{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/pain/3","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12129-markdown","title":"CBD Pain Relief (NO THC)","slug":"cbd-pain-relief-no-thc","content":"\"I need a CBD product that has zero THC for neuropathy and arthritis pain. I cannot have significant THC in this product. What would you recommend?\"\n_____________________\nHi there!\nIn that case, I recommend 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. The 18:1 products do contain THC; however, becuase the THC content is so low, they are non-psychoactive. \nhttps://www.cbd.org/find\n https://www.cbd.org/products/chocolates/18-1-chocolate\nhttps://www.cbd.org/find\n\nI  also recommend that you try a topical cream with CBD and THC. THC  containing topical products (other than patches) will not cause any  psychoactivity. \nhttps://getsweetreleaf.com/product/extra-strength-sweet-releaf/\nhttps://www.hellomd.com/products/5b6e09bd96120c00012c6935/13-releaf-balm\n\nHope this helps!\n\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_12097-markdown","title":"Which product is recommended to help with chronic lower back pain due to arthritis, stenosis and spasms, this product or the 1:3 ratio?","slug":"which-product-is-recommended-to-help-with-chronic-lower-back-pain-due-to-arthritis-stenosis-and-spasms-this-product-or-the-1-3-ratio","content":"\n_____________________\nHello and thank you for the great question, \n(see the very last paragraph for the short answer)\nWhile arthritis and stenosis cause different types of pain, cannabis should help alleviate both types. Arthritis causes nociceptive pain, whereas spinal stenosis leads to neuropathic pain. \n\nNociceptive  pain is the immediate-cause-effect pain felt when someone is injured.  Nociceptors are pain receptors that detect when there is a threat to  your body, which then tell your brain to respond to the threat. NSAIDs  and opiates work well at treating this type of pain, because they  interrupt the transmission of pain signals from the site of injury to  your brain. \n\nNeuropathic pain, on the other hand, is due to damage to  the nerve itself, which causes pain signals to continually fire, even  if there is no injury elsewhere. Neuropathic pain is often  described as  a tingling or electric feeling. If you suffer from neuropathic pain,  then I'm sure you're all too well aware that this form of pain is  extremely difficult to treat.\n\ndrkim\n_____________________\nSeveral  studies suggest that cannabis can help alleviate the pain of arthritis  (nociceptive pain). And while cannabis research has historically focused  on THC, synthetic cannabinoids, or our own naturally occurring  cannabinoids (endocannabinoids), there is an evergrowing body of  research regarding the potential medicinal benefits of CBD. In fact, a  recently published study concluded that \"topical CBD application has  therapeutic potential for relief of arthritis pain and inflammation\"\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/\nIn  a study with exciting implications, researchers concluded that \"CBD,  through its combined immunosuppressive and anti-inflammatory actions,  has a potent anti-arthritic effect\" which may even \"block the  progression of arthritis.\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/10920191\n\n\n\ndrkim\n_____________________\nHowever,  the research regarding CBD and neuropathic pain is sparse. Although, in  a study published in the British Journal of Pharmacology, researchers  found that chronic administration of CBD prevented paclitaxel-induced  neuropathy (PAC) (paclitaxel is a common chemotherapy agent which often  causes neuropathic pain). Interestingly, they found that the cannabinoid  receptors CB1 and CB2 were not involved in preventing the pain from  developing. Rather, they concluded that CBD is protective against  PAC-induced neurotoxicity mediated in part by the serotonin receptor  system. Modulation of the serotonin receptor system is also the method  that antidepressant drugs are thought to affect neuropathic pain.\nhttps://www.ncbi.nlm.nih.gov/pubmed/24117398\n\nHowever,  there is a significant amount of research showing that Sativex -- an  oromucosal spray with 1CBD:1THC -- effectively reduces neuropathic pain.  In 2005, Sativex was approved in Canada for the treatment of central  neuropathic pain in multiple sclerosis, and in 2007 for intractable  cancer pain. Numerous randomized clinical trials have demonstrated  safety and efficacy for Sativex in central and peripheral neuropathic  pain, rheumatoid arthritis and cancer pain.\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2503660/\n\ndrkim\n_____________________\nSo, that 3:1 topical would be superior to the pure CBD creams which are most prevelant. I'm not sure if you're asking if a 1:3 cream might be better? If so, I would recommend you try both; however, I would predict the 1:3 cream would be superior. You can also try the following THC and THCA cream.\nhttps://truefarma.com/product/sweet-releaf-extra-strength-2oz/\nHope this helps!