The best cartilage and joint support supplements compared

Anyone suffering from aching or inflamed joints can benefit from joint support supplements. These should contain a combination of glucosamine, chondroitin and several other clinically-proven vitamins, trace elements and amino acids. 

Joint supplement benefits

Cartilage and joint support micronutrients have been found beneficial by a large body of clinical studies.

  • They reduce pain12 & inflammation3 in joints,
  • They increase long-term mobility (18-24 months4) by helping to build cartilage5,
  • They are based on natural micronutrients, convenient, prescription-free and non-invasive,
  • They present an affordable and natural alternative to arthritis medications6.[/list]

best price


1st place: amitamin arthro360

buy amitamin arthro360 for less

With 110 points, amitamin’s arthro360 is the most complete product in our test. Its combination and dosage of micronutrients is scientifically effective with 1,800 mg of glucosamine sulphate and chondroitin sulphate, plus MSM, Omega-3 fatty acids DHA and EPA, as well as the super antioxidant pine bark extract.

The Triple Pack for three months starts at AUD 49.95 per pack per month. The exclusive distributor for Australia and New Zealand offers currently free shipping. A detailed description can be found here.

Buy online

2nd place: aminoexpert Arthro Pro


Following closely behind amitamin’s arthro360, with 100 points in our test: ARTHRO PRO by aminoexpert. Vitaminsbest started selling it recently in Australia and New Zealand starting at AUD 44.50 for a monthly pack in the three months order. They also offer currently free shipping to Australia and New Zealand.


Although it lacks omega-3 fish oils, the overall ingredients and dosage is effective with glucosamine, chondroitin, MSM, SAMe, amino acids and pine bark extract. Find a more detailed description here.

Buy online


3rd place: Dr. Jenson’s formula-X Joint Care Pro

Still highly effective, but not as complete as our number one and two is: Dr. Jenson’s formula-X Joint Care Pro with still 70 points in our test. With AUS 149.00 however, it has the highest monthly price in the top group. (…)


Buy online

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Places 4 to 10 in detail

4th place: Revive Active Premium Joint Complex

With 70 points, Revive Active Premium Joint Complex costs £34.84 per month + £1.90 shipping. It comes in daily powder sachets, which can be mixed with water, juice or smoothies. Produced in the USA and due to its powder format, it scored well due with its unusually high MSM and Kolllagen amounts amongst the standard Glucosamine and Chondroitin dosages.

It does not include omega-3 fatty acids, strong antioxidants, amino acids, vitamin D, vitamin E, zinc or selenium and therefore misses many key ingredients. The sachet format, however, represents a convenient alternative for those willing to spend more and miss out on a few nutrients.

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5th place: Met-Rx Super Joint Guard

Met-Rx Super Joint Guard has 63 points, because of its good array of vitamins and essential fats. Unfortunately, they are “bundled” into an untransparent proprietary mix so individual dosages are unavailable and the points were lost as a result. They are also mostly dosed far too low compared to dosages used in clinical studies to make any sort of impact.

It does include a good quantity of Glucosamine sulfate and Chondroiton sulfate and even Hyaluronic acid, but it is lacking in trace minerals lacking zinc and selenium altogether.

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6th place: Arthri-flex Advantage

Arthri-Flex Advantage scored 60 points, because it combines Glucosamine Sulfate, naturally occurring Chondroitin Sulfate and MSM. Significantly, the Chondroitin comes from “Premium Chicken Sternum Type II Kollagen” and is not quantified on the packaging. The chondroitin could therefore not be quantified for this evaluation and the points were lost as a result. It also is not It does not contain Selenium, Vitamin D and vitamin E or omega-3 acids.

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7th place: Labrada Elasti Joint Grape Powder

This drink powder from the USA scored 60 points with its extremely high dosages of Kollagen and MSM. The standard dosages of Glucosamine and Chondroitin due to an approximate amount of 10g drinking powder per day. It has, however, a very limited nutrient profile, because omega 3 acids, antioxidants, vitamins and trace minerals are missing altogether. It was therefore ranked 7th although it has the same number of points as 6th ranked Arthri-Flex Advantage.

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8th place: Nature’s Plus, Advanced Therapeutics, Ultra RX Joint Complete System, 2 Piece Kit

This product scored 55 points with its good mix of the basic nutrients Glucosamine, Chondroitin and MSM, but it is missing omega-3s, amino acids and most clinically proven vitamins and trace elements.

