EvidenceBModerateGood evidence in people with one real weakness. New studies could change the answer.
Yes, curcumin eased joint pain a modest amount in people with arthritis, mostly knee osteoarthritis, in trials lasting 4 to 36 weeks. The quality of many trials was low.
Who it's for
Adults with knee osteoarthritis; less is known for other arthritis types.
What to expect
Modest pain relief over 8 to 12 weeks, similar to common pain pills.
Watch out for
Mild side effects; most trials were short and many were low quality.
Curcumin lowered knee pain scores more than placebo
Each dot is the average pain score change versus placebo, and the line shows the range of likely values; dots left of zero mean less pain.
← BetterWorse →
No difference
Pain score, network of 23 studies−1.63 (−2.91 to −0.45)Clear improvement
Pain score, 3 trials of arthritis−2.04 (−2.85 to −1.24)Clear improvement
−3−2−10
points on the pain scale vs. placebo, 0 = same
Curcumin lowered knee pain scores more than placebo
Result
Estimate
95% range
Reading
Pain score, network of 23 studies
−1.63
−2.91 to −0.45
Clear improvement
Pain score, 3 trials of arthritis
−2.04
−2.85 to −1.24
Clear improvement
Sources 2 J Med Food, 2016; 4 J Ethnopharmacol, 2024
A review that pooled 15 trials in 1,621 people with osteoarthritis found curcumin or turmeric extract beat a dummy pill (placebo A dummy treatment that looks like the real one, so people can't tell which they got.) on pain, stiffness and function. Side effects matched placebo. It suggested use for more than 12 weeks3Meta-analysis · 2021 · 1,621 peopleThe efficacy and safety of Curcuma longa extract and curcumin supplements on osteoarthritis: a systematic review and meta-analysis.Curcuma longa extract and curcumin may be a safer and effective supplement for OA patients. It is recommended to use Curcuma longa extract and curcumin supplement for OA patients for more than 12 weeks.Biosci Rep.
A review of 29 trials in 2,396 people with five types of arthritis used doses of 120 to 1,500 mg for 4 to 36 weeks. It found less pain and inflammation, with no safety problems. The authors called the trials low quality and few1Meta-analysis · 2022 · 2,396 peopleEfficacy and Safety of Curcumin and Curcuma longa Extract in the Treatment of Arthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trial.Curcumin and Curcuma longa Extract may improve symptoms and inflammation levels in people with arthritis. However, due to the low quality and small quantity of RCTs, the conclusions need to be interpreted carefully.Front Immunol.
A review that pooled 23 trials in 2,175 people with knee osteoarthritis found curcumin cut pain scores by about 1.6 points more than placebo on a 10-point scale. The true effect could be anywhere from about 0.5 to 2.9 points. Curcumin users also needed less rescue pain medicine4Meta-analysis · 2024Efficacy and safety of curcumin therapy for knee osteoarthritis: A Bayesian network meta-analysis.Curcumin, either alone or in combination with other treatments, is considered to have good clinical efficacy and safety in KOA treatment. Drug combinations containing curcumin may have the dual effect of enhancing efficacy and reducing adverse reactions, but this possibility still needs to be confirmed by further…J Ethnopharmacol.
A review of 8 trials found about 1,000 mg a day of curcumin lowered pain more than placebo, by about 2 points on a 10-point scale. Its authors said the trials were too few and too small to be definitive2Meta-analysis · 2016Efficacy of Turmeric Extracts and Curcumin for Alleviating the Symptoms of Joint Arthritis: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.However, the total number of RCTs included in the analysis, the total sample size, and the methodological quality of the primary studies were not sufficient to draw definitive conclusions. Thus, more rigorous and larger studies are needed to confirm the therapeutic efficacy of turmeric for arthritis.J Med Food.
A review of 11 earlier reviews agreed that curcumin reduced pain and stiffness in knee osteoarthritis5Meta-analysis · 2024The efficacy of curcumin in relieving osteoarthritis: A meta-analysis of meta-analyses.001, respectively). The results strongly support curcuminoid supplementation in relieving pain, improving joint mobility and stiffness, and shortening medication usage of OA patients.Phytother Res.
A trial of 70 people with knee osteoarthritis found 12 weeks of turmeric extract cut pain about 9 mm on a 100 mm scale more than placebo. That is a small effect, and the true effect could be near zero. It did not change swelling in the joint or cartilage on scans8Randomized trial · 2020 · 70 peopleEffectiveness of Curcuma longa Extract for the Treatment of Symptoms and Effusion-Synovitis of Knee Osteoarthritis : A Randomized Trial.CL was more effective than placebo for knee pain but did not affect knee effusion-synovitis or cartilage composition. Multicenter trials with larger sample sizes are needed to assess the clinical significance of these findings.Ann Intern Med.
A trial of 150 people found pain fell about 30 to 37 mm on a 100 mm scale with turmeric extract, against 8 mm with placebo, over 90 days10Randomized trial · 2019Bio-optimized Curcuma longa extract is efficient on knee osteoarthritis pain: a double-blind multicenter randomized placebo controlled three-arm study.BCL appeared safe and well-tolerated with no evidence of severe adverse effects. Efficacy analysis suggested positive trends for measurements of PGADA and serum levels of an OA biomarker and showed a rapid and significant decrease of pain in knee OA (Trial registration: ISRCTN, ISRCTN12345678. Registered 21 September…Arthritis Res Ther.
Against pain pills, curcumin matched diclofenac (an anti-inflammatory pain pill) for knee pain over 28 days in a trial of 139 people. It was open-label, so everyone knew what they took. Side effects were less common with curcumin (13% versus 38%)7Randomized trial · 2019 · 139 peopleSafety and efficacy of curcumin versus diclofenac in knee osteoarthritis: a randomized open-label parallel-arm study.Curcumin has similar efficacy to diclofenac but demonstrated better tolerance among patients with knee OA. Curcumin can be an alternative treatment option in the patients with knee OA who are intolerant to the side effects of non-steroidal anti-inflammatory drugs.Trials. These review figures compare groups, so one person's gain depends on how bad their pain starts.
