Boswellia
A tree resin also called frankincense, taken above all for stiff joints.
- Joint pain and stiffness
- Inflammation
A plain-English overview, not advice. Written from published reviews and trials and from what people say in public forums.
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On this page
What is boswellia?
Boswellia serrata is a tree whose resin is frankincense. It has been burned as incense in religious and cultural ceremonies for thousands of years, and used for just as long in Ayurvedic and Unani medicine. The active compounds are a group of boswellic acids, and supplements are sold as an extract standardised to a set share of them. It is popular today chiefly among people looking for a plant-based option for joint pain, and a smaller number take it for inflammation more generally.
Why do people take boswellia?
Joint pain and stiffness
The thinking. Stiff, aching knees and hips are what most people reach for boswellia about, often after wanting to avoid the stomach problems that anti-inflammatory tablets can cause. The idea is that the boswellic acids in the resin act on inflammatory pathways in the joint, including a route that ordinary anti-inflammatory tablets do not reach.
What research has found. Several reviews have pooled these trials. The largest analysed seven trials in 545 people and found less pain and stiffness than on a dummy tablet, and two later reviews of nine and eleven trials found much the same. Not every analysis agrees, though: one pooling thirteen trials found no significant difference once every study was combined, although a closer look within it did find a benefit over a dummy tablet. A fair body of trials has looked at this, and most point the same way.
Inflammation
The thinking. Some people take boswellia for inflammation more generally, rather than for one particular joint, on the same idea that its boswellic acids act on the body’s inflammatory pathways. That thinking rests mainly on laboratory and mechanism work, so only a couple of trials have tested it directly against a dummy tablet.
What research has found. The findings so far do not point the same way. In a small trial in healthy volunteers, a single dose raised the amount of pressure needed to cause pain compared with a dummy tablet. In another small trial testing it alone against a placebo over several weeks, it made no clear difference to symptom scores. Studies here point in different directions, so this one is still being worked out; the dose, how long people took it and who took part all seem to matter.
What does boswellia do in the body?
The resin contains a family of boswellic acids, and laboratory work has looked at how these interfere with the chemical signals that switch inflammation on. Two enzymes come up again and again in that work: 5-lipoxygenase, which the body uses to make compounds called leukotrienes, and COX-2, both part of the pathways that drive inflammation and swelling.
The same boswellic acids also appear to act on a protein called NF-κB, which switches many inflammation-related genes on and off, and on the process that wears cartilage away, the cushioning tissue inside a joint. Almost all of this picture comes from cell and laboratory studies rather than from watching what happens inside a joint over time.
What do people say about taking boswellia?
These are anecdotes people have shared, not evidence.
What people like
- All the threads read here come from Mumsnet, so these are a small, general-health sample rather than a dedicated boswellia community.
- A few people mention taking it for knee or hip joint pain, sometimes as a capsule and once as a balm rubbed on the joint.
- One person taking it for ulcerative colitis, rather than a joint, described it as calming; this was a single report, not a wider pattern.
Common complaints
- None of the threads read described a side effect or a reason for stopping; most mentions were brief, in passing, rather than detailed reviews.
- Nobody said clearly whether it had worked: most posts simply listed it among several supplements without singling out what it did on its own.
How people take it
- It usually turns up as one item in a wider stack, alongside fish oil, turmeric, glucosamine or collagen, rather than on its own.
- Capsules are the form most people mention, described by one person as fairly large; a balm rubbed on the joint came up once as well.
- Joint pain is the reason given most often, though one person took it for a digestive condition instead, alongside a wider list of supplements.
Read from these public discussions:
- knee osteoarthritis pain (Mumsnet, 2023)
- Rehabbing my knee pain for a year now … ways to stay positive pls (Mumsnet, 2025)
- What supplements are you taking? (Mumsnet, 2024)
- Ulcerative Colitis and nausea/vomiting? (Mumsnet, 2020)
What forms of boswellia are there?
| Form | What’s different | Per serving, on products we list |
|---|---|---|
| Boswellia extract | An extract of the resin, standardised to a set percentage of boswellic acids, the compounds studied in trials. | 230 mg |
What else is worth knowing about boswellia?
