{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/chronic/","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12366-markdown","title":"Is it safe to have general anesthesia for surgery if I used THC oil recently? I haven't used it for 2 weeks now, and by the time my surgery date arrives it will have been over a month since using it.  Thank you.","slug":"is-it-safe-to-have-general-anesthesia-for-surgery-if-i-used-thc-oil-recently-i-havent-used-it-for-2-weeks-now-and-by-the-time-my-surgery-date-arrives-it-will-have-been-over-a-month-since-using-it-thank-you","content":"\"I began experimenting with THC to help with my chronic back pain. I started with it in September 2017 and stopped in early Feb 2018.\"\n_____________________\n \nMore research needs to be done in this area, as there simply isn’t much information out there on this topic. A recent literature review conducted by Huson, Granados and Rasko (2018) found that “marijuana increased cardiac workload, myocardial infarctions and strokes in young, chronic users.” The literature review also found that those who smoked marijuana were more likely to require increased anesthetic doses to place laryngeal airways (just like smoking, marijuana causes airway obstruction). “Use within 72 hours of general anesthesia was advised against” (Hunson, Granados and Rasko, 2018). \nBased on the above literature review, it looks like you should be fine because you will have abstained from using cannabis for over a month by the time you receive general anaesthesia. I do however recommend that you let your health care providers (including your surgeon) know that you have been experimenting with THC oil recently.\n \nHuson, H.B., Granados, T.M., and Rasko, Y. (2018). Surgical considerations of marijuana use in elective procedures. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139487/ on March 2nd, 2019.\n\nLonah NP\n_____________________\n  When talking about surgery anesthesia and marijuana, all types of marijuana should be avoided. That means smoking marijuana, edibles, and synthetic marijuana.  The use of marijuana, especially immediately prior to surgery, can change the doses needed for sedation. It has been found that cannabis users requires substantially higher doses of anesthesia.  There are other reasons why use of cannabis can compromize operative and post operative period, such as  airway obstruction , respiratory cardiovascular distress, increrased depression of central nervous system (when barbiturates given after surgery), inhibition of other medication action going the same liver metabolic pathway (Huson , Granados, Rasko, 2018).\n\nTherefore, abstaining from marijuana in the weeks before surgery can decrease the likelihood of complications during and after surgery. \n\n Huson, H. B., Granados, T. M., & Rasko, Y. (2018). Surgical considerations of marijuana use in elective procedures. Heliyon, 4(9), e00779. doi:10.1016/j.heliyon.2018.e00779 \n\nkrabell14","image":null}},{"node":{"id":"Question_12335-markdown","title":"I have psoriatic arthritis and was wondering if this would be the best product for chronic pain, inflammation, and sleep problems.","slug":"i-have-psoriatic-arthritis-and-was-wondering-if-this-would-be-the-best-product-for-chronic-pain-inflammation-and-sleep-problems","content":"\"@\"\n_____________________\nPsoriasis  is an autoimmune skin condition which leads to an overproduction of  skin cells called keratinocytes. The immune system mistakes components  of the body's own skin as pathogens, such as a virus or harmful  bacteria, that need to be removed from the body. This autoimmune  reaction leads to inflammation and an overproduction of skin cells,  resulting in scaling, itch and pain. Between 18% and 42%of people  with psoriasis develop psoriatic  arthritis (PA).\n\nThe endocannabinoid system (ECS) is the body's own  naturally occurring network of receptors and cannabinoids that is  involved in several bodily functions - immunoregulation being one of the  most important and extensively studied. Several  studies have shown that the CBD downregulates an overactive and self-attacking immune  reaction. \n https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044336/\n\nThe ECS is largely devoted to maintaining homeostasis (the  tendency of organisms to auto-regulate and maintain their internal  environment at  equilibrium). Deficiency or malfunction of the ECS has  become a focus for researchers seeking treatment options for several  maladies, including psoriasis and PA. In fact, the scientific community has   recently termed the ECS malfunction: Clinical Endocannabanoid  Decifiency, or CECD. Restoring balance to the ECS with phytocannabinoids, such as CBD and THC, is the crux of medicinal cannabis treatment.