{"componentChunkName":"component---common-build-tags-template-js","path":"/tag/pain-management/4","result":{"data":{"allArticle":{"edges":[{"node":{"id":"Article_2078-markdown","title":"Top Cannabis Strains for Fibromyalgia","slug":"top-cannabis-strains-for-fibromyalgia","content":"\nFibromyalgia is a disease that is still a mystery to much of the medical community, even though it affects about five million American adults, and predominantly women. Chronic pain is the main symptom of fibromyalgia, along with depression, headaches, and insomnia. [A 2007 study](https://www.ncbi.nlm.nih.gov/pubmed/15159679) in the Journal of Neurology found that cannabis can help ease the pain caused by peripheral neuropathy, which is pain caused by damaged nerves. The placebo controlled trial found that cannabis was comparable to the best effective treatment that is currently available for peripheral neuropathy. Peripheral neuropathy is one of the main causes of pain for people with fibromyalgia. \n\nIn a [survey by the National Pain Foundation](http://nationalpainreport.com/marijuana-rated-most-effective-for-treating-fibromyalgia-8823638.html), medical marijuana was seen as the most effective treatment for fibromyalgia when compared to the three main medications prescribed for the condition, which are Lyrica, Cymbalta, and Savella. 62% of patients who used medical marijuana found it to be a very effective at treating their symptoms of fibromyalgia, and 33% of people said it helped their symptoms. Only 5% said that cannabis was ineffective with alleviating symptoms due to their fibromyalgia. \n\nRELATED: [RELIEF FOR FIBROMYALGIA SYMPTOMS - THE CASE FOR MARIJUANA](https://www.hellomd.com/health-wellness/559adb8865623000060f0000/relief-from-fibromyalgia-symptoms-the-case-for-medical-marijuana)\n\n### The Top Strains for Fibromyalgia\n\nIt has also been hypothesized that fibromyalgia could be caused by CECD, or Clinical Endocannabinoid Deficiency. If fibromyalgia is caused by a lack of the bodies natural endocannabinoids, cannabis could be effective at supplementing the bodies missing endocannabinoids. Marijuana decreases patient’s symptoms ranging from chronic pain to depression to insomnia. \n\nHere are some marijuana strains that have been found to be effective for fibromyalgia patients. \n\n### God’s Gift\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7e3cfe9b59000bea9611/Screen_Shot_2016-10-23_at_8.19.20_PM.png)\n \n[God’s Gift](https://hellomd.com/strains/5b3157cd9755250007f2afcd) is an indica strain that stems from Granddaddy Purple and OG Kush. It is known for its high levels of THC, which range from 18% to 22%. God’s Gift produces relaxed and happy feelings that also help fight pain. God’s Gift can also help alleviate depression and insomnia. \n\n### Fire OG\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7e3dfe9b59000bea9612/Screen_Shot_2016-10-23_at_8.19.43_PM.png) \n\n[Fire OG](https://hellomd.com/strains/5b3154489755250007f2af83) is a hybrid strain that is a combination of OG Kush and San Fernando Valley OG Kush. Fire OG contains up to 20% THC and under 1% of CBD. It is known for its uplifting, happy, and relaxed effects. Fire OG also contains limonene and linalool, both of which are terpenes that are known for their antidepressant qualities. This is a very good strain to help relieve depression, pain, and stress. \n\n### Harlequin\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7e677947f3000b9a61d6/Screen_Shot_2016-10-23_at_8.19.37_PM.png)\n \nHarlequin is a 75% sativa dominant strain that is known for its high levels of CBD. It has a 5:2 CBD to THC ratio that provides patients with a clear headed and alert effects. Harlequin is great for treatment of pain and reduction of inflammation because of its combination of THC and CBD. Harlequin is a great choice for people who do not do well with high levels of THC or psychoactive effects. Harlequin is also great at helping alleviate depression, anxiety, and headaches. \n\n### Romulan\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7e687947f3000b9a61d7/Screen_Shot_2016-10-23_at_8.19.43_PM.png)\n \nRomulan is an indica strain that stems from North American Indica and White Rhino. It is a strain that is known to help people with muscle spasms and nerve damage related pain, which could be particularly helpful for people with fibromyalgia. Romulan can be very strong and produce sleepy effects, which makes it good for night time use. Romulan is good at fighting pain and insomnia. \n\n### Red Dragon\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7f210d2d2f00075dfa8c/Screen_Shot_2016-10-23_at_8.22.46_PM.png)\n\nRed Dragon is a hybrid strain that comes from a cross-breeding of Himalayan Kush and Utopia Haze. It is known for its uplifting effects, which makes it great for relieving depression, though it can have high levels of psychoactivity that can cause problems for some people. Red Dragon is known for its energizing effects, while being good at fighting pain. \n\n### Critical Mass\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7f220d2d2f00075dfa8d/Screen_Shot_2016-10-23_at_8.23.01_PM.png)\n\nCritical Mass is an indica strain that stems from Afgani and Skunk #1. It is known for its high levels of THC, which range from 19% to 22%. Critical Mass is known to produce relaxed and happy feelings while relieving harsh pain. It is also a great choice for insomnia because of its high levels of THC and can also help fight stress and depression. \n\n### Strawberry\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7f480d2d2f000ba4865e/Screen_Shot_2016-10-23_at_8.23.24_PM.png)\n\nStrawberry is a sativa strain that is known for its stress and pain relieving qualities. Strawberry is known for its pain relieving qualities, without having high levels of paranoia. Its uplifting effects can also help fight fatigue, depression, and headaches, which makes it a great choice for a daytime strain. \n\n### Cannatonic\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7fb27947f3000b9a61da/Screen_Shot_2016-10-23_at_8.27.01_PM.png)\n\nCannatonic is a low THC strain that has high levels of CBD. Though its ratios range, Cannatonic normally has THC levels below 6% and levels of CBD ranging from 6% to 17%. It is known for its uplifting and relaxing effects and is one of the most popular medical strains because of its pain and anxiety relieving qualities. Cannatonic also contains limonene, which is a terpene that is great at alleviating depression. It also has great anti-inflammatory properties due to its high levels of CBD. \n\n### Scooby Snacks\n\n![](https://hellomd-production.s3.amazonaws.com/articles/580d7d070d2d2f000ba48658/embedded_images/580d7fb37947f3000b9a61db/Screen_Shot_2016-10-23_at_8.26.45_PM.png)\n\nScooby Snacks is an indica dominant hybrid that stems from a mix of Face Off OG and Platinum Girl Scout Cookies. It is known for its high THC potency and its ability to produce calming and happy effects. Scooby Snacks is a great strain for relieving symptoms of fibromyalgia like depression, insomnia, and pain. It is best used at night or before bedtime.