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9th place: Trec Nutrition – Joint Therapy Plus

50 points. Each bottle contains 90 capsules formulated from glucosamine, chondroitin, collagen, vitamin C and manganese. This supplement costs around £27.99 and the recommended dose is three capsule daily. It is also missing a large number of joint and cartilage micronutrients.

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10th place: Wellesse Premium Liquid Supplements, Joint Movement Glucosamine

45 points. Wellesse Premium Liquid is the only drinkable joint food on the market. Imported from the US it is a great alternative for all those, who do not like to swallow capsules.

However, this luxury comes at a price. The measurements are in US fluid ounces, the bottle includes 16 fl oz and the recommendation is 1 fl oz per day. The bottle will therefore last just over two weeks. From a nutritional perspective, the formula is also very incomplete and it has a high prive point. It is missing all trace elements, vitamins E and D, omega-3s, amino acids and antioxidants.

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Summary of all 22 tested products

Side-by-side evaluations

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How we tested

Herb medicineTo determine the best possible products for your joints we have compared and analysed the nutrients, dosages, costs and customer service of 24 of the best known joint and cartilage supplements available on the UK high street or for online purchase .

To be included in the test, all products had to

  • arrive within 5 working days of purchase,
  • have a customer support hotline available,
  • be available on the high-street or via SSL secured websites,
  • be purchasable via credit card & PayPal.


At first glance, many products appear to be similar. But under closer scrutiny the differences in the “nutrient-stacks” and quantities of nutrients provided become significant.

The Standard Method for Evaluation

In this comparison we only considered food supplements with clinically-proven effective micronutrients, which are available over-the-counter either on the high street or online for delivery in the UK & Ireland.

We used a standard scoring system for the various ingredients and concentrations to allow for a transparent side-by-side comparison:


  • We awarded up to 20 points per active ingredient for the most thoroughly researched, clinically proven beneficial joint nutrients glucosamine, chondroitin and MSM.
  • We awarded up to 10 points for well-researched nutrients and natural remedies Omega-3, Hyaluronic acid and pine bark extract. These micronutrients are thought to be slightly less effective than glucosamine and chondroitin. They also cannot be sold as medicines according to our research. There is good evidence of their beneficial effects and there are no significant side effects.
  • We awarded up to five points for all other positively-researched micronutrients that are important for the musculoskeletal system, cell protection and the immune system. In our calculations, these include Collagen, vitamin A, vitamin E, vitamin C, vitamin D, amino acids, selenium, manganese and zinc. When deficient in the body, these micronutrients can lead to joint problems and are therefore important for general health. Even without a known deficiency, increasing the intake of these nutrients can have important health benefits (although not necessarily always clinically proven). This applies in particular as the body ages and demand for nutrients increases as a result of illness or medication. There are no known adverse side effects even in larger dosages.


Dosages: A micronutrient only becomes effective when sufficiently dosed. We have allocated reduced scores accordingly, where a nutrient is present in the product, but the dosage is lower than generally recommended.

Under these criteria a perfect score of 135 points could have been scored by any supplement according to our system. However, no supplement was able to achieve this.  

Firstly, this particular “perfect” nutrient mix does not yet exist. Secondly, it would take a large amount capsules of (approx. six to eight) to provide the appropriate nutrient dosages on a daily basis.

Other potential criteria such as packaging, dosage form (tablets, capsules or powder) as well as price have not been included in point allocation, because of a natural variation in personal preferences.

Delivery, customer service: All test orders were received within 3 – 5 business days and all returns were processed to a satisfactory degree. We have therefore not included this factor as a separate score either.

These natural remedies were not included in the evaluation

Pain relievers, medicines and homeopathic remedies were excluded. We also attempted to focus on products, which had their ingredients and dosages clearly labelled. Products with “proprietary mixes” which did not break down the exact nutrient composition lost points on poor transparency.

In addition, there are many more natural remedies, vitamins and trace elements which are regularly recommended by orthopaedic specialists and scientists. We did not include the following ingredients in the analysis, because we could not find insufficiently conclusive information. Conversely, this does not mean, that these substances aren’t beneficial for joints or the immune system:


  • Incense: inconclusive study results.
  • Green-lipped mussel: may help, but product quality varies significantly. It includes large amounts of glucosamine and selenium, which is why it is better to take outright glucosamine + selenium supplements.
  • Boron: initial research suggests that a boron deficiency can cause joint problems. This micronutrient has not yet been sufficiently researched.
  • Willow Bark: In the single study testing it against a non-steroidal anti-inflammatory drug (NSAID) for osteoarthritis, it wasn’t as effective for pain relief.

