Treatment of crunching knees during flexion and extension: causes, folk remedies

Anatomy of the knee joint

The knee joint is called complex because it has several articular surfaces. It connects the femur, tibia, and patella (kneecap). The quadriceps femoris muscle is connected to the patella by a tendon that continues with ligaments.

The knee consists of:

articular capsule;
articular cavity;
ligaments;
cartilage;
articular surfaces of bone heads;
synovial chambers with fluid.

Meniscus in the knee joint
The ligamentous apparatus of the knee consists of lateral, posterior and intra-articular ligaments. The articular surfaces of the bones are covered with cartilage tissue. Between the mating surfaces of the femur and tibia there are internal and external menisci (cartilage pads), so the knee joint is considered complex.

The knee contains bursae, the size of which varies individually. Their inner surface secretes a special lubricant, synovial fluid. Lubrication allows all elements of the joint to move easily and freely.

Structure of the knee joint

Causes of crunching and clicking in the knee joint

Why do joints crack? The main cause of crunching is the contact of bones with each other. Hard surfaces inside the joint capsule rub or collide. The reasons can be both physiological and pathological.

During pregnancy and after childbirth, women often experience a physiological crunch, as the woman’s musculoskeletal system experiences increased stress.

Physiological crunch or not dangerous

Causes of physiological crunch:

Individual structural features of joints. In this case, the person has no pain. A single or rare sound in the knee is considered normal.
Cavitation effect. During joint movement, the volume of fluid is redistributed inside the synovial chambers, and the gas bubbles released produce sound.
A slight sprain or contraction of the ligaments , resulting in displacement of the surfaces of the bones within the joint capsule. May occur after prolonged exposure to a static position or an awkward position. The appearance of a click when moving the leg is painless and does not cause concern.
Hypermobility of joints. An individual feature of connective tissue in the human body, in which the ligaments have increased extensibility. The joint makes movements of large amplitude, and when returning to its normal position, the surfaces of the bones touch each other.

Pathological crunch

An unhealthy sound when putting stress on the knee joints immediately attracts attention and causes concern.

Obvious symptoms of pathology are:

Any pain, even slight, knees can ache.
Limitation of joint mobility.
Knee swelling, swelling, redness.
Increased joint surface temperature.
A regularly repeating sound when performing certain movements.

Crunch when bending

Causes of crunching when bending the leg:

Tearing of the meniscus from the capsule

The knee joint takes on excessive load. In this case, the articular protrusions touch each other and collide.
Diseases associated with the destruction of cartilage tissue.
Consequences of injuries, falls to knees, including healed ones.
Salt deposits, the appearance of irregularities on the heads of bones.
Insufficient production of synovial fluid.
Wearing uncomfortable shoes , leading to the development of flat feet.

Crunch when extending

Often a crunching sound occurs when climbing stairs.

Causes of crunching during extension:

Hypermobility. If the ligamentous apparatus of the knee is poorly developed, when the knee is flexed, the elements of the joint are displaced, and when extended, they collide and make a sound.
Possible influence of traumatic factors: bruises, sprains.
Poor posture caused by wearing high-heeled shoes.
Excess weight, regularly carrying heavy objects.

Crunch when squatting

Causes of crunching in the knee joints when squatting:

Squatting causes a lot of tension in the leg muscles, and the stress on the knees increases . A large range of motion reveals all possible errors in the functioning of the joints. You need to squat slowly, without sudden movements, and stand up as well.
Physiological reasons: hypermobility, weak ligaments, cavitation effect.
Any inflammatory diseases in the knee that occur in an erased form will definitely react to squats.
It may be a sign of a violation of the water-salt balance of the body (salt deposits, insufficient hydration of joint tissues).
Occurs when there is insufficient tissue nutrition , lack of vitamins and minerals for proper metabolism in the joint.
Consequences of injuries , knee injuries.

Crunching with pain or swelling

Along with the crunch, the joint may also hurt and swell; the reasons for this may be:

Osteoporosis in the lower extremities

dislocation or subluxation of the knee;
bone fracture;
cartilage and ligament injuries;
arthritis, arthrosis, osteoporosis;
bursitis, tendonitis;
rheumatism, gout.

If the knee crunches, and at the same time swells and swells, then it is necessary to urgently seek medical help.

