Download FREE Practo app
Get ₹200 HealthCash
Pain in the nape of neck since 8 months
I had gone through gall bladder laproscopic surgery in the month of May in 2025 after that I'm suffering from neck stiffness till now doctor told that it is cervical spondylitis now today I checked my vitamin D it is 9.38 what is the cause of low vitamin level plz suggest what to do with the neck pain
Answers (21)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
kindly consult
physiotherapy may help
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+105
Vitamin D levels in our body is maintained by Dietary intake as well as sun exposure
Causes of Vitamin D deficiency:
1. Inadequate sunlight exposure
Limited outdoor activity
Excessive use of sunscreen
2. Poor dietary intake
Low intake of vitamin D–rich foods (fatty fish, egg yolk, fortified milk/cereals)
Exclusive breastfeeding without vitamin D supplementation (important in infants)
Strict vegetarian or vegan diet without fortified foods
3. Malabsorption syndromes
Celiac disease
Crohn’s disease
Cystic fibrosis
Chronic pancreatitis
Post-bariatric surgery
4. Liver and kidney disorders
Chronic liver disease
Chronic kidney disease
5. Increased requirements
Infancy and adolescence
Pregnancy and lactation
Rapid growth periods
6. Obesity
Reduced bioavailability
7. Drugs that increase vitamin D metabolism
Antiepileptics (phenytoin, phenobarbital, carbamazepine)
Rifampicin
Glucocorticoids
Antiretroviral drugs
8. Endocrine and genetic causes (less common)
Hypoparathyroidism
Vitamin D–dependent rickets (types I & II)
Hereditary phosphate-wasting disorders
Next Steps
1. Improve sunlight exposure (foundation step)
Arms + face exposed, no sunscreen
20–30 min, 3–4 times/week
Best time: 10 am – 3 pm
(Important but often insufficient alone in deficiency)
2. Dietary measures (adjunct, not primary treatment)
Encourage:
Fatty fish (salmon, sardines, tuna)
Egg yolk
Fortified milk, cereals
Mushrooms (UV-exposed)
Diet alone rarely corrects deficiency
Health Tips
Monitoring
Recheck 25-OH Vitamin D after 8–12 weeks
Monitor calcium, phosphate, ALP in severe cases
Avoid toxicity (>100 ng/mL)
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
A vitamin D level of 9.38 indicates severe deficiency, which can contribute to musculoskeletal pain and stiffness; supplementation along with cervical spine physiotherapy, posture correction, and analgesics as advised should help relieve neck pain.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You may have cervical spondylosis associated with low vitamin d level.Take d rise cap 60000 iu once a week for atleast 12 weeks.For the neck pain you can take zerodol p twice daily for a few days.Get your neck xray and if needed MRI
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult me for further evaluation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
For neck pain ,if more take any pain killer.
Avoid neck bending and turning sidewards.
Avoid using high pillow.
Take uprise tablet, 60000 units once a week for 6 to 8 weeks.
Tab shelcal 500mg one daily for 4 weeks.
Take mushrooms, fortified cereals, eggs, nuts, curd, cheese, soya, in your diet.
Stay in morning mild sunlight for an hour or so, daily.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Its severe VIT D deficiency this explains your neck stiffness and it is not related to you gall bladder surgery
You will need to be put on vit d deficiency treatment
And you will have to get ray to rule out cervical spondolysis
Next Steps
Consult a doctor for treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Physiotherapy will help a lot in your case.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Cervical vertebrae xray ap n lateral view digital with reporting.
Uprise d60k once a week for eight weeks followed by one per month for six months a complete therapy by WHO. Tab eterocoxib Mr two times a day after food for 10 days.
Locally apply hot water bag.
Neck exercises n physiotherapy session by physiotherapist.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You have severe vitamin d deficiency.. You need treatment.. Please consult mee through practo or wattsap nine zero seven two twozero seven zero nine three
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Your vitamin D level of 9.38 ng/mL is severely deficient (normal is 30–100 ng/mL;
Next Steps
1. Consult your treating doctor (orthopedic / spine specialist or endocrinologist) within the next 3–7 days — show this vitamin D report + mention neck pain since surgery.