\n\ndrkim\n_____________________\nIn fact, the phytocannabinoids THC, CBD,  CBN and CBG have all been found  to inhibit keratinocyte proliferation in hyper-proliferating  keratinocyte cell lines, such as those found in psoriasis and PA.  Among the four  phytocannabinoids, CBD showed the most anti-proliferative potency, and required the lowest plasma concentration to inhibit keratinocye  overproliferation.\nhttps://www.google.com/search?client=firefox-b-1-ab&q=Wilkinson%2C+J.D.%2C+and+Williamson%2C+E.M.+%282007%2C+February%29.+Cannabinoids+inhibit+human+keratinocyte+proliferation+through+a+non-CB1%2FCB2+mechanism+and+have+a+potential+therapeutic+value+in+the+treatment+of+psoriasis.+Journal+of+Dermatological+Science%2C+45%282%29%2C+87-92.\n\nFurther, studies have showed that both endocannabinoids and  phytocannabinoids can directly treat the symptoms of psoriasis and psoriatic arthritis, such as  pain and itch.\nhttp://www.jaad.org/article/S0190-9622(17)30308-0/fulltext\nhttps://jamanetwork.com/journals/jama/fullarticle/233825\n\nAnd  finally, CBD can treat the the lost sleep, anxiety and depression  most psoriasis patients experience.  Beyond helping the patient better cope with the emotional toll psoriasis can cause, improving sleep and  lowering depression and anxiety can also reduce the frequency of  psoriasis flare-ups.\n\n\n\ndrkim\n_____________________\nThat product is an excellent choice: Rather than simply isolating CBD, Elixinol follows a  \"whole-plant philosophy\" which increases the oil's medicinal properties  by preserving accessory cannabinoids and terpenes—which all work  together in synergy to provide the \"entourage effect.\"  Furthermore,  rather than chemical solvents, Elixinol uses CO2 to extract CBD,  accessory cannabinoids and terpenes—which results in a more potent, pure  and safe CBD oil. \n\nFurther still, this product is very easily dosed, as the bottle specifies the miligrams of CBD per mililiter, drop or dropper-full.  Most CBD products are very poorly labeled, which leads to confusion and guessing.\n\nI hope this helps!\n\ndrkim","image":null}},{"node":{"id":"Question_12221-markdown","title":"Hello, will this help with relieving chronic headaches due to an automobile accident?","slug":"hello-will-this-help-with-relieving-chronic-headaches-due-to-an-automobile-accident","content":"\"I was in an auto accident about 2 years ago where I was rear-ended by a distracted driver at a stop light, and since then, I have not had a single day where I do not have a headache.  It feels like my head is going to explode, and I have tried so many things for relief that have not helped.  I even tried a different brand cbd oil with no relief.  I just need to get relief.  I am also in chronic pain, and have had 3 surgeries for this accident, my neck, my wrist and my elbow.   I have depression due to chronic pain, ptsd and anxiety as well, all from the accident that changed my life.  \"\n_____________________\nI had a similar situation where after a car accident I had headaches and eventhough smoking or vaporizing indica usually helps it did not alleviate the pain completely. I would also suggest perhaps going to a chiropractor for a holistic/physical  approach and then using cannabis and CBD to assist in recovery afterwards\n\nBartSmart","image":null}},{"node":{"id":"Question_12077-markdown","title":"What is the best cannabis product for chronic pain?","slug":"what-is-the-best-cannabis-product-for-chronic-pain","content":"\n_____________________\n\"Best\" comes down to method of ingestion - for chronic pain, preferably a tincture or edible for their long-lasting, global effects. You can read more about using cannabis to treat chronic pain here: https://hellomd.com/articles/how-cannabis-helps-reduce-chronic-pain\n\nKevin P.\n_____________________\nHi there!\n\nUnfortunately, there is no best cannabis product for any condition. Everybody's situation is a bit different: pain level; tolerance to pain; tolerance to THC; amenability to psychoactive effects; and type of pain are some of the factors to consider when formulating a treatment plan. However, I can provide you with a rough guideline, along with product recommendations.\n\nFor \"conventional\" (nociceptive) pain issues, such as arthritis, sprains, strains, dislocations, bone fractures, and myofacial pain -- in other words, inflammatory pain  -- I most often recommend a high CBD vs THC edible, spray or tincture,  such as the 18:1 formulations offered by Care By Design. I have no  affiliation with them; however, I like that they: use the whole plant when making their products, rather than isolating only THC and CBD; offer a variety of ratios; offer all routes of  administration, other than combustion; clearly label their products in mgs of THC and CBD per dose; and are relatively easy to find.  \nProducts to consider:\nhttps://www.cbd.org/products/drops/18-1-drops\nhttps://www.cbd.org/products/soft-gels/18-1-soft-gels\nhttps://www.cbd.org/products/chocolates/18-1-chocolate\nIf  the pain is localized, you can also try a topical cream. I recommend  the creams with THC rather than the pure CBD creams. THC containing  topical creams will not cause any psychoactivity.\nhttp://truefarma.com/product/sweet-releaf-extra-strength-2oz/\n\n\ndrkim\n_____________________\nSome very high CBD strains to consider for inflammatory pain:\nACDC - a 20:1 sativa strain\nRingo's Gift - a 25:1 hybrid strain\nCharlotte's Web - a 30:1 sativa strains\n\nFor  non-inflammatory pain issues, such as neuropathic pain, migraine  headaches, fibromyalgia and psychogenic pain, I tend to recommend -- if  amenable to the patient -- products and strains with higher levels of THC, such as\n 1. https://www.cbd.org/products/chocolates/1-1-chocolate - a \"whole plant\" 2:1 edible\n2. http://dosist.com/pen-relief/ - a 1:2 vaporizer pen\n3. http://kivaconfections.com/products/bars/ginger - a 1:1 \"whole plant\" edible\n4. http://truefarma.com/product/sweet-releaf-extra-strength-2oz/ - a THC and THCA topical cream.\n\nSome CBD strains to consider: \nHarlequin - a 5:2 sativa strain \nSweet and Sour Widow - a 1:1 indica strain \nPennywise - a 1:1 indica strain \nCannatonic - a 3:1 hybrid strain\n\nHope this helps!\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_11930-markdown","title":"What is the dosage of CBD a day to receive chronic back pain from disc herniation?","slug":"what-is-the-dosage-of-cbd-a-day-to-receive-chronic-back-pain-from-disc-herniation","content":"\n_____________________\nHello! I recommend to start with high ratio of CBD to THC, around 20:1. There is no standardized dosing, other than to say start low and go slow. A low dose is around 2.5 - 5 mg once a day. Increase as needed or as tolerated to find relief. In addition to an internal cannabis product, you can also try an external cream or balm to put on the skin at the site of pain. The benefit of using a CBD product is that it helps to relieve neuropathic or nerve pain and inflammation. Hope this provides you with some relief. Best of luck.\n\ndrjacquelynlew\n_____________________\nDr. Jacquelyn Lew gave a very good answer...keep in mind that if after experimenting with high CBD and you still don't get relief, some people find that adding a small amount of THC to the CBD can be helpful. If you keep the CBD content higher than the THC, you should not experience the uncomfortable effects of too much THC. \n\nPiantaTinta","image":null}},{"node":{"id":"Question_11908-markdown","title":"How much CBD do I need to take in order to help with my chronic pain?","slug":"how-much-cbd-do-i-need-to-take-in-order-to-help-with-my-chronic-pain","content":"\"Is there a difference between different types of CBD? I am new to cannabis and have struggled with chronic pain for some time following a car accident. I do not want to take pharmaceuticals and I am not interested in THC and the high associated with it. If I take CBD, what kind do I take, how much and in what form. It seems very confusing to me. My state is not yet legal, will that complicate things?\"\n_____________________\nCBD can be great for chronic pain management, depending on what you may be dealing with, because it is used to reduce inflammation. It is also great for people that do not want the psychoactive effects you get from THC, but still want to get the medical benefits you get from the cannabis plant. \nIf you are in a state that is not legal, that can complicate things, but fortunately, hemp derived CBD oil is not regulated the same way cannabis, so hemp derived CBD is legal in most states. There are products available in many different varieties, such as gummies, vape pens, oil tinctures, gel capsules, topicals, and many other forms so you can find the product that works best for you.  \n\nnsavelli\n_____________________\nCBD is a compound found in cannabis the way vitamin C is in oranges.  Is the vitamin C in lemons different? Of course not.  The effects of cannabis in humans result from the interplay of many compounds in the plant, of which CBD is just one.  While some of the others (eg THC) have psychoactivity, CBD by itself does not.  Whether taking a given amount of CBD is reliably associated with a reduction in pain as experienced by most patients is a question that has not yet been scientifically answered, although there is no shortage of answers on the internet.  