Pain
-
THE ADVICE
Pain sucks – but the positive part with cannabinoids is at least you clearly know if its working. Unlike some other conditions like neurodegeneration, it’s easy to know if they’re effective because you either feel better or you do not.
As always, the advice with cannabinoids is start low and go slow. Let your body get used to the cannabinoids, let your endocannabinoid system get charged up & make sure they agree with you. But after that, don’t be afraid to go high & fly.
-
CBD
Take 5 or 10 milligrams of CBD a day in a full spectrum hemp extract for a few days. Any of the normal ingestion methods like oil, gummies or capsules are fine & work about the same.
(I recommend the products from CV Sciences because I worked there & I know they have high-quality products. Whoever you buy from, make sure they have third-party testing results for every batch. It’s a jungle out there & testing is the only thing you can trust)
If that low level of CBD doesn’t give you the relief you’re looking for, every four days, double the amount you are taking. Some people find the sweet spot at 20 mg a day while for others, they might need 100 or 200 mg a day. It’s safe to take that much & the main side effects to watch out for are upset stomach, insomnia or psychoactivity from the small levels of THC in hemp. If you experience any of these, lower the amount you take below where you feel those side effects. (CV Sciences has Max Strength Capsules that make it easy to take 50 mg at a time) -
Topicals
During these CBD experiments, you can also try using hemp topicals to work on your pain from the outside. Topicals tend to be quite effective for some people – but the relief tends to be shorter – so you might need to be applying them multiple times a day.
-
THC
Now that you’ve tried CBD – and it might have given you some relief – it’s time to incorporate THC. With THC, the ingestion method is more important. THC edibles can take up to two hours to start working – but their pain relief can last many hours. Smoking cannabis flower or using THC vape pens work almost instantaneously. Some people use both of these methods: a gummy twice a day & then smoking or vaping as needed.
As always, with THC, start low & go slow. Especially if you are not into the psychoactive effects of THC. That being said, people with chronic pain tend to find that the pain “eats” the psychoactivity & they don’t quite as high as they do feel the relief. Plus, CBD acts as a protective blanket from the anxiety of getting high with THC & tends to make people feel less of the psychoactive effect. If you are not in a legal state, these Reserve gummies are an excellent way to get a good starting dose of THC: 2.5 mg
-
Book a session!
If you’d like to learn more about using CBD & cannabis for your health, book a session with me today…
The Science
2022: A review of the phytocannabinoids for neuropathic pain
Applications of Cannabinoids in Neuropathic Pain : An updated review
https://www.dl.begellhouse.com/references/3667c4ae6e8fd136,forthcoming,38592.html
2022: This review confirms the efficacy of cannabis for back pain in this review of 4 studies covering 110 patients
The Efficacy of Cannabis in Reducing Back Pain: A Systematic Review
https://pubmed.ncbi.nlm.nih.gov/35128969/
2022: A review on using cannabis & CBD for chronic pain
Living Systematic Review on Cannabis and Other Plant-Based Treatments for Chronic Pain
https://pubmed.ncbi.nlm.nih.gov/34882379/
2022: A survey of pain patients found that cannabis causes a significant improvement in quality of life as well as reduced anxiety
Measuring the Change in Health-Related Quality of Life in Patients Using Marijuana for Pain Relief
https://pubmed.ncbi.nlm.nih.gov/35224431/
2022: A survey of chronic pain patients finds medical cannabis certification associated with decreased opiate use
Medical Cannabis Certification Is Associated With Decreased Opiate Use in Patients With Chronic Pain: A Retrospective Cohort Study in Delaware
https://pubmed.ncbi.nlm.nih.gov/35004055/
2021: A survey of spinal patients found that many of them found CBD helpful for treating their pain, improving their sleep & reducing their anxiety
Prevalence of Cannabidiol Use in Patients With Spine Complaints: Results of an Anonymous Survey
https://pubmed.ncbi.nlm.nih.gov/34285125/
2021: A survey of 7 pain management clinics in SoCal found a predominantly positive attitude about CBD for pain relief
Cannabidiol as a Treatment for Chronic Pain: A Survey of Patients’ Perspectives and Attitudes
https://www.dovepress.com/cannabidiol-as-a-treatment-for-chronic-pain-a-survey-of-patientsrsquo--peer-reviewed-fulltext-article-JPR
2022: In pain patients, a combination of CBD & THC helped as an add-on treatment for neuropathic pain
Comparison of the Effectiveness and Tolerability of Nabiximols (THC:CBD) Oromucosal Spray versus Oral Dronabinol (THC) as Add-on Treatment for Severe Neuropathic Pain in Real-World Clinical Practice: Retrospective Analysis of the German Pain e-Registry
https://pubmed.ncbi.nlm.nih.gov/35140513/
2022: In pain patients, cannabis oil reduced the use of opioids
Long-term Cannabis-based oil therapy and pain medications prescribing patterns: an Italian observational study
https://pubmed.ncbi.nlm.nih.gov/35253178/
2022: For chronic pain conditions, THC & CBD improved pain scores as well as quality of life
UK Medical Cannabis registry: an analysis of clinical outcomes of medicinal cannabis therapy for chronic pain conditions
https://pubmed.ncbi.nlm.nih.gov/34937477/
Here’s the summary study of their entire analysis
An Updated Analysis of Clinical Outcome Measures Across Patients From the UK Medical Cannabis Registry
https://pubmed.ncbi.nlm.nih.gov/35073160/