81 supplements analyzed and ranked by clinical evidence.
Pain↓ Function↑
ON↑ OFF↓
Motor better, no JC
Pain/function ↓
Cartilage loss ↓
Pain/function relief −76%
Joint-space loss −0.25 mm
Pain/function improved
Cartilage breakdown markers ↓
Less pain, stiffness
Lower inflammation markers
Joint pain/stiffness ↓
DAS28/NSAID ↓
Pain ↓, function ↑
CTX-II ↓ or ↑
Inflammation markers ↓
+29.2–41.8 m
Inflammation ↓
Pain/function improve
Inflammation biomarkers drop
Pain/function better
Inflammation down
Pain/function +20-80%
Deposit resorption
Joint-space/BMD +2%
Pain/function relief
Collagen synthesis +30g
Joint comfort +RA
Pain/stiffness −5 to −10
Pain & function: +relief
Swelling/stiffness: -20% relapse
Pain/function: -3.2
Inflammation/stiffness: improved
Pain/function ↓; NSAID −26%
Joint space progression ↓ ~10%
Pain/swelling less, mobility up
Knee pain/function improved 54.7%
Pain/function −2.8
NSAID use ↓
Pain/function +6.8s
Pain/tenderness ↓, +41%
Stiffness/function improved, ~−3
Collagen synthesis +100%
OA pain/function ~50%
Pain relief, better tolerance
Cartilage scores, lower lesions
Activity/lameness improved
Pain reduced
Joint function improved
Pain ↓, disability ↓
QoL ↑, success ↑
Pain/function improvements
CRP/EPA changes
Pain relief similar vs NSAIDs
Tenderness down; liver enzymes +
Uric acid -26.5
Vitamin D +11.9
Anti-inflammatory fatty acids
AA:EPA -1.9 pp
Hand OA −44%
RA inflammation ↓
Leg cramps −2.67/week
Pain/function +24%
+23% fewer side effects
-34% pain, -28% function
Massage/reflexology eased pain
Pain ↓
Function ↑
Improved joint repair
WOMAC pain -1.41
RA function improved
Joint pain unchanged; men improved
Stiffness/pain improved, biomarkers down
Joint pain ~50% less
Pain relief, +13 mm
Better function/walking
Pain/function ↓ −12.2
Pain/joints/inflammation ↓
Pain/function, −20.8 mm
Inflammation, CRP↓
Pain -27%
Exam/severity -43%
BCTQ symptoms/function −10.3
NCV +2.38 m/s
Pain/inflammation ↓
Tender joints −1.38
Treg/miRNA shifts
Joint pain relief
Pain relief +35%
Mobility improved
Pain/function: no change
Pain/opening: improves
Pain/ROM/daily activity
Mouth opening +11–18 mm
Pain eased similarly
Function improved; fewer AEs
Month 1: +9.3, +11.6
Knee: LFI −3.6
Hip: WOMAC improved
Analgesic use -10
Pain relief -14%
Stiffness/function NR
Pain ↓; stiffness ↓
Threshold ↑; pain ↓
PGE2 down
Pain/disability; +9 responders
Mobility; greater pain drop
Pain −35%
Inflammation lower
DAS28 −1.0, pain
Morning stiffness only
PGE2, pain improved
IL-4, IL-6, hs-CRP down
Less pain/stiffness
Lower inflammation, better comfort
Pain -53% joints
Assessment scores improved
Pain ↓; inflammation ↓
Tender/swollen joints ↓
Trismus +4.8–7.5 mm
Swelling -2 to -4.7 mm
Pain unchanged
Pain −50–63%
Inflammation −24–47%
Muscle/joint pain -10
Hot flashes, dose-related
Bone turnover -15%
Pain scores improved
Pain -1.19
Function -0.89
NSAID use down +29%
Joint comfort unchanged
Pain/stiffness/motion improved
No between-group difference
QoL improved
Lower disease activity
Pain/stiffness ↓
ROM ↑
Less arthritis impact, +29%
Better mobility, +4.5°
Pain relief -1.78
Inflammation unchanged
Strength loss ↓6.6pp
Collagen marker ↓38%
Pain/function + p<0.001
Menopausal symptoms + p<0.001
Lower PGE2
Similar to naproxen
Pain/disability relief
QoL gain
Better joint symptoms; ASAS20 +26.9%
Lower inflammation (CRP)
Inflammation down; pain relief
-
Joint markers down
Joint pain/function ↓
Pain ↓66%
Synovial ITCs +497 nM
Plasma ITCs +0.86 μM
Joint proteins altered
Inflammation down, comfort likely better
TAC up, joint support
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