Herbal Remedies for Osteoarthritis

Herbal remedies are derived from the extracts of certain plants. Since herbal remedies have been used for thousands of years, you are likely to presume they are safe, but that's not always certain. According to the American College of Rheumatology, herbal remedies are not subjected to the same quality assurance testing that is required for prescription drugs.

It has also been discovered that the contents of many herbal remedies don't always match the ingredients on their label. Probably the biggest concern is that herbal remedies can be toxic and can adversely interact with prescription drugs. When considering whether or not herbal remedies are safe, the correct answer is you can't be sure.

Let's take a look at herbal remedies that have been recommended for treating osteoarthritis.

Ginger root
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Herbal Remedies With Some Evidence of Benefit

  • ASU (Avocado Soybean Unsaponifiables): ASU is a natural vegetable extract made from avocado and soybean oils. Researchers believe ASU slows the production of some inflammatory chemicals. By doing so, ASU may prevent the breakdown of cartilage and help slow the progression of osteoarthritis. No significant problems have been associated with ASU, according to researchers. A 2014 Cochrane review concluded there was moderate-quality evidence that it probably improved pain and function slightly, but it may not preserve the joint.
  • Boswellia or Indian Frankincense: Boswellia originates as gum resin from the bark of the Bos­wellia tree found in India. This herbal remedy may have anti-inflammatory and analgesic properties, but evidence for its effectiveness in osteoarthritis is limited or inconsistent. The Cochrane review found high-quality evidence for slightly improved pain and function with Boswellia serrata.

Herbal Remedies Lacking Evidence of Benefit

  • Cat's Claw: Cat's claw comes from the dried root bark of a woody vine that grows in the Amazon rain forests in Peru and other South American countries. Cat's claw is believed to have anti-inflammatory properties, possibly by inhibiting tumor necrosis factor-alpha. Experts warn that only products from the vine Uncaria guianensis or Uncaria tomentosa should be bought and used. Senegalia greggi, a highly toxic plant that grows in Mexico and the southwestern United States, is also referred to as Cat's claw.
  • Devil's Claw: Devil's claw is a traditional herb used in South Africa. The active ingredient in Devil's claw, harpagoside, appears to reduce pain and inflammation in joints. The herb may help lower uric acid levels in people with gout also. Specific warnings are associated with the use of Devil's claw. For example, it can affect the heart's rhythm and it should not be used by people who are being treated for a heart rhythm disorder.
  • Ginger: Ginger originates from the dried or fresh root of the ginger plant. Ginger contains active ingredients that may have analgesic (pain-relieving) and anti-inflammatory properties, potentially reducing joint pain in people with osteoarthritis. Warnings are associated with ginger—it can interfere with medications for blood thinning.
  • Stinging Nettle: Stinging nettle is derived from the leaves and stem of the stinging nettle plant, a stalk-like plant found in the United States, Canada, and Europe. Stinging nettle is thought to decrease inflammation and reduce aches and pains associated with osteoarthritis. Stinging nettle may interfere with blood thinners, diabetes medications, heart medications, and it may lower blood pressure.
  • Feverfew: Feverfew products usually consist of dried feverfew leaves, but all parts of the plant that grow above ground may also be used. The plant is native to southeastern Europe, but it has become widespread throughout Europe, North America, and Australia. Touted as having anti-inflammatory properties, feverfew has been shown in studies to be no more effective than a placebo.
  • Willow Bark: The extract of willow bark has been used as a pain reliever. In 2004, a study published in The Journal of Rheumatology concluded that willow bark extract showed no relevant efficacy in patients with osteoarthritis.

Points to Remember About Herbal Remedies for Osteoarthritis

Reviewing the most popular herbal remedies for osteoarthritis has made it clear that you should not consider taking any herbal remedies until talking to your healthcare provider. You must be aware of warnings associated with the herbal remedies and potential drug interactions. Their effectiveness against osteoarthritis remains inconclusive as well.

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  1. Biegert C, Wagner I, Lüdtke R, et al. Efficacy and safety of willow bark extract in the treatment of osteoarthritis and rheumatoid arthritis: Results of 2 randomized double-blind controlled trialsJ Rheumatol. 2004;31(11):2121-2130.

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