This systematic review and meta-analysis included 16 randomized placebo-controlled trials, with 15 studies in the meta-analysis and a total of 1,078 participants. The review found that, compared with placebo, PEMF produced significant improvements in pain, stiffness, and physical function in people with osteoarthritis. Pain showed the strongest effect, and the authors noted this was also clinically significant. Quality of life did not improve significantly overall, although some individual studies suggested possible benefit.
Most of the included studies looked at knee osteoarthritis, with a smaller number on the hand, ankle, and cervical spine. Treatment durations ranged from 10 days to 6 weeks, and follow-up was short-term, up to 12 weeks, so this review mainly supports short-term symptom improvement rather than long-term outcomes.
The review also found that PEMF parameters did not clearly change outcomes, meaning no specific frequency or treatment duration stood out as clearly superior within the available data.
For intensity, the studies were mostly in the low to medium range, ranging from about 0.4 Gauss to 1,050 Gauss. Frequencies ranged from very low up to 6.8 MHz, but most of the more typical OA studies were in the low-frequency range. Because the protocols were very mixed, I would label the overall intensity bracket here as mostly medium, though it included both very low and higher settings.
PubMed ID: 32251502