What Makes A Top Joint Food Supplement

The differences between the individual products can be significant. In general you should keep in mind:


  • Supplements must include a combination of clinically proven micronutrients and offer these at a dosage similar to the one used in the clinical study.
  • Products with a daily recommended consumption of only one or two capsules are not sufficiently dosed to effectively assist joint health. Generally speaking, 3 to 6 capsules are physically required on a daily basis to provide enough amounts of effective nutrients to have a beneficial effect on joint and cartilage.
  • For this reason, the more expensive supplements tend to be of higher quality, although this isn’t always the case.
  • Good products can be bought online as well as on the high street pharmacy or drug store. You should buy only when ingredients and quantities are clearly stated. This can sometimes be difficult to determine. Products, which did not clearly list all nutrients lost points as a result.


The following clinically-proven micronutrients should be included in a quality joint and cartilage food supplement:


  • Glucosamine and Chondroitin: These two substances are considered the “joint supplement classics”. Glucosamine sulphate and chondroitin sulphate are the most effective form of these compounds. Unfortunately, some manufacturers don’t offer adequate dosages in their products. At least 1,200 mg of glucosamine and 400 mg of chondroitin sulphate should be consumed per day. The benefits of these compounds can be complemented and boosted by the following ingredients:
  • Omega-3 fatty acids (DHA and EPA) from fish oil. They have an anti-inflammatory effect, promote good cardiovascular health and help reduce bad (LDL) cholesterol levels.
  • Pine bark extract has been researched extensively since the mid-1990s and proven effective for its anti-inflammatory and analgesic effects on osteoarthritis and arthritis.
  • MSM (methylsulfonylmethane) is an organic sulphur compound. MSM has anti-inflammatory effects and helps to protect against cartilage degradation.
  • Amino acids such as methionine and cysteine are good sources of sulfur as well as MSM. Joint experts recommend a diet rich in these amino acids.
  • Hyaluronic acid is usually injected directly into the joint, but also recommended by many experts for use as a dietary supplement. Further research studies are desirable to show effective dosage and treatment duration.
  • Collagen hydrolysate: Taken as a separate powder and normally dosed at 10 grams per day. Not as well researched as glucosamine and chondroitin, but still recommended.
  • Vitamin C is important for immune system. It also helps to protect against cell-damaging free radicals and is involved in the formation of collagen fibres. In the Stone Age humans consumed approximately 4,000 mg vitamin C daily via their diet at the time. Today most adults in the Western world struggle to consume the minimum daily recommended dose of 80 mg per day.
  • Vitamin E is a fat soluble antioxidant. Highly-dosed vitamin E is also an anti-inflammatory analgesic. About half of all people in Central Europe are deficient in vitamin E.
  • Vitamin D is important for the immune system, calcium metabolism and therefore bone health. A lack of vitamin D is one of the main causes of osteoporosis according to nutritionists. Approximately 90% of people are deficient in this vitamin and supplementation is therefore highly recommended, not just for for arthritis patients.
  • Selenium, manganese, copper and zinc are trace elements with an inhibitory effect on inflammation. They protect the cartilage from breakdown and promote beneficial metabolism of connective tissue7.


The best products for your joints

A quality arthritis food supplement should include the following micronutrients.

Each of them has been clinically proven beneficial for joint health, are well-researched and have no or very small side effects as a food supplement:



Final remarks

The food supplements featured in this comparison are just a few from a very large amount of joint & cartilage support products available on the market. The metabolic benefits of the micronutrients are mostly well documented.

Please keep in mind that some products, which that have achieved lower scores in our test or that have not been listed may be more beneficial than other products depending on individual conditions. Nevertheless, we strongly believe that we’ve made the criteria as transparent and fair as possible.

This overview can and must not replace a professional medical assessment and diagnosis conducted by a fully qualified and registered orthopedists, rheumatologists or sports medicine specialists. This comparison is therefore not meant to promote unsupervised self-medication.

Bewegung bei Arthrose


Finally, please keep in mind that these three lifestyle factors are crucial for your joint health:

  1. A balanced diet with unprocessed low fat meats and plenty of whole foods, fruit and vegetables,
  2. regular low-impact exercise such as walking and swimming avoiding stress on the joints, as well as
  3. the prevention of obesity and the resulting overuse of joints.

