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The Role Vitamin D Plays in Your Musculoskeletal Health

Sunlight, the body's most important source of vitamin D

It has been estimated that 40% of the US population suffers from vitamin D deficiency. Also known as the "sunshine" vitamin, vitamin D is essential for musculoskeletal health. It helps the body absorb calcium from the food you eat, and calcium keeps your bones and muscles strong.

What deficiency causes

Vitamin D deficiency can cause bone disorders such as osteoporosis in the elderly and rickets in children, increases the risk of low-energy fractures, and slows down healing of bone and joint injuries. The condition is sometimes misdiagnosed as fibromyalgia because it causes muscle weakness as well as muscle aches and pains.

Where to get it

Good food sources of vitamin D include fatty fish, cheese, egg yolk, and fortified milk and orange juice. But it is almost impossible to get all the vitamin D your body needs from your diet alone. The sun is your most important source of vitamin D — exposure to ultraviolet rays from the sun causes the skin to produce it.

The amount of time you need to spend directly under the sun will vary depending on your skin type, age, time of day, and the amount of skin exposed. Fair-skinned people require approximately 15-30 minutes. A dark-skinned person may need a couple of hours. The further away from the equator you are, the more time you need in the midday sun.

Who is most at risk

People who are at increased risk for vitamin D deficiency include women, older people, and those with dark skin. Some conditions associated with low levels of vitamin D include being obese or overweight, parathyroid problems, kidney or liver failure, and dietary malabsorption.

If you suspect that your bone or joint pain may be related to vitamin D deficiency, speak to your doctor about possible vitamin D level testing.

Dr. Patrick Denard has been voted one of the top 20 Shoulder Surgeons in North America and is the most widely published shoulder specialist in Oregon. Dr. Denard has advanced arthroscopy training and is able to perform the vast majority of shoulder procedures in a minimally invasive fashion, including all types of rotator cuff repairs and instability repair. These techniques allow him to repair tears that some consider "irreparable."

Portrait of Dr. Patrick J. Denard, MD

About the author

Patrick J. Denard, MD

Dr. Denard is a shoulder surgeon at Oregon Shoulder Institute in Medford, Oregon. He is ranked #2 in North America for rotator cuff repair and #17 globally for shoulder replacement, has authored over 300 peer-reviewed publications, and performs over 400 shoulder surgeries annually.

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