\n\n### Key Lime Pie\n\n![key-lime-pie](https://hellomd-development.s3.amazonaws.com/articles-580d7d070d2d2f000ba48658-31f450e6-e122-42fc-9bbf-f1ac1f1b9579/original.png)\n\nKey Lime Pie is a hybrid strain that is a mix of OG Kush, Cherry Pie, and Durban Poison. It is known to produce whole body relaxation that helps with pain and insomnia. Its high levels of THC can be quite potent, which allows it to have strong uplifting and pain relieving effects. Key Lime Pie can also be helpful at relieving headaches. \n\nIf you are new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's 100% online, private and efficient.","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3333333333333333,"src":"/static/db6d5c0a25ab5f67b27606ae43a9626a/14b42/d8daf9e2efc5b233d06ea43d53e1aaff.jpg","srcSet":"/static/db6d5c0a25ab5f67b27606ae43a9626a/f836f/d8daf9e2efc5b233d06ea43d53e1aaff.jpg 200w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/2244e/d8daf9e2efc5b233d06ea43d53e1aaff.jpg 400w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/14b42/d8daf9e2efc5b233d06ea43d53e1aaff.jpg 800w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/47498/d8daf9e2efc5b233d06ea43d53e1aaff.jpg 1200w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/54ac5/d8daf9e2efc5b233d06ea43d53e1aaff.jpg 1365w","srcWebp":"/static/db6d5c0a25ab5f67b27606ae43a9626a/58556/d8daf9e2efc5b233d06ea43d53e1aaff.webp","srcSetWebp":"/static/db6d5c0a25ab5f67b27606ae43a9626a/61e93/d8daf9e2efc5b233d06ea43d53e1aaff.webp 200w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/1f5c5/d8daf9e2efc5b233d06ea43d53e1aaff.webp 400w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/58556/d8daf9e2efc5b233d06ea43d53e1aaff.webp 800w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/99238/d8daf9e2efc5b233d06ea43d53e1aaff.webp 1200w,\n/static/db6d5c0a25ab5f67b27606ae43a9626a/5e0b8/d8daf9e2efc5b233d06ea43d53e1aaff.webp 1365w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2041-markdown","title":"Smoking Dabs: Is it Bad for You?","slug":"smoking-dabs-is-it-bad-for-you","content":"### Is Dabbing Bad?\n\nDabbing is one of the most controversial methods for administering marijuana to patients. Despite dabbing’s bad reputation, it has strong medicinal benefits. Dabs allow patients to quickly receive a strong dose of cannabinoids that is not possible with almost any other administration method. \n\n### High Strength Concentrates\n\nThe marijuana extracts, also known as concentrates, that are used in dabbing are known for their high levels of THC. However, they are also high in other beneficial components, such as other cannabinoids and terpenes. \n\nAll of the components of the plant are amplified in cannabis extracts and they work together in a synergistic manner. This is also known as the entourage effect. The high strength of all of the cannabis components provides a strong hit of medicine that gives patients quick and effective relief. \n\n### Significant Pain Relief\n\nMany patient support groups have expressed that dabs have a place in medical cannabis for patients that have extreme pain. Since dabbing provides rapid relief, it can be particularly helpful for patients who experience quick onset pain that is particularly excruciating. Concentrates are on average four times stronger than smoking a joint. This means by dabbing a patient can receive a much stronger medicinal dose in one shot. \n\nIn particular, dabbing can be helpful for patients who have problem with pain induced insomnia. Concentrates are known for their psychoactive effects because of the high levels of THC, but the high levels of THC also help patients fall asleep quickly and many of the psychoactive effects will wear off before the patient wakes up. \n\n### Extraction Methods Matter\n\nPatients should know that concentrates are concentrated forms of the plant. This means it is important to only select extracts created with organic ethanol, water, or CO2 that are grown without the use of pesticides and toxic chemicals. For this reason, the extraction methods of cannabis wax are a big source of controversy. It is important to choose cannabis extracts that are high in quality in order to not receive any adverse effects from dabbing, especially with those who may have compromised immunity.\n\nMany extracts are made with butane, which can leave a dangerous residue in the cannabis extract. CO2 extraction has been prized as the cleanest way to create a cannabis extract, but some people argue that terpenes aren’t preserved in wax created from CO2 extraction. Organic ethanol extraction, however, has been seen to have less problematic residue than butane, but preserves the terpenes in cannabis.\n\n### Strong Pain Relief\n\nThe Addictive Behaviors Journal published a study from the State University of New York in Albany which was conducted with 357 patients who participated in dabbing. All of the patients had a history of cannabis use and the study determined that dabbing causes no more problems than with traditional cannabis. \n\nThe participants reported that dabs did, however, lead to higher tolerance levels and withdrawals. The consumers within the study, overall, did view it as a more dangerous form of cannabis administration than traditional smoking. \n\nDabbing is the strongest form of cannabis that a patient can administer, but it can be helpful for a particular series of medical conditions that require a very strong dose of pain reducing medication. Dabbing is also helpful for people that have severe pain that comes on quickly and acutely, or those with pain induced insomnia. \n\nPeople considering trying concentrates for their medical conditions should be very careful when trying dabbing for the first time. Starting with a low dose is very important, as well as avoiding driving or doing other similar tasks for a significant period of time after dabbing due to its strong psychoactive effects. \n\nPeople with conditions like anxiety and depression, in particular, should be wary of how the strong levels of psychoactivity could effect them because dabs have extremely high levels of THC.\n\nDo you have questions about about cannabis? Ask a question on [HelloMD's new Answers](https://www.hellomd.com/answers). A doctor or member of our community will answer.\n\nIf you are new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's 100% online, private and efficient.