Nettle

Herbs

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Nettle is used for minor joint and urinary complaints and as a cooked food; leaf, aerial herb, root and the fresh sting are different uses. It may also have anti-inflammatory effects: laboratory work and one small study of a particular leaf extract in rheumatoid arthritis offer an early signal, not proof that tea treats arthritis or prevents joint damage. Pain relief from the sting is a separate use. [1] [4] [5]

Nettle is eaten as a cooked vegetable and used for joint and urinary complaints; leaf, root, herb and fresh stinging are distinct uses.

Nettle

Checked against sources; not clinician-reviewed. Not personal medical advice. Read the disclaimer

Updated: 2026-10-08

What do people use nettle for?

  • Painful, stiff joints. People use tea, extracts or the fresh sting hoping to ease joint pain. Interviews describe relief and a small hand-osteoarthritis sting trial found less pain, but a knee trial found no added benefit. A separate small study of dried leaf extract alongside usual rheumatoid-arthritis care reported differences in some inflammatory markers, but no significant between-group pain difference. Tea and stinging have not been shown to reduce joint inflammation. More on joint pain and the sting. [4] [5]
  • Minor urinary complaints. Leaf tea and certain extracts are traditionally used to increase urine flow, not to treat an infection. [1] [2]
  • Urinary symptoms from an enlarged prostate. The root, not ordinary leaf tea, is traditionally used after a doctor has excluded serious causes. [3]
  • Hay fever. People try nettle for sneezing and a runny nose; study results are mixed, with relief not consistently greater than placebo. First study · later study.
  • Oily, flaky skin. Certain aerial-herb powders have a traditional oral use. That does not mean applying tea to the skin. [1]
  • Hair and scalp. Historical nettle hair washes were used for dandruff and hair loss; that does not establish new hair growth. Traditional-use record.
  • As a vegetable. Well-cooked nettle leaves provide nutrients including minerals. Eating leaves differs from drinking an infusion. Food research.
  • Blood glucose: studied, not self-treatment. A leaf-extract trial reported better measurements in people with type 2 diabetes who continued their medicines. This does not make ordinary tea a treatment. Leaf-extract trial.

Nettle stings for rheumatism, arthritis and osteoarthritis

Yes, some people touch painful joints with fresh stinging nettles to try to ease pain. They brush or tap the plant against the skin. This traditional practice is called urtication; the stinging hairs are not the same as tea. The sting can burn for hours and cause a rash.

In interviews with 18 people who had chosen to use nettles this way, 17 reported less joint trouble. These self-selected experiences matter but cannot show how often others benefit. Read the interviews.

A small hand-osteoarthritis study found less thumb or index-finger pain and difficulty with everyday tasks. A later knee study found similar pain improvement with nettle and a comparison plant. Pain relief is possible, but not established for every joint. Hand trial · knee trial.

Rheumatism is a broad term; osteoarthritis and rheumatoid arthritis differ. These sting studies do not show that nettle slows rheumatoid arthritis, reduces inflammation inside the joint or repairs damage. Do not replace treatment. Skin-reaction research.

What do the studies show?Research and background

Hand osteoarthritis: a small positive result. In 2000, 27 people with thumb or index-finger osteoarthritis tried both nettle and a non-stinging comparison plant. Pain and hand function improved more after the nettle week. The small group cannot tell us how well it works for others or long term. Hand trial.

Knee pain: no clear extra benefit. In 2008, 42 people with chronic knee pain joined a pilot; pain fell similarly with nettle and the comparison plant. This did not confirm the hand result for knees. Knee trial.

Cooked nettle alongside a painkiller: a small open study compared nettle plus less diclofenac with more diclofenac without nettle. Both groups improved. With no same-dose comparison, this cannot justify reducing medicine. Acute-arthritis study.

Hay fever: mixed results. In a 1990 trial of a freeze-dried nettle product, overall participant ratings favoured nettle, while diary differences were small. In a later trial of a root product, placebo users improved too. Neither establishes a benefit from leaf tea. 1990 trial · later root trial.

Blood glucose: in 92 people with type 2 diabetes, a specific leaf extract improved several readings alongside usual medicines. That is worth researching, not a reason to replace medicines or invent a tea dose. Diabetes trial.

Prostate-related symptoms: some nettle-product studies were positive, but European assessors considered evidence for the described root preparations insufficient to firmly establish effectiveness. Traditional use does not mean nobody benefits. Root assessment.

Possible anti-inflammatory effect: a standardized leaf extract inhibited an inflammatory signal in cell experiments. That is not a demonstrated effect of tea. A small randomized study in rheumatoid arthritis tested dried leaf extract alongside ongoing treatment. The published abstract reports favourable between-group differences for some inflammatory markers but no significant between-group pain difference. Final journal full text was unavailable; provisional author-preprint tables show some baseline differences. This is an early signal, not proof of reduced joint damage or a reason to change medication. [4] [5]

Why does it sting, and which part is used?

