Osteomalacia is a disease characterized by soft and weak bones due to inadequate mineralization. It is caused by decreased vitamin D availability due to insufficient sun exposure, malabsorption, chronic renal failure, malnutrition, or calcium deficiency. This leads to reduced calcium absorption and impaired bone mineralization. Symptoms include muscle weakness, bone pain, soft bones, low serum calcium, and high alkaline phosphate levels. Treatment involves high dose vitamin D or calcifediol supplements, calcium supplements, addressing the underlying cause, and ensuring an adequate calcium and vitamin D diet.