Please consider these factors, as well as regular exercise, a healthy, well-balanced diet rich in whole foods, fish and low in red meats – not only for your joints, but indeed for you overall health, vitality and longevity.


Frequently Asked Questions

Pain Killers versus Food Supplements?

Should you rather use conventional pain relief or nutritional supplements and natural remedies? It is very important to have a full medical examination and professional diagnosis before determining the correct course of action for any joint problem. Only a fully qualified medical professional will be able to provide a correct diagnosis and determine the most likely causes of pain and joint degradation.

Pain killers can help quickly, cheaply and are almost universally available. However, they do not promote the generation and repair of cartilage, can have detrimental long-term health effects (can lead heart and liver problems) are therefore not appropriate for long-term use. It is thus important to discuss your health with a doctor or pharmacist in order to chose the most appropriate painkiller and dosage.

Dietary supplements and other natural remedies for joints do not have immediate effects. They may need to be taken for weeks, and in some cases months, before the nutritional benefits initially become obvious. Crucially, however, they tend not to have known side effects and for the most part have been proven effective in peer-reviewed, clinical studies in supporting better long-term cartilage health and sometimes even re-generation.

It’s important that if you have a shellfish allergy you do not take glucosamine. Allergies to other substances such as chondroitin and MSM are rare, but should be checked against in individual cases.


  1. “Lerna et al. 2010. Supplementation of diet with krill oil protects against experimental rheumatoid arthritis. BMC Musculoskeletal Disorders 11, 136, doi: 10.1186/1471-2474-11-136”
  2. “Brien et al. 2008. Systematic review of the nutritional supplements dimethyl sulfoxide (DMSO) and methylsulfonylmethane (MSM) in the treatment of osteoarthritis. Osteoarthritis Cartilage 16(11), 1277-1288”
  3. “Dzielska-Olczak & Nowak. 2012. Anti-inflammatory therapy in ostheoarthritis including omega 3 and omega 6 fatty acids. Polish Merkur Lekarski 32(191), 329-334; Calder. 2006. n-3 Polyunsaturated fatty acids, inflammation, and inflammatory diseases. American Journal of Clinical Nutrition 83(suppl), 1505S-1519S”
  4. “Van Vijven et al., 2012. Symptomatic treatment with chondroprotective and collagen derivatives for osteoarthritis: a systematic review. Osteoarthritis Cartilage 20 (8), 809-821″
  5. “http://www.ncbi.nlm.nih.gov/pubmed/16309928”
  6. “http://ard.bmj.com/content/early/2015/01/14/annrheumdis-2014-206792.full”
  7. Feil, W., “Die Dr. Feil Strategie. Arthrose und Gelenkschmerzen überwinden.”, 1. Aufl. 2013, S. 49; ISBN 978-3-00-040191-6

Arthritis Treatments

Arthritis Treatments

Arthritis is a general term that covers over 100 different conditions that affect the musculoskeletal system.  These joint-related problems cause symptoms such as stiffness, inflammation, pain, and damage to the cartilage and surrounding tissues. This can lead to weakened joints, deformities, and instability that can make basic daily tasks challenging. That is why we need arthritis treatments to help ease these symptoms.

In the UK approximately 10 million people suffer from arthritis, with the most common forms being osteoarthritis and rheumatoid arthritis. There are no cures for these conditions. However, there are ways to manage arthritis to lessen the symptoms and improve the quality of life. Arthritis treatments vary and often include a combination of medications, natural supplements, physical therapy, and lifestyle adjustments.

Classification of Arthritic Conditions

The wide range of arthritis conditions can be classified into three main groups:

Inflammatory Arthritis

Inflammatory arthritis is a term used to describe a group of conditions which affect the immune system. The arthritis is caused by the body’s own defence system attacking its own tissues instead of viruses, germs and other foreign substances.  This causes stiffness, pain and joint damage.

The most common type of inflammatory arthritis is Rheumatoid Arthritis (RA). Other common conditions from within this category include gout, ankylosing spondylitis, and psoriatic arthritis.

Rheumatoid Arthritis Treatments

Rheumatoid Arthritis Treatments

The most common type of inflammatory arthritis rheumatoid arthritis affects approximately 400,000 people in the UK according to the National Health Service (NHS). Adults of any age can be affected by this condition, although it most commonly develops between the ages of 40 and 50.

