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Turmeric Beats Ibuprofen for Arthritis of the Knee
5th April 2014
By Sayer Ji
Contributing Writer for Wake Up World
An exciting new clinical trial published in The Journal of Alternative and Complementary Medicine has
revealed that an effective natural alternative to the exceedingly popular pharmaceutical painkiller
ibuprofen exists for the treatment of knee osteoarthritis (OA), and it is a familiar kitchen spice known to
be far superior both in safety and the number of side benefits it confers to any drug in the non-steroidal
anti-inflammatory (NSAID) drug class.
Last year, in a Lancet review on the topic, ibuprofen was identified to be as toxic to the heart as the
banned anti-inflammatory drug Vioxx, likely contributing to tens of thousands of deaths from
cardiovascular disease each year. This is one of the reasons why evidence-based natural alternatives are
extremely important, especially when they involve culinary spices that are already known to be safe,
affordable, accessible and time-tested.
Titled, “Efficacy and Safety of Curcuma domestica Extracts in Patients with Knee Osteoarthritis,”[i] the
multi-center trial was conducted with 109 patients with primary knee osteoarthritis who were randomized
to receive either ibuprofen 800 mg day ibuprofen (55 patients) or 2,000 mg turmeric (Curcuma
domestica) per day (52 patients), for 6 weeks. The ibuprofen was divided into 2 doses of 400mg daily,
and the turmeric into 4 doses of 500 mg daily.
The researchers measured pain on level walking, pain on stairs, and functions of knee assessed by time
spent during 100-m walk and going up and down a flight of stairs, as the primary outcomes.
After six weeks, significant improvements were observed in both groups, with all primary outcomes
similar, except the turmeric group showed slightly better performance on the 100-m walk and less self-
reported pain going up and down a flight of stairs. Also, the turmeric group showed less adverse events.
Also, the subjects rated themselves to have higher satisfaction with the treatment results in the turmeric
group (91.1%) versus the ibuprofen group (80.4%).
While the researchers acknowledged the limitations of their study – no double-blind protocol, the need for
a higher dose in the placebo group, and the need for a larger patient sample size – they concluded that “C.
domestica extracts seem to be efficacious and safe for the treatment of knee OA similarly to
ibuprofen.”
They also pointed out that while some patients in the ibuprofen group rated themselves as having little
satisfaction or no satisfaction (10.9% and 2.2%, respectively), not a single patient in the turmeric group
reported being unsatisfied.
Finally, they observed a distinct trend towards a greater effect in patients receiving turmeric an ibuprofen.
The form of turmeric used in the study was manufactured by the Thai Government Pharmaceutical
Organization. Its preparation was described as follows:
“The preparations were made under the Good Manufacturing Procedures Standard.
Dried rhizomes of C. domestica were grounded into powder. The turmeric powder was extracted with
ethanol andthen evaporated at low pressure to obtain ethanolic extracts containing oil and
curcuminoids. The oil part was then removed in order to have curcuminoids extracts. Each capsule of C.
domestica extracts contained 250 mg of curcuminoids.
The primary curcuminoid known to science is curcumin, and is the polyphenol in turmeric that gives the
spice its radiant golden hue. Turmeric powder contains approximately 2-4% curcumin by weight.
Curcumin has been studied to have over 600 health benefits. To view the first-hand research establishing
its value, view our biomedical database on the topic: Curcumin Health Benefits.
For additional research on natural interventions for knee osteoarthritis view our database on the topic:
Natural Knee Osteoarthritis Interventions
Article Reference
[i] Vilai Kuptniratsaikul, Piyapat Dajpratham, Wirat Taechaarpornkul, Montana Buntragulpoontawee,
Pranee Lukkanapichonchut, Chirawan Chootip, Jittima Saengsuwan, Kesthamrong Tantayakom,
Supphalak Laongpech. Efficacy and safety of Curcuma domestica extracts compared with ibuprofen in
patients with knee osteoarthritis: a multicenter study. Clin Interv Aging. 2014 ;9:451-8. Epub 2014 Mar
20. PMID: 24672232
About the author:
Sayer Ji is an author, researcher, lecturer, an advisory board member of the National Health Federation,
and the founder of GreenMedInfo.com, the world an open access, evidence-based resource supporting
natural and integrative modalities. His writings have been published and referenced widely in print and
online, including Truthout, Mercola.com, The Journal of Gluten Sensitivity, New York Times and The
Well Being Journal.
In 1995 Sayer received a BA degree in Philosophy from Rutgers University, where he studied under the
American philosopher Dr. Bruce W. Wilshire, with a focus on the philosophy of science. In 1996,
following residency at the Zen Mountain Monastery in upstate New York, he embarked on a 5 year
journey of service as a counsellor-teacher and wilderness therapy specialist for various organizations that
serve underprivileged and/or adjudicated populations. Since 2003, Sayer has served as a patient advocate
and an educator and consultant for the natural health and wellness field.