\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3333333333333333,"src":"/static/22ea92309efa8e3878ba7d9066e79983/14b42/3cb5c7b5227a967eb61eccffef8b586e.jpg","srcSet":"/static/22ea92309efa8e3878ba7d9066e79983/f836f/3cb5c7b5227a967eb61eccffef8b586e.jpg 200w,\n/static/22ea92309efa8e3878ba7d9066e79983/2244e/3cb5c7b5227a967eb61eccffef8b586e.jpg 400w,\n/static/22ea92309efa8e3878ba7d9066e79983/14b42/3cb5c7b5227a967eb61eccffef8b586e.jpg 800w,\n/static/22ea92309efa8e3878ba7d9066e79983/47498/3cb5c7b5227a967eb61eccffef8b586e.jpg 1200w,\n/static/22ea92309efa8e3878ba7d9066e79983/54ac5/3cb5c7b5227a967eb61eccffef8b586e.jpg 1365w","srcWebp":"/static/22ea92309efa8e3878ba7d9066e79983/58556/3cb5c7b5227a967eb61eccffef8b586e.webp","srcSetWebp":"/static/22ea92309efa8e3878ba7d9066e79983/61e93/3cb5c7b5227a967eb61eccffef8b586e.webp 200w,\n/static/22ea92309efa8e3878ba7d9066e79983/1f5c5/3cb5c7b5227a967eb61eccffef8b586e.webp 400w,\n/static/22ea92309efa8e3878ba7d9066e79983/58556/3cb5c7b5227a967eb61eccffef8b586e.webp 800w,\n/static/22ea92309efa8e3878ba7d9066e79983/99238/3cb5c7b5227a967eb61eccffef8b586e.webp 1200w,\n/static/22ea92309efa8e3878ba7d9066e79983/5e0b8/3cb5c7b5227a967eb61eccffef8b586e.webp 1365w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2236-markdown","title":"The Best CBD Marijuana Strains for Migraines ","slug":"the-best-cbd-marijuana-strains-for-migraines","content":"
Medical marijuana has been found to be extremely effective at treating migraines. A 2016 study out of the Skaggs School of Pharmacy and Pharmaceutical Sciences at the University of Colorado concluded that [using medical marijuana could greatly reduce the frequency of migraine headaches](https://www.ncbi.nlm.nih.gov/pubmed/26749285). \r\n\r\nThe study, which was published in the _Journal of Human Pharmacology and Drug Therapy_, included 121 adult participants. With the use of cannabis in multiple forms on a daily basis, the average number of migraines decreased from 10.4 to 4.6 per month. Overall 85% of participants reported fewer migraines, 19.8% reported that cannabis helped prevent their migraines, and 11.6% of participants said that medical marijuana stopped their migraines altogether. The study also identified that the inhalation of marijuana was the best administration method for fast migraine relief. \r\n\r\n### Marijuana and Migraines: The Endocannabinoid Connection\r\n\r\nA 2008 study published in _Neuroendocrinology Letters_ found that [migraines are deeply connected with endocannabinoid function](https://www.ncbi.nlm.nih.gov/pubmed/18404144). The study stated that the possible cause of migraines could be an endocannabinoid deficiency, meaning cannabis could be extremely helpful in decreasing migraines by supplementing the body's natural store of endocannabinoids. \r\n\r\nCannabidiol (CBD) has been found to be very effective at treating migraines because of its anti-inflammatory and analgesic properties. Tetrahydrocannabinol (THC) is also helpful at relieving migraine symptoms due to its ability to greatly reduce pain. CBD-heavy strains, however, help alleviate symptoms while keeping sufferers alert. \r\n\r\nMost notably, because they have little to no psychoactivity, high CBD strains will allow a patient to get through the day without the feeling of being stoned. Most of the high CBD strains listed below do contain some THC however. Depending on how sensitive you are to THC, some marijuana strains may be borderline psychoactive. It will require a bit of trial and error to see which CBD strain works best in easing your migraines while keeping you on your toes during the day.\r\n\r\n### The Best CBD Marijuana Strains for Migraine Relief\r\n\r\n#### Canna-Tsu\r\n\r\nCanna-Tsu is a hybrid strain that’s a mix of Cannatonic and Sour Tsunami. Canna-Tsu is known for its high levels of CBD and low levels of THC. It’s known to produce calming effects and mental clarity. Canna-Tsu helps reduce inflammation, which is often one of the most common causes of migraines. This marijuana strain is also well known for alleviating the pain associated with migraines and headaches. \r\n\r\n#### Harlequin\r\n\r\nHarlequin is a 75% sativa-dominant hybrid that has a 5:2 CBD to THC ratio. With about 4–7% THC and 8–16% CBD, Harlequin produces the feeling of a clear-headed alertness, which may help people get through their day. With its nice a balance of THC to CBD, this marijuana strain is very helpful for people that have high levels of pain associated with migraines. Harlequin is also known to be relaxing, but non-sedative and without the intense psychoactive high that comes with higher levels of THC. \r\n\r\n#### ACDC\r\n\r\n[ACDC](https://www.hellomd.com/strains/5a7cbe97d520d60009f4f4a5/acdc) is a high CBD strain that’s sativa-dominant. ACDC has a 20:1 CBD to THC ratio, with CBD levels as high as 19%. It’s known for its efficacy at reducing inflammation because of its high levels of CBD. This makes it effective at reducing the symptoms of migraines. ACDC is also good at reducing anxiety and depression. Due to its extremely low THC content, this marijuana strain isn’t likely to give you a psychoactive high.\r\n\r\n#### Cannatonic\r\n\r\n[Cannatonic](https://www.hellomd.com/strains/5a7ce5dcd520d60009f4f4bd/cannatonic) is known for its low THC content, which is often below 6%, and its high CBD content, which is normally at about 6–17% and sometimes even higher. It’ss known for producing relaxing and uplifting effects. Cannatonic is acclaimed as one of the top medical marijuana strains because it’s great at treating headache and migraine pain with little to no psychoactive effects.\r\n\r\n#### Sour Tsunami\r\n\r\nSour Tsunami is specifically bred for its high CBD content, making it effective at reducing inflammation that’s a part of migraines. It’s a sativa-dominant hybrid with about 10% CBD and a THC content under 10%. Sour Tsunami is known for its ability to relieve pain associated with migraines. At a 1:1 ratio, this marijuana strain may induce psychoactive effects, although it will likely be at most a mild high.\r\n\r\n#### Remedy\r\n\r\nRemedy is an indica strain with high levels of CBD—around 15%—and almost no THC—less than 1%. Remedy is known to produce a mellow, relaxed state. Its high CBD levels make this marijuana strain good at helping reduce the inflammation that causes migraines. Remedy is most akin to ACDC as it’s known to help with pain without the head high that’s associated with higher levels of THC. \r\n\r\n#### Stephen Hawking Kush\r\n\r\nStephen Hawking Kush, also known as SHK, is an indica-dominant hybrid. Stephen Hawking Kush is known for its high levels of CBD. It’s known to be soothing and relaxing. Its also known for its ability to keep pain at bay despite having low levels of THC. There are three slightly different phenotypes of SHK, and they’re all known to be extremely effective at treating migraines. Also known to help people with fatigue, SHK keeps people alert even as it relieves their pain symptoms. \r\n\r\n#### Hawaiian Dream\r\n\r\nHawaiian Dream is known to be an uplifting sativa strain with high levels of CBD. It usually has about double the amount of CBD as it does THC. Hawaiian Dream is known to be a good remedy for treating the pain and inflammation of migraines. This marijuana strain is also known to provide relief without inducing brain fog, so it’s extremely helpful for the daytime treatment of migraine symptoms.