{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/pain/8","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_9510-markdown","title":"Can I rub Awake on my skin where my pain is? If so how often - when I have pain or hours apart? Thank you.","slug":"can-i-rub-awake-on-my-skin-where-my-pain-is-if-so-how-often-when-i-have-pain-or-hours-apart-thank-you","content":"\n_____________________\nHello! I usually advise to use topical forms of cannabis on the skin at the site of pain every 2-3 hours as needed. Topical forms vary in composition and strength; some may work better than others. Some patients report that topical cannabis applied once daily works well, and other people reapply throughout the day. Best of luck!\n\ndrjacquelynlew","image":null}},{"node":{"id":"Question_9488-markdown","title":"Does a CBC 8:1 ratio spray or 2:1 CBC:THCA tincture with moderate use for pain affect the liver?","slug":"does-a-cbc-8-1-ratio-spray-or-2-1-cbc-thca-tincture-with-moderate-use-for-pain-affect-the-liver","content":"\n_____________________\nGreat question.  It is not known precisely how much of any given tincture or spray is absorbed into the oral mucosa and how much makes it into the digestive track.  This is important because the more that is absorbed directly the less chance it has to be metabolized in the liver, which is something called First Pass Effect.  It is generally thought that most oral sprays are absorbed readily by the tongue, mouth, and gums thus avoiding the liver almost entirely.  It is important to know that at least some of the drug will make it to the liver.  Keep that in mind.  \n\nNP Joshua","image":null}},{"node":{"id":"Question_9481-markdown","title":"What products are being used for pain caused by peripheral neuropathy?","slug":"what-products-are-being-used-for-pain-caused-by-peripheral-neuropathy","content":"\n_____________________\nIt is always a good idea to find out why a problem exists so the problem can be addressed appropriately. Why do you have  peripheral neuropathy? Is your peripheral neuropathy due to vascular problems, neurological problems, nutritional deficiencies or is the reason unknown? Certainly I would encourage you to start doing CBD tincture or lozenges or THCA to reduce the inflammatory load on your body that may be resulting in your neuropathy. CBC may be beneficial if your neuropathy is due to a neurological problem. Consider treating your body internally and externally with CBDs since the external creams or balms do not go systemic. Have you had your inflammatory cells monitored? Are you eating sugar, using artifical sweetners, eating chemically laden foods with MSG and have you tried stopping all inflammatory foods? If you have also lost motivation, a small amount of Sativa could help to get you moving again but always balance high THC with high CBD for deep restorative sleep and long term improved health. If you take a multi level approach to treating yourself you very likely will end up much healthier with improvement in your disease process. I think CBDs make you learn to love yourself and you start treating yourself in a healthier way. \n\ndrolson","image":null}},{"node":{"id":"Question_9462-markdown","title":"What is the best edible for temporary low back pain?","slug":"what-is-the-best-edible-for-temporary-low-back-pain","content":"\n_____________________\nIt's hard to say what edibles are best for lower back pain because everyone reacts differently to cannabis. What works for me may not work as well for you. How well you tolerate THC and the best method of ingestion vary from person to person. My questions to you are:\n\n - Have tried many other products to see what works best for pain? Topicals, gel caps, vaping?\n-What is your tolerance with THC? High or low?\n-Have you tried CBD for pain?\n\nFor me, taking too much THC exacerbates pain, so I tend to lean towards CBD dominant products with a ratio of 3:1 when vaping and even higher when I take tinctures.\n\nIf you have a high tolerance where you can take upwards of 10mg you have a wide variety of choice. Plus Gummies are very tasty and people often swear by the uplifting effects. Another edible people like are Kiva espresso bites which are chocolate covered coffee beans and are a lower dose at 5mg a bean.\n\nIf you seek an edible that is healthier and incredibly tasty, I am a big fan of the new Kikoko teas, which are around 7mg of THC per dose and the flavor in the tea is amazing.\n\nIf CBD is an effective pain reliever for you, I really love Satori edibles and they have a variety of CBD options like the chocloate sea salt almonds.