Evidence supporting the use of: Boswellic acids
For the health condition: Bursitis

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Synopsis

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

Boswellic acids, the key active compounds in the resin of Boswellia serrata (commonly known as Indian frankincense), have a long history of use in traditional Ayurvedic and folk medicine for various inflammatory conditions, including joint pain and swelling. Bursitis, an inflammatory condition affecting the bursae (fluid-filled sacs around joints), is often managed in traditional systems with anti-inflammatory botanicals like Boswellia. The traditional justification comes from its reported ability to reduce swelling and pain, although most references do not specifically distinguish bursitis from other types of joint inflammation.

From a scientific perspective, boswellic acids have been shown in several studies to inhibit 5-lipoxygenase, an enzyme involved in leukotriene synthesis, thereby reducing inflammation. Clinical trials have demonstrated benefits for osteoarthritis and rheumatoid arthritis, with reductions in pain, swelling, and improved joint function. However, there are no high-quality clinical trials specifically investigating boswellic acids for bursitis. Any scientific rationale for its use in bursitis is extrapolated from its effects in other inflammatory joint conditions.

In summary, while Boswellic acids have a well-established traditional use for joint inflammation, and there is moderate scientific support for their use in arthritis, direct evidence for bursitis is lacking. Therefore, the use for bursitis is justified mainly by tradition, with some indirect scientific support.

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