\r\n\r\n#### Sweet and Sour Widow\r\n\r\nSweet and Sour Widow is a 70% indica-dominant cannabis strain. It typically has a ratio of 1:1 of CBD to THC. This makes this cannabis strain effective through its pain-relieving qualities of THC while remaining borderline or mild in its psychoactive effect. Meanwhile, the CBD contained in Sweet and Sour Widow provides the added benefit of anti-inflammatory properties that help relieve migraine symptoms while keeping a clear head.\r\n\r\nDo you have questions about marijuana and migraines? Ask a question on HelloMD's [Answers](https://www.hellomd.com/answers) platform. A doctor or member of our community will answer.\r\n\r\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3333333333333333,"src":"/static/04607f2765c60cfc68276455ccecfca0/14b42/dd53da87248d28c4d4b8cca542f94e5a.jpg","srcSet":"/static/04607f2765c60cfc68276455ccecfca0/f836f/dd53da87248d28c4d4b8cca542f94e5a.jpg 200w,\n/static/04607f2765c60cfc68276455ccecfca0/2244e/dd53da87248d28c4d4b8cca542f94e5a.jpg 400w,\n/static/04607f2765c60cfc68276455ccecfca0/14b42/dd53da87248d28c4d4b8cca542f94e5a.jpg 800w,\n/static/04607f2765c60cfc68276455ccecfca0/47498/dd53da87248d28c4d4b8cca542f94e5a.jpg 1200w,\n/static/04607f2765c60cfc68276455ccecfca0/54ac5/dd53da87248d28c4d4b8cca542f94e5a.jpg 1365w","srcWebp":"/static/04607f2765c60cfc68276455ccecfca0/58556/dd53da87248d28c4d4b8cca542f94e5a.webp","srcSetWebp":"/static/04607f2765c60cfc68276455ccecfca0/61e93/dd53da87248d28c4d4b8cca542f94e5a.webp 200w,\n/static/04607f2765c60cfc68276455ccecfca0/1f5c5/dd53da87248d28c4d4b8cca542f94e5a.webp 400w,\n/static/04607f2765c60cfc68276455ccecfca0/58556/dd53da87248d28c4d4b8cca542f94e5a.webp 800w,\n/static/04607f2765c60cfc68276455ccecfca0/99238/dd53da87248d28c4d4b8cca542f94e5a.webp 1200w,\n/static/04607f2765c60cfc68276455ccecfca0/5e0b8/dd53da87248d28c4d4b8cca542f94e5a.webp 1365w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2003-markdown","title":"Four Silent Side Effects of Chronic Pain","slug":"four-silent-side-effects-of-chronic-pain","content":"DiDi Davis is Founder of [Sweet ReLeaf](https://getsweetreleaf.com/), a topical cannabis manufacturer located in California. Sweet ReLeaf has created one of the most effective and enjoyable topicals on the market today which is creamy and smells wonderful. As Didi says \"We believe in the healing power of plants, specifically how the human endocannabinoid system communicates with the compounds found in Cannabis. We like to call it ‘Intelligent Medicine.’\" In her latest post, Didi talks about the silent effects of chronic pain.\r\n\r\n### Living with Chronic Pain\r\n\r\nSomewhere in the US is a man or woman sitting down at a park or walking through a grocery store. They have trained themselves to not wince with every wave of pain. To fight through the stiffening aches that creep in between doses of prescription medications. To act as though they are fine when really they are suffering consistently. \r\n\r\nSeptember is National Pain Awareness Month, and to honor those who deal with this daily we’re taking a closer look at their story. We want to help build awareness around what chronic pain actually is, how it affects the lives of those who survive it daily and how those caught in the throws of it can find help.\r\n\r\n### Depression & Mood Swings\r\n\r\nMost of us can’t sit in traffic for longer than a few moments without getting stir-crazy. For the millions who suffer from chronic pain, sitting still has likely become the new normal. Having to opt-out of long walks, hikes, biking trips, team sports, and vigorous household tasks leave many feeling useless and bored. This leads to restlessness, increased stress levels and depression. \r\n\r\nAccording to the American Physical Therapy Association, depression in chronic pain patients very often leads to an increase in their originating pain and creating a pain cycle that is very difficult to get out of. While chronic pain can insight bouts of depression, depression tends to increase body stiffness, sleeplessness and stress.\r\n\r\n### Parental Hardships\r\n\r\nParenting is an athletic experience, especially for those with children under 5 years of age. Playing on the floor with them, reaching down to kiss an owie, cleaning up after play sessions. \r\n\r\nIf bending, reaching or standing for long periods of time causes chronic pain flare ups, parenting can prove to be physically and emotionally impossible. Scoliosis survivor and parent of a young daughter, Rachel Rabkin Peachman shared her experiences with The Atlantic: “My daughter was sick, and I desperately wanted to soothe her. But I just couldn’t stand and rock her for one more minute to help her get to sleep.”\r\n\r\nResearch has shown that children of parents with chronic pain tend to grow up and experience adjustment difficulties, behavioral issues and may even complain about non-specific chronic pain themselves.\r\n\r\n### Prescription Drug Side Effects\r\n\r\nOne of the most common treatments for chronic pain is opioid-based oral medications such as Oxycontin and Vicodin. While they are highly effective at blocking pain receptors from communicating with the brain, they also come with a slew of side effects. \r\n\r\nSide effects from dependency on pain medications can lead to a spiral of prescription drug use in order to combat breathing difficulties, insomnia, constipation and sexual side effects, just to name a few. \r\n\r\nOpioid use also has a very high risk for addiction. Over 2 million Americans are addicted to opioid pain relievers and the numbers show no signs of waning.\r\n\r\n### Financial and Economical Impact\r\n\r\nAccording to health economist studies, the US economy pours over $635 billion into chronic pain per year. This is more than cancer, heart disease and diabetes. These costs trickle down to patients, often causing disastrous consequences to household budgets and financial well-being. \r\n\r\nNationwide, the economical impact comes in many forms. Diminished productivity and the increased cost of healthcare plague businesses, especially those with physically demanding work. Chronic pain is the most common type of long-term disability in the US. The Council for Disability Awareness reported the average disability claim lasts over 2 years. For 1 in 8 workers disability claims can last over 5 years and may even be indefinite.