<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi doctor,I have pain when I touch my tibia and chronic back pain.I am diagnosed with vit.d deficiency.earlier it was 25 Bg Ol and now after taking calcirol sachets once a month for 6months,it has increased to 65 ngmol.but the pain is still there.what should I do?  <response>: Hello, The pain could be related to local inflammation. For this reason, I recommend checking inflammation tests complete blood count, PCR, ESR and performing an X-ray study of the tibia. It is also necessary performing an X-ray study of the lumbar spine, in order to investigate for possible chronic degeneration of the spine a bulging disc, which can lead to pain in this region. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 