Women tend to be more prone to rheumatoid arthritis than men, with around three-quarters of diagnosed patients female1.

An auto-immune disease, the immune system attacks the cells around the joints. This causes painful swelling and stiffness. As the disease progresses the affect joint becomes damaged as cartilage and surrounding bone break down.

Treatment Strategies

All experts agree that the earlier rheumatoid arthritis is detected and treatment begins the better the chance of limiting joint damage. Since the majority of joint damage is irreversible, the disability will be greater with persistent damage. The goals of treating rheumatoid arthritis are to try and control the degree of joint degradation, stop disease progression and loss of function, minimize symptoms, and improve quality of life. Most experts encourage aggressive treatment plans as soon as the disease is detected, although there is still some conjecture as to the best treatment strategy2.

Results from a range of clinical studies suggest that early therapy should focus on the use disease-modifying anti-rheumatic drugs (DMARDs)3. This may involve monotherapy with a drug such as methotrexate (MTX) or hydroxychloroquine (HCQ), or a step-up combination therapy where a range of DMARDs are used4,5. Non-steroidal anti-inflammatory drugs (NSAIDs) may also be prescribed. There also evidence to support the use of anti-tumor necrosis factor (anti-TNF) drugs, especially in combination with MTX, in rheumatoid arthritis treatments 6.

Medical practitioners and researchers acknowledge that there isn’t one single strategy that can be applied to treat rheumatoid arthritis. Everyone responds differently to the disease and arthritis treatments must be adapted accordingly. Combining medications with exercise, healthy diet, and supplements is the overarching treatment plan for rheumatoid arthritis. As new advances are made in developing medications, it’s possible that treatment options will be expanded and improved on.

New breakthrough research from the University of Queensland in Australia has developed a vaccine-style treatment for rheumatoid arthritis. This vaccine treats the underlying cause of the disease, rather than the symptoms. This new treatment is in its infancy and needs further testing, but may be a future turning point for sufferers of this disease.

Gout, Ankylosing Spondylitis, and Psoriatic Arthritis Treatments

Gout, Ankylosing Spondylitis, and Psoriatic Arthritis Treatments


One of the most painful forms of arthritis, gout occurs when there is an abnormal build-up of uric acid in the body that deposits as crystals within the joints. Gout is most commonly associated with the big toe, although it can also affect insteps, ankles, knees, heels, wrists, elbows, and fingers.

Acute gout attacks are treated using non-steroidal anti-inflammatory drugs (NSAIDs), corticosteroids, or colchicine. Medications that block uric acid production may also be prescribed.

Ankylosing Spondylitis

A form of spinal arthritis, ankylosing spondylitis typically affects young men and can eventually lead to new bone formation on the spine. It can cause severe, chronic pain and discomfort. Although the spine is primarily affected, ankylosing spondylitis can also cause inflammation, stiffness, and pain in other areas such as the ribs, hips, shoulders, and smaller joints associated with the feet and hands.

NSAIDs (nonsteroidal anti-inflammatory drugs) are the primary arthritis treatments for ankylosing spondylitis. If these are not effective, disease-modifying anti-rheumatic drugs (DMARDs) may be used. Exercise, good posture, and diet are important in the management of ankylosing spondylitis. In some cases surgery may be required.

Psoriatic Arthritis

There are several forms of psoriatic arthritis, which affects people with the skin condition psoriasis. It causes stiffness, pain, swelling and discomfort of affected joints, reducing movement.

NSAIDs (nonsteroidal anti-inflammatory drugs) or disease-modifying anti-rheumatic drugs (DMARDs) may be recommended for people with psoriatic arthritis. Oral “small molecule” arthritis treatments or biologic drugs given by intravenous infusion or injection are another possible option.

arthritis treatments for painful jointsNon-Inflammatory Arthritis

Non-Inflammatory Arthritis is characterized by natural wear and tear of mostly the weight-bearing joints (back, hip, feet and knee). It can also affect both the smaller joints of the body, including the hands and wrists.

Unlike Rheumatoid Arthritis, this type of arthritis is very common in elderly people.

The most common type of Non-Inflammatory Arthritis is osteoarthritis. Other conditions within this category include scoliosis and torn ligaments.

Osteoarthritis Treatments

Osteoarthritis Treatments

This is the most common type of non-inflammatory arthritis and is the most common form of arthritis in the UK7. Statistics from Arthritis Research reveal that 8.75 million people have sought treatment for osteoarthritis in the UK.

