What role do dietary supplements play in orthopaedics

FOCUS online, 11 / 2024

Dr. Markus Klingenberg

Orthopedist Markus Klingenberg

From glucosamine to omega-3: orthopaedic specialist and nutritionist Markus Klingenberg reveals which dietary supplements really help and for whom they are indispensable.

What role do dietary supplements play in orthopaedics and for which patient groups are they particularly relevant?

Dietary supplements have a supportive function in orthopaedics, especially in the treatment of osteoarthritis. They are particularly relevant for certain patient groups. Osteoarthritis patients, for example, can benefit from glucosamine and chondroitin as they can relieve pain and slow down cartilage degradation. Studies indicate that they can improve joint function and increase quality of life.

Post-operative patients can also benefit from nutritional supplements. After orthopedic surgery, vitamin D, calcium and anti-inflammatory agents can promote healing and reduce inflammation. Older people, who often have increased nutritional needs, particularly for bone and joint health, may also benefit from supplements. However, use should always be in consultation with a doctor to consider individual needs.

However, this presupposes that these are measured beforehand. At least in the area of statutory health insurance benefits, this is not provided for in most cases. Although it is known that a large part of the population in Germany has a vitamin D deficiency, especially in winter, a relevant clinical picture must already exist for a vitamin D determination at the expense of the statutory health insurance funds. Prevention is not provided for here.

Omega-3 fatty acids are another dietary supplement that plays a significant role in recovery after orthopaedic surgery. They have anti-inflammatory properties that can reduce post-operative inflammation, which speeds up the healing process and relieves pain. They also strengthen the immune system, which is particularly important to avoid complications after surgery.

Omega-3 fatty acids also promote cell formation and tissue regeneration, which is crucial for healing after injuries and operations. It is not only the absolute concentration of omega-3 fatty acids in the blood that is relevant. The omega-3 / omega-6 fatty acid index is very important. That is why I regularly determine this in my patients.

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