{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/peripheral-neuropathy/","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12303-markdown","title":"what is the best cbd oil for relief of peripheral neuropathy","slug":"what-is-the-best-cbd-oil-for-relief-of-peripheral-neuropathy","content":"\"it is not caused by diabetes\"\n_____________________\nHi there!\nThere 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\nExcellent 1:1 oils. \nhttps://www.hellomd.com/products/5b6e236796120c00012c69d2/11-releaf-tincture\nhttps://www.hellomd.com/products/58ed567a63d9e91a57368cc6/11-sublingual-drops\n\nI hope this helps!\n\ndrkim","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_12034-markdown","title":"What products is better for Diabetes Type 2 with diabetic nerve pain and diabetes neuropathy","slug":"what-products-is-better-for-diabetes-type-2-with-diabetic-nerve-pain-and-diabetes-neuropathy","content":"\n_____________________\nHello, \nThere was a very recently published randomized, double-blind,  placebo-controlled study (the gold-standard of study design) which found  that in humans:\n- THCV  significantly decreased fasting plasma glucose and improved pancreatic β-cell (insulin secreting cell) function\n- CBD reduced a hormone called resistin, which has been shown to increase LDL (bad cholesterol)\n-CBD  increased glucose-dependent-insulinotropic peptide, which is a hormone  that enhances the release of insulin following the intake of food. \nhttps://www.ncbi.nlm.nih.gov/pubmed/27573936\n\nAdditionally, Sativex, an  oromucosal spray with 1CBD:1THC, has been shown to effectively reduce 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_____________________\nAlso, CBD and THC have both been shown to possess  neuroprotective properties, which is why cannabis has been studied as a treatment modality for conditions, such as Alzheimer’s disease, Parkinson’s  disease, Huntington’s disease and traumatic brain injury. Cannabis should help prevent neuropathy and/or slow its progression via neuroprotection and blood sugar control. \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4604192/\n\nFurthermore, prolonged administration of THC, in both humans and  experimental animals, results in the lowering of 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. \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2228270/#R11\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. \n https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5470879/#B7\nDiabetes raises the risk of heart disease, stroke, kidney disease and other health problems; high blood pressure significantly raises those risks. \n\ndrkim\n_____________________\nConsidering the above -- to help control blood sugar, prevent  nerve damage and lower blood pressure -- I would recommend a high CBD, low THC product to use throughout the day.  If psychoactive effects were not an obstacle, vaporizing high THCV strains would also be an  effective strategy.\nAdditionally, Care By Design offers several different delivery methods, offered in multiple ratios; they also exclusively carry \"whole plant\" products.\nhttps://www.projectcbd.org/science/cannabis-pharmacology/single-compound-vs-whole-plant-cbd\nThe 18:1 products at https://www.cbd.org/ would be a great choice.\n\nHowever, low THC containing products, most likely, would not alleviate the neuropathic pain as well as higher THC containing products/strains.\nAgain, vaping high THCV strains would be a good choice for pain relief, neuroprotection and blood sugar control.\nI would also recommend a 1:1 product, such as\nhttp://kivaconfections.com/products/bars/ginger\nLike Care by Design, Kiva Confections subscribes to a whole plant philosophy. \nFor immediate pain relief, you should also consider the vaporizer pens offered by dosist. \nhttp://dosist.com/pen-relief/\n\nAlthough, unless adequate blood sugar control were verified by your primary care physician/endocrinologist, rather than as monotherapy, cannabis should be taken as an adjunct to your currently prescribed diabetes medications.\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_11800-markdown","title":"How much CBD Oil should be taken for diabetic neuropathy","slug":"how-much-cbd-oil-should-be-taken-for-diabetic-neuropathy","content":"\n_____________________\nHello,\nCannabis helps thousands of people deal with neuropathic pain. In fact, in New  York -- which has only approved medical cannabis for a very limited number of conditions -- 41% of  medical cannabis patients are being treated for neuropathic pain (by  far the most commonly treated condition).\nhttps://neuropathyjournal.org/cannabis-use-neuropathic-pain-part-1-of-3/\n\nUnfortunately, however, the research regarding isolated CBD and neuropathic pain is sparse. Although, in a study published in the British Journal of Pharmacology, researchers found that chronic administration of CBD prevents  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\ndrkim\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\nWhile there is no best cbd oil product, there is probably a best ratio of CBD:THC to suit your goals. Products with higher concentrations of CBD vs THC, such as 15CBD:1THC, will lessen, or even eliminate, psychoactive effects. However, products with similar levels of CBD and THC have been shown to alleviate pain most. So, for most people, it  takes some trial and error before finding an ideal compromise. Dosages will vary according to the patient's goals, pain level, tolerance, current medications, the CBD to THC ratio and other factors. Accordingly, I recommend that you consult with a qualified physician.