Green-lipped mussel for the treatment of joint diseases

Posted: May 23, 2024
In short
The green-lipped mussel (Perna canaliculus) lives only in the waters of New Zealand, where it is farmed (Coulson et al., 2015). Its benefits are best researched in osteoarthritis: a review of nine clinical trials found that green-lipped mussel extracts eased joint pain to a clinically meaningful degree and were generally well tolerated (Abshirini et al., 2021), and in a placebo-controlled trial, 1,000 mg of mussel powder a day for 12 weeks reduced knee pain (Kim et al., 2026). Anyone with a shellfish allergy should avoid it, and anyone on blood thinners should get advice first.

The green-lipped mussel (Perna canaliculus) is a mussel from New Zealand. Green-lipped mussel extract with its valuable active ingredients such as glycosaminoglycans, omega-3 fatty acids, minerals and trace elements has positive effects on the joints and can ease joint pain in osteoarthritis (Abshirini et al., 2021).

What is the green-lipped mussel?

The green-lipped mussel (Perna canaliculus) is related to the blue mussel, has a strikingly green shell and occurs naturally only in the waters of New Zealand (Coulson et al., 2015). It is highly valued as food by the indigenous people of New Zealand (Maori).

The green-lipped mussel is cultivated on New Zealand farms and exported all over the world. The majority is eaten as a delicacy. Part of the harvest is freeze-dried and processed into green-lipped mussel extracts, capsules, powders or ointments. With its special active ingredients such as antioxidants and fatty acids, it can above all relieve joint complaints.

In New Zealand, the mussel has traditionally been used for aching joints, in humans as well as in animals (Coulson et al., 2015).

Several clinical trials and systematic reviews on its effect in osteoarthritis are now available (Brien et al., 2008).

Today, the green-lipped mussel is widely used as a natural dietary supplement.

 


➤ Did you know that green-lipped mussels occur naturally only in the waters of New Zealand? Genuine green-lipped mussel products therefore always come from New Zealand.


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What are the benefits of green-lipped mussel for humans?

Its effect is best researched in osteoarthritis, the wear-related joint condition with pain and stiffness. The key findings from human studies:

  • Less joint pain: A review of nine clinical trials found that green-lipped mussel extracts (lipid extract or whole mussel powder) reduce osteoarthritis pain to a clinically meaningful degree (Abshirini et al., 2021).
  • Lasting relief: A large meta-analysis of dietary supplements for osteoarthritis found that green-lipped mussel extract also had clinically important effects on pain in the medium term (Liu et al., 2018).
  • Better knee function: In a placebo-controlled trial with 100 adults with knee osteoarthritis, 1,000 mg of green-lipped mussel powder a day for 12 weeks improved pain and physical function more than placebo and was well tolerated (Kim et al., 2026).
  • Calmer stomach: In a study with 21 people with knee osteoarthritis, 3,000 mg of extract a day for eight weeks improved pain, stiffness and mobility, and digestive complaints fell by 49 % (Coulson et al., 2012).
  • Freer airways: The lipid extract of the mussel has also been studied successfully in asthma (see the section on inflammation).

How does green-lipped mussel work for osteoarthritis, arthritis and general joint pain?

Studies show that green-lipped mussel extract can reduce pain and stiffness in the joints (Coulson et al., 2012). Its anti-inflammatory effect is thought to come mainly from the fats of the mussel, and it also contains glycosaminoglycans as building blocks for cartilage (Coulson et al., 2015). In the studies, the extract was generally well tolerated (Abshirini et al., 2021).

Glycosaminoglycans are among the most important active ingredients in green-lipped mussel extract. Glycosaminoglycans also occur naturally in cartilage and connective tissue in humans and animals.

Intact articular cartilage, which covers the ends of the bones, is crucial for the functionality of healthy joints. The joint space contains synovial fluid, which has a shock-absorbing effect.

The synovial fluid also supplies the cartilage with nutrients. Both the cartilage and the synovial fluid are influenced by the metabolism. Nutrients are supplied via the bloodstream for the formation of synovial fluid. The glycosaminoglycans it contains are responsible for the viscous consistency of the synovial fluid. 