\n\nI've included a HelloMD article below on back pain.\n\nI hope this helps!\n\n\npamelahadfield","image":null}},{"node":{"id":"Question_9442-markdown","title":"I have joint pain due to arthritis and request advice for pain management without getting high. Thank you.","slug":"i-have-joint-pain-due-to-arthritis-and-request-advice-for-pain-management-without-getting-high-thank-you","content":"\n_____________________\nHere are the products I most recommend to help address arthritic pain. The spray and the body lotion would not cause you to get high if used as directed.  \n\nThe 2:1 spray only delivers 1.3mg of THC/spray, an amount the vast majority would not notice when using one spray. You can also use the 4:1 spray, which would deliver less THC/spray (0.65mg) - one or two sprays would not get you high. \n\nhttps://www.cbd.org/products/cbd-sublingual-spray\nI  recommend the 2:1 spray . Each spray delivers 2.6mg of CBD and 1.3mg  of  THC. I recommend sprays because they are easier to use than are oils   and tinctures. For most of my patients, I recommend one to two sprays  as  needed, as frequently as every hour.\n\nhttp://www.lordjones.com/topicals.php\nLord Jones 1:1 Pain and Wellness Formula Body Lotion. Apply to affected area as frequently as every two hours.\n\nhttps://www.cbd.org/products/cbd-chocolate\nI recommend the 18:1 bar. Each 1/4 piece contains 20mg CBD and 1.1mg THC.  Take 1/4 of the bar as frequently as every two hours.\n\ndrkim\n_____________________\nI’m not doctor, but I do know that topicals do help alleviate the joint pain that comes with having arthritis. Here’s an article below that @eearlenbaugh wrote explaining what exactly a topical is, why patients use it, and even how to apply the topical. Use the link below to access that article:\n\n@eearlenbaugh states that a popular use for the cannabis-infused topical is for arthritic joint pain and provides direct relief to the areas that it’s needed most.  “Arthritis patients who use cannabis-infused topicals regularly often report finding mild pain relief at first, but with regular use, their overall pain gradually reduces over time. If you suffer from arthritis, marijuana-infused topical may be a great option to try out.” As she stated, you will need to make sure that you continue to use the topical because you  may not feel the full effects at first. My suggestion is to apply it regularly, and over time, you will notice the pain will subside. \n\nRyanG","image":null}},{"node":{"id":"Question_9441-markdown","title":"Chronic Pain sufferer looking for advice.","slug":"chronic-pain-sufferer-looking-for-advice","content":"\"I am a chronic pain sufferer, have had 5 failed back surgeries, have hip bursitis and frozen shoulder in both shoulders.  I suffer from neurpathy down both legs.    I am trying to get off opoids and want to try CBD.  I live in Washington State so I guess I could go to a dispensery to get it, but I am not sure of correct dosage.  Does anyone think CBD alone would help, or should I wait to talk to my doctor about using regular marijuana?   In my pain contract I need his permission to use marijuana, but I have heard that CBD has such low THC it would not show up in a test.  I was on medical marijuana years ago, but never renewed my license so I have experience with it.   If CBD without a high concentration of THC would help me I am willing to try it.  Any help would be greatly appreciated.\"\n_____________________\n I suffer from a rare nervous disorder formerly called RSD (Reflex Sympathetic Dystrophy now called Chronic Regional Pain Syndrome. Also, I am a chronic insomniac. Can cannabis help?\n\ngeorg3558\n_____________________\nI would like to reduce my dependency on Valium. Suggestions?\n\ngeorg3558\n_____________________\nMany of my patients with chronic pain have found benefit in adding medicinal cannabis to their treatment regimen, but it can sometimes take a bit of work to discover what helps most.  It sounds like you might be a little unclear on the CBD/THC issue so I suggest this quick read for a good layperson's review of the pharmacology of cannabis:  www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana  CBD is remarkably non-toxic and there is no reason I can think of not to try a CBD preparation at moderate doses (up to 20mg).  Reducing the discomfort of chronic pain is a complicated problem, which is why there are physicians specializing in just this area.  