\r\n\r\n### Tips for Patients\r\n\r\nIf chronic pain is taking over your life it’s important to reach out for emotional and mental support. Find someone to talk to who can offer guidance on how to co-exist with pain. The American Chronic Pain Association provides a list of tools for those seeking help on their Pain Management Tools page. \r\n\r\nTalk to your doctor about alternative options such as medical marijuana or topical cannabis as well as meditative therapies, yoga and alternative physical therapies. \r\n\r\nDo you have questions about Sweet ReLeaf? Ask a question about the product in [HelloMD's new Answers](https://www.hellomd.com/marijuana-topicals/deeply-soothing-body-butter) feature. A doctor or member of our community will answer.\r\n\r\nIf you are new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's 100% online, private and efficient.\r\n\r\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3333333333333333,"src":"/static/0cfe6d58d719af34c90b49ee87cd6d5c/14b42/a70e8143831edde518e2a180633ff592.jpg","srcSet":"/static/0cfe6d58d719af34c90b49ee87cd6d5c/f836f/a70e8143831edde518e2a180633ff592.jpg 200w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/2244e/a70e8143831edde518e2a180633ff592.jpg 400w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/14b42/a70e8143831edde518e2a180633ff592.jpg 800w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/47498/a70e8143831edde518e2a180633ff592.jpg 1200w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/54ac5/a70e8143831edde518e2a180633ff592.jpg 1365w","srcWebp":"/static/0cfe6d58d719af34c90b49ee87cd6d5c/58556/a70e8143831edde518e2a180633ff592.webp","srcSetWebp":"/static/0cfe6d58d719af34c90b49ee87cd6d5c/61e93/a70e8143831edde518e2a180633ff592.webp 200w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/1f5c5/a70e8143831edde518e2a180633ff592.webp 400w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/58556/a70e8143831edde518e2a180633ff592.webp 800w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/99238/a70e8143831edde518e2a180633ff592.webp 1200w,\n/static/0cfe6d58d719af34c90b49ee87cd6d5c/5e0b8/a70e8143831edde518e2a180633ff592.webp 1365w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2096-markdown","title":"Treating Migraines with Marijuana: Dr. Patricia Frye","slug":"treating-migraines-with-marijuana-dr-patricia-frye","content":"The HelloMD staff got to sit down and talk with one of our doctors, Dr. Patricia Frye, about migraines and how marijuana can help ease them. Migraines are the third-most prevalent illness in the world, and they’re three times more likely to affect woman then men. Migraines are not only painful, but can be extremely debilitating. Ninety percent of migraine sufferers can’t work or complete daily activities while suffering from a migraine. Migraines can last up to 72 hours, greatly affecting the life of those who suffer from the affliction. Marijuana can provide relief for migraine sufferers in place of more severe pharmaceuticals.\r\n\r\nHere’s what Dr. Frye has to say about migraines.\r\n\r\n### What causes migraines?\r\n\r\nIt was once believed that migraines were caused by dilated blood vessels, but it’s now thought that migraines are generated by the neurons that supply the meninges, which is the plastic wrap-like covering around the brain. There’s thought that neuronal stimulation not only causes arteries in the area to dilate, but also causes an inflammatory reaction in the meninges and in the trigeminal nerve. It may be the combination of these actions that causes the pain associated with migraines.\r\n\r\nMigraine sufferers can also experience neurogenic pain from stimuli that normally wouldn't evoke a painful sensation, such as simply touching the scalp. The role of serotonin is complex and while not completely understood, it’s thought to be a factor in migraines as well.\r\n\r\nApproximately 75% of migraine patients can identify triggers that cause the migraines to occur. Stress is the most common trigger, affecting 80% of migraine sufferers. Triggers can also be sleeping too much or not enough, going without eating, weather changes, and certain foods or odors. \r\n\r\n![](https://hellomd-production.s3.amazonaws.com/articles/577d4650d64ada0007000013/embedded_images/577ffdacf51c31000b000039/Screen_Shot_2016-07-08_at_12.22.45_PM.png) \r\n\r\n### How can marijuana help relieve migraines?\r\n\r\nRandomized clinical studies on cannabis and migraines are lacking, but there are several mechanisms to explain why it provides relief from migraine pain. Cannabis can attenuate the body’s stress response at the level of the pituitary-adrenal axis by interrupting certain biochemical changes. CBD can be especially helpful in alleviating neurogenic pain, while it and THC have potent anti-inflammatory properties.\r\n\r\nTHC also serves as an analgesic by shutting down pain signaling at the pain receptor level. THC may also contribute to migraine pain relief by raising serotonin levels, as do certain anti-depressants, such as amitriptyline. At high doses, however, THC can have the opposite effect and cause migraine symptoms to worsen.  It’s been noted that some regular cannabis users have experienced migraines after discontinuing its use, suggesting that cannabis may have the capacity to prevent migraines. \r\n\r\n### What consumption method for cannabis is best for relieving migraines?\r\n\r\nInhalation delivers medication to the nervous system within seconds and can be used when a patient feels a migraine coming on. It’s much easier to relieve migraine pain when it’s treated early. Once the inhaled dose takes effect, tincture or spray under the tongue can be an effective next step in providing longer-lasting pain relief.\r\n\r\nIt’s important to remember that with cannabis, less is more. Cannabis works best for pain at low to moderate doses. High doses can be ineffective in treating pain and can sometimes make symptoms worse.\r\n\r\nAlways start with a low dose and titrate up every five to 10 minutes with inhalation, every 20–30 minutes with spray or tincture, because by taking too much, you can miss your optimal dose. Also, many patients find relief by applying cannabis salve to the temples, forehead and neck.","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1.3793103448275863,"src":"/static/3ea6a450ac51da64e098f70f1bd8240e/96d46/a92b844b7e620f38519e86e29ecc979a.png","srcSet":"/static/3ea6a450ac51da64e098f70f1bd8240e/69585/a92b844b7e620f38519e86e29ecc979a.png 200w,\n/static/3ea6a450ac51da64e098f70f1bd8240e/497c6/a92b844b7e620f38519e86e29ecc979a.png 400w,\n/static/3ea6a450ac51da64e098f70f1bd8240e/96d46/a92b844b7e620f38519e86e29ecc979a.png 787w","srcWebp":"/static/3ea6a450ac51da64e098f70f1bd8240e/fe80d/a92b844b7e620f38519e86e29ecc979a.webp","srcSetWebp":"/static/3ea6a450ac51da64e098f70f1bd8240e/61e93/a92b844b7e620f38519e86e29ecc979a.webp 200w,\n/static/3ea6a450ac51da64e098f70f1bd8240e/1f5c5/a92b844b7e620f38519e86e29ecc979a.webp 400w,\n/static/3ea6a450ac51da64e098f70f1bd8240e/fe80d/a92b844b7e620f38519e86e29ecc979a.webp 787w","sizes":"(max-width: 787px) 100vw, 787px"}}}}},{"node":{"id":"Article_2210-markdown","title":"Back Pain, Cannabis & Dehydration","slug":"back-pain-cannabis-and-dehydration","content":"Ryan Palm is a key member of our customer service team at HelloMD. He is also a new contributor to the HelloMD blog, discussing his own experiences with cannabis.