While this disease usually develops in people over the age of 50, it can develop at any age in response to anther joint-related problem or an injury. More than 30 percent of women have some degree of osteoarthritis by age 65.

Osteoarthritis make movement very difficult. In the early stages the disease affects the cartilage lining of the joints, leading to stiffness and pain. As the cartilage thins the joint bones start to rub together, increasing deformation and discomfort.

Initially, osteoarthritis starts with minor pain during activities, but soon the pain can become continuous and even occur while in a state of rest. The joints most commonly affected by osteoarthritis include the hips, knees, hands, and spine.

People with prior joint trauma, obesity, and a sedentary lifestyle are at the highest risk of developing osteoarthritis.

Treatment Strategies

The principal aims of treating osteoarthritis are to adequately control pain, enhance function, and minimize disability. All arthritis treatments should include a combination of therapies focusing on the best strategy for individual circumstances.

The primary treatment for osteoarthritis has been paracetamol for pain relief, although NSAIDs (nonsteroidal anti-inflammatory drugs) are also recommended in the case of moderate or severe pain 8. The types of medications prescribed to help manage osteoarthritis will depend on other underlying health factors. For example, people suffering from osteoarthritis and hypertension should avoid NSAIDs and cyclooxygenase-2 (COX-2) inhibitors because they can increase blood pressure9. Corticosteroids and hyaluronic acid injections may also be a viable short-term treatment option for some patients.

Exercise, TENs and acupuncture10,11, heat or cold packs12, and healthy weight management13 are all important aspects of non-pharmaceutical osteoarthritis management strategies.

Occupational therapy combined with a healthy diet and nutritional supplements can help to lessen the burden on the joints and improve overall joint health.

Scoliosis and Torn Ligament Treatments

Scoliosis and Torn Ligament Treatments


Lateral curvature of the spine is termed scoliosis. It can be congenital, or develop as a result of abnormal muscles, a traumatic injury, or in some cases there is no known cause.

Braces or surgery may be recommended to correct the spine in children if the condition is severe. Adult scoliosis is rare, although it is sometime caused by a degenerative joint problem.

Torn Ligament

Torn ligaments can occur as a result of a sporting injury, accident, or repetitive strain. It can occur at any joint, although the knee and ankle are especially vulnerable when it comes to sports injuries.

Usually ligaments will naturally heal with careful management. In some severe cases surgery may be required. The affected joint may be more susceptible to arthritis later in life.

Connective Tissue Disease

This category includes Sjogren’s syndrome, lupus, and sclerosis.

Sjogren’s Syndrome, Lupus, and Sclerosis Treatments

Sjogren’s Syndrome, Lupus, and Sclerosis Treatments

Sjogren’s Syndrome

This auto-immune disease typically affects the salivary glands and eyes, although it can also affect other areas of the body. The severity of the disease can vary significantly, and the progression is unpredictable. One of the symptoms of Sjogren’s syndrome is joint swelling and associated pain.

There are a range of medications available that can be used in the treatment of Sjogren’s syndrome. These may include NSAIDs (nonsteroidal anti-inflammatory drugs) to minimize swelling and discomfort of the joints.


This auto-immune disease causes swelling of the tissues. The symptoms will vary depending on what part of the body is affected. There are four main types of lupus, with systemic lupus erythematosus being particularly detrimental to joint health.

Anti-inflammatories, corticosteroids, antimalarials, immuneosuppressives, and anticoagulants, may be among the recommended medications to help treat lupus. Treatment will be determined by the type of lupus and the severity of the condition.

Sclerosis Treatments

Abnormal hardening of the body tissue is called sclerosis. There are many different conditions associated with sclerosis; however one of the symptoms is swelling and inflammation which can affect the joints.

There are a range of arthritis treatments used to treat sclerosis. Physical therapy is also important, along with a healthy diet and stress relief.



Types of Arthritis Treatments

The treatment of arthritis aims to minimize symptoms so that joint health is improved. Using a range of therapies, patients can reduce inflammation, pain, and swelling to improve mobility and slow the progression of joint degradation.

The best arthritis treatments will include a combination of approaches, varying depending on individual conditions. For example, a psoriatic arthritis treatments may differ from an osteoarthritis treatment plan due to differences in the underlying cause of the joint degradation.

Painkillers and Anti-Inflammatories

Painkillers and Anti-Inflammatories

Painkillers (analgesics) such as paracetamol are often recommended to be taken regularly during a pain flare-up. Many doctors recommend taking analgesics prior to any activity that may aggravate pain to lessen the severity of the discomfort.

