<strong>Objective:</strong> This chapter reviews the evidence of the role of vitamin D deficiency in joint pain and the effects of vitamin D supplementation on joint pain.<p></p> <p><strong>Results:</strong> There are inconsistent results from the observational studies that explored the association between vitamin D deficiency and joint pain relating to major musculoskeletal conditions. Some reported a weak, but statistically significant association with knee and hip joint pain and the association was apparent only in people with moderate vitamin D deficiency.</p> <p>There are only a few randomized placebo-controlled trials that have explored the effect of vitamin D supplementation on joint pain. The available evidence suggests that there is no clinically significant benefit of vitamin D supplementation for knee pain. The nonrandomized clinical trials reported a small beneficial effect on joint pain.</p> <p><strong>Conclusion:</strong> The available evidence suggests that vitamin D supplementation may not have a significant effect on the management of joint pain.</p>