Crunching after surgery

After the intervention, the reasons may be:

mechanical changes as a result of surgery
Post-traumatic tissue swelling after surgery can temporarily displace joint elements.

A large accumulation of fluid in the articular chambers, its excessive production due to intervention makes it difficult to move the knee and can cause crunching. This is a temporary symptom.

Knee crunch in children and newborns

The occurrence of a crunch in the knee in newborns and adolescents often indicates that the bones, muscles and elements of the knee joint are growing unevenly. In cases where this happens occasionally and is not accompanied by pain, this is considered an age-related feature of the physiological norm.

There are also the following reasons:

insufficient elasticity of the ligamentous apparatus;
connective tissue dysplasia of the infant;
dislocation or subluxation of the knee joint;
rickets;
arthritis;
rheumatism.

Signs that warrant immediate medical attention:

Asymmetry of skin folds on the legs of an infant.
Constantly repeating, persistent crunching when bending or straightening the knee.
Painful reaction, baby crying when moving.
Lameness and limping for several days.

Crunching in the knees of a teenager

As in adults, cracking in the joints is common in adolescence. The growth and development of the body continues, and hormonal changes are added to this.

Possible causes of knee crunch in teenagers:

adolescent joint hypermobility;
increased extensibility of ligaments;
inflammation in the knee joint;
injury.

During the period of rapid growth and formation of the skeleton and muscle tissue in adolescents, there is an increased risk of joint injury. Therefore, it is recommended to limit heavy and extreme sports activities, replacing them with moderate and light physical activity.

What to do if your knees click

If you hear a clicking sound in the knee joint while squatting and feel pain, you should definitely consult a doctor. You should not put off solving the problem for too long, as the consequences can be very disastrous. The cause of crunching in the knees may be excess weight, metabolic disorders in cartilage tissue, the presence of viral infections in the body, problems of the endocrine system and genetic predisposition.

Elderly people should be careful about the above symptoms, as they indicate obvious problems in the cartilage tissue and may signal gonarthrosis.

Causes of clicking in the knee joint

Knees can begin to creak for many reasons, among which modern medicine identifies the most important:

Excessive consumption of spicy and salty foods;
Lifting and carrying heavy objects;
Walking for a long time in uncomfortable shoes or heels;
Problems with excess weight (obesity);
Sedentary lifestyle (hypodynamia).

If clicks in the knees appear exclusively during physical training, then it is more advisable to take a short rest between individual exercises. And after the workout itself, it is recommended to visit the sauna or take a hot bath. Such procedures will help relax muscles and improve blood circulation around the joints.

In order not to guess what exactly is the cause of the crunching in the knees, be sure to seek help from a traumatologist who can make the correct diagnosis and prescribe treatment. A timely visit to the clinic will avoid the development of serious complications and prevent salt deposition. Clicking in the knees can occur with the following diseases:

calcium deposits;
arthritis;
sclerotization;
arthrosis

If a crunch in the knee joint bothers you for a long time, you should immediately begin a course of treatment, since otherwise the situation may worsen significantly, which in most cases leads to disability.

Treatment for crunchy knees

Unpleasant clicking in the knee joints, which is accompanied by pain, can occur when there is a violation of congruence, when the articular surfaces do not coincide with each other. In this case, a traumatologist will carry out a competent correction. To effectively eliminate joint problems, modern medicine adheres to conservative treatment methods.

Do not neglect various preventive measures.
For example, if painful clicking appears in the knees, it is necessary to reduce physical stress on the legs and not lift heavy objects. Author: K.M.N., Academician of the Russian Academy of Medical Sciences M.A. Bobyr

Diagnosis of a crunch in the knee

The nature of diseases of the knee joints can be of three types:

Degenerative-dystrophic changes. At the same time, the cartilage tissue, as well as other elements of the knee joint, become thinner and destroyed.
Inflammation of joint tissues.
Injuries. All mechanical damage: bruises, fractures, dislocations, ruptures of ligaments and cartilage.

To diagnose a disease that causes crunching in the knee, the following methods are used:

Examination of the patient by a doctor, interview and history taking.
Blood and urine tests.
Ultrasound.
X-ray pictures.
MRI.

Which doctor treats crunchy knees?

Different doctors treat knee diseases.