NSAIDs (Non Steroidal Anti-Inflammatory Drugs) can be useful in short bursts to reduce inflammation during a flare-up in combination with analgesics if necessary. These anti-inflammatories are available in oral or topical arthritis treatments. NSAIDs are not suitable for long-term use due to their strong side effects on the digestive system.

In the case of inflammatory arthritis or connective tissues diseases, steroid tablets or localised injections of steroids may be used to stop inflammation. In the treatment of osteoarthritis some doctors may recommend steroid injections for the infected joint.

Suitable treatment timeframe: SHORT-TERM

Inflammatory Disease Suppressants

Inflammatory Disease Suppressants

Slow acting Disease-Modifying Anti-Rheumatic Drugs (DMARDs) can be used to suppress inflammation. Usually these medications are taken together with NSAIDs until they start to take effect.

If DMARDs are unsuccessful, biological therapies may be recommended. These are a relatively new class of drugs made to block the messages between inflammation-causing white blood cells and other proteins.

Suitable treatment timeframe: MEDIUM-TERM

Physical Therapy

Physical Therapy

Arthritis treatments may include doctors may recommend physical therapy. Hydrotherapy in a warm water pool is useful for reducing pressure on the joint and muscles while facilitating important exercise.

Physiotherapy exercises especially tailored to individual conditions can help to reduce inflammation and increase mobility, together with other pain relieving arthritis treatments such as massage, or heat and ice packs.

Occupational therapies to help manage everyday tasks are also an important part of arthritis treatment. This helps to educated people to better manage fatigue and protect their joint from further degradation.

Suitable treatment timeframe: LONG-TERM



In some extreme cases, hip, shoulder, elbow, and knee arthritis treatments may include surgery. This may be recommended if the damage to the joint is so advanced that it makes day-to-day life difficult or other treatments are unsuccessful.

There are three main forms of joint surgery:

Arthroplasty – A joint replacement procedure

Arthodesis – A joint fusion procedure

Osteotomy – A procedure where the bone is cut and then realigned

Modern surgical methods make joint replacements or pain-relieving reconstructions highly successful. However, surgery is usually the last resort and the procedures are not without risks.

Suitable treatment timeframe: SHORT-TERM




To reduce arthritis symptoms treatments must also include dietary changes. While there isn’t any scientific proof that dietary changes can cure arthritis, certain foods can aggravate or reduce symptoms.

A healthy diet rich in foods that reduce inflammation and limit weight gain is important. This helps to take the pressure off the joints and minimizes discomfort, ultimately improving mobility.

Antioxidant rich fruit and vegetables, whole grains, low fat dairy and meats are recommended. Foods containing saturated and trans fats, sodium/salt, and sugar should be avoided.

Suitable treatment timeframe: LONG-TERM

Food Supplements

Food Supplements


There are many different supplements that can be used in the treatment for arthritis. Omega 3 fatty acids, pine bark extract, chondroitin, glucosamine, and MSM (methyl sulfonylmethane), are some of the natural compounds commonly used in supplements as part of arthritis treatment.

These are often formulated with other key vitamins and minerals to help protect joint health.

There is strong scientific evidence that these compounds can help to reduce inflammation, decrease pain, and defend the joints from damaging enzymes. Clinical studies have shown that these common arthritis nutraceutical ingredients can minimise the reliance on painkillers and NAIDs, which is important for long-term health14 15 16 17.

Suitable treatment timeframe: LONG-TERM

The high-street and online market is awash with so-called “joint food” supplements. But be careful, the products differ significantly in quality and value for money.


Arthritis Treatment Requires Lifestyle Adjustments

If left untreated conditions such as rheumatoid arthritis and osteoarthritis will significantly worsen as the joint degradation accelerates. In order to preserve quality of life it’s essential to make positive lifestyle adjustments.

This includes maintaining an arthritis-friendly diet, rich in anti-inflammatory foods and antioxidants.

The Importance of Diet and Nutrients

Making smart food choices can significantly improve joint health, reducing inflammation and associated pain to make movement easier. This will lessen joint swelling and stiffness, providing better joint mobility.

Routinely taking appropriate effective joint food supplements can also significantly reduce arthritis symptoms. The high-street and online market is awash with so-called “joint food” supplements.

