Bursitis: natural remedies and the evidence behind them
11 natural approaches to Bursitis, graded by evidence — including Exercise, Arnica Montana and Boswellia. Dosage, time to results and cautions for each.
11 options · 1 graded B · 10 traditional or ungraded
What would help you most with your bursitis right now?
Ease the pain naturally, without drugstore painkillers
Exercise
Supported by smaller clinical studies· Recognised traditional use (Evidence grade B · Traditional use recognised)Recognised traditional useBest-proven drug-free option for hip-side bursitis pain
- Why this matches
- You want to ease the pain naturally, and targeted exercise is the best-evidenced drug-free route for hip-side (trochanteric) bursitis: a 2024 meta-analysis of randomized trials found progressive gluteal-strengthening programs modestly reduce pain and improve function, with benefits that hold up long-term.
- Why try it
- Exercise therapy is recommended as first-line care for greater trochanteric pain syndrome, the hip condition often called trochanteric bursitis; gentle, graded strengthening around any affected joint can also support recovery once an acute flare settles.
- Dose or use
- Build up gentle, progressive strengthening of the muscles around the affected joint, 3-4 sessions a week, ideally with a physical therapist's guidance. For hip-side pain, trials used gluteal-loading moves such as bridges and side-lying leg work, while avoiding positions that compress the sore spot (lying on the painful hip, crossing your legs).
- Time to results
- Some improvement often appears within a few weeks; in trials the clearest gains built over about 8 weeks to a year of consistent practice.
- Key study
- Systematic Review and Meta-Analysis (2024, PMID 38295551): Exercise compared to a control condition or other conservative treatment options in patients with Greater Trochanteric Pain Syndrome: a systematic review and meta-analysis of randomized controlled trials. Six RCTs (733 patients) found exercise slightly reduces long-term hip pain and disease severity and improves function versus control, with no serious adverse events, supporting a strong recommendation for exercise as first-line treatment.
- Caution
- Ease off any movement that causes sharp pain, and let an acutely hot, very swollen bursa settle before loading it. See a clinician promptly if the area is red and warm or you have a fever (possible infected bursa), or if pain is not improving.
Willow Bark
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleNature's aspirin for aching joints
- Why this matches
- You want to take the edge off the pain naturally. Willow bark contains salicin, which the body converts to a salicylic acid that eases pain and inflammation much like aspirin.
- Why try it
- A centuries-old plant analgesic studied for osteoarthritis and back pain; a plausible oral option when you want gentle, natural pain relief.
- Dose or use
- Standardized extract providing about 120-240 mg of salicin per day, taken with food.
- Time to results
- Pain relief may build over 1-2 weeks of regular use.
- Key study
- Studied for osteoarthritis and lower back pain relief; its specific effect on bursitis has not been confirmed in controlled trials.
- Caution
- Acts like aspirin, so avoid if you are allergic to aspirin/salicylates, take blood thinners, have ulcers, or are pregnant; not for children.
Strengthen the area so flare-ups stop coming back
Exercise
Supported by smaller clinical studies· Recognised traditional use (Evidence grade B · Traditional use recognised)Recognised traditional useBest-proven drug-free option for hip-side bursitis pain
- Why this matches
- You want to ease the pain naturally, and targeted exercise is the best-evidenced drug-free route for hip-side (trochanteric) bursitis: a 2024 meta-analysis of randomized trials found progressive gluteal-strengthening programs modestly reduce pain and improve function, with benefits that hold up long-term.
- Why try it
- Exercise therapy is recommended as first-line care for greater trochanteric pain syndrome, the hip condition often called trochanteric bursitis; gentle, graded strengthening around any affected joint can also support recovery once an acute flare settles.
- Dose or use
- Build up gentle, progressive strengthening of the muscles around the affected joint, 3-4 sessions a week, ideally with a physical therapist's guidance. For hip-side pain, trials used gluteal-loading moves such as bridges and side-lying leg work, while avoiding positions that compress the sore spot (lying on the painful hip, crossing your legs).
- Time to results
- Some improvement often appears within a few weeks; in trials the clearest gains built over about 8 weeks to a year of consistent practice.
- Key study
- Systematic Review and Meta-Analysis (2024, PMID 38295551): Exercise compared to a control condition or other conservative treatment options in patients with Greater Trochanteric Pain Syndrome: a systematic review and meta-analysis of randomized controlled trials. Six RCTs (733 patients) found exercise slightly reduces long-term hip pain and disease severity and improves function versus control, with no serious adverse events, supporting a strong recommendation for exercise as first-line treatment.
- Caution
- Ease off any movement that causes sharp pain, and let an acutely hot, very swollen bursa settle before loading it. See a clinician promptly if the area is red and warm or you have a fever (possible infected bursa), or if pain is not improving.