\n\ndrkim","image":null}},{"node":{"id":"Question_12096-markdown","title":"Will this product help with chronic lower back pain due to arthritis, stenosis and spasms? Which product would be more effective this one or the 1:3 ratio?","slug":"will-this-product-help-with-chronic-lower-back-pain-due-to-arthritis-stenosis-and-spasms-which-product-would-be-more-effective-this-one-or-the-1-3-ratio","content":"\n_____________________\nHi there!\nI answered this question right above. Here is more information and suggestions if you were interested in forms other than topical products.\nhttps://www.hellomd.com/answers/5b8fc614e59e27000767093a/\n\ndrkim","image":null}},{"node":{"id":"Question_12095-markdown","title":"Cancer, Anxiety, Pain, Depression & Cannabis vs Opioids","slug":"cancer-anxiety-pain-depression-cannabis-vs-opioids","content":"\"I am trying to help my friend who has Stage 4 Renal Cell Carcinoma that has spread to the sinus/brain/frontal bone areas.  She has had double immunotherapy and is currently taking radiation to the head/brain.  She has had a life of pain, bipolar depression, & anxiety before the cancer - and she hardly sleeps.  Any ideas of where to start since we'd be newbies at all of this?   \"\n_____________________\nHello! It sounds like your friend has a fairly complex medical history which would be best served with an individualized consultation from one of the physicians here at hellomd.com. You can request a consultation by clicking on the \"Talk to a Doctor\" tab at the top of the page. Until then, you could start by experimenting with CBD. It's non-psychoactive with minimal side effects and is good for beginners. Hope this helps some! Best of luck.\n\ndrjacquelynlew","image":null}},{"node":{"id":"Question_12079-markdown","title":"cervico-brachial neuralgia ","slug":"cervico-brachial-neuralgia","content":"\"Hello,\nMy mother has cervico-brachial neuralgia and is in a lot pain, even after a surgery.\nIt's been 3 years now and while the surgery made things a bit better, the pain is still significant. Before the surgery, she had an intense pain in the neck which extended to her arm and then hand/fingers. After the surgery, the neck pain disappeared but the arm/finger pain is still persistent.\nThe lesion causing cervico-brachial neuralgia is located in the cervical vertebrae and the cervical vertebrae affected are C5 and C6.\nCould someone advise me an effective product to order here in order to alleviate the pain ?\nThank you,\"\n_____________________\nHello. Sorry to hear about your mother's condition. Cannabis can potentially help reduce neuropathic pain. I recommend to try a product that has higher CBD. CBD is not psychoactive. A little bit of THC can help CBD work. I recommend to look for a ratio around 20:1 CBD to THC. Products in this ratio are typically non psychoactive. You might try starting with edible cannabis in the dose of 2.5mg, increasing slowly over time to find a dose that works without over-medicating. Additionally I would apply CBD balm or lotion on the skin at the site of pain. Hope this helps you some. Best of luck.\n\ndrjacquelynlew\n_____________________\nHi there!\nDr. Lew makes some great suggestions. I also recommend that you try different products and ratios. Everyone responds to cannabis differently. Also, there is some research suggesting that THC is what's most responsible for neuropathic pain relief. However, as Dr. Lew mentioned, CBD would also be vital in your mother's situation, since the neuropathic pain is due to nerve compression/entrapment. CBD may reduce the inflammation, which should then relieve some compression and hence reduce pain, paresthesias, and impaired motor function if present. \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\n\ndrkim\n_____________________\nHowever, because this issue stems from compressed and inflamed nerve(s) -- in other words, both inflammatory and non-inflammatory/neuropathic pain -- I agree with Dr. Lew's recommendation of starting off with a very low THC containing product or strain, such as those listed below. Then, if your mother's pain is not appreciably relieved, I would recommend that she try more THC heavy products, such as the ones listed above.  \n\nProducts to consider before trying higher THC containing products/strains:\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\n\nSome very high CBD strains to consider:\nACDC - a 20:1 sativa strain\nRingo's Gift - a 25:1 hybrid strain\nCharlotte's Web - a 30:1 sativa strains\n\n Hope this helps!\n\n\n\ndrkim","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_12071-markdown","title":"Can someone help me on how to use this?","slug":"can-someone-help-me-on-how-to-use-this","content":"\"I am used to the Valhalla Gummies and I have had to cut other things in half or it would be too strong.  I need something for pain.  I have found that my depression is not so bad either which is great.  Not sure if this would be right for me.  