Do Supplements Work?
There are a number of supplements that claim to be beneficial for the treatment of Osteoarthritis. However, there is very little medical evidence to support most of the claims with the exception of vitamins as a part of a healthy diet and Glucosamine Sulphate. Many of the companies are free to make any claims they choose with marketing etc. because in the U.S., the Food and Drug Administration (FDA) does not review products listed as "supplements". The two most common supplements for Osteoarthritis which do have some evidence to support their use to relieve pain are Glucosamine and Chondroitin.
What Is Glucosamine and Chondroitin? Glucosamine and Chondroitin are substances naturally found in healthy cartilage in joints and have been shown to be effective in relieving pain in some studies. Glucosamine is available in three different preparations:
- Glucosamine Sulphate
- Glucosamine Hydrochloride
- Glucosamine NAS
Recently, Consumer Reports did a review on Glucosamine Sulphate/Chondroitin. The review warned that many brands did not accurately list the amount of Glucosamine in the product and also rated numerous brands on cost/value. In the review only one brand was rated by Consumer Reports as one of the best brands because of its purity and accuracy in listing the amount of Glucosamine in the product. In addition, the brand was also rated as one of the top values based on price. It is important to remember that a company can make any claim it chooses on how much Glucosamine is in the bottle etc. so use a reputable brand.
Other Supplements-Commonly used but with little evidence to support their use to treat OA:
- Omega-3 fatty acid-unsaturated fat fatty acids commonly found in fish
- Selenium
- Vitamin B9 (folate) and B12
- Vitamin D
- Antioxidants-including vitamins C and E
- Ginger extract
- Bone Morphogenetic Protein 6 (BMP-6)
- Avocado/soybean extract
- Frankincense-derived from specific trees in India
- Bromelain-enzymes found in the Bromeliaceae family of plants
- Hydrolyzed collagen (hydrolysate) (a gelatin product)
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