The choice of specialist will depend on the nature of the disease:

An orthopedist deals with anatomical problems of joints.
An orthopedic traumatologist treats injuries, diseases and joint damage. He performs knee surgeries.
A rheumatologist specializes in the treatment of inflammatory diseases.
A neurologist will help in case of inflammation or injury to the knee joint that involves nerve fibers.

An endocrinologist deals with problems of hormonal imbalances in the body, which can greatly affect the condition of bone, cartilage and periarticular tissues.

Crunching in joints, causes, treatment with folk remedies. Causes of cracking joints

When everything is in order with the joint, it should not make any sounds when flexing and extending. But here there is an exception - congenital anomalies of the anatomical structure of the joint.
Violation of the structure. The surfaces of the joints do not converge and protrude from the joint box. There is a clicking sound when moving.
Muscle inflammation. The reason has not been fully elucidated. But there are suggestions that the crunch appears due to prolonged physical activity. A sudden change of position after prolonged immobility often responds with a click of the joint.

Hypermobility

Hypermobility. With a congenital defect in the structure of the joints, when they almost do not coincide at all, their crunching can be heard when moving. But the person does not experience pain.
Arthrosis. The disease is typical for almost all older people, when the cartilage simply wears out. In rare cases, it is diagnosed in young people. The joints lose their natural flexibility and begin to crack.
Consequences of injury. Inflammation forms at the site of injury, which interferes with normal movement and the joint creaks, clicks, and cracks.
Salt deposits. Accumulating in the joint, salts lead to hardening of the cartilage tissue. And this, in turn, creates problems with movement, pain and crunching.

Salt deposits

Indirect causes of crunching in the joints include poor environment, poor diet, sedentary lifestyle and, as a result, obesity.

What measures to take

If the crunching in the joints does not cause pain and occurs from time to time, then there is no need to worry. Also, do not worry if the crunch appears after an injury. Of course, it’s worth seeing a doctor, but most likely you won’t be diagnosed with a serious illness.
In case of clicking joints due to excess body weight, you know what needs to be done. Take your will into your fist, play sports and reconsider your daily diet.
But if the crunch is accompanied by painful sensations, swelling and mobility is difficult, a visit to the doctor is mandatory for you! Otherwise, you can hold out until the moment when only replacing your natural joint with an artificial one will help you!

Treatment for crunchy knees

It all starts with a correct diagnosis. The choice of treatment method will depend on this.

Methods can be:

conservative (medicines and procedures);
operative (surgical intervention);
traditional medicine (medicinal herbs, decoctions, compresses);
physiotherapeutic (massage, exercise therapy).

Drug treatment

Only a qualified doctor can prescribe medication. Below are some popular products for your reference. The following groups of drugs are commonly used.

Non-hormonal anti-inflammatory drugs

Nonsteroidal anti-inflammatory drugs (NSAIDs) are used in cases where the disease itself is inflammatory in nature or tissue inflammation is caused by a post-traumatic reaction. These products can be presented in the form of tablets, ointments, and injection solutions.

Some active ingredients and brands of drugs:

Diclofenac (Voltaren, Naklofen, Diclak).
Indomethacin (Metindol, Indovazin).
Meloxicam (Artrosan, Movalis).

Diclofenac in injection form Indomethacin in suppository form Meloxicam tablets

Corticosteroids

This group includes hormonal anti-inflammatory drugs. Hormones are considered emergency medicine; they effectively relieve inflammation and pain.

In terms of speed of action and power of results, corticosteroids are superior to NSAIDs. However, they can only relieve an acute reaction, but not cure the disease.

Drugs in this group include:

Dexamethasone.
Prednisolone.
Hydrocortisone.

Hydrocortisone for external use

Prednisolone in the form of ointment Dexamethasone in ampoules

Chondroprotectors

These drugs help restore cartilage tissue. They are used for thinning, destruction and deformation of the cartilaginous elements of the knee joint.

There are only three active ingredients:

Chondroitin sulfate.
Glucosamine.
Hyaluronic acid (injected directly into the joint).

A number of medications have been developed based on chondroitin and glucosamine, which include both monomedicines (one substance) and combined ones (both substances in different proportions).

Here are the most popular means:

Combined: Artra, Teraflex.
With glucosamine: Dona, Elbona.
With chondroitin: Chondrolone, Chondroxide.