Key studies
Study
Who
What it found
Review of 15 trials, 20213Meta-analysis · 2021 · 1,621 peopleThe efficacy and safety of Curcuma longa extract and curcumin supplements on osteoarthritis: a systematic review and meta-analysis.Curcuma longa extract and curcumin may be a safer and effective supplement for OA patients. It is recommended to use Curcuma longa extract and curcumin supplement for OA patients for more than 12 weeks.Biosci Rep
1,621 people with osteoarthritis
Less pain than placebo; side effects similar
Review of 23 trials, 20244Meta-analysis · 2024Efficacy and safety of curcumin therapy for knee osteoarthritis: A Bayesian network meta-analysis.Curcumin, either alone or in combination with other treatments, is considered to have good clinical efficacy and safety in KOA treatment. Drug combinations containing curcumin may have the dual effect of enhancing efficacy and reducing adverse reactions, but this possibility still needs to be confirmed by further…J Ethnopharmacol
2,175 people with knee osteoarthritis
Pain fell about 1.6 points more than placebo
Trial, 20208Randomized trial · 2020 · 70 peopleEffectiveness of Curcuma longa Extract for the Treatment of Symptoms and Effusion-Synovitis of Knee Osteoarthritis : A Randomized Trial.CL was more effective than placebo for knee pain but did not affect knee effusion-synovitis or cartilage composition. Multicenter trials with larger sample sizes are needed to assess the clinical significance of these findings.Ann Intern Med
70 people with knee osteoarthritis
Pain fell 9 mm more than placebo over 12 weeks
Trial, 20197Randomized trial · 2019 · 139 peopleSafety and efficacy of curcumin versus diclofenac in knee osteoarthritis: a randomized open-label parallel-arm study.Curcumin has similar efficacy to diclofenac but demonstrated better tolerance among patients with knee OA. Curcumin can be an alternative treatment option in the patients with knee OA who are intolerant to the side effects of non-steroidal anti-inflammatory drugs.Trials
139 people with knee osteoarthritis
Similar pain relief to diclofenac, fewer side effects
Safety
Reviews found side effects similar to placebo1Meta-analysis · 2022 · 2,396 peopleEfficacy and Safety of Curcumin and Curcuma longa Extract in the Treatment of Arthritis: A Systematic Review and Meta-Analysis of Randomized Controlled Trial.Curcumin and Curcuma longa Extract may improve symptoms and inflammation levels in people with arthritis. However, due to the low quality and small quantity of RCTs, the conclusions need to be interpreted carefully.Front Immunol,3Meta-analysis · 2021 · 1,621 peopleThe efficacy and safety of Curcuma longa extract and curcumin supplements on osteoarthritis: a systematic review and meta-analysis.Curcuma longa extract and curcumin may be a safer and effective supplement for OA patients. It is recommended to use Curcuma longa extract and curcumin supplement for OA patients for more than 12 weeks.Biosci Rep. In one trial, more product-related side effects occurred with a high dose than with placebo10Randomized trial · 2019Bio-optimized Curcuma longa extract is efficient on knee osteoarthritis pain: a double-blind multicenter randomized placebo controlled three-arm study.BCL appeared safe and well-tolerated with no evidence of severe adverse effects. Efficacy analysis suggested positive trends for measurements of PGADA and serum levels of an OA biomarker and showed a rapid and significant decrease of pain in knee OA (Trial registration: ISRCTN, ISRCTN12345678. Registered 21 September…Arthritis Res Ther. Curcumin had fewer side effects than diclofenac or similar pills3Meta-analysis · 2021 · 1,621 peopleThe efficacy and safety of Curcuma longa extract and curcumin supplements on osteoarthritis: a systematic review and meta-analysis.Curcuma longa extract and curcumin may be a safer and effective supplement for OA patients. It is recommended to use Curcuma longa extract and curcumin supplement for OA patients for more than 12 weeks.Biosci Rep,4Meta-analysis · 2024Efficacy and safety of curcumin therapy for knee osteoarthritis: A Bayesian network meta-analysis.Curcumin, either alone or in combination with other treatments, is considered to have good clinical efficacy and safety in KOA treatment. Drug combinations containing curcumin may have the dual effect of enhancing efficacy and reducing adverse reactions, but this possibility still needs to be confirmed by further…J Ethnopharmacol,7Randomized trial · 2019 · 139 peopleSafety and efficacy of curcumin versus diclofenac in knee osteoarthritis: a randomized open-label parallel-arm study.Curcumin has similar efficacy to diclofenac but demonstrated better tolerance among patients with knee OA. Curcumin can be an alternative treatment option in the patients with knee OA who are intolerant to the side effects of non-steroidal anti-inflammatory drugs.Trials. Adding curcumin to pain pills did not raise side effects3Meta-analysis · 2021 · 1,621 peopleThe efficacy and safety of Curcuma longa extract and curcumin supplements on osteoarthritis: a systematic review and meta-analysis.Curcuma longa extract and curcumin may be a safer and effective supplement for OA patients. It is recommended to use Curcuma longa extract and curcumin supplement for OA patients for more than 12 weeks.Biosci Rep.
What we don't know
Whether benefits last beyond a few months, since most trials ran 12 weeks or less.
Whether curcumin helps arthritis types other than knee osteoarthritis, and which dose or form works best.
Written by AI from the studies listed, without review by a clinician, and graded with the GRADE method. It can be wrong, so check the studies it cites. Education, not medical advice.