Because the mind and emotions are extremely important in treating pain that has become chronic it is probable that some THC in the preparation being used would be more helpful.  How much is more a matter of cautious experimentation than prescription.  Various hybrid strains of cannabis have been developed expressing primarily CBD rather than the other cannabinoids (eg Harlequin) and many preparations for vaping or ingestion contain CBD:THC ratios anywhere from 20:1 to 1:1.  I do not recommend trying to evade a drug test: you should try discussing this issue with your pain management physician and seek to add medicinal cannabis to your treatment as a way of being able to reduce your reliance on opioids.   I would think your pain management physician would have a postive view of that plan. \n\ndrelkind","image":null}},{"node":{"id":"Question_9418-markdown","title":"What should I take for back pain? ","slug":"what-should-i-take-for-back-pain","content":"\n_____________________\nHave you tried CBD topicals and/or edibles? \r\n\r\nI would recommend trying the Lord Jones 5:1 Pain and Wellness  Formula Body lotion for quick relief.\r\n\r\nAnd for continued relief I would try CBD edibles so that the CBD can stay in your system longer than vaporizing or smoking for example. \r\n\r\nThe Sensi Chew CBD Gold is a 1:1 ratio so it is psychoactive for patients who do not have a tolerance to THC. \r\n\r\nYou can also try the Sensi Chew Platinum which contains CBD only which is not psychoactive. \r\n\r\n\n\nBartSmart\n_____________________\nA colleague here at HelloMD wrote an outstanding article regarding marijuana strains for back pain:\nhttps://www.hellomd.com/health-wellness/57e1803d16ce30000b06ba0a/the-best-marijuana-strains-for-back-pain\n\nHowever, because many patients would like to avoid smoking and vaping, I will provide a list of edible and topical cannabis products that I highly recommend for chronic back pain.\n\nhttps://www.cbd.org/products/cbd-sublingual-spray\nI recommend the 2:1 spray . Each spray delivers 2.6mg of CBD and 1.3mg of THC. I recommend sprays because they are easier to use than are oils and tinctures. For most of my patients, I recommend one to two sprays as needed, as frequently as every hour.\n\nhttps://www.cbd.org/products/cbd-chocolate\nI recommend the 18:1 bar.  Each 1/4 piece contains 20mg CBD and 1.1mg THC. Take 1/4 of the bar as frequently as every two hours.\n\nhttp://www.lordjones.com/topicals.php\nLord Jones 1:1 Pain and Wellness Formula Body Lotion.  Apply to affected area as frequently as every two hours. \n\ndrkim","image":null}},{"node":{"id":"Question_9393-markdown","title":"What should I take for back pain?","slug":"what-should-i-take-for-back-pain","content":"","image":null}},{"node":{"id":"Question_9392-markdown","title":"What should I take for back pain?","slug":"what-should-i-take-for-back-pain","content":"","image":null}},{"node":{"id":"Question_9369-markdown","title":"Need advice for chronic pain","slug":"need-advice-for-chronic-pain","content":"\"I've tried a bunch of different things for my chronic pain with zero success. I suspect I'm not using the right strains (I've been doing packaged edibles) or a high-enough right dose. I could use some advice on things to try! I prefer vaping with cartridges, pre-made edibles, or tinctures. (ie not smoking loose stuff) I don't mind THC (ie, doesn't have to be CBD-only) but I don't like being very high.\n\nCream works wonders but only lasts about 2 hours, and not all of my pain is muscular-near-the-surface.\n\nI also have severe anxiety (which I also haven't found a cannabis fix for) so Sativa isn't ideal.\n\nThanks for any advice!\"\n_____________________\nHave you been consistent with taking high CBDs at least 1 time per day? Get lots of CBD into your system and apply your CBD topical every hour during your waking hours and treat your spine where the nerves come out for better pain coverage and in about 1 week you will greatly reduce your pain level. Too much THC increases pain, anxiety and sleep disturbance but CBD is a great balancer for high THC.  I do not advise edibles when your medication is so important because edibles require perfect digestion and absorption for effectiveness. Sublingual lozenges, strips, tinctures and vaporizing would likely be a little more reliable. You may not feel the CBD internal medication for up to a month depending on how much inflammation you need cleaned up but by 2 months you should experience considerable relief. You could start with AC/DC or Harlequin vaporized for faster relief. This has worked for me and it combines well with a high THC Sativa microdosed in the daytime followed by high dose CBD 1 hour before bedtime. \n\ndrolson\n_____________________\nAs a person with multiple sclerosis, spinal disc issues, a ton of nerve pain and other pains, plus depression/anxiety, the first thing I would recommend is using indica, not sativa!  