But at the same time it appears that CBD is not particularly toxic to humans at any dose, making it remarkably safe to give it a try.  Some preparations consist of CBD extracted from cannabis by itself, others combine it in various ratios with other cannabis compounds, and some patients prefer using a cannabis strain bred specifically to express a lot of CBD relative to other compounds (eg Harlequin).  It is confusing because, unlike penicillin or Prozac, there is no scientifically validated protocol for taking CBD.  Many patients have reported benefit in finding a particular ratio of CBD:THC that reduces discomfort without compromising focus or intellectual function.  There is no substitute for cautious experimentation, and you might begin by reading this short article to get some background information: (https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana).  \n\ndrelkind","image":null}},{"node":{"id":"Question_11873-markdown","title":"Does it help with chronic pain from Osteoarthritis??","slug":"does-it-help-with-chronic-pain-from-osteoarthritis","content":"\n_____________________\nThe truth is, osteoarthritis is almost always a deficiency in the building materials necessary to make new healthy cells and the result is inflammation and deterioration of the bone and cannabis certainly can help with the inflammation while you are correcting your diet but please, refrain from strenuous activity until the inflammation has resolved. You may want to go high with CBD & CBG and as the inflammation reduces you may reduce the cannabis.  Cannabis tends to be a very safe antiinflammatory medication but you must check for interactions if you are on other prescription medications. Consider topical applications also because cannabis can be especially beneficial if taken in more than one route.\n\ndrolson\n_____________________\nYes, cannabis can be extremely helpful in chronic pain such as that caused by osteoarthritis.  Chronic pain is a very different treatment problem from acute pain, and the most successful approaches involve engaging the patient's attention and emotions elsewhere from the source of the chronic pain.  This is one of the useful characteristics of the cannabinoid and terpenoid effects that many people experience.  There may be some actual anti-inflammatory activity involved, as measured by tissue levels of various biologically active compounds, but I see that as an additional benefit rather than the basis for why people with chronic pain, such as that caused by osteoarthritis, often report cannabis helpful.  I do agree with Dr. Olson that sufficient numbers of patients have reported benefit from topical cannabis preparations in this condition to make it worth a try, even though little, if any, reaches the systemic circulation when applied as a balm or lotion.  There may well be local effects we don't understand, and the essential lack of toxicity of cannabis makes trying it in this way reasonable.    Cannabis will not cure or stop the progression of osteoarthritis, but it can be very useful in treating the chronic pain caused by osteoarthritis.\n  \n\ndrelkind","image":null}},{"node":{"id":"Question_11798-markdown","title":"Can I get a medical marijuana card if I have high blood pressure and arthritis chronic shoulder pain","slug":"can-i-get-a-medical-marijuana-card-if-i-have-high-blood-pressure-and-arthritis-chronic-shoulder-pain","content":"\n_____________________\nHypertension is not an ailment for which medical marijuana can be prescribed in New York. Severe chronic pain that substantially limits function does qualify and if your pain meets that threshold you may be a candidate for medical marijuana.  Please meet with a qualified healthcare provider for an assessment if you are interested.  \n\nNP Joshua","image":null}},{"node":{"id":"Question_11739-markdown","title":"What are the strongest marijuana strains out there? ","slug":"what-are-the-strongest-marijuana-strains-out-there","content":"\"I'm interested in knowing what strains have the highest THC percentage. I have chronic pain and need really strong cannabis to help me get through the day.