Dietary supplements for osteoarthritis.
A large number of dietary supplements are promoted to patients with osteoarthritis and as many as one third of those patients have used a supplement to treat their condition. Glucosamine-containing supplements are among the most commonly used products for osteoarthritis. Although the evidence is not entirely consistent, most research suggests that glucosamine sulfate can improve symptoms of pain related to osteoarthritis, as well as slow disease progression in patients with osteoarthritis of the knee. Chondroitin sulfate also appears to reduce osteoarthritis symptoms and is often combined with glucosamine, but there is no reliable evidence that the combination is more effective than either agent alone. S-adenosylmethionine may reduce pain but high costs and product quality issues limit its use. Several other supplements are promoted for treating osteoarthritis, such as methylsulfonylmethane, Harpagophytum procumbens (devil's claw), Curcuma longa (turmeric), and Zingiber officinale (ginger), but there is insufficient reliable evidence regarding long-term safety or effectiveness.
Gregory
Philip J
PJ
Creighton University School of Pharmacy and Health Professions, Omaha, Nebraska 68178, USA. pgregory@creighton.edu
Sperry
Morgan
M
Wilson
Amy Friedman
AF
D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D002809:Chondroitin Sulfates / Q000627:therapeutic use; D030024:Curcuma; D019587:Dietary Supplements; D004121:Dimethyl Sulfoxide / Q000627:therapeutic use; D020939:Zingiber officinale; D005944:Glucosamine / Q000627:therapeutic use; D031684:Harpagophytum; D006801:Humans; D010003:Osteoarthritis / Q000188:drug therapy*; D008517:Phytotherapy; D028321:Plant Preparations / Q000627:therapeutic use; D012436:S-Adenosylmethionine / Q000627:therapeutic use; D013450:Sulfones / Q000627:therapeutic use; D016896:Treatment Outcome
D000893:Anti-Inflammatory Agents; D028321:Plant Preparations; D013450:Sulfones; D012436:S-Adenosylmethionine; D002809:Chondroitin Sulfates; C025910:dimethyl sulfone; D005944:Glucosamine; D004121:Dimethyl Sulfoxide