\r\n\r\n# Cannabis Solved My Back Pain...Mostly\r\n\r\nThe pain relieving properties of cannabis are remarkable and it is for this reason that I choose cannabis as my 1st line option for combatting chronic back pain. I have experimented with over-the-counter medications in the past like Advil and Tylenol and have even used the prescription medications Flexoril and Zanaflex. They all provided a degree of relief, but due to my lack of enthusiasm for swallowing candy coated pills and a few unpleasant side-effects (ohthe grogginess), I was often left with a partial solution to my back pain problems. Once I made the switch to a cannabis maintenance plan, focusing on some stellar CBD strains, I started getting some real, lasting relief from my pain! And then my muscle tissue lived happily ever after… \r\n\r\nExcept, on some sweaty nights I still found that I woke up with back pain and, much to my concern, even sometimes spinal pain! I racked my brain for the causes... was I hyper extending too much? Not enough stretching? Over time I started to notice two things: The first was that whenever my back hurt the most my lips were very dry. The second was that on my worst days I was waking up with a headache.  Quickly, the picture began to become clear. I was finding myself waking up dehydrated! \r\n\r\n# Dehydration: The Culprit in Chronic Pain\r\n\r\nQuickly, I took to the web to confirm my hunch. Article after article confirmed my hypothesis; what a relief I felt knowing that my problem had been identified. Here’s what I found: \r\n\r\n>1.\tYour back has a series of discs in between each vertebra. \r\n2.\tThese discs are the shock absorbers that cushion your bones.\r\n3.\tEach disc is mostly comprised of water.\r\n4.\tIf the disc is dehydrated, then its ability to cushion your vertebra becomes  compromised.\r\n5.\tAs a result “pain, swelling, and even ruptures” can occur.\r\n\r\nBefore this, I never realized that dehydration had such an impact on your spinal health.  I knew the traditional methods of back care, like a daily walk, plenty of stretching, and good posture, but I had not become aware of the enormous affect water had on my back.\r\n\r\n# Cannabis - Not a Silver Bullet\r\n\r\nOnce I began monitoring my water intake, especially making sure that I was hydrated before bed, I found my spine was more flexible and in general healthier feeling. The whole experience was a great reminder that, although cannabis works wonders with chronic pain, you can’t just rely on a singular fix for your pain. You need to take care of your entire body. After all, it is the only place you have to live!\r\n\r\nIf you are new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's 100% online, private and efficient.\r\n\r\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1.3333333333333333,"src":"/static/60fbf795feab710b499e977294291051/ee604/6a67440ec8e8cd679b56fde4b76e2e56.png","srcSet":"/static/60fbf795feab710b499e977294291051/69585/6a67440ec8e8cd679b56fde4b76e2e56.png 200w,\n/static/60fbf795feab710b499e977294291051/497c6/6a67440ec8e8cd679b56fde4b76e2e56.png 400w,\n/static/60fbf795feab710b499e977294291051/ee604/6a67440ec8e8cd679b56fde4b76e2e56.png 800w,\n/static/60fbf795feab710b499e977294291051/f3583/6a67440ec8e8cd679b56fde4b76e2e56.png 1200w,\n/static/60fbf795feab710b499e977294291051/f90fa/6a67440ec8e8cd679b56fde4b76e2e56.png 1365w","srcWebp":"/static/60fbf795feab710b499e977294291051/58556/6a67440ec8e8cd679b56fde4b76e2e56.webp","srcSetWebp":"/static/60fbf795feab710b499e977294291051/61e93/6a67440ec8e8cd679b56fde4b76e2e56.webp 200w,\n/static/60fbf795feab710b499e977294291051/1f5c5/6a67440ec8e8cd679b56fde4b76e2e56.webp 400w,\n/static/60fbf795feab710b499e977294291051/58556/6a67440ec8e8cd679b56fde4b76e2e56.webp 800w,\n/static/60fbf795feab710b499e977294291051/99238/6a67440ec8e8cd679b56fde4b76e2e56.webp 1200w,\n/static/60fbf795feab710b499e977294291051/5e0b8/6a67440ec8e8cd679b56fde4b76e2e56.webp 1365w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2177-markdown","title":"Recent Study: Huge Opioid Prescription Abuse Problem","slug":"recent-study-huge-opioid-prescription-abuse-problem","content":"Opioids are currently some of the [most diagnosed drugs in\nAmerica](https://www.washingtonpost.com/news/to-your-health/wp/2014/04/14/ban-some-pain-killers-here-are-6-common-opioids/).\nA powerful class of medications meant to treat various types of chronic\npain, opioids may *seem* like a miracle drug. Unfortunately, this\ncouldn't be further from the truth. While opioids are effective at\nknocking out pain, they're also some of the most highly addictive and\ndeadly medications currently available to American consumers. In fact,\nopioid medications are so dangerous that they accounted for upwards of\n16,000 deaths in 2009 alone. Because of these horrifying outcomes and\nthe ever-increasing rates of opioid prescriptions, American health\nprofessionals and consumers alike are on the lookout for safer, less\naddictive alternatives.\n\nThe Opioid Addiction Problem\n----------------------------\n\nRecently, Castlight Health released a report titled \"[The Opioid Crisis\nin America's\nWorkforce](http://www.castlighthealth.com/press-releases/new-study-reveals-32-percent-of-total-opioid-prescriptions-are-being-abused/)\"\nthat reveals some startling new insights into the scope of the opioid\naddiction problem. Using aggregated data from 1 million anonymized\nAmericans, the researchers found that 32 percent of all opioid\nprescriptions in America are being abused. The report also found that\n4.5 percent of people who have a current opioid prescription are abusing\nit, and that these people cost American employers an average as twice as\nmuch (approximately \\$19,450 annually) in medical expense costs as their\nopioid-free counterparts. In addition, baby boomers are nearly four\ntimes as likely to suffer from opioid abuse and addiction as\nmillennials, and patients who live in lower-income areas are twice as\nlikely to suffer from opioid abuse as individuals who live in\nhigher-income areas.\n\nWhile the results of the Castlight report are startling, they're not\nnews to health professionals. The opioid crisis has been ballooning for\nyears, and it has recently gotten so bad that the CDC has declared it a\n[public health crisis](http://www.ncbi.nlm.nih.gov/pubmed/25581144).\nBecause of the dangerous side effects and highly addictive nature of\nopioid medications, health officials and consumers everywhere are\nactively searching for better alternatives.