Evidence of effectiveness of herbal antiinflammatory drugs in the treatment of painful osteoarthritis and chronic low back pain
Version of Record online: 20 APR 2007
Copyright © 2007 John Wiley & Sons, Ltd.
Volume 21, Issue 7, pages 675–683, July 2007
How to Cite
Chrubasik, J. E., Roufogalis, B. D. and Chrubasik, S. (2007), Evidence of effectiveness of herbal antiinflammatory drugs in the treatment of painful osteoarthritis and chronic low back pain. Phytother. Res., 21: 675–683. doi: 10.1002/ptr.2142
- Issue online: 20 JUN 2007
- Version of Record online: 20 APR 2007
- Manuscript Accepted: 16 FEB 2007
- Manuscript Revised: 15 FEB 2007
- Manuscript Received: 21 JAN 2007
- devil's claw;
- avocado soybean;
- rose hip and seed;
- salai guggal
Treatment with herbal medicines is very popular in Europe. In order to get information on the evidence of effectiveness of oral herbal medicines in the treatment of pain in the joints or lower back, OVID(MEDLINE), PUBMED and COCHRANE COLLABORATION LIBRARY were searched back to 1985 for systematic reviews. The level of evidence of effectiveness was defined as strong – at least two confirmatory studies demonstrating a clinical relevant effect, moderate – one confirmatory study with a clinical relevant effect and/or multiple exploratory studies of good quality; otherwise the evidence was insufficient or conflicting in the case of inconsistent findings.
Fifteen systematic reviews were identified. The evidence of effectiveness was strong for a proprietary unsaponifiable avocado soybean fraction and Harpagophytum preparations containing >50 mg harpagoside in the daily dosage, moderate for ginger and a proprietary rose hip and seed powder, insufficient for Boswellia serrata gum resin and other herbal preparations and inconsistent for a proprietary willow bark extract.
Further rigorous studies are required to confirm the usefulness of herbal medicines in the treatment of osteoarthritic complaints and chronic low back pain in order to enable acceptance of the herbal medicines into the treatment guidelines. Copyright © 2007 John Wiley & Sons, Ltd.