Chondroxide ointment

Dona in the form of Teraflex tablets restores the vertebral disc

Glucosamine with chondroitin

Collagen

Collagen is a fibrillar protein, essential for joint health, found in cartilage tissue. Ideally, it is produced independently by the human body, but in some cases its production decreases (for example, with age). There are recommendations to eat jellied meat, jelly and all dishes containing food gelatin.

However, the digestibility of collagen from food cannot be tracked, so in case of illness, you can take dietary supplements:

Collagen Ultra Gel (available in powder and cream form).
Collagen (capsules).
Laura Collagen (in the form of a drink).

Collagen

Laura collagen

Vitamin preparations

Vitamin-mineral complexes intended for joints may contain additional additives in the form of collagen, calcium and other beneficial substances. Examples of drugs: Arthrivitis and Sustanorm.

Physiotherapy

Physical therapy exercises for knees are aimed at strengthening joint tissues and developing the range of flexion and extension.

The complex is selected by the doctor individually, depending on the diagnosis and condition of the patient.

Here are some exercises to strengthen your knee joints:

Starting position: lying on your stomach, arms along your body. Slowly raise your straight leg to a distance of 15 cm from the floor, stay in this position for 30 seconds. Lower your leg and repeat on the other leg.
Starting position: sitting on a chair with a straight back. Raise your straight leg up to a horizontal position, hold for 30 seconds to a minute, provided there is no pain. Lower, repeat on the other leg.
Starting position - standing, using support (wall, back of a chair) . Slowly rise to the toes, hold for 3 - 5 seconds, and lower.
The starting position is the same. Slowly roll onto your heels, lifting your feet up. Hold for 3 - 5 minutes, lower your feet.

Exercises for cracking joints

Massage

Massage is very useful in treating knee diseases and injuries. It can be performed by an osteopath, chiropractor or massage therapist with medical education.

Basic techniques for knee massage:

stroking in a circular motion;
squeezing and shaking movements;
rubbing with palm and fingers;
kneading in a circle with fingers, the edge of the palm, the surface of the fist;
vibration movements;
final stroking.

Surgery

Surgical procedures are performed by an orthopedic traumatologist.

There are several options for knee surgery:

Operation arthroscopy

Traditional surgery (under general anesthesia).
Arthroscopy (minimally invasive surgery) is performed by inserting a special camera through a small incision.
Prosthetics involves replacing part of the knee joint.

Folk remedies

Treatment of serious knee problems requires the intervention of a qualified physician. The essence of treating joints in folk medicine comes down to relieving inflammation with local means (poultices, rubbing, compresses) and warming the joints to improve blood supply and metabolism.

Ingestion of vitamin-mineral infusions and products containing collagen (gelatin) is also of an auxiliary nature.

Remedies from dead bees, which are used for joint diseases in the form of alcohol tinctures, compresses, and decoctions, can be useful.

Camphor rubbing will help with pain and crunching; it is prepared like this:

Make a mixture: vegetable oil 150 ml, vodka 150 ml, turpentine 150 ml.
Pour a piece of camphor the size of a matchbox with this mixture.
Rub and lubricate the sore knee at night, then insulate it. You can lubricate your knees daily until the rubbing ends.

Burdock compress is an old proven recipe for joints:

Place 6 medium-sized burdock leaves in a stack and place a pan of hot, but not boiling, water on top.
Lubricate the knee with vegetable oil.
Apply hot burdock leaves, cover with polyethylene on top and insulate with woolen cloth.
You can apply the compress at night for 14 days.

Salt baths have long been used as a treatment for joints:

Add 1 kg of table salt to a hot water bath. You can optionally add a tablespoon of turpentine.
Take a bath for 20 minutes, then dry off.
Apply iodine mesh to the sore joints and insulate the knees well.
Can be repeated every other day for two weeks.

TOP 3 remedies for crunching from available home remedies

Compress of honey, salt, mustard

Such a compress will help get rid of painful sensations if you use it every day for 4-5 days.

To prepare it, you need to take in equal quantities (1 tbsp is enough):

honey;
mustard (preferably spicy);
fine salt.

Mix all the ingredients, apply to the problem area, secure with a bag or cling film, insulate with a woolen scarf and leave for 2 hours. You can leave it overnight - the effect will be better.

In the morning, the mixture is simply washed off with warm water.

Gelatin

This product is considered one of the best for getting rid of crunching and pain. The fact is that in its properties it is similar to drugs - chondroprotectors, which restore cartilage tissue. Moreover, the sooner therapy is started, the faster pain and other unpleasant symptoms will go away.