The glycosaminoglycans also bind the water contained in the cartilage tissue and thus promote the cushioning effect. In this way, the glycosaminoglycans support the synovial fluid and ensure the maintenance and regeneration of the cartilage tissue. They also help to build up and strengthen the connective tissue.

With increasing age and due to poor nutrition, the glycosaminoglycan content decreases - the cartilage breaks down, which can ultimately lead to osteoarthritis. A targeted supply of glycosaminoglycans in the form of green-lipped mussel capsules is therefore advisable for musculoskeletal complaints. 

Studies show positive effects in osteoarthritis in humans (Abshirini et al., 2021) and in dogs (Rialland et al., 2013). Active people use green-lipped mussel too: in a small trial with 20 untrained men, four weeks of mussel powder helped muscle strength recover faster after a strenuous stepping exercise, and soreness faded sooner (Lomiwes et al., 2023). The glycosaminoglycans are mainly used in joints subject to heavy strain, such as hips, knees and fingers.

How does the green-lipped mussel help with inflammation?

Omega-3 fatty acids are essential fatty acids and are very important for the body. This contrasts with omega-6 fatty acids. During inflammatory reactions, an immune defense takes place in the body, whereby the omega-6 fatty acids promote these inflammatory processes. 

Omega-3 fatty acids counteract these inflammatory processes. A balanced ratio between omega-3 and omega-6 fatty acids is important for the body to function optimally.

However, today's industrialized diet leads to an excess of omega-6 fatty acids, as too few omega-3-containing foods are consumed. The green-lipped mussel contains a high number of omega-3 fatty acids, which make it possible to increase the content of omega-3 fatty acids and thus counteract inflammatory processes. However, the green-lipped mussel owes its decisive effect to very special omega-3 fatty acids, the lyprinols.

Lyprinol is a lipid extract of the green-lipped mussel that is rich in omega-3 fatty acids and acts against inflammation (Mickleborough et al., 2013). In a trial with 60 people with hip or knee osteoarthritis, 53 % of participants had significant pain relief and better joint function after four weeks, and 80 % after eight weeks (Cho et al., 2003).

The lyprinol fatty acids also support and strengthen the effect of the glycosaminoglycans. The combination of lyprinol and glycosaminoglycans makes the green-lipped mussel a particularly effective remedy for inflammation and joint complaints.

In addition, the mussel is also beneficial in the treatment of asthma. Green-lipped mussels can help people with asthma by reducing inflammation in the airways of the lungs. In one study, 20 people with asthma took the lipid extract of the green-lipped mussel (Lyprinol) or a placebo for three weeks and, after a two-week break, the other treatment. With the extract, asthma symptoms improved, inflammatory markers in the breath fell and rescue medication was needed less often (Mickleborough et al., 2013).

When buying, look for quality and gentle processing, so that the delicate omega-3 fatty acids of the mussel are preserved.

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What valuable ingredients are contained in green-lipped mussel extract?

The ingredients of the green-lipped mussel are very diverse and have numerous health-promoting effects.

Ingredients

  • Glycosaminoglycans: The glycosaminoglycans from the green-lipped mussel are building blocks of cartilage and synovial fluid and thus support the joints.
  • Omega-3 fatty acids: especially lyprinol as an active anti-inflammatory
  • Minerals and trace elements: Sodium, potassium, magnesium, calcium and silicon
  • Glucosamine and chondroitin: promote joint and cartilage health
  • Antioxidants: The green-lipped mussel contains many different antioxidants that protect cells from oxidative stress and can thus counteract inflammatory processes.

1. Glycosaminoglycans

This endogenous substance ensures that the joints move smoothly. However, with increasing age or as a result of certain diseases, this endogenous substance can degrade. The result is a reduction in cartilage mass. The glycosaminoglycans contained in the green-lipped mussel provide building blocks for cartilage and so support the maintenance of cartilage substance.

