Cissus Quadrangularis
Specifically for Tendonitis
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Why it works for Tendonitis:
- Anti-inflammatory & analgesic activity. Multiple preclinical and review papers report COX inhibition and other anti-inflammatory/antihyperalgesic effects from CQ extracts, which is relevant because tendinopathies are driven by nociception and low-grade inflammation. Pharmainfo
- Collagen/ECM support (plausible, indirect). Tendons are ~60–85% type-I collagen by dry mass; therapies that increase collagen synthesis could theoretically support tendon repair. CQ is frequently described as influencing collagen biology, although this is mostly inferred from bone and soft-tissue data, not tendon-specific trials. (Background on tendon collagen; not CQ-specific.) Wiley Online Library
- Pain improvement in active adults (non-tendon-specific). A small pilot study in exercise-trained men with chronic joint pain (various joints) reported a ~31% reduction in WOMAC pain after 8 weeks of CQ; no placebo arm was used. This hints at symptomatic benefit for musculoskeletal pain but does not establish efficacy for tendonitis. Digital Commons
CQ has anti-inflammatory/analgesic activity and plausible connective-tissue effects, but there are no high-quality human RCTs showing it treats tendonitis specifically. Most human data are for bone health or general joint pain.
How to use for Tendonitis:
There is no standardized, tendonitis-specific dosing. If you and your clinician decide to trial it, people typically copy regimens used in human studies for other indications:
- For general joint pain (pilot study): 3,200 mg/day of CQ extract (oral) for 8 weeks. This is the clearest published human dose tied to pain outcomes, though the study lacked a placebo group. Digital Commons
- For bone health (placebo-controlled RCT in osteopenic women): 1.2–1.6 g/day of CQ for 24 weeks slowed bone loss (did not significantly increase BMD). This isn’t tendon-specific but shows a tolerated, study-grade range. ScienceDirect
Practical tips
- Choose a product that discloses extract standardization (many use ~2.5% “ketosterones”) and provides third-party testing. Major consumer references note that appropriate doses vary and evidence for most uses is limited. WebMD
- Trial window: 6–8 weeks is reasonable (mirrors the joint-pain study); reassess pain/function and stop if there’s no benefit. Digital Commons
- Combine with cornerstone care for tendonitis: relative load reduction, progressive eccentric/isometric loading, and biomechanical rehab. (CQ, if used, should be adjunctive, not a replacement.)
Scientific Evidence for Tendonitis:
Human studies
- Joint pain (not specific to tendonitis): Bloomer et al., 2013—29 exercise-trained men with chronic joint pain; 8 weeks of CQ 3,200 mg/day ↓ WOMAC total score ~31%. No placebo control. Journal: The Physician and Sportsmedicine. Digital Commons
- Bone health: Ellegård et al., 2022—24-week RCT in postmenopausal women with osteopenia; CQ 1.2 or 1.6 g/day delayed bone loss vs placebo (BMD not significantly improved). Journal: Clinical Nutrition ESPEN. ScienceDirect
- Additional 2025 human biomarker study reports favorable effects on bone-related markers (supports osteogenic plausibility, not tendon outcomes). Journal: BMC Complementary Medicine and Therapies. BioMed Central
Mechanistic/preclinical & reviews (supportive but indirect)
- Reviews summarizing anti-inflammatory/analgesic mechanisms and phytochemicals (e.g., flavonoids, phytosterols). MDPI
- Animal and in-vitro work demonstrating anti-inflammatory/antipyretic actions. Pharmainfo
Specific Warnings for Tendonitis:
- General safety window: CQ is rated “possibly safe” short-term (commonly cited up to ~10 weeks), with side effects like headache, GI upset, diarrhea, dry mouth, and insomnia reported. Long-term safety is unknown. WebMD
- Blood sugar: May lower glucose—use caution with diabetes, hypoglycemia risk, and around surgery (stop at least 2 weeks before scheduled procedures). WebMD
- Pregnancy/breastfeeding: Insufficient data—avoid. WebMD
- Drug interactions: Potential additive effects with antidiabetic medications; monitor glucose closely if combined. WebMD
- Product variability: Extracts differ (raw powder vs. standardized extracts like CQR-300); quality control matters. GHA
General Information (All Ailments)
What It Is
Cissus quadrangularis is a perennial plant from the grape family (Vitaceae), native to India, Africa, and Southeast Asia. It’s commonly known as the Veldt Grape, Bone Setter, or Hadjod in traditional Ayurvedic medicine.