Preparation:

Take 5 g of the product, add water and dissolve (either in the microwave or over low heat on the stove). The main thing is not to boil.
Pour the resulting mixture into the mold and place in the refrigerator.
You can add your favorite jam for taste. You need to eat this dish every day for 30 days.

You can add fruits and berries to the jelly to make it tastier (Photo: cake-lab.net)

According to the observations of those who have treated crunching in the joints, visible improvements occur in about a week.

Eggs and ammonia

A good pain reliever that is very simple and quick to prepare:

Take 2 tsp. ammonia, combine with two eggs, mix everything thoroughly and beat.
Add 2 tsp to the mixture. turpentine and move carefully again.

You just need to lubricate your knees or other compounds with it before going to bed. The maximum period of treatment with this remedy is 5 days.

Advice from Dr. Komarovsky for cracking knees in a child

Dr. Komarovsky advises parents:

Pay attention to the reaction of the child himself: is he crying, is he limping, is this symptom causing him discomfort.
Check the functioning of the joint, the range of its movements during the massage.
Check the symmetry of the child’s legs and skin folds on them.
Observe the situation for several days, noticing changes.
Contact an orthopedic doctor and conduct a thorough examination if alarm signals recur.

Nutrition for crunchy knees

Depending on the diagnosis of knee disease, a special diet is prescribed.

For any joint problems, it is advisable to consume products containing:

Collagen (meat, dairy, fish dishes, especially jellied meat, jellied meat).
Omega-3 fatty acids (flaxseed oil, fish oil, sea fish).
Calcium (milk, greens, nuts).
General purpose vitamin and mineral complexes.
Drink at least one and a half liters of water per day.

When following a diet, you must adhere to a number of restrictions.

Products that harm joints:

Spicy and salty dishes.
Fatty, fried and smoked foods.
Sugar, sweets (except honey).
Strong alcoholic drinks.

TOP 9 foods you need to give up

Having noticed unpleasant symptoms, it is better to try to minimize the consumption of the following products (or better yet, at least not the time to give them up):

Milk and dairy products

The danger is that they contain casein. This substance is dangerous for those who have problems with joints, as they promote inflammation and pain.

Corn

It contains a lot of Omega-6 fatty acids. Although unsaturated fatty acids are very beneficial, they increase inflammation. Therefore, if you have problems with joints, you should avoid this product - it is not suitable either fresh or canned.

It is better to replace corn with products containing Omega-3: olive oil, flaxseed, red fish.

Red meat

It should be consumed, but in small portions and not regularly. If you abuse this product, the risk of developing inflammatory processes increases. Another disadvantage is the presence of iron, which “produces” hemoglobin.

If the level of hemoglobin in the blood increases, this provokes pain.

You should try to minimize the amount of red meat in your diet (Photo: pixabay.com)

It is better to choose chicken or turkey.

Eggs

Yes, of course, they are useful, but in reasonable quantities. The fact is that the yolk contains a large amount of arachidonic acid - it enhances inflammatory reactions, causing pain and crunching.

Sweet soda

It is generally better to avoid these drinks, since they contain nothing beneficial for the body as a whole. But in case of crunching and pain in the joints, you should definitely avoid it due to the large amount of sugar, which will only worsen the health situation.

Coffee

This drink is very good for health, especially for blood vessels, heart and brain. But those who complain of bad joints should give it up for a while. The fact is that caffeine is a common cause of aches and crunches.

Fast food

You should avoid any trips to McDonald's and other fast food restaurants - such food is really dangerous due to the content of large amounts of sugar, saturated fat, and fast carbohydrates. Their constant use overloads the body, leads to the accumulation of toxins, excess weight, which threatens severe stress on the ligaments.

In principle, everyone should avoid such food products (Photo: pixabay.com)

Potato

This root vegetable contains a lot of potassium, however, due to the solanine content, potatoes should not be consumed during inflammatory processes in the body. This substance will only worsen the situation, as it damages tissue, tendons, and ligaments around the joints.

There are products that, on the contrary, will improve the situation. So, the diet should include sea fish, dietary white meat, whole grain bread, and cereals. Be sure to drink at least 1.5 liters of water a day - often it is dehydration that causes such a crunch.

