Ingredient guide

Arnica Montana: Bruising, Swelling, and the Evidence

Arnica is a yellow flowering plant used topically for bruising and swelling, and in highly diluted homeopathic form for pain. Topical 20 percent gel showed less bruising in one trial; homeopathic forms show no clear benefit. Oral non-diluted arnica is not safe.

Mixed evidence

Benefits

  • Topical 20 percent arnica gel reduced bruising versus placebo in a small 14-day trial.
  • May help reduce swelling after some surgical procedures, including rhinoplasty.
  • Has a long traditional use for muscle aches and joint stiffness.

Evidence summary

What arnica is

Arnica montana is a yellow daisy-family flower native to European mountains. The plant is toxic to take by mouth at normal amounts. Two safer uses exist: topical preparations of arnica gel or cream on intact skin, and homeopathic tablets and creams where the plant is diluted to near nothing.

What the human research shows

Topical 20 percent arnica gel showed less bruising than placebo over 14 days in a small trial. After rhinoplasty, arnica creams have been linked with less bruising and swelling in some studies. A 2021 review found arnica slightly better than placebo at reducing bruises. The FDA considers Arnica montana an unsafe herb for internal use, except in properly diluted homeopathic forms. We grade the evidence as mixed but favouring topical use.

Dosage & safety

Dosage

For bruising, topical 20 percent arnica gel applied to intact skin is the studied form. Oral non-diluted arnica is not safe. Homeopathic doses are essentially diluted to nothing. Ask your healthcare provider before any topical use on large areas or broken skin.

Side effects

  • Topical use can cause skin irritation, rash, or contact dermatitis.
  • Oral non-diluted arnica is toxic and can cause heart problems, vomiting, and worse.

Interactions

  • Topical arnica is unlikely to have systemic drug interactions.
  • Concentrated oral arnica is dangerous and should not be combined with anything.

Warnings

  • Speak with a doctor before using oral arnica products that are not properly diluted homeopathic forms, since the plant is toxic at culinary doses.
  • Never apply arnica to broken skin or open wounds.
  • Stop if you develop a rash or skin irritation.

Products with this ingredient

Related ingredient guides

Citations

  1. Arnica Montana (LiverTox) ncbi.nlm.nih.gov
  2. Arnica as adjunct for pain management: trials and mechanisms pmc.ncbi.nlm.nih.gov

Frequently asked questions

Does arnica really help bruises?

Topical 20 percent arnica gel showed less bruising than placebo in a small trial. The evidence is modest but the topical form is generally safe.

Is oral arnica safe?

Only in properly diluted homeopathic forms. Non-diluted oral arnica is toxic and can cause heart problems.