- Trials lasting up to six months have reported no significant difference in safety outcomes compared with a dummy tablet, including blood tests and vital signs in one 180-day study.
- Labels vary in how they state boswellic acid content: some trials used an extract standardised to around 20 per cent of one specific boswellic acid, and label wording elsewhere ranges up to a stated 65 per cent of boswellic acids overall. The figure this site compares products on is the milligrams of extract, not the isolated acid content.
- Many joint-care products on the shelf combine boswellia with turmeric or curcumin rather than selling it alone; most of the trials behind the joint pain reason above tested it by itself.
If you take medication, are pregnant, or have a health condition, check with a pharmacist or GP first.
The research behind this page (17 studies)
- Evaluating the efficacy and safety of Curcuma longa, Boswellia serrata, and their mixed formulation in treating knee osteoarthritis: A systematic review and network meta-analysis. (2026, systematic review)
- Efficacy evaluation of standardized Boswellia serrata extract (Aflapin<sup>Ⓡ</sup>) in osteoarthritis: A systematic review and sub-group meta-analysis study. (2024, meta-analysis)
- Efficacy of Extracts of Oleogum Resin of Boswellia in the Treatment of Knee Osteoarthritis: A Systematic Review and Meta-Analysis. (2024, meta-analysis)
- Effectiveness of Boswellia and Boswellia extract for osteoarthritis patients: a systematic review and meta-analysis. (2020, meta-analysis)
- Efficacy of curcumin and Boswellia for knee osteoarthritis: Systematic review and meta-analysis. (2018, meta-analysis)
- A Standardized <i>Boswellia serrata</i> Extract Improves Knee Joint Function and Cartilage Morphology in Human Volunteers with Mild to Moderate Osteoarthritis in a Randomized Placebo-Controlled Study. (2025, randomised trial)
- Efficacy and Safety of Aflapin®, a Novel Boswellia Serrata Extract, in the Treatment of Osteoarthritis of the Knee: A Short-Term 30-Day Randomized, Double-Blind, Placebo-Controlled Clinical Study. (2023, randomised trial)
- Efficacy of Boswellia serrata Extract and/or an Omega-3-Based Product for Improving Pain and Function in People Older Than 40 Years with Persistent Knee Pain: A Randomized Double-Blind Controlled Clinical Trial. (2023, randomised trial)
- A pilot, randomized, double-blind, placebo-controlled trial to assess the safety and efficacy of a novel Boswellia serrata extract in the management of osteoarthritis of the knee. (2019, randomised trial)
- A Placebo-Controlled, Pseudo-Randomized, Crossover Trial of Botanical Agents for Gulf War Illness: Curcumin ( Curcuma longa), Boswellia ( Boswellia serrata ), and French Maritime Pine Bark ( Pinus pinaster ). (2021, randomised trial)
- A randomized, double blind, placebo controlled, cross over study to evaluate the analgesic activity of Boswellia serrata in healthy volunteers using mechanical pain model. (2014, randomised trial)
- Googling the Guggul (Commiphora and Boswellia) for Prevention of Chronic Diseases. (2018, review)
- Frankincense--therapeutic properties. (2016, review)
- Seeing the Unseen of the Combination of Two Natural Resins, Frankincense and Myrrh: Changes in Chemical Constituents and Pharmacological Activities. (2019, review)
- Therapeutic potential of Boswellia serrata in arthritis management: mechanistic insights into COX-2, 5-LOX, and NFĸB modulation. (2025, review)
- Frankincense ( rǔ xiāng; boswellia species): from the selection of traditional applications to the novel phytotherapy for the prevention and treatment of serious diseases. (2013, review)
- Boswellic acids/Boswellia serrata extract as a potential COVID-19 therapeutic agent in the elderly. (2021, review)
How much does boswellia cost?
That depends on the form and the pack, so we work out the price of the same dose of every boswellia product we can find and rank them.