Research suggests that MSM shows consistent promise for reducing joint pain and improving function in osteoarthritis, particularly of the knee, with support drawn from multiple randomized controlled trials, a meta-analysis, and several systematic reviews all reporting statistically significant improvements in pain outcomes compared to placebo or control conditions. Studies indicate that MSM may also contribute meaningfully when used as part of combination supplement formulas alongside ingredients such as glucosamine and chondroitin, with network meta-analyses finding such combinations beneficial for knee osteoarthritis pain. However, the evidence is not without limitations — a 2008 review cautioned that reliable data on long-term safety and effectiveness remained insufficient at the time, an animal study from 2024 found improvements in radiological but not histopathological outcomes, and several reviews note that while findings are promising, many individual trials are small and more rigorously designed clinical studies are still needed before firm conclusions can be drawn. Overall, the body of evidence leans supportive but should be interpreted with the understanding that research quality and study size vary, and MSM is generally discussed in the literature as a complementary option rather than a standalone treatment for joint conditions.
Citations from PubMed and preprint sources. Match score (0-100) reflects automated search ranking, not clinical appraisal.
| Title | Type | Year | Direction | Match |
|---|---|---|---|---|
| Methylsulfonylmethane Improves Knee Quality of Life in Participants with Mild... | RCT | 2023 | Supports | 97 |
| Methylsulfonylmethane: Applications and Safety of a Novel Dietary Supplement. | Review | 2017 | Supports | 95 |
| Systematic review of the nutritional supplements dimethyl sulfoxide (DMSO) an... | Systematic review | 2008 | Supports | 92 |
| Dietary supplements for treating osteoarthritis: a systematic review and meta... | Meta-analysis | 2018 | Supports | 90 |
| Natural Products for Promoting Joint Health and Managing Osteoarthritis. | Review | 2018 | Supports | 88 |
| [Combination therapy for exacerbations of pain in osteoarthritis with non-fix... | RCT | 2025 | Supports | 82 |
| Comparative Efficacy of Glucosamine-Based Combination Therapies in Alleviatin... | Review | 2024 | Supports | 82 |
| [Comparative efficacy of a combination of undenatured type II collagen, Boswe... | RCT | 2023 | Supports | 80 |
| EFFICACY OF HERBAL AND NATURALLY-DERIVED DIETARY SUPPLEMENTS FOR THE MANAGEME... | Review | 2021 | Supports | 80 |
| Nutraceutical Approach to Chronic Osteoarthritis: From Molecular Research to ... | Review | 2021 | Supports | 80 |
| Efficacy of dietary supplements for treating knee osteoarthritis: a systemati... | Systematic review | 2025 | Supports | 78 |
| The effect of MSM in the treatment of ankle arthrosis: Is MSM as effective as... | Other | 2024 | Mixed | 78 |
| Dietary supplements for osteoarthritis. | Review | 2008 | Mixed | 75 |
| Chondroprotection and the prevention of osteoarthritis progression of the kne... | Systematic review | 2015 | Neutral | 72 |
| Nutritional interventions to prevent and treat osteoarthritis. Part II: focus... | Review | 2012 | Supports | 70 |
| Biological functions of methylsulfonylmethane and its application in animal p... | Review | 2026 | Supports | 65 |