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Rickets
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Metabolic Problems

Rickets

Rickets is a condition that causes soft, weak bones in children, typically resulting from insufficient vitamin D, calcium, or phosphorus.

Overview

Rickets causes soft, weak bones in children. It usually occurs when children do not get enough vitamin D, which helps growing bones absorb the minerals calcium and phosphorus. The condition can also happen when calcium or phosphorus levels are too low. While rare in the United States, rickets can be dietary or inherited.

Causes & Risk Factors

Children may not get enough vitamin D due to various lifestyle, dietary, or medical factors. Risk factors include:

  • Having dark skin
  • Spending too little time outside
  • Wearing sunscreen all the time when outdoors
  • Not eating foods containing vitamin D due to lactose intolerance or a strict vegetarian diet
  • Being breastfed without receiving vitamin D supplements
  • Inability to make or use vitamin D due to a medical disorder such as celiac disease

In addition to dietary causes, children can also develop an inherited form of the disease.

Symptoms

Common symptoms of rickets include:

  • Bone pain or tenderness
  • Impaired growth
  • Deformities of the bones and teeth

Diagnosis & Treatment

Doctors use lab and imaging tests to make a diagnosis. Treatment involves replacing the calcium, phosphorus, or vitamin D that are lacking in the diet.

Frequently Asked Questions

Doctors typically order serum 25‑hydroxyvitamin D, calcium, phosphorus, alkaline phosphatase, and parathyroid hormone levels; low vitamin D with low calcium and high alkaline phosphatase points to vitamin D deficiency, while low phosphorus with normal vitamin D suggests a phosphate‑related form.
The American Academy of Pediatrics recommends 400 IU of vitamin D daily for all exclusively breastfed infants starting within the first few days of life and continuing until they consume at least 1 liter of vitamin D‑fortified formula or milk daily.
Yes, appropriate vitamin D, calcium, and phosphate repletion can remodel bone over months, but severe deformities may need orthopedic intervention; regular follow‑up includes monitoring growth charts, repeat labs every 2–3 months, and periodic X‑rays to assess healing.
Rickets‑related pain is usually persistent, worsens with activity, and may be accompanied by visible bone deformities (bowed legs, thickened wrists) or delayed growth, whereas growing pains are intermittent, occur at night, and do not cause structural changes.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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