The sting and blood flow: nettle hairs introduce substances including histamine into skin. Histamine can widen tiny skin vessels. That explains a local reaction but does not prove that improved blood flow inside the joint relieves rheumatic pain. Changes in pain signalling have also been proposed. The mechanism of any relief is still uncertain. Nettle and skin · histamine and skin blood flow · possible explanations.

  • Leaf and aerial herb: used for tea, juice, powders and extracts, traditionally for minor urinary or joint complaints. A specific dried leaf extract was studied for rheumatoid-arthritis markers, not tea. [4]
  • Root: a separate material used for urinary symptoms of an enlarged prostate.
  • Fresh nettle on skin: causes a sting, unlike tea or extracts. This describes a practice, not a home-treatment protocol.
  • Well-cooked young leaves: eaten as a vegetable. Pick only plants you can identify; raw hairs can irritate the mouth.

Follow the leaflet for the actual medicinal product. There is no single dose across parts, preparations or complaints; tinctures may contain alcohol. [1] [2] [3]

Other traditional uses and when to seek help

Dandruff, hair loss and tonics. Historical herbal texts describe nettle hair washes and its use as a tonic or “blood purifier”. Uses for gout, digestive complaints and cough were also recorded. These describe what people did, not proven treatment, detoxification or guaranteed hair regrowth. Historical root and leaf uses · aerial-herb uses.

How long? European assessment of the specified aerial-herb medicines advises medical assessment if minor urinary symptoms persist beyond two weeks, or joint and skin complaints beyond four weeks. Those are not waiting periods for pain, fever or worsening: seek help earlier. Leaf and root products have their own instructions. [1] [2] [3]

Children and teenagers: medicinal aerial-herb tea for urinary complaints and specified joint products are discouraged below age 18; other listed urinary forms and oral skin powder below 12. Leaf-only products have their own rules. Ask a clinician or pharmacist about a particular product. These medicinal limits do not prohibit normally cooked leaves as food. [1] [2]

When to take care

  • A red, hot or swollen joint, especially with fever: get it assessed rather than treating it with a sting.
  • Pain on urination, blood in urine, fever or inability to urinate: contact a clinician. Tea does not treat an infection.
  • Pregnancy, breastfeeding or fluid restriction: medicinal nettle products are discouraged in pregnancy and breastfeeding. Do not use a urinary-flushing course if told to limit fluids.
  • Medicines or use by a child: ask a clinician or pharmacist about the exact product. Do not change arthritis or diabetes medicines based on this page.
  • Adverse effects: stomach upset, itching or rash may occur. Fresh stings can burn for a long time; avoid with nettle allergy or broken skin.

Aerial-herb safety [1] · leaf [2] · root [3] · skin reaction.

Frequently asked questions

Does nettle help with rheumatic joint pain?

Some people report less pain, and a small hand-osteoarthritis sting trial was positive; a knee trial found no clear extra benefit. A separate rheumatoid-arthritis leaf-extract study reported differences in some inflammatory markers but not significant between-group pain relief. Neither shows that nettle stops the disease. Hand trial · knee trial [4]

Why brush stinging nettles against a joint?

People try to ease pain with this traditional practice, called urtication. The hairs cause a skin reaction; effects on pain signalling have been proposed. Greater blood flow inside the joint has not been shown to explain relief. The sting may hurt and cause a rash. Interviews and background.

Is nettle tea the same as a root or leaf extract?

No. The plant part, preparation and amount differ. Findings for a prostate-related root product or a particular leaf extract studied for glucose or inflammation cannot simply be applied to tea. [3] [4] Glucose study.

Can I eat nettle leaves?

Yes, properly cooked young leaves are eaten as food and provide nutrients, but do not replace treatment for a diagnosed deficiency. Pick only plants you can identify; do not eat the stinging leaves raw. Food research.

Do people's experiences count when research is limited?

Yes. Interviews with self-selected nettle users and traditional use belong here, without turning reported relief into a guarantee for everyone. Sting-related pain relief does not show that inflammation inside a joint has fallen. A small rheumatoid-arthritis study of a particular dried leaf extract alongside usual care found favourable differences in some inflammatory markers but not significant between-group pain relief. This is a preliminary signal, not proof that tea treats arthritis or prevents joint damage. Do not change medicines. User accounts [8] [4] [5]

Research and sourcesEvidence overview, methods and complete source list

What has been studied?

Nettle is used for joint complaints, urinary symptoms and food. One specific leaf extract offered a preliminary inflammation-marker signal in rheumatoid arthritis; the sting was studied for pain, not inflammation control.

Finding: EMA describes traditional use of specified nettle leaf or aerial-herb preparations for minor joint or urinary complaints; the form and age limits depend on plant part and indication. These are not interchangeable with nettle root or proof that leaf tea treats infection.

Nettle leaf and herb for minor complaints

Evidence: EMA traditional-use monograph/assessment; longstanding use, not patient-trial proof of efficacy.