Or, at least a hybrid that is heavy indica.\n\nFor me, sativa causes more of the head high that's great for energy and creative thinking, but not for pain and relaxation!  In fact, I've found sativa causing me more anxiety at times without touching my pain like indica does.\n\nRegardless of what Doctor Sahron Olson is recommending, try to find out what other patients are using for troubles similar to yours.\n\nAnd just try indicas next.  The \"high\" isn't as pronounced and relaxation comes easier leading to feeling tired and sleepy.  This is a plus for those of us who have insomnia at times as well.\n\nGood luck!\n\n \n\n\ndgostin\n_____________________\nWhen I say 'high CBD', I am referring to a level of CBD that can help medically and off set or balance THC, like an 18:1, 20:1, or even higher. THC can increase pain but THC is helpful so you can use CBD at a higher level than the THC to produce therapeutic results with the CBD but it will take time before you feel the effects, about 1 month. If a person uses Sativa with high THC during the day, one can achieve deep restorative sleep after Sativa by using a high dose CBD tincture 1 hour before bedtime. Or you may prefer smaller doses of high CBD taken approximately 3 times per day and Indica at night for deep sleep. Cannabis, especially the CBDs can facilitate your wellness.\n\ndrolson","image":null}},{"node":{"id":"Question_9364-markdown","title":"Need help with shoulder pain?","slug":"need-help-with-shoulder-pain","content":"\n_____________________\nPain in the shoulder may be just the shoulder but often it is pain from the lower cervical spine since the nerves to the shoulder exit the spine in the lower neck.  I encourage topical 1:1 applied every 15-20 minutes or until the pain is under control but be sure to apply the topical to your lower neck, all around the scapulae and even deep in the armpit for full coverage. You may need a high CBD internally like AC/DC vape or tincture if the topical does not bring 100% relief. Keep applying the topical every hour during your waking hours to keep the pain in remission and in about 1 week your body may greatly reduce the pain signals you are receiving. The trick is to never let the pain break through and the body stops sending the pain signals over time. \r\nIf you have problems finding a great topical cannabis preparation, please, contact your local delivery service.\n\ndrolson","image":null}},{"node":{"id":"Question_9356-markdown","title":"Can cannabis help with chronic post-surgical pain from a hernia operation?","slug":"can-cannabis-help-with-chronic-post-surgical-pain-from-a-hernia-operation","content":"\"Is there hope for someone like me who has had surgery on their genitals due to hernia and suffers from daily post-surgical pain? \"\n_____________________\nSorry to hear you have post-surgical pain.  Your question didn't make clear whether the genital surgery was for scrotal hernia, or  if you are a female who had a (rarer) labial hernia.  Either way, there are many causes of post-surgical pain and cannabis may be helpful for some.  After directly treatable causes have been ruled out by your physician, cannabis has been found helpful by some patients for resetting the chronic pain threshold, although this may take some cautious experimentation with things like CBD:THC ratio.  Also, remember that nerves heal more slowly than other body tissues and sometimes post-surgical pain resulting from surgical trauma to nerves resolves over many months rather weeks, or even longer. \n\ndrelkind\n_____________________\nI have found the topical 1:1 cream applied every hour during your waking hours and applied to your lower lumbar spine (where the nerves come out to your pelvis) and rubbed into the surgical site should produce a significant reduction in your pain level within 1 week but if you still have any pain remaining be sure you are taking some CBDs internally like an AC/DC in a tincture or vaporizing oil and your pain should resolve. This has worked for my postoperative pain and I would love to hear how it has helped you.\n\n\ndrolson","image":null}}]}},"pageContext":{"limit":12,"skip":84,"numPages":54,"currentPage":8,"id":5599,"name":"Pain","slug":"pain","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}