bone pain in the video below.

The main causes of bone pain

It usually is a vitamin D deficiency. But many people do not absorb vitamin D due to:

1. Low bile

2. Not enough sun

3. Low-fat diet

4. Insulin resistance

5. Colon damage

Ketonia dietitian expert

Low vitamin D levels raise the risk of bone pain, bone fractures, muscle pain, and muscle weakening because the body cannot effectively absorb calcium and phosphorus. Vitamin D deficiency can have many different reasons.

1. Decreased dietary intake and/or absorption. Vitamin D deficiency may result from some malabsorption syndromes like celiac disease, short bowel syndrome, gastric bypass, inflammatory bowel disease, chronic pancreatic insufficiency, and cystic fibrosis [۱] .

2. Reduced exposure to the sun Between 50% and 90% of vitamin D is absorbed through the skin through exposure to sunlight, with the remainder coming from food. 20 minutes of sunshine daily with over 40% of skin exposed is required to prevent vitamin D deficiency [۲].

3. Decreased endogenous synthesis. Individuals with chronic liver illness such as cirrhosis can have defective 25-hydroxylation leading to deficiency of active vitamin D [۳].

4. Increased hepatic catabolism. Medications such as phenobarbital, carbamazepine, dexamethasone, nifedipine, spironolactone, clotrimazole, and rifampin induce hepatic p450 enzymes which activate degradation of vitamin D [۴].

Prevention of Vitamin D deficiency

To avoid deficiency, adults under 65 who do not receive adequate year-round sun exposure must consume 600 to 800 international units of vitamin D3 daily. To prevent deficiency and lower the risk of fractures and falls, older persons 65 years of age or more must ingest 800 to 1000 international units of vitamin D3 daily.[۵]


Ramin Taghizadeh

M.C.NO:6769

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