Pain is a universal human experience; for millions, it’s a chronic issue that significantly impacts their quality of life. While medications can provide some relief, they often come with unwanted side effects. Because of the side effects, many individuals are turning to complementary health approaches for pain management. Among these, the use of glucosamine and chondroitin has gained considerable attention. This article will explore the scientific evidence supporting using glucosamine and chondroitin for pain relief.
Understanding Glucosamine and Chondroitin

Glucosamine and chondroitin are naturally occurring substances that are found in cartilage, particularly in the fluid around the joints. Glucosamine and chondroitin supplements are harvested from animal sources or made in a laboratory. These supplements may help treat osteoarthritis, a degenerative joint disease causing the breakdown of cartilage, leading to joint pain and stiffness.
The Scientific Evidence
Several high-quality studies have examined the efficacy of glucosamine and chondroitin in pain management. A study from the Mayo Clinic Proceedings evaluated the effectiveness of various complementary health approaches for chronic pain management, including glucosamine and chondroitin1.
Another study, part of the National Institutes of Health (NIH)-sponsored Glucosamine/Chondroitin sulfate Arthritis Intervention Trial (GAIT), examined the pharmacokinetics of glucosamine and chondroitin when taken separately or in combination2. The study found that combined glucosamine with chondroitin reduced the plasma levels seen with glucosamine dosing alone. This suggests that higher circulating concentrations of glucosamine cannot explain any improved pain relief by combination dosing.
Types of Pain Benefited by Glucosamine and Chondroitin

Glucosamine and chondroitin may help with pain associated with osteoarthritis, a degenerative joint disease. Here are some specific types of pain where these supplements may be beneficial:
- Osteoarthritis Pain: Osteoarthritis is a condition characterized by the breakdown of the joint’s cartilage. Cartilage creates a cushion and allows for smooth movement of the joints. When it wears down, the bones may rub together, causing pain. Glucosamine and chondroitin may help slow or prevent the degeneration of joint cartilage, thereby relieving osteoarthritis pain. They may help with knee, hip, spine, and hand osteoarthritis.
- Joint Pain: Beyond osteoarthritis, some people use glucosamine and chondroitin for other types of joint pain. This includes pain related to other forms of arthritis or general joint discomfort.
- Inflammatory Pain: Some research suggests that glucosamine might have anti-inflammatory properties, which could make it helpful in managing other conditions characterized by inflammation.
Additional Points of Interest

Here are a few more points about glucosamine and chondroitin that might be of interest:
- Dosage and Administration: The typical recommended dosages are about 1,500 milligrams of glucosamine and 1,200 milligrams of chondroitin per day, often divided into two or three doses. However, it’s always best to follow the instructions on the product label or instructions from your healthcare provider.
- Time to Effect: These supplements don’t work instantly. They are not like pain relievers that can reduce pain shortly after taking them. Instead, glucosamine and chondroitin may help to slow the progression of joint damage over time, and it may take several weeks to several months of consistent use before improvements in symptoms occur.
- Safety Profile: Glucosamine and chondroitin are generally well tolerated. However, they can cause side effects in some people. The most often reported side effects are gastrointestinal symptoms, such as nausea, heartburn, diarrhea, and constipation.
- Quality of Supplements: The quality of dietary supplements can vary from one brand to another. Some products may not contain the amount of glucosamine or chondroitin listed on the label, or they may contain contaminants. It’s always a good idea to buy supplements from reputable manufacturers.
- Research: While some studies have found that glucosamine and chondroitin can help reduce osteoarthritis pain, others have not. The overall evidence is mixed.
- Alternative Therapies: Glucosamine and chondroitin are just two of many alternative therapies for osteoarthritis pain. Others include physical therapy, weight loss (if overweight), and other dietary supplements, such as omega-3 fatty acids, green tea, and vitamin D. Discussing these options with a healthcare provider is always a good idea.
Precautions and Considerations
Before starting glucosamine and chondroitin, there are several precautions to consider:
- Allergies: If you have a shellfish allergy, you should use caution with glucosamine supplements, as many of them come from the shells of shellfish. However, some forms of glucosamine come from a laboratory via fermentation of grains such as corn or wheat, and these would be safe for individuals with shellfish allergies.
- Diabetes: Glucosamine might increase blood sugar levels. Suppose you have diabetes or are at high risk for developing diabetes. In that case, you should monitor your blood sugar closely while taking glucosamine.
- Surgery: Glucosamine might affect blood clotting. Stop glucosamine at least two weeks before any scheduled surgery to avoid complications.
- Drug Interactions: Glucosamine and chondroitin can interact with certain medications, including blood-thinning medicines (anticoagulants), certain cancer medications, and drugs used to control blood sugar levels. Always inform your healthcare provider about any supplements you’re taking to avoid potential drug interactions.
- Pregnancy and Breastfeeding: The safety of glucosamine and chondroitin during pregnancy and breastfeeding is poorly studied. Avoid use during these times unless advised by a healthcare provider.
- Asthma: Some reports suggest that glucosamine might worsen asthma symptoms. If you have asthma, use glucosamine with caution.
Top-Rated Glucosamine and Chondroitin Products
For those interested in trying glucosamine and chondroitin, here are some of the top-rated products available on Amazon and Walmart:
- Nature Made Glucosamine Chondroitin Complex with MSM: This dietary supplement is designed for joint support and comes in a 60-day supply of 120 caplets.
- Doctor’s Best Glucosamine Chondroitin MSM with OptiMSM Capsules: This supplement supports healthy joint structure, function, and comfort. It is non-GMO, gluten-free, and soy-free.
- Osteo Bi-Flex Triple Strength with Glucosamine Chondroitin: This product comes in a pack of 88 tablets designed to strengthen joints.
- Puritan’s Pride Glucosamine Chondroitin Complex: This supplement comes in 120 capsules.
Conclusion
Glucosamine and chondroitin are popular supplements used for pain relief, particularly in individuals with osteoarthritis. Many people find these supplements helpful in managing pain. As with all health decisions, it’s essential to discuss the use of these supplements with a healthcare provider to ensure they are safe and appropriate for your specific health needs.
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References:
- “Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States,” Link
- “The human pharmacokinetics of oral ingestion of glucosamine and chondroitin taken separately or in combination,” Link
- “OARSI recommendations for the management of hip and knee osteoarthritis,” Link
- “Evidence-Based Evaluation of Complementary Health Approaches for Pain Management in the United States,” Link
- “Benefits of antioxidant supplements for knee osteoarthritis: rationale and reality,” Link
- “Effectiveness and safety of Glucosamine, chondroitin, the two in combination, or celecoxib in the treatment of osteoarthritis of the knee,” Link