\n\ndrkim\n_____________________\nIt's worth noting that no lethal dose of CBD has been identified, no dose known to cause adverse effects or organ toxicity in humans has been identified, and no dose of CBD has been identified as the minimal or maximal amount to take for any medical condition.  As Dr. Kim notes, it is very much trial and error as to how much to take, and other medications that are being taken may be an important factor in figuring it out.  If undertaking a program involving escalating doses of CBD it would definitely be a good idea to be under the active care a physician who would be on the lookout for the development of any problems.  \n\ndrelkind","image":null}},{"node":{"id":"Question_11766-markdown","title":"Help with diabetic peripheral neuropathy pain please.","slug":"help-with-diabetic-peripheral-neuropathy-pain-please","content":"\n_____________________\nNeuropathy is an approved diagnosis for medical cannabis in NY state. As diagnoses vary in each state, I first advise logging onto the Health Commerce website for more information about the medical cannabis program.  Medical cannabis is a great and effective solution to neuropathy and pain control.  During your consultation with a HelloMD consultant, a treatment plan will be developed to best meet your goals.  The attached link below provides a good summary of how medical cannabis can assist with the managment of neuropathy.\n\nhttps://www.coloradopotguide.com/colorado-marijuana-blog/article/cannabis-and-neuropathy-how-marijuana-helps-treat-neuropathic-pain/\n\njennifernp","image":null}},{"node":{"id":"Question_9225-markdown","title":" My oncologist recommended 200mg/200mg THC/CBD creme cream for neuropathy pain-will it help?","slug":"200mg-200mg-thc-cbd-creme-balm-lotion-oil","content":"You may want to try the products at HerbaBuena.com or in a local dispensary within your state.  There is a topical balm with 700mg of THC / 28 mg CBD per bottle (my clinical experience & the medical literature show that THC may be more useful for neuropathic pain).  \n\nOne can always make your own topical preparation.  Here's a recipe for a coconut-infused oil (that you can use in cooking as well as in making a topical salve) and another recipe for making a salve, both from the [HelloMD archives](https://www.hellomd.com/health-wellness/599b1575bfe97f2527bec839/diy-recipe-marijuana-infused-topical-for-pain-relief).   I hope that all of these prove useful!\n\nDr Park","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1.3245033112582782,"src":"/static/f4c12dcc747616c72ffa686ba54087a6/ee604/1f8f0f0ada8238b102df12f72327e6b6.png","srcSet":"/static/f4c12dcc747616c72ffa686ba54087a6/69585/1f8f0f0ada8238b102df12f72327e6b6.png 200w,\n/static/f4c12dcc747616c72ffa686ba54087a6/497c6/1f8f0f0ada8238b102df12f72327e6b6.png 400w,\n/static/f4c12dcc747616c72ffa686ba54087a6/ee604/1f8f0f0ada8238b102df12f72327e6b6.png 800w,\n/static/f4c12dcc747616c72ffa686ba54087a6/40363/1f8f0f0ada8238b102df12f72327e6b6.png 1054w","srcWebp":"/static/f4c12dcc747616c72ffa686ba54087a6/58556/1f8f0f0ada8238b102df12f72327e6b6.webp","srcSetWebp":"/static/f4c12dcc747616c72ffa686ba54087a6/61e93/1f8f0f0ada8238b102df12f72327e6b6.webp 200w,\n/static/f4c12dcc747616c72ffa686ba54087a6/1f5c5/1f8f0f0ada8238b102df12f72327e6b6.webp 400w,\n/static/f4c12dcc747616c72ffa686ba54087a6/58556/1f8f0f0ada8238b102df12f72327e6b6.webp 800w,\n/static/f4c12dcc747616c72ffa686ba54087a6/2de5e/1f8f0f0ada8238b102df12f72327e6b6.webp 1054w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Question_9002-markdown","title":"What can I use to help me alleviate the neuralgia pain? ","slug":"what-can-i-use-to-help-me-alleviate-the-neuralgia-pain","content":"\"The pain is intense.\"\n_____________________\nHi there! I'm sorry to hear you're struggling. You don't say specifically what type of nerve pain you are suffering from, but a quick search on our site revealed over 1,300 Q&As on the topic which you can view here: https://www.hellomd.com/search?type=question&term=nerve%20pain\nPlease also search using using terms more specific to the type of nerve pain you're experiencing to get more tailored results. Good luck!\n\nashleigh","image":null}},{"node":{"id":"Question_8946-markdown","title":"Cannabis tincture suggestions for nerve pain?","slug":"cannabis-tincture-suggestions-for-nerve-pain","content":"\"One of my relatives has been suffering from nerve pain. He says it's just his left side, and it feels like burning pins and needles. He did see the doctor, and the doctor said he has nerve damage similar to neuropathy, but aren't sure what the cause is. They suggested he try cannabis! He has tried the Lord Jones High CBD lotion but has not gotten relief. \n\nWe are wondering if maybe a tincture will help? What dosage might be beneficial for him? Any suggestions would be greatly appreciated. Thank you!