Fish oil
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleOmega-3s to lower background inflammation
- Why this matches
- To calm inflammation from the inside, the EPA and DHA omega-3s in fish oil lower the body's inflammatory signaling, which can help with chronic or recurrent bursitis flares.
- Why try it
- Omega-3 fatty acids have well-documented anti-inflammatory action and studied benefit for inflammatory arthritis; a sensible systemic support option.
- Dose or use
- Commonly 1000-2000 mg of combined EPA/DHA per day, taken with food.
- Time to results
- Anti-inflammatory effects build slowly, often over 6-12 weeks.
- Key study
- Studied for reducing inflammation and rheumatoid arthritis symptoms; its specific effect on bursitis has not been confirmed in controlled trials.
- Caution
- High doses can thin the blood and cause fishy aftertaste or loose stools; use caution with blood thinners and before surgery.
Calm the swelling and inflammation from the inside
Boswellia
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleAnti-inflammatory resin for inflamed joints
- Why this matches
- You want to calm the inflammation behind the swelling. Boswellia's active boswellic acids work by damping the inflammatory pathways that keep a bursa irritated.
- Why try it
- An Ayurvedic resin whose anti-inflammatory action is well studied for joint conditions like osteoarthritis; a sensible option when the goal is to quiet inflammation.
- Dose or use
- Standardized extract, commonly 300-400 mg (with ~60-65% boswellic acids) two to three times daily with food.
- Time to results
- Often 2-4 weeks of consistent use before joint comfort improves.
- Key study
- Used traditionally and studied for osteoarthritis and joint inflammation; its specific benefit for bursitis has not been confirmed in controlled trials.
- Caution
- May cause mild stomach upset, nausea or loose stools; use caution if you take anti-inflammatory or immune-modulating medication, and check with a clinician if pregnant.
Bromelain
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional staplePineapple enzyme for swelling and soreness
- Why this matches
- Bursitis is localized soft-tissue swelling, and bromelain is a proteolytic (protein-digesting) enzyme traditionally used to ease bruising, swelling and soreness after injury.
- Why try it
- A pineapple-stem enzyme used for post-injury swelling and inflammatory joint conditions; well matched to an inflamed, puffy bursa.
- Dose or use
- Commonly 500 mg (roughly 1000-2000 GDU) taken between meals on an empty stomach for anti-inflammatory effect.
- Time to results
- Swelling and soreness may ease within 1-2 weeks.
- Key study
- Used for post-injury swelling and studied in inflammatory joint conditions; its specific benefit for bursitis has not been confirmed in controlled trials.
- Caution
- Can increase bleeding risk and may trigger reactions if you are allergic to pineapple; avoid with blood thinners and stop before surgery.
Curcumin
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleTurmeric's active anti-inflammatory compound
- Why this matches
- Since you want to settle the inflammation, curcumin is a systemic anti-inflammatory and antioxidant that targets the same swelling and irritation driving bursitis discomfort.
- Why try it
- The main active in turmeric, long used for inflammation and studied for osteoarthritis; a mainstream natural choice for calming joint inflammation.
- Dose or use
- Typically 500 mg one to two times daily; look for a formula with black pepper (piperine) or a bioavailable form, taken with food.
- Time to results
- Usually 4-8 weeks of regular use to notice a difference.
- Key study
- Traditionally used and studied for inflammation and osteoarthritis; its specific effect on bursitis has not been confirmed in controlled trials.
- Caution
- Can thin the blood and irritate the stomach; avoid with blood thinners, gallstones or before surgery, and check with a clinician if pregnant.
Fish oil
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleOmega-3s to lower background inflammation
- Why this matches
- To calm inflammation from the inside, the EPA and DHA omega-3s in fish oil lower the body's inflammatory signaling, which can help with chronic or recurrent bursitis flares.
- Why try it
- Omega-3 fatty acids have well-documented anti-inflammatory action and studied benefit for inflammatory arthritis; a sensible systemic support option.
- Dose or use
- Commonly 1000-2000 mg of combined EPA/DHA per day, taken with food.
- Time to results
- Anti-inflammatory effects build slowly, often over 6-12 weeks.
- Key study
- Studied for reducing inflammation and rheumatoid arthritis symptoms; its specific effect on bursitis has not been confirmed in controlled trials.
- Caution
- High doses can thin the blood and cause fishy aftertaste or loose stools; use caution with blood thinners and before surgery.
Methylsulfonylmethane (MSM)
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleSulfur compound for joint pain and inflammation
- Why this matches
- You're aiming to reduce inflammation, and MSM supplies biologically active sulfur with anti-inflammatory and antioxidant effects that support irritated joints and soft tissue.
- Why try it
- A well-tolerated joint-support supplement with some evidence in osteoarthritis pain and inflammation; a reasonable adjunct when calming inflammation.