Thank \"\n_____________________\nHi there! \n\nIf you felt that the Valhalla gummies were too strong for you, even if they were cut in half, you may want to consider another item that allows you to microdose and better monitor the amount of THC or CBD that you are consuming. \n\nIf you are interested in trying the Care By Design 2:1 sublingual drops, this may be a better option for you. Each drop will contain a higher amount of CBD than THC, so the psychoactive effects won't be as strong. You can also use the dropper to closely monitor the exact amount of tincture that you are consuming. Also, because it's a sublingual, it should absorb in the mouth faster than in your stomach like gummies and other edibles. With that said, please keep in mind a little self-experimentation is required to find the appropriate dose to not be too strong and still alleviate your symptoms. \n\nI hope this information helps! :-) \n\nVeronicaB\n_____________________\nHi @KC2018 - Yes! Gummies are definitely a popular product on the cannabis market! Part of the reason they are so popular is because it's an easy way to keep track of how much you are consuming. You want to make sure you are never feeling uncomfortable because it could be a sign that you have consumed too much!\n \nWe love Valhalla gummies and we know our patients do too, but I would also suggest the Plus Sour Watermelon (Sativa) gummies or the Plus Blackberry & Lemon (Indica) gummies. Each gummy contains at least 4.5mg of THC each, but they are also available in Coconut Pineapple CBD gummies with no THC. \n\nI hope you find the product that works best for you soon!\n\nVeronicaB","image":null}},{"node":{"id":"Question_12064-markdown","title":"What does high CBD mean for my health, I have joint pain.","slug":"what-does-high-cbd-mean-for-my-health-i-have-joint-pain","content":"\n_____________________\nHello,\nSeveral studies suggest that cannabis can help alleviate the pain of arthritis. And while cannabis research has historically focused  on THC, synthetic cannabinoids, or our own naturally occurring   cannabinoids, there is an evergrowing body of  research regarding the potential medicinal benefits of CBD.\n\nIn  a study with performed on mice with artificially induced arthritis, researchers concluded that \"CBD, through its combined immunosuppressive and anti-inflammatory actions, has a potent anti-arthritic effect\" which may even \"block the   progression of arthritis.\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/10920191\n\nResearchers in a different study concluded that \"topical CBD application  has therapeutic potential for relief of arthritis  pain and  inflammation\"\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/\n\n\ndrkim\n_____________________\nHello there!\nTHC  temporarily increases blood pressure and heart rate,  so it should be  taken cautiously if you have significant  cardiovascular risk factors.\nHowever,  studies suggest that prolonged administration of THC, in both humans  and  experimental  animals, lowers both blood   pressure and heart  rate. Animal studies suggest that this may be due to   a reduction in  adrenergic tone, which is also how beta-blockers, such   as metoprolol, work as anti-hypertensives. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2228270/#R\n\nAlso,  a study published last year found that a 600mg dose of CBD reduced   blood  pressure while resting, as well as when under physical or mental    stress.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5470879/#B7\n\nWhile  there are no clinical studies addressing the dosing of cannabis for  hypertension, I would likely recommend a high CBD vs low THC containing  product, such as a 20:1 edible, oil or spray -- dosing of 10mg of CBD  three times per day. You should keep a log to see if the addition of the  CBD:THC has had a positive effect on your blood pressure. \nHope this helps!\n\n\n\ndrkim\n_____________________\nHi there!\n CBD, through it's combined immunosuppressive and anti-inflammatory actions, has a potent anti-arthritic effect which may even block the progression of arthritis.\nhttps://www.ncbi.nlm.nih.gov/pubmed/10920191\nAlso, a very recently published study concluded that \"topical CBD  application   has therapeutic potential for relief of arthritis  pain-related   behaviors and inflammation without evident side-effects.\" \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/\nPerhaps most interesting, human synovial fluid (fluid in the joints  which  reduces friction) from osteoarthritis and rheumatoid joints  -- but not  from healthy joints -- contained the endocannabinoids  2-ag and   anandamine, which suggests that endocannabinoids are produced at the site of tissue injury to reduce inflammation. \nhttps://arthritis-research.biomedcentral.com/articles/10.1186/ar2401\n\ndrkim\n_____________________\nOne of CBD's defining therapuetic qualities is that it reduces inflammation. You can read more here: https://www.hellomd.com/health-wellness/5abeac04f24d1300077ccbae/how-cannabis-can-help-ease-arthritis-pain-and-inflammation\n\nKevin P.","image":null}},{"node":{"id":"Question_12054-markdown","title":"I live in Texas, have been using quality CBD oil from hemp but would be willing to come to Califormia for better pain treatment. I live in Texas. Would that be a possibility?","slug":"i-live-in-texas-have-been-using-quality-cbd-oil-from-hemp-but-would-be-willing-to-come-to-califormia-for-better-pain-treatment-i-live-in-texas-would-that-be-a-possibility","content":"\n_____________________\nYes you do not need a CA ID to obtain a CA recommendation. Once you are in CA, you would be able to speak with one of our doctors and they could recommend a treatment plan that would be best for you. I hope this answers your question!