• Do not start high-dose vitamin D on your own without prescription (severe deficiency needs monitored loading dose).
2. Likely treatment plan (doctor will confirm/adjust):
• Loading phase: 60,000 IU vitamin D3 once weekly for 8 weeks (common brands in India: D-Rise, Uprise-D3, Calcirol, Lumia, Arachitol Nano)
• Calcium supplement: 500–1000 mg elemental calcium daily (e.g., Shelcal HD, Calcimax, Cipcal) — must be taken with vitamin D
• Maintenance: After 8 weeks → 2,000 IU daily or 60,000 IU monthly lifelong
• Take with fatty meal (milk, curd, ghee, eggs) for better absorption
3. Recheck vitamin D after 8–12 weeks of treatment — aim for 40–60 ng/mL.
Health Tips
• Pain & stiffness relief (safe to do now):
• Warm compress / hot water bag on neck & shoulders 15 min, 2–3 times/day
• Gentle neck stretches (chin tuck, side bends, shoulder rolls) 5–10 min twice daily
• Paracetamol 650 mg as needed (max 3–4 times/day)
• Avoid pillow too high/low — use medium-firm orthopedic pillow
• Lifestyle to support recovery:
• 15–20 min safe sun exposure (arms & legs) daily between 10 am–2 pm
• Eat calcium + vitamin D rich foods: curd, paneer, ragi, sesame seeds, eggs, fatty fish (if non-veg)
• Avoid prolonged forward-head posture (phone/laptop use) — take breaks every 30 min
• Light yoga (neck/shoulder asanas like Tadasana, Bhujangasana) under guidance
• Do NOT ignore this — severe vitamin D deficiency + cervical spondylitis at your age can worsen stiffness, pain, and even lead to nerve compression if untreated.
Vitamin D correction usually brings noticeable relief in neck pain/stiffness within 4–8 weeks — many patients see 50–70% improvement.
For a complete, step-by-step plan (exact vitamin D + calcium dose schedule, best brands in your city, neck exercises with photos, when to retest, and how to prevent worsening), please book an online consultation with me — I’ll review your full history (surgery details, current pain level, other medicines) and give you clear guidance so you can recover faster and comfortably.
Looking forward to helping you feel better soon — book now and let’s fix this together
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Vitamin D deficiency has become almost an endemic disease in India.
Neck stiffness seems to be unrelated to the Gall bladder surgery.
Please get an X ray of the cervical spine done and consult a General Physician with the report.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Anaesthesia during surgery leaves some minor complications. Also low Vit D levels needs supplements. Kindly consult with me on 94 two six eight six 78 nine six.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Dear Patient,
Your Vitamin D level is 9.38 which is very low and comes under severe deficiency. Low Vitamin D can itself cause neck pain, stiffness, muscle tightness, body ache, fatigue and weakness. So your symptoms may be mainly due to deficiency along with mild cervical spondylosis.
Causes of low Vitamin D commonly include low sunlight exposure, indoor lifestyle, poor diet, recovery period after illness or surgery and reduced absorption. Gall bladder surgery does not directly cause deficiency but lifestyle changes after surgery can contribute.
What you should do
Vitamin D treatment
Take Cholecalciferol once weekly for 8 weeks then once monthly for 4 to 6 months as maintenance. Always take it after food preferably containing some fat for better absorption.
Calcium supplementation
Take Calcium daily for 2 to 3 months.
Daily sunlight exposure for 15 to 20 mint
Neck pain relief
Do hot fomentation for 15 minutes twice daily, gentle neck exercises, maintain correct posture, use a thin pillow and avoid long mobile use with neck bending.
Usually symptoms start improving within 4 to 6 weeks after correction of Vitamin D.
If you develop arm pain, numbness, tingling or weakness then further evaluation may be required.
For proper treatment plan and medicine guidance you can text me on practo anytime.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take supplements
Uprise d3 capsule once a week for 12 weeks
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Have D rise 60000k once a week
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to low absorption
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.