2. Omega-3 fatty acid lyprinol

Clinical studies show an anti-inflammatory effect of lyprinol in osteoarthritis (Cho et al., 2003) and asthma (Mickleborough et al., 2013). In the osteoarthritis trial, no side effects were reported during the eight weeks of treatment (Cho et al., 2003).

3. Minerals and trace elements of the green-lipped mussel

The green-lipped mussel contains many valuable trace elements and minerals.

  • Calcium is the mineral with the highest concentration in the human body. It fulfills numerous important functions for bones and teeth. A calcium deficiency can lead to osteoporosis. Especially with increasing age, the absorption of calcium becomes more difficult, so a sufficient supply is particularly important.  
  • Magnesium helps to relax the muscles and has a positive effect on nerve health.
  • The potassium, sodium and silicon contained in the green-lipped mussel are also important nutrients and essential for the body.

4. Glucosamine (glucosamine sulphate) in green-lipped mussel capsules

Glucosamine is a substance that occurs naturally in the human body. It is an essential component of the human body. It is used to build up and supply cartilage, joint capsules, tendons and connective tissue. It effectively protects cartilage and joints.

Over time, the body loses the ability to produce glucosamine - the substance responsible for building synovial fluid - itself. In addition, there is a lack of glucosamine in the modern diet. In contrast to the past, cartilage and connective tissue are hardly part of today's diet. This leads to a progressive breakdown of the joints.

The conscious intake of glucosamine can protect worn cartilage in joint diseases (osteoarthritis) and reduce wear and tear. Glucosamine inhibits inflammation and promotes cartilage regeneration. Pain, stiffness and swelling are reduced.

5. Chondroitin (chondroitin sulphate) in green-lipped mussel capsules

Chondroitin is an essential component of cartilage and ensures that the cartilage can store water. Chondroitin is produced naturally by the body, but over time it loses the ability to produce it itself. However, if chondroitin is deliberately supplied, the water stored in the cartilage provides sufficient cushioning. This improves the mobility of the joints and slows down the loss of cartilage substance.

6. Antioxidants

Antioxidants are substances that play an essential role in protecting cells from oxidative stress, which can occur during inflammation or other diseases. In laboratory studies, proteins and peptides from the green-lipped mussel showed antioxidant and anti-inflammatory properties (Coulson et al., 2015).

Production and quality of green-lipped mussel capsules

Green-lipped mussel extract is produced in the Marlborough Sounds, a fjord region in New Zealand. There, the green-lipped mussels are cultivated on ropes hanging vertically in the water.

Before harvesting can begin, the right time must be waited for in order to obtain a high-quality green-lipped mussel concentrate. The mussels are only harvested once they are fully grown.

After harvesting, the shell of the mussel is broken open, the mussel meat removed and immediately deep-frozen. The frozen green-lipped mussel is then crushed and the liquid is removed by freeze-drying without the addition of heat. This is a particularly complex but very gentle production process, which is reflected in the higher price.

Finally, the freeze-dried green-lipped mussel is ground into powder and bottled. It is important to ensure that the fats are not removed from the liquid during extraction. It is precisely these fatty acids that make the green-lipped mussel so special. Nevertheless, this is often exactly what happens and the product is marketed as a cheap mussel concentrate.

Gentle processing preserves the valuable ingredients of the mussel and ensures high quality.

To ensure maximum purity, the seawater is constantly tested for impurities. This means that only harvests that have been awarded a health certificate by the New Zealand Food Safety Authority may be processed.

How are green-lipped mussel capsules dosed?

The dosage and duration of intake of green-lipped mussel capsules is crucial. How much makes sense depends on the product, because whole mussel powders and lipid extracts differ in strength, so the recommended intake on the pack is what counts. In a placebo-controlled trial with adults with knee osteoarthritis, 1,000 mg of green-lipped mussel powder was taken daily for 12 weeks (Kim et al., 2026), and other studies used 3,000 mg of whole mussel extract a day (Coulson et al., 2013). The recommended 6 capsules of Green-Lipped Mussel Plus provide 1,044 mg of mussel extract a day, together with glucosamine and chondroitin. It should be taken regularly and over a period of at least 3 months. In addition, a sufficient amount of water should be drunk with each intake.