\n\nnsavelli","image":null}},{"node":{"id":"Question_12050-markdown","title":"My mother suffers from Parkinson's Disease and spinal stenosis","slug":"my-mother-suffers-from-parkinsons-disease-and-spinal-stenosis","content":"\"Would you recommend a particular CBD product for relief of her pain (mostly back and leg pain)? Would you recommend adding THC to the CBD if she also has trouble staying asleep at night?\"\n_____________________\nHello there!\nSeveral  preclinical studies demonstrated that modulating the endocannabinoid  system may be useful in treating some motor symptoms of Parkinson's  disease. Unfortunately though, results from clinical studies have been  inconclusive and conflicting. However, \"an open-label  observational study assessing the clinical effect of cannabis on motor  and non-motor symptoms of PD revealed significant improvement after  treatment in tremor (P < 0.001), rigidity(P = 0.004), and   bradykinesia (P < 0.001).\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/24614667\n\nAlso, typical neuropathological features of Parkinson's include  degeneration of dopaminergic neurons--several studies suggest that cannabis has antioxidant, anti-inflammatory and other properties that could be  neuroprotective, which may explain some of the positive results some studies have show regarding cannabis and Parkinson's.\nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4926438/\n\n\ndrkim\n_____________________\nAnd although the research regarding cannabis and motor symptoms of PD has  been conflicting, cannabis has been shown to mitigate many of the non-motor symptoms which often accompany Parkinson's, such as insomnia, pain, anxiety and depression.\n\nAltogether, I consider cannabis as a valuable adjunctive medicine for the treatment of Parkinson's, which should improve the quality of life for most patients afflicted with Parkinson's disease and may even slow the progression of the disease and reduce motor symptoms.\n\nHigher  concentrations of CBD vs THC, such as 20CBD:1THC, will lessen, or even  eliminate psychoactive effects, while still providing pain relief.  However, products with similar levels of CBD and  THC, such as 1:1, are more effective at treating pain, insomnia and  anxiety.  So, for most people, it takes some trial and error before  finding a compromise that provides noticeable relief, while also  avoiding unwanted side effects.\nAs an example:\nFor pain and PD treatment-\nhttps://www.cbd.org/cbd-soft-gels-41 - take one capsule every three to four hours. Each pill should contain 2.5mg of THC, which will likely cause mild psychoactive effects. \nIf you'd like to avoid any psychoactive effects, I'd recommend a product, such as https://www.cbd.org/products/chocolates/18-1-chocolate, also taken every three to four hours\nFor sleep and PD treatment-\nhttps://www.cbd.org/products/chocolates/1-1-chocolate - take one piece one to two hours before bedtime.\nHope this helps!\n\n\ndrkim","image":null}},{"node":{"id":"Question_12041-markdown","title":"I'm looking for a CBD/THC tincture that will help me with anxiety and sleep as well as back pain","slug":"im-looking-for-a-cbd-thc-tincture-that-will-help-me-with-anxiety-and-sleep-as-well-as-back-pain","content":"\n_____________________\nHi there!\nCannabis tinctures/oils with higher  concentrations of CBD vs THC, such as 20CBD:1THC, will lessen, or even  eliminate psychoactive effects, while still providing some pain and anxiety relief.  However, products with similar levels  of CBD and THC, such as 1:1, are more effective at treating pain, insomnia and anxiety.  So, for most people, it takes some trial and error before finding a compromise that provides noticeable relief, while also avoiding unwanted side effects. However, in most instances, I would initially recommend high CBD:THC ratios during the day, such as \nhttps://www.cbd.org/products/drops/18-1-drops\nAnd products with more THC during the evening to more effectively help treat the pain, anxiety and insomnia, such as\nhttps://www.cbd.org/products/drops/1-1-drops\n\nHow to use a sublingual tincture:\nhttps://www.youtube.com/watch?v=Y_G4OqWxgys\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_12035-markdown","title":"I am taking Tylenol 3's with codeine for osteoarthritis of the knees.  The pain is","slug":"i-am-taking-tylenol-3s-with-codeine-for-osteoarthritis-of-the-knees-the-pain-is","content":"","image":null}}]}},"pageContext":{"limit":12,"skip":24,"numPages":54,"currentPage":3,"id":5599,"name":"Pain","slug":"pain","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}