\"\n_____________________\nIt depends on what effect you are looking to get, and also the types of strains and the exact high THC percentages that you prefer. From the symptoms that you are describing, the strongest marijuana strains I would recommend would mainly be heavy indica strains. If you prefer more flavorful marijuana strains I would suggest the various Gelato strains, GSC, Sunset Sherbet, Grand Daddy Purple, Purple Punch, Cherry Pie, Afghani, etc. However if you prefer less flavorful strains that still have high THC percentage, I would recommend Gorilla Glue #4, the various OG strains, Kush based strains, God's Gift, Northern Lights, etc. \n\nnsavelli\n_____________________\nIf getting enough THC were all that is needed you could just smoke or eat more, rather than try different strains. But the differences in effects between cannabis varieties seems to have a lot do with what else is in the plant, particularly the amounts of the many other cannabinoid compounds and, perhaps even more importantly, the amounts of the various essential oils (terpenes). It has been observed that pain relief is often best with whole-plant preparations in order to take advantage of the interaction of all the active compounds in cannabis working together, which is sometimes termed the \"entourage effect\" (try a search on that term). The Indica dominant varieties are often experienced as more sedating in their effects, and for some people this might contribute to better pain relief.  But sedation is not always appropriate for 'getting through the day.”  There is no variety of cannabis that has been shown to be 'better' for pain relief.  That effect is highly individualized.  Many patients who try various hybrid strains will find one or two whose effects they prefer to the others, and use that clue to try related strains until they discover what seems most helpful for their symptoms.  This is why I always suggest patients persevere in their exploration if the first cannabis they try doesn't provide as much relief as they are looking for.  I wish you success in your quest \n\ndrelkind\n_____________________\n \nAfter doing some research, I’ve found that the strongest marijuana strains consistently have over 20% THC content, and have been known to test upwards of over 30% THC. Durban Poison, Chemdawg, Godfather OG, and Strawberry Banana are some of the strains that I’ve found with the highest THC percentage. I’ve tried most of these strains and I must say that I agree with these being listed as some of the strongest marijuana strains. As long as you are located in our service area, you can purchase Chemdawg through us. \n\nYou can use this link to view more info: https://www.hellomd.com/products/5af63e661bf83e0007fdd9d1/chemdawg\n\nRyanG","image":null}},{"node":{"id":"Question_9187-markdown","title":"Newbie edibles for cronic pain.","slug":"newbie-edibles-for-cronic-pain","content":"\"I've never consume cannabis in any manner. I have been in horrible chronic pain after a leg bypass surgery period opiates are not working period have applied for a medical marijuana card. Not sure what dose to start with. I prefer edibles. Any suggestions. Thanks in advance.\"","image":null}},{"node":{"id":"Question_9041-markdown","title":"I have chronic lower back pain and restricted movement.","slug":"i-have-chronic-lower-back-pain-and-restricted-movement","content":"\n_____________________\nHi there, We've got some questions on back pain that have been answered on the site along with a few articles speaking to chronic pain. Please have a look, but also keep in mind that every person has a unique biochemistry and endocannabinoid system so what may work for one person may not work for you. It will likely take some experimenting to get to the right type of product and dose that will help with your situation. I wish you all the best.\n\nlyp","image":null}},{"node":{"id":"Question_9013-markdown","title":"What is best for chronic low back pain? ","slug":"what-is-best-for-chronic-low-back-pain","content":"\"\n\"\n_____________________\n \nThe  best thing that has worked for me till now is Cannabidiol (CBD).  One of the newly arising uses of hemp or cannabis extracted CBD is for  pain management.\n\nI  had put on lots of weight and picked up chronic back pain during that time,  even after losing weight the back pain became a constant thing. \n\nI  think my bad posture also had a few things to attribute to it.\n\nI went through many well-known sources including What is CBD and discovered that CBD is effective  for chronic backaches, so I gave it a try.\n\nAnyways, since I tried CBD it has been a great help for my back. I recommend you try CBD for it and take care!\n\n\n\n\n\nsebastianwross\n_____________________\nHi there! I'm sorry to hear you're struggling with chronic back pain. Happily, many people successfully use cannabis to alleviate this issue. Please check out this in-depth article on the subject:\n\nashleigh","image":null}}]}},"pageContext":{"limit":12,"skip":0,"numPages":12,"currentPage":1,"id":5112,"name":"Chronic","slug":"chronic","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}