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Water-Dispersible Palmitoylethanolamide (PEA) Supplementation for Functional Improvement in Adults With Chronic Sciatica-Related Back Pain: A Pilot Clinical Trial

Harshith N Raju, Deepa Subramanian, Rosario Russo. Cureus. 2026 May 5;18(5):e108319.

Open-label, no control groupHumansWith Acmella oleracea extract

This study tested palmitoylethanolamide together with Acmella oleracea extract. Its results cannot be assigned to palmitoylethanolamide alone. More combination studies.

Design
Open-label, no control group
Subjects
60 adults with low back pain with sciatica
Dose used in the study
PEA and Acmella oleracea extract nutraceutical combination, oral; dose not stated in the abstract
Duration
4 weeks
What was measured
Pain intensity (Numeric Rating Scale), neuropathic pain features (DN4 questionnaire), daily functioning, and safety and tolerability

What the authors reported

This pilot clinical trial found:

  • Baseline NRS pain score was 5.12±0.79 and fell significantly from day 3, reaching 1.65±0.66 by the end of the study (p<0.001).
  • DN4 neuropathic pain scores and daily functioning also improved significantly.
  • No relevant adverse events were reported.

Limits of this study

An open-label pilot trial with no control group and 60 participants, testing PEA only in combination with Acmella oleracea extract, so PEA's independent effect cannot be separated. Funding and conflicts not stated in the abstract beyond ethics approval details.

Source

PubMed 42255791 · doi:10.7759/cureus.108319

Entry checked against the abstract on PubMed on 2026-09-22. The dose shown is the dose the researchers used. It is not a recommendation. How to read this page.