Boswellia and knee pain: what does the new study show?
Knee pain is a common problem, especially among people who experience discomfort during physical activity or have early signs of osteoarthritis. A new randomized, double-blind, placebo-controlled study suggests that Boswellia serrata extract may help reduce pain and stiffness in the knee joint and improve physical function. The study lasted 90 days and included 138 adults with mild to moderate exercise-induced knee joint pain, with or without osteoarthritis. Participants received either capsules with 500 milligrams of standardized Boswellia extract or a placebo each day.
What is Boswellia?
Boswellia serrata, also known as Indian frankincense extract, is a plant extract that has long been used in traditional herbal medicine. Today, Boswellia is often used in dietary supplements for joint health, inflammation, osteoarthritis, and mobility. The active compounds in Boswellia are called boswellic acids. These substances are thought to influence inflammatory processes in the body, which may help explain why Boswellia is being studied for joint pain and osteoarthritis-related complaints.
Results: reduced knee pain, less stiffness, and better physical function
After 90 days, the group that took Boswellia showed clearer improvements compared with the placebo group. The researchers observed positive effects in several key areas related to the knee joint.
- Reduced knee pain
- Reduced knee joint stiffness
- Improved physical function
- Increased physical activity
The study also showed that Boswellia reduced levels of two inflammatory biomarkers: C-reactive protein, often abbreviated CRP, and TNF-alpha, a substance linked to inflammatory signaling in the body.
However, the researchers saw no clear improvement in participants’ overall quality of life compared with placebo.
Boswellia for osteoarthritis: promising but not proven
The results are in line with previous research suggesting that Boswellia may have a positive effect on symptoms of knee osteoarthritis, especially pain and stiffness. Osteoarthritis is a joint disease in which the cartilage in the joint gradually breaks down, which can lead to pain, stiffness, inflammation, and reduced mobility. Therefore, there is strong interest in natural substances and supplements that can support joint function. At the same time, it is important to interpret the results with caution. The overall research on Boswellia for osteoarthritis is still limited, and many earlier studies have been small, short-term, and funded by industry.
Important limitations of the study
Although the results are interesting, there are several limitations to be aware of.
- The study was relatively short and lasted only 90 days.
- The study was funded by the manufacturer of the Boswellia extract.
- More independent research is needed to confirm the effect.
The fact that a study is funded by the manufacturer does not automatically mean the results are incorrect, but it is a factor that should be weighed when assessing the evidence.
Should you take Boswellia for knee pain?
Boswellia may be worth discussing with a doctor, physiotherapist, or other healthcare provider if you have mild to moderate knee pain, stiffness, or early osteoarthritis symptoms. Research suggests that Boswellia may help some people, especially as part of a broader strategy for joint health. Such a strategy can include, for example, regular movement, strength training, weight management if needed, an anti-inflammatory diet, and individualized treatment. Boswellia should not be viewed as a cure for osteoarthritis or as a replacement for medical treatment. People who take medications, have chronic diseases, are pregnant, or are scheduled for surgery should always consult healthcare before using Boswellia or other herbal supplements.
Common questions about Boswellia and knee pain
Can Boswellia help with knee osteoarthritis?
Some research suggests that Boswellia can reduce pain and stiffness in knee osteoarthritis, but the evidence is still limited. The effect may vary between individuals.
How long does it take for Boswellia to work?
In the current study, improvements were seen after 90 days of daily use. However, it is unclear how quickly the effect may be noticed in individuals.
Is Boswellia anti-inflammatory?
Boswellia contains boswellic acids that are thought to influence inflammatory processes. In the study, levels of CRP and TNF-alpha, two markers linked to inflammation, were reduced.
Is Boswellia safe to take?
Boswellia is often well tolerated, but people who use medications, have illnesses, are pregnant, or are going to undergo surgery should consult healthcare before use.