But be careful, the products differ significantly in quality and value for money. We have taken the guesswork out for you and compared over 20 joint food supplements.


Regular participation in low impact sports is also an important aspect of an arthritis treatment plan. Low-impact exercise such as swimming, rowing, cycling, yoga, bowling and golfing will help to maintain joint movement, reduce joint instability and help to minimise pain.

Of course, regular (ideally outdoor) exercise also increases your endorphine levels and helps to keep your body weight in check. This reduces general pressure on your joints keeping you happy and healthy.


  1. “Crowson, C. et.al. (2011). The lifetime risk of adult-onset rheumatoid arthritis and other inflammatory autoimmune rheumatic diseases. Arthritis and Rheumatology, Volume 63, Issue 3, (pp. 633-9).”
  2. “Schipper, L. et.al. (2012). A tight control treatment strategy aiming for remission in early rheumatoid arthritis is more effective than usual care treatment in daily clinical practice: a study of two cohorts in the Dutch Rheumatoid Arthritis Monitoring registry. Annuals of Rheumatic Diseases, Volume 71, Issue 6, (pp. 845-50).”
  3. “Demoruelle, M. and Deane, K. (2012). Treatment strategies in early rheumatoid arthritis and prevention of rheumatoid arthritis. Current Rheumatology Reports, Volume 14, Issue 5, (pp. 472–480).”
  4. “Allaart, C. and Huizinga, T. (2011). Treatment strategies in recent onset rheumatoid arthritis. Current Opinions in Rheumatology, Volume 23, Issue 3, (pp. 241-4).”
  5. Schipper, L. and van Riel, P. (2011). Ups and downs in the treatment strategies of rheumatoid arthritis. Rheumatology, Volume 50, Issue 5, (pp. 818-20).”
  6. “Breedveld F. and Combe, C. (2011). Understanding emerging treatment paradigms in rheumatoid arthritis. Arthritis Research & Therapy, Volume 13, Issue 1.”
  7. “VanItallie TB (October 2010). “Gout: epitome of painful arthritis”. Metab. Clin. Exp. 59(Suppl 1): S32–6. doi:10.1016/j.metabol.2010.07.009. PMID 20837191″
  8. “Puttini, P. et.al. (2005). Osteoarthritis: an overview of the disease and its treatment strategies. Seminars in Arthritis and Rheumatiodism, Volume 35, Issue 1, (pp. 1-10).”
  9. “Verdecchia, P. et.al. (2010). Treatment strategies for osteoarthritis patients with pain and hypertension.” Therapeutic Advances in Musculoskeletal Disease, Volume 2, Issue 4, (pp. 229-40).”
  10. “Itoh, K. et.al. (2008). A pilot study on using acupuncture and transcutaneous electrical nerve stimulation (TENS) to treat knee osteoarthritis (OA). Chinese Medicine, Volume 3, Issue 2.”
  11. “Zhang, W. et.al. (2010). OARSI recommendations for the management of hip and knee osteoarthritis: part III: changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis and Cartilage, Volume 18, Issue 4, (pp. 476-99).”
  12. “Denegar, C. et.al. (2010). Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response. Clinical Interventions in Aging, Volume 5, (pp.199-206).”
  13. “Turley, M. et.al. (2006) Non-fatal disease burden associated with excess body mass index and waist circumference in New Zealand adults. Australian and New Zealand Journal of Public Health, Volume 30, Issue 3, (pp. 231-237).”
  14. “Gruenwald et al. (2009). Effect of glucosamine sulfate with or without omega-3 fatty acids in patients with osteoarthritis. Advances in Therapy, Volume 26, Issue 9, (pp.858-71).”
  15. “Henrotin et al. (2010). Chondroitin Sulfate in the Treatment of Osteoarthritis: From in Vitro Studies to Clinical Recommendations. Therapeutic Advances in Musculoskeletal Diseases, Volume 2, Issue 6, (pp. 335-48).
  16. “Beer, A. & Wegener, T. (2011). Vitamin E for gonarthrosis and coxarthrosis – results of a postmarketing surveillance study. MMW Fortschritte der Medizen, Volume 153, Supplement 1, (pp. 14-20).”
  17. “Belcaro, G. et al (2008). Treatment of osteoarthritis with Pycnogenol. The SVOS (San Valentino osteo-arthrosis Study). Evaluation of signs, symptoms, physical performance and vascular aspects. Phytotherapy Research, Volume 22, Issue 4, (pp. 518-23).”