- Dose or use
- Commonly 1000-3000 mg per day, often split into two doses with food.
- Time to results
- May take 3-6 weeks of daily use to notice benefit.
- Key study
- Some evidence supports MSM for osteoarthritis pain and inflammation; its specific effect on bursitis has not been confirmed in controlled trials.
- Caution
- Generally well tolerated but can cause mild stomach upset, headache or bloating; check with a clinician if pregnant or on other medication.
Rub something soothing right on the sore spot
Capsaicin (topical)
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleWarming cream that quiets local pain
- Why this matches
- Since you'd like to soothe the spot directly, capsaicin cream works right where you rub it in, calming the pain nerves over an accessible bursa such as the elbow or knee.
- Why try it
- A chili-pepper-derived topical analgesic studied for arthritis joint pain; it desensitizes local pain nerves for targeted relief.
- Dose or use
- Apply a thin layer of 0.025-0.075% cream to the sore area up to three to four times daily; wash hands well after.
- Time to results
- Expect an initial warming sensation; steady pain relief usually builds over 1-2 weeks of regular use.
- Key study
- Studied in clinical trials for osteoarthritis and rheumatoid arthritis joint pain; its specific effect on bursitis has not been confirmed in controlled trials.
- Caution
- Causes burning or stinging and can irritate skin; keep away from eyes, mucous membranes and broken skin, and do not use with a heating pad.
Arnica Montana
Centuries of traditional use· Human evidence not yet assessed (Evidence grade not assigned · Traditional use long-standing)Long-standing traditional stapleTopical herb for a tender, swollen spot
- Why this matches
- You want to soothe the sore area directly. Arnica is applied over the skin and is traditionally used for bruising, swelling and soreness right at the tender spot over a superficial bursa like the elbow or knee.
- Why try it
- A long-used topical herbal for bruises, sprains and muscle soreness; a hands-on option when a bursa sits close to the skin.
- Dose or use
- Apply arnica gel or cream to the sore area two to three times daily; for external use only.
- Time to results
- Local soreness and bruising may ease within a few days to two weeks.
- Key study
- Traditionally used topically for bruises, sprains and soreness; its specific benefit for bursitis has not been confirmed in controlled trials.
- Caution
- Do not apply to broken or open skin and do not take by mouth (oral arnica is toxic); can cause skin irritation, especially if you're allergic to the daisy family.
Try simple acupressure points I can press at home
GB34 (Yanglingquan) - Gallbladder 34
Not yet assessed· We have not reviewed the literature for this one (Evidence grade not assigned · Traditional use recognised)Recognised traditional useBelow-knee point for hip and knee joint pain
- Why this matches
- You'd like to try acupressure. In Traditional Chinese Medicine, GB34 is the influential point for the sinews and is used especially for knee, hip and lower-back pain and stiffness, common bursitis sites.
- Why try it
- A traditional TCM point long used for joint and muscle pain of the legs and hips; a hands-on, drug-free option to try alongside other care.
- Dose or use
- Find the hollow just below and in front of the outer knee; press firmly with a thumb for 1-2 minutes, breathing slowly, once or twice a day.
- Time to results
- Some ease during or shortly after pressing; regular sessions may help more over days to weeks.
- Key study
- A traditional acupressure point used for knee, hip and lower-back joint pain; its specific benefit for bursitis has not been confirmed in controlled trials.
- Caution
- Use gentle pressure and avoid pressing on broken, bruised or acutely swollen skin; acupressure supports comfort but does not replace medical care.
LI11 (Quchi) - Large Intestine 11
Not yet assessed· We have not reviewed the literature for this one (Evidence grade not assigned · Traditional use recognised)Recognised traditional useElbow-crease point for arm and shoulder pain
- Why this matches
- Since you want to try acupressure, LI11 sits at the elbow crease and is traditionally used for its anti-inflammatory effect and for joint pain in the arms and shoulders, fitting elbow and shoulder bursitis.
- Why try it
- A well-known TCM point used to cool inflammation and relieve upper-limb joint pain; a simple, drug-free option to try at home.
- Dose or use
- Bend the arm and find the outer end of the elbow crease; press firmly with the opposite thumb for 1-2 minutes, once or twice a day.
- Time to results
- Some relief during or right after pressing; benefits may build with regular practice over days to weeks.
- Key study
- A traditional acupressure point used for arm and shoulder joint pain and inflammation; its specific benefit for bursitis has not been confirmed in controlled trials.
- Caution
- Use gentle pressure and avoid pressing directly on a swollen, hot or broken area; acupressure supports comfort but does not replace medical care.
Evidence grades describe the strength of published research for Bursitis, not a promise of results. Nothing here is medical advice — talk to your clinician before starting anything, especially alongside prescription medication.