Studied population: Traditional-use indications and age limits differ by complaint and preparation.

Form or context: EMA leaf versus aerial herb; powdered herb taken orally for skin indication, not root.

Uncertainty: Traditional use does not establish patient benefit; only specified part/form/indication applies.

Sources: European Union herbal monograph on Urtica dioica L.; Urtica urens L., herba, European Union herbal monograph on Urtica dioica L.; Urtica urens L., folium

Finding: The revised EMA herba monograph includes a traditional indication for seborrhoeic skin conditions using a specified powdered aerial herb taken by mouth. It is not a claim for applying leaf tea to skin, nor a clinical trial proof.

Seborrhoeic skin conditions

Evidence: EMA traditional-use monograph/assessment; longstanding use, not patient-trial proof of efficacy.

Studied population: EMA traditional skin indication with its own age restriction.

Form or context: Specified herba powder taken orally; not topical leaf tea.

Uncertainty: Traditional use does not establish patient benefit; only specified part/form/indication applies.

Sources: European Union herbal monograph on Urtica dioica L.; Urtica urens L., herba

Finding: Specific nettle root preparations are traditionally used after a doctor excludes serious causes; ordinary leaf tea is not equivalent.

Urinary symptoms associated with an enlarged prostate

Evidence: EMA traditional-use monograph; historical use, not proof that everyone benefits.

Studied population: Adults with assessed urinary complaints associated with benign prostate enlargement.

Form or context: Specified root products, not leaf.

Uncertainty: Seek assessment for new or worsening complaints; clinical benefit is not firmly established.

Sources: European Union herbal monograph on Urtica dioica L.; Urtica urens L., radix — Revision 1

Finding: A small study of dried leaf extract alongside usual care found favourable between-group differences in some inflammation markers, but not in pain. It does not show that tea or the fresh sting controls inflammation or protects joints.

Possible anti-inflammatory effect in rheumatoid arthritis

Evidence: Published abstract of a randomized human trial and provisional author preprint.

Studied population: People with rheumatoid arthritis in a small three-arm trial, not a general healthy population.

Form or context: Standardized dried leaf extract added to usual care, not tea, root or fresh stinging.

Uncertainty: Final full journal text unavailable; the author preprint shows baseline group imbalance and no significant between-group pain result.

Sources: Therapeutic efficacy of Urtica dioica and evening primrose in patients with rheumatoid arthritis: A randomized double-blind, placebo-controlled clinical trial

Finding: A small hand-osteoarthritis trial found less pain, but a knee trial found no added benefit over a comparison plant. Self-selected users reported relief in interviews; pain relief is not proof of reduced inflammation.

Fresh nettle sting for joint pain

Evidence: Two small randomized trials and interviews with self-selected users; primary abstracts and thesis read.

Studied population: People with hand osteoarthritis or longstanding knee pain; user interviews.

Form or context: Fresh sting on skin, not leaf extract or tea.

Uncertainty: Small trials without consistent benefit for knees; skin reaction can hurt and persist.

Sources: Randomized controlled trial of nettle sting for treatment of base-of-thumb pain, Nettle sting for chronic knee pain: a randomised controlled pilot study, Treatment of musculoskeletal pain with the sting of the stinging nettle: Urtica dioica

Safety: EMA age limits differ: certain herba uses are not recommended below 18, others and folium below 12. Urinary flushing is unsuitable with fluid restriction; pregnancy and breastfeeding lack safety data. Fever or blood in urine needs care.

Sources

  1. European Union herbal monograph on Urtica dioica L.; Urtica urens L., herba · European Medicines Agency / HMPC · 2025 · Regulatory assessment
  2. European Union herbal monograph on Urtica dioica L.; Urtica urens L., folium · European Medicines Agency / HMPC · 2010 · Regulatory assessment
  3. European Union herbal monograph on Urtica dioica L.; Urtica urens L., radix — Revision 1 · European Medicines Agency / HMPC · 2025 · Regulatory assessment
  4. Therapeutic efficacy of Urtica dioica and evening primrose in patients with rheumatoid arthritis: A randomized double-blind, placebo-controlled clinical trial · Journal of Herbal Medicine · 2022 · Original research
  5. Plant extracts from stinging nettle (Urtica dioica), an antirheumatic remedy, inhibit the proinflammatory transcription factor NF-kappaB · FEBS Letters (PubMed/NCBI record) · 1999 · Original research
  6. Randomized controlled trial of nettle sting for treatment of base-of-thumb pain · Journal of the Royal Society of Medicine (PubMed/NCBI record) · 2000 · Original research
  7. Nettle sting for chronic knee pain: a randomised controlled pilot study · Complementary Therapies in Medicine (PubMed/NCBI record) · 2008 · Original research
  8. Treatment of musculoskeletal pain with the sting of the stinging nettle: Urtica dioica · University of Plymouth (Colin F Randall thesis) · 2001 · Original research