\n\nCannabis: A Better Way\n----------------------\n\nIn an attempt to mitigate the dangerous effects of opioid\nover-prescription, abuse and addiction, many people are turning to\ncannabis. In addition to the fact that cannabis has a long, demonstrable\nhistory of being used to treat chronic\npain,\ndozens of studies (such as this [2012\nstudy](http://www.ncbi.nlm.nih.gov/pubmed/22880540) published in the\nJournal of Psychoactive Drugs) have found that cannabis offers fewer\nside effects than opioids and provides more therapeutic benefits than\nsynthetic medication. Recently, prominent politicians such as Elizabeth\nWarren have been [petitioning the\nCDC](http://www.theguardian.com/us-news/2016/feb/12/elizabeth-warren-medical-marijuana-painkiller-opioid-abuse)\nto consider medical cannabis as a supplement to or alternative for\nopioid pain medications, and states like Massachusetts have been using\ncannabis to treat patients suffering from chronic pain and opioid\naddiction. Recently, one clinic in Massachusetts [used medical\ncannabis](http://www.bostonherald.com/news_opinion/local_coverage/2015/10/doctors_pioneer_pot_as_an_opioid_substitute)\nto treat 80 chronic pain sufferers who were addicted to opioid\nmedication. Within a month of treatment, 75 percent of the patients had\ngiven up their opioid medication completely and the vast majority\nreported less pain. Even if cannabis doesn't entirely replace opioid\nmedication in the near future, it's clear that [cannabinoids have a\nsynergistic\neffect](http://onlinelibrary.wiley.com/doi/10.1038/clpt.2011.188/abstract)\nthat can help decrease pain while also mitigating the need for high\nlevels of opioid medications.\n\nWhile the solution to the opioid addiction crisis isn't cut-and-dry,\nit's clear that cannabis is a safe, effective alternative that can treat\nchronic pain while also preserving the health and well-being of\npatients.\n\n[Photo Credit](https://www.flickr.com/photos/jamiesrabbits/5748419806/in/photolist-9KY9Wj-aZq5vn-8hUcV6-9KVkMX-8hXs3S-fQQxg6-qhBL-3iTRp-a34Eto-axdEo1-ssbbq-4UiRny-4cjHBA-5WHHQw-6d2W6N-bAuebi-axaWFn-hNn9e-8fEk4y-3b9ZiT-f1uFuv-buQdTs-zpyrgV-7V9E9q-3X849D-8bmupc-3X84Zn-q5ddL-9nrraz-9Q4xGv-5YVmP4-8hUbNz-3XcjJb-9AU6x-8hXqfU-7LHArP-3X7ZVn-K6Vr3-RDsG-8pJqZ-ok8vwv-8WrAcv-6eHN2-cQjmas-dFHZpC-3Sdoa-D3X8F-FqENz-9kC6Km-buQdCq)","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1.6129032258064515,"src":"/static/f5cdca97612415ba157e9272fb13aefc/ee604/c821dc4a91ad4a97adbad834f5de004a.png","srcSet":"/static/f5cdca97612415ba157e9272fb13aefc/69585/c821dc4a91ad4a97adbad834f5de004a.png 200w,\n/static/f5cdca97612415ba157e9272fb13aefc/497c6/c821dc4a91ad4a97adbad834f5de004a.png 400w,\n/static/f5cdca97612415ba157e9272fb13aefc/ee604/c821dc4a91ad4a97adbad834f5de004a.png 800w,\n/static/f5cdca97612415ba157e9272fb13aefc/00f5e/c821dc4a91ad4a97adbad834f5de004a.png 1006w","srcWebp":"/static/f5cdca97612415ba157e9272fb13aefc/58556/c821dc4a91ad4a97adbad834f5de004a.webp","srcSetWebp":"/static/f5cdca97612415ba157e9272fb13aefc/61e93/c821dc4a91ad4a97adbad834f5de004a.webp 200w,\n/static/f5cdca97612415ba157e9272fb13aefc/1f5c5/c821dc4a91ad4a97adbad834f5de004a.webp 400w,\n/static/f5cdca97612415ba157e9272fb13aefc/58556/c821dc4a91ad4a97adbad834f5de004a.webp 800w,\n/static/f5cdca97612415ba157e9272fb13aefc/7f866/c821dc4a91ad4a97adbad834f5de004a.webp 1006w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2039-markdown","title":"Topicals: A Revelation in Treating Pain with Cannabis","slug":"topicals-a-revelation-in-treating-pain-with-cannabis","content":"HelloMD welcomes Andrea Brooks, our newest guest blogger. Andrea is the founder of [Sava](https://www.getsava.com), the premier marketplace for high-quality, hand-crafted cannabis goods. Sava offers next day delivery for patients throughout California and is one of the newest collectives gaining a passionate following of enthusiastic medicinal cannabis patients. Andrea is extremely knowledgeable about how to use cannabis for pain and below she shares her personal story.\r\n\r\n**A Journey from Pain to Wellness**\r\n\r\nMy personal journey into the cannabis industry started with my own pain. Several years ago I was the program director for a San Francisco human and social services nonprofit, doing a job that I absolutely loved, when an injury caused systemic nerve damage and prevented me from being able to sit and use the computer for the long hours required, as well as other routine daily activities. The two years that followed were some of the harder times of my life, while I struggled to find a new way of caring for my body--one that would allow me to be pain free. \r\n\r\nLiving with chronic pain required me to do a lot of research and learning, and a lot of experimentation. I quickly realized that the side effects from pharmaceuticals were best avoided and thus began my trial and error with alternative forms of medicine. I always knew smoking cannabis could alleviate pain, but I’ve since learned that there is so much more to using cannabis than simply picking up a joint. Ultimately, cannabis and a solid self-care routine is what brought me back to health. \r\n\r\n**Beyond the Smoke**\r\n\r\nAt first I turned to smoking flower for pain relief. It did wonders--especially now that there is so much information available on strain types. The only downside of the some of the flower was I felt too high. I wanted to get back to life as usual and although I’ve always enjoyed smoking a joint from time to time, I’ve never been an all day every day smoker. I needed to find a way to manage my pain and stay more clear-minded. \r\n\r\nAs the medical cannabis industry has grown, we’ve seen an explosion in other methods of consumption. Learning about these products gave me a vast toolkit. Edibles and tinctures offer a discreet, easy to measure dose of cannabis available in many configurations. Some are low-dose, some are for sleep, some are high-CBD, and the list goes on. These products have been life-savers. But by far one class of products has helped me day in and day out more than any other is topicals. \r\n\r\n**Topicals - What Are They?**\r\n\r\nTopicals are a way to apply cannabis directly to your skin. Formulas come in many forms including oils, balms, salves, and lotion bars. Topicals are not psychoactive so you will not feel high after using them. \r\n\r\n**How Do They Work?