Prevention of knee joint diseases

To keep your joints healthy and strong, you must follow these rules:

Healthy, moderate diet, rich in vitamins and minerals.
Controlling your body weight is very important: the stress on your knees increases significantly as you gain weight.
Enough clean water daily.
Moderate physical activity on a regular basis.
Comfortable shoes that do not restrict movement (heel no more than 3 - 4 cm).
Contact a doctor promptly if alarming symptoms appear.

Treatment of joints with folk remedies forum. #2 Offline Yakuza. 2007 - 12:28 PM

Arthritis (polyarthritis), arthrosis Treatment of arthritis with folk remedies.

Traditional medicine used for arthritis: 1. Stinging nettle juice - 1 part; natural honey - 1 part; alcohol 90-96% - 1 part. Mix freshly squeezed nettle juice with alcohol. Add honey there. All parts are equal. Stir well. Place in the refrigerator downwards and leave for 2 weeks. After this, take 30 grams. three times a day 30 minutes before meals. Take for 6 months, and for polyarthritis, drink until there is no sediment in the urine and movements are free and relaxed, store in a cool place. This infusion is used for rheumatism, polyarthritis, kidney stones and bladder stones. 2. Ledum, grass - 2 parts; lingonberry, leaf - 1 part; juniper, berries - 1 part; plantain, leaf - 2 parts; chamomile - 2 parts; string, grass - 2 parts. Grind everything and mix well. 2 tablespoons of the mixture per 500 g. boiling water, leave covered for 5-6 hours, strain. Take 1/2 cup 3 times a day before meals, warm. Used for metabolic polyarthritis. 3. When all joints of the body are affected by arthritis, arthrosis, gout, etc. the patient should take 10 teaspoons of apple cider vinegar per glass of water 3-5 times a day, preferably before meals. A high concentration of this mixture promotes rapid healing of the body, and the patient will feel this if he takes it regularly for 2-3-4 weeks. Joint pain will completely stop, as will pain in the back of the neck and back of the head. If the patient’s gastric mucosa is damaged (gastritis, ulcers) and this mixture causes pain, then the concentration of the mixture can be slightly reduced (up to 5 teaspoons per glass of water), but this will slightly lengthen the recovery time. 4. Crushed cherry seeds and their stems in the form of a decoction are drunk for uric acid diathesis and joint diseases (arthritis, polyarthritis, gout). Decoction: crushed seeds peeled from the shell and their stalks 1:1. Art. a spoonful of this raw material is boiled for 15-20 minutes in a glass of water, left for an hour and drunk 2-3 tbsp. spoons of decoction 3-5 times a day before meals. 5. Tricolor violet herb in the form of infusion or tea is taken orally for arthritis, gout and articular rheumatism. Infusion: 2 tbsp. tablespoons of the herb are infused for 1-2 hours in 2 cups of boiling water and drunk 1/2 cup of warm infusion 3-5 times a day 30 minutes before meals, or the herb is brewed as tea and drunk with honey to taste without a strict dosage. Small children should not be given more than a glass of infusion per day! 6. Rhizomes of creeping wheatgrass in the form of an infusion are drunk as a diuretic and metabolism-restoring agent, as well as for arthritis, polyarthritis, gout and rheumatism. Infusion: 3 tbsp. spoons of rhizomes are infused for 12 hours in a liter of warm boiled water. Sometimes filter, adding honey to taste and drink 1/2-2/3 cup of warm infusion 3-5 times a day an hour before meals. 7. Eggplants are eaten without restriction as a therapeutic food for arthritis, gout and other similar diseases. 8. The fruits of fresh, boiled or soaked lingonberries are taken orally, and an infusion is prepared from the leaves and drunk for polyarthritis, gout and other diseases. Infusion: Art. a spoonful of leaves is infused for 2 hours with a glass of boiling water and drunk 1-2 tbsp. spoons of infusion 5-6 times a day, preferably before meals. 9. The herb of hernia glabra in the form of an infusion is taken orally for arthritis, gout, rheumatism and muscle pain after heavy physical work. Infusion: 30-50 g of herb are infused for an hour in a liter of boiling water and drunk 1/2 cup of warm infusion 3-4 times a day, preferably before meals. 10. Centrifugal honey (natural), when taken regularly, is indicated for many. diseases, including arthritis. You can eat 100-150 g of honey per day, divided into 3 servings, with warm milk, tea or boiled water.