Rickets and osteomalacia

Also called Rickets, Osteomalacia, Soft bones, or Vitamin D deficiency

Rickets and osteomalacia are conditions that affect bone development and strength. Rickets affects children and osteomalacia affects adults. The most common cause is a lack of vitamin D or calcium, often from not enough sunlight or diet. Some rare cases are inherited or linked to kidney or gut conditions.

Last updated Nov 9, 2026

What it is

Most cases are treated with vitamin D and calcium supplements. Rare inherited forms need specialist care.

Taking a daily vitamin D supplement, especially in autumn and winter, helps prevent it.

Common signs

  • Bone pain, often in the back, hips and legs
  • Muscle weakness
  • Bowed legs or knock knees in children
  • Delayed growth and late walking in children
  • Bones that break easily

How it is usually diagnosed

  • Blood tests for vitamin D, calcium, phosphate and alkaline phosphatase
  • X-rays
  • Sometimes a bone density scan

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Vitamin D and bone blood test results
  • X-ray reports
  • Growth charts for children
  • Supplement plans

Questions to ask your doctor

  • What is causing the low vitamin D?
  • How long should I take supplements?
  • When will the blood tests be repeated?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Muscle spasms, cramps or seizures in a child, which can be caused by very low calcium: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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