** \r\n\r\nApplying a topical is a transdermal method of ingesting cannabis - meaning it goes through your skin. They work by binding to a network of receptors called CB2 that are found throughout the body and are activated either by the body’s naturally-occurring endocannabinoids or by cannabis compounds known as phytocannabinoids. \r\n\r\nWhen you apply most topicals, the cannabinoids don’t enter the bloodstream so you will not have a psychoactive experience. The two exceptions are with transdermal patches, which will deliver THC to the bloodstream and can cause psychoactive effects and cannabis-infused soaks, which allow THC to be absorbed through the colon. However, with lotions, salves, and the like, you can use them to relieve pain in a specific area while going about your day. \r\n\r\n**Penetration vs. Absorption** \r\n\r\nIn skincare, there is a difference between penetration and absorption. Skin penetration refers to the amount of a topically applied compound that exists between the top layer of skin, the stratum corneum, and the bottom layer of skin, the stratum basale. During penetration, the body does not absorb the compound so it does not affect the body systems. Skin absorption refers to the process where the compound breaks the skin barrier and enters the bloodstream.  \r\n\r\nMany factors influence penetration and absorption, including how thick the skin is in the area a formula is applied and the type of formula being applied. Most topicals will not pass the skin barrier and absorb into the bloodstream, but patches, for example, have been made with molecules small enough to do so. \r\n\r\n**Body Oils, Lotions and Salves**\r\n\r\nThrough my experimentation, I found each of these formulas have their own purposes. \r\n\r\nBody Oils - Coupling cannabis with self-massage (or massage from someone else if you’re lucky) can dramatically increase the therapeutic effects. Body oils stay on the skin long enough to provide lubrication for deeper massage, releasing of knots and tension. \r\n\r\nSalves and Balms - These absorb into the skin a bit faster and they are less messy to use, making them my go to for portable relief. Keeping a jar in my purse to apply as needed has been a lifesaver on many occasions. Salves and balms provide enough oil for some massage, but will sink into your skin faster than oil. \r\n\r\nBody Butters - Butters are one step down on the oily scale from salves and balms. Another great choice for relief on the go, body butters made with a natural butter base such as mango, shea, or cocoa. In my experience, the natural butters carry enough scent that they are the predominant smell, not the cannabis. \r\n\r\nLotions - the lightest in texture and oiliness, these will penetrate your skin the fastest. They are not good for massage, but they are great if you want to apply something under your clothes that will leave no mess. \r\n\r\nLotion Bars - lotion bars are solid bars that melt when applied to skin. Often made from a combination of natural butters and oils, these are great for an at home massage treatment. \r\n\r\nSoaks - A newer trend on the cannabis market are bath salts and bath bombs. Fill your tub, add the product, and soak. While you’re relaxing in the tub, the cannabis is penetrating your outer skin layers while also being absorbed by your colon. This leaves you with a very light psychoactive experience that is somewhere between very calm and slightly high. \r\n\r\n**...That Smells Nice**\r\n\r\nSome topicals have stronger cannabis scents than others. There are several options that do not smell like cannabis at all, offering you relief in places where you’d prefer not to unleash the smell of cannabis. Some companies add additional ingredients, such as wintergreen, eucalyptus, and lavender add to the experience. Some topicals are heating and some are cooling. Try a few to find your favorites. \r\n\r\n**What Can I Use Them For?** \r\n\r\nFor Inflammation and Arthritis - CBD has anti-inflammatory properties. If you’d like to combat inflammation or pain related to arthritis, look for a high CBD topical. \r\n\r\nFor Cramps - Topicals calm menstrual cramps. I’ve found body oils to be very effective, especially if applied to both the lower back and lower abdomen and paired with a hot water bottle. \r\n\r\nFor Sore Muscles - Soaking after a workout or self-massage with an oil will leave you less sore the next day. \r\n\r\nFor Better Sleep - a thorough rub down before bed with any topical makes me sleep more  soundly. My body relaxes more deeply as I drift off into my dreams. \r\n\r\n**A Self-Care Routine**\r\n\r\nFinding a way to handle pain that didn’t make me high was a game-changer. But cannabis alone is not a magic bullet. Developing a self-care routine was invaluable to my recovery. For some techniques, such as massage, pairing with cannabis magnified the healing effects.  \r\n\r\nStretching - Developing a 10-15 minute routine at the beginning and end of your day can make a world of difference. Luckily, the internet abounds with yoga and stretching videos if you’d like inspiration. \r\n\r\nMovement - A vital part of each day, especially if your job requires you to sit in one place. A brief daily walk or getting up once per hour move a bit will make the world of difference. Topical balm can be used in advance of any activity to loosen muscles, as well as be applied afterwards to soothe soreness.\r\n\r\nMassage and other Body Work - Massage alone is magnificently healing. Pairing it with a cannabis brings another level of relaxation. While a professional body worker will reach very deep levels of healing, self-massage on a regular basis is also fantastic. \r\n\r\nMini Foot Spa - While integrating massage into your life is a worthwhile luxury due to the health benefits, it’s not always possible to get a massage. Doing your own mini foot spa is another at-home, accessible self-care routine. Our feet carry so much tension a foot spa can release. Try a cannabis soak and rub some bath salts into your feet to exfoliate. Follow with an oil applied with massage. If you want to take it to another level, look at a reflexology chart and target areas specific to your tension. \r\n\r\nTake A Minute to Breathe - Much like stretching, just a few minutes each day makes a world of difference. While I was initially skeptical, meditation taught me a way to stay grounded during a flare up. I developed a pre-meditation ritual of rubbing some of my favorite scented topical into my temples and neck beforehand, helping me to settle in. \r\n\r\nAs I’ve come to find is often the case for providers of cannabis medicine, it was my own discovery of the vast and varied healing properties of this plant that inspired me to share it with others. In 2015 I founded [Sava](https://www.getsava.com), a marketplace for high-quality, hand-crafted cannabis goods. My hope is to share detailed information on use and dosage with patients while also providing access to safe, consistent medicine. \r\n\r\nIf you are new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's 100% online, private and efficient.\r\n\r\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1.3333333333333333,"src":"/static/180c0d5969d8f620ba0d0b33edcea28f/ee604/55f4db69ab8fef1c1754e43421bdfbb3.png","srcSet":"/static/180c0d5969d8f620ba0