In studies, first improvements appeared after four to eight weeks (Cho et al., 2003).

Does green-lipped mussel have side effects?

Green-lipped mussel extracts were generally well tolerated in most studies (Abshirini et al., 2021). In people with osteoarthritis who were also taking anti-inflammatory medication, the whole mussel extract even improved digestive complaints (Abshirini et al., 2021).

Green-lipped mussel is not suitable for:

  • People with a shellfish or seafood allergy, because allergic reactions are possible. Even the powder in the air can be enough: a woman developed eye, nose and breathing symptoms after inhaling the mussel powder she gave her dog (Kage et al., 2022).
  • Vegans and vegetarians, because it is an animal product

Prescribed painkillers or anti-inflammatory drugs should never be stopped or reduced on your own. In the studies, green-lipped mussel was taken in addition to the usual medication (Brien et al., 2008).

The studies were carried out in adults. During pregnancy and breastfeeding, for children and when taking medication regularly, especially blood thinners, discuss the intake beforehand with a complementary medicine practitioner or naturopath.

Green-lipped mussel extract for dogs, cats and horses

The green-lipped mussel has also proven to be an effective aid for joint problems in our four-legged friends. It can be used in the form of powder or capsules for all breeds. The recommended dose depends on age, size and weight, and the product should be mixed into the food every day. In a study with 23 dogs with osteoarthritis, a diet enriched with green-lipped mussel improved their gait within 60 days (Rialland et al., 2013).

The right daily amount depends on the species, size and weight of the animal. The feeding recommendation of the product is what counts.

Green-lipped mussel is also fed to horses, and the amount depends on the size of the animal. Simply discuss the dosage with your veterinary practitioner in order to provide your animal with the best possible care.

 

Green-lipped mussel effect

Frequently asked questions

Does green-lipped mussel really help arthritis?

For osteoarthritis, the evidence is good: a review of nine clinical trials found that green-lipped mussel extracts ease joint pain to a clinically meaningful degree. In a placebo-controlled trial with 100 adults with knee osteoarthritis, 1,000 mg a day for 12 weeks also improved pain and physical function.

What are the potential side effects of taking green-lipped mussels?

In studies, green-lipped mussel was generally well tolerated. People with a shellfish or seafood allergy can react allergically and should avoid it. Anyone taking blood thinners or other regular medication should discuss the intake first with a complementary medicine practitioner or naturopath.

How long does green lipped mussel take to work?

In a trial with people with hip or knee osteoarthritis, 53 % had significant pain relief after four weeks and 80 % after eight weeks. Green-lipped mussel should therefore be taken regularly for at least three months.

What is the recommended dosage of green lipped mussel?

The recommended intake on the pack is what counts, because products differ in strength. Studies used 1,000 to 3,000 mg of mussel powder or whole extract a day, and the recommended 6 capsules of Green-Lipped Mussel Plus provide 1,044 mg of extract.

Is green lipped mussel good for dogs?

Yes, green-lipped mussel is widely used for dogs with joint problems. In a study with 23 dogs with osteoarthritis, a diet enriched with green-lipped mussel improved their gait within 60 days, and the right amount depends on size and weight.

Sources

Brien, S., Prescott, P., Coghlan, B., Bashir, N. & Lewith, G. (2008, March). Systematic review of the nutritional supplement Perna Canaliculus (green-lipped mussel) in the treatment of osteoarthritis. QJM: Monthly Journal of the Association of Physicians, 101(3):167-79. doi: 10.1093/qjmed/hcm108

Coulson, S., Palacios, T. & Vitetta L. (2015). Perna canaliculus (Green-Lipped Mussel): Bioactive Components and Therapeutic Evaluation for Chronic Health Conditions. Progress in Drug Research, 70:91-132. doi: 10.1007/978-3-0348-0927-6_3

Cobb, C. S., Ernst, E. (2006, May). Systematic review of a marine nutriceutical supplement in clinical trials for arthritis: the effectiveness of the New Zealand green-lipped mussel Perna canaliculus. Clinical Rheumatology, 25(3):275-84. doi: 10.1007/s10067-005-0001-8

