Evidence supporting the use of: Bromelain
For the health condition: Cartilage Damage

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Synopsis

Source of validity: Scientific
Rating (out of 5): 2

Bromelain, a mixture of proteolytic enzymes derived from pineapples, has been investigated for its potential to support or treat cartilage damage primarily through its anti-inflammatory and analgesic properties. Scientific interest in bromelain for musculoskeletal conditions, such as osteoarthritis and cartilage injuries, stems from its ability to modulate inflammatory mediators, reduce swelling, and possibly aid in tissue healing. Several preclinical studies suggest that bromelain can decrease levels of pro-inflammatory cytokines and inhibit pathways involved in cartilage degradation. A few small clinical trials and observational studies have reported modest improvements in pain and swelling in patients with osteoarthritis and joint injuries who used bromelain supplements. However, these studies often suffer from limitations such as small sample sizes, short durations, and lack of rigorous controls. Systematic reviews and meta-analyses generally conclude that while bromelain may offer some symptomatic relief, there is insufficient high-quality evidence to firmly establish its efficacy in promoting cartilage repair or halting cartilage breakdown. It is not a standard treatment for cartilage damage, and most guidelines do not recommend it as a first-line therapy. In summary, while there is some scientific rationale and preliminary evidence for bromelain’s use in managing symptoms related to cartilage injury, robust clinical evidence is lacking, and its benefits appear to be primarily symptomatic rather than disease-modifying.

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