Historically, it has been used for bone healing, joint health, weight management, and digestive support. The plant’s stems are the most medicinally valuable part and are rich in antioxidants, flavonoids, triterpenoids, phytosterols, and ketosteroids, all of which contribute to its diverse biological effects.
How It Works
Cissus quadrangularis exerts its effects through multiple physiological pathways:
- Bone Health and Healing: The plant appears to stimulate osteoblast activity (cells responsible for bone formation) while reducing osteoclast activity (cells that break down bone). It promotes the synthesis of collagen, calcium deposition, and mineralization, which accelerates fracture healing. Key active compounds like ketosteroids and beta-sitosterol are believed to enhance these anabolic processes.
- Anti-inflammatory and Antioxidant Action: Cissus helps lower inflammatory mediators such as prostaglandins and cytokines. Its antioxidant constituents neutralize free radicals, reducing oxidative stress that can contribute to chronic inflammation, arthritis, and tissue damage.
- Metabolic and Weight Regulation: Research suggests Cissus may support weight loss and lipid regulation by influencing enzymes involved in fat metabolism and glucose uptake. Some studies indicate improvements in serum cholesterol, blood sugar levels, and body composition when used alongside diet and exercise.
- Pain and Joint Support: Through its analgesic and anti-inflammatory effects, it can reduce pain associated with arthritis, sports injuries, and overuse syndromes. The reduction in joint discomfort is often attributed to improved cartilage preservation and decreased inflammation.
- Gastroprotective and Antimicrobial Effects: Traditionally, it has been used to alleviate gastric ulcers, stomach irritation, and infections. The mucilage content and antioxidant compounds help protect the gastric lining from acid and oxidative stress.
Why It’s Important
Cissus quadrangularis is significant in health and wellness for several reasons:
- Bone Regeneration: It is one of the few natural agents shown to actively speed up bone repair, making it valuable for fracture recovery, osteoporosis prevention, and athletic injuries.
- Alternative to Synthetic Drugs: Its anti-inflammatory effects provide a natural alternative to NSAIDs, which can have side effects like gastrointestinal irritation or kidney strain when used long-term.
- Metabolic Health Support: The plant’s ability to influence lipid and glucose metabolism makes it an emerging supplement in managing metabolic syndrome and weight-related issues.
- Comprehensive Tissue Protection: With its antioxidant, antimicrobial, and cytoprotective actions, Cissus supports overall cellular resilience and healing capacity, particularly in musculoskeletal and gastrointestinal systems.
Considerations
While Cissus quadrangularis has strong traditional and scientific support, several factors should be taken into account:
- Dosage and Formulation: Standardized extracts (usually 500–1000 mg daily) are most studied. Raw preparations vary widely in potency, so consistency is key.
- Possible Side Effects: It is generally well tolerated, but some users report mild gastrointestinal upset, dry mouth, or headaches. Rare allergic reactions can occur.
- Drug Interactions: Cissus may influence blood sugar and lipid levels, so individuals on antidiabetic, lipid-lowering, or antihypertensive medications should monitor their response carefully and consult a healthcare provider.
- Pregnancy and Breastfeeding: There’s insufficient evidence regarding its safety during pregnancy or lactation, so it’s best avoided unless under medical supervision.
- Quality Control: As with many herbal supplements, product purity and standardization vary widely. Choosing brands with third-party testing for contaminants and active compound concentration is essential.
Helps with these conditions
Cissus Quadrangularis is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Osteoporosis
Anti-resorptive (osteoclast-suppressing) effects. Preclinical work shows CQ suppresses RANKL-induced osteoclastogenesis (the process that forms bone-r...
Tendonitis
Anti-inflammatory & analgesic activity. Multiple preclinical and review papers report COX inhibition and other anti-inflammatory/antihyperalgesic...
Carpal Tunnel Syndrome
There are no human clinical trials showing CQ relieves CTS. Standard, evidence-based CTS care remains wrist splinting, local corticosteroid injection,...
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Remedy Statistics
Helps With These Conditions
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