Cho, S. H., Jung, Y. B., Seong, S. C., Park, H. B., Byun, K. Y., Lee, D. C. (2003, June). Clinical efficacy and safety of Lyprinol, a patented extract from New Zealand green-lipped mussel (Perna Canaliculus) in patients with osteoarthritis of the hip and knee: a multicenter 2-month clinical trial. European Annals of Allergy and Clinical Immunology, 35(6):212-6

Mickleborough, T. D., Vaughn, C. L., Shei, R. J., Davis, E. M., & Wilhite, D. P. (2013). Marine lipid fraction PCSO-524 (lyprinol/omega XL) of the New Zealand green lipped mussel attenuates hyperpnea-induced bronchoconstriction in asthma. Respiratory Medicine, 107(8), 1152–1163. doi: 10.1016/j.rmed.2013.04.010

Rialland, P., Bichot, S., Lussier, B., Moreau, M., Beaudry, F., del Castillo, J. R. et al. (2013, January). Effect of a diet enriched with green-lipped mussel on pain behavior and functioning in dogs with clinical osteoarthritis. Canadian Journal of Veterinary Research, 77(1):66-74

Abshirini, M., Coad, J., Wolber, F. M., von Hurst, P., Miller, M. R., Tian, H. S. & Kruger, M. C. (2021). Green-lipped (greenshell™) mussel (Perna canaliculus) extract supplementation in treatment of osteoarthritis: a systematic review. Inflammopharmacology, 29(4):925-938. doi: 10.1007/s10787-021-00801-2

Liu, X., Machado, G. C., Eyles, J. P., Ravi, V. & Hunter, D. J. (2018). Dietary supplements for treating osteoarthritis: a systematic review and meta-analysis. British Journal of Sports Medicine, 52(3):167-175. doi: 10.1136/bjsports-2016-097333

Coulson, S., Vecchio, P., Gramotnev, H. & Vitetta, L. (2012). Green-lipped mussel (Perna canaliculus) extract efficacy in knee osteoarthritis and improvement in gastrointestinal dysfunction: a pilot study. Inflammopharmacology, 20(2):71-76. doi: 10.1007/s10787-012-0128-6

Coulson, S., Butt, H., Vecchio, P., Gramotnev, H. & Vitetta, L. (2013). Green-lipped mussel extract (Perna canaliculus) and glucosamine sulphate in patients with knee osteoarthritis: therapeutic efficacy and effects on gastrointestinal microbiota profiles. Inflammopharmacology, 21(1):79-90. doi: 10.1007/s10787-012-0146-4

Kim, H. T., Shin, B. J., Lee, Y. W., Park, H. J., Park, S. Y., Hwang, E. H. et al. (2026). Efficacy and safety of green-lipped mussel powder supplementation in adults with knee osteoarthritis: a randomized, double-blind, placebo-controlled trial. BMC Complementary Medicine and Therapies, 26(1):236. doi: 10.1186/s12906-026-05465-5

Lomiwes, D., Barnes, M., Shaw, O., Ngametua, N., Sawyer, G., Burr, N. et al. (2023). The Efficacy of New Zealand Greenshell™ Mussel Powder Supplementation in Supporting Muscle Recovery Following Eccentric Exercise-Induced Muscle Damage in Healthy, Untrained Adult Males. Nutrients, 15(10):2316. doi: 10.3390/nu15102316

Kage, P., Schubert, K., Treudler, R., Simon, J. C., Von Bergen, M. & Tomm, J. (2022). Identification of New Potential Allergens from Green-lipped Mussel (Perna Canaliculus). Iranian Journal of Allergy, Asthma and Immunology, 21(6):711-715. doi: 10.18502/ijaai.v21i6.11532

Important Notice

This guide is for informational purposes only and does not replace professional medical advice.

The content of the Herbano Health Editorial team is carefully researched and based on current scientific studies.

Content created with the support of artificial intelligence and edited by the Herbano Editorial team.