\"\n_____________________\nHi there! I'm sorry to hear your relative is struggling with this uncomfortable condition. Happily, cannabis does provide relief for many people with this issue. Please check out these search results on the topic which should provide plenty of information for you:\n\nashleigh\n_____________________\nApplying cannabis to the skin will not provide significant absorption beyond a very local area so I would definitely try a tincture or similar preparation.  When tinctures or lozenges are held in the mouth effects may be noticeable within 10 minutes; when cannabis is swallowed it may take up to an hour for effects.  Starting with a CBD:THC ratio of 20:1 and varying the amount taken and the cannabinoid ratio (moving toward 1:1) may yield a preparation helpful in reducing the discomfort.  Most patients find this kind of cautious experimentation useful for finding the best relief of their symptoms.  \n\ndrelkind\n_____________________\nI agree with Dr. Elkind that a tincture containing both CBD and THC (for the entourage effect) would be a good choice.  I also agree that for some patients, a traditional cream/emollient/oil may only have limited penetration into the skin. However, I might suggest another alternative.  Companies like OMremedies.com & MakingYouBetterBrand.com have cannabis infused epsom salts (epsom salts being composed of magnesium salt which is important for nerve conduction). If you put a very small/fractional dose in warm (not steaming hot) water and see if the extremities can tolerate a dunk/bath for a short duration, this may be useful. In my experience a good deal of the limited medical literature concerning cannabinoids and neuropathic pain seem to use THC in the experiments (however an admixture of THC and CBD should also do well). I hope this helps please let us know what happens!\n\ndrpark","image":null}},{"node":{"id":"Question_8921-markdown","title":"What is available to help the pain of neuropathy?","slug":"what-is-available-to-help-the-pain-of-neuropathy","content":"\n_____________________\nHi there! This is a common complaint that many people use cannabis to manage. Please check out the following search results that came up when I looked up this topic on our site, they include articles, posts, and Q&As:\n\nashleigh\n_____________________\nNeuropathic pain may be associated with nerve damage, or can result from problems modulating pain signals in the nervous system.  This type of pain is difficult to treat, and many patients have tried gabapentin and similar medicines with only partial benefit.  Cannabis seems to be helpful for some patients in reducing their discomfort.  Finding a preparation useful for their symptoms often requires patients do some cautious experimenting with different varieties of cannabis and different preparations containing various CBD:THC ratios.  I suggest reviewing this article on the HelloMD website (https://www.hellomd.com/articles/cannabis-101-your-quick-guide-to-medical-marijuana) as an aid to discovering what might be useful and appropriate in this situation.  I suggest starting with preparations with at least equal amounts of CBD and THC, at low doses, and gradually increasing the dose and varying the CBD:THC ratio until some relief is felt.  I hope this is helpful.\n\ndrelkind","image":null}},{"node":{"id":"Question_8906-markdown","title":"occipital neuralgia","slug":"occipital-neuralgia","content":"","image":null}},{"node":{"id":"Question_8610-markdown","title":"I am having problems with peripheral neuropathy...","slug":"i-am-having-problems-with-peripheral-neuropathy","content":"\"The condition causes chronic pain and muscle spasms. I have begun taking 15mg of CBD oil capsules 3x per day. It has given me some relief but I am wondering if you have any suggestions that may increase its effectiveness? Higher mg's-more times per day? Should I take it with food or on an empty stomach?\"\n_____________________\nDr. Sharon Olson answered a similar question a couple months ago and recommends the use of a CBD dominant topical salve or cream along with a high CBD tincture or vaporizing oil for peripheral neuropathy. As well, Dr. Cheryl Bugailiskis responded to a question on peripheral neuropathy here: https://www.hellomd.com/answers/59ef4fac3cafbc00259c33c5/can-thc-cbd-cream-be-used-for-peripheral-neuropathy-of-unknown-etiology. You can find additional answers to questions related to peripheral neuropathy here: https://www.hellomd.com/search?type=question&term=peripheral%20neuropathy. Hope this helps!\n\nlyp","image":null}},{"node":{"id":"Question_8510-markdown","title":"Can CBD oil alone help with pain or does it need to have THC in it to be effective?","slug":"can-cbd-oil-alone-help-with-pain-or-does-it-need-to-have-thc-in-it-to-be-effective","content":"\"I suffer from Tarlov Cyst on my lower spine and my husband has painful neuropathy in both feet. \"\n_____________________\nCBD oil alone may help with pain, but often THC is needed, even just a very small amount. Everyone is different and it may take some trial and error to determine what formulation works best for you.\n\njulienp","image":null}}]}},"pageContext":{"limit":12,"skip":0,"numPages":3,"currentPage":1,"id":5627,"name":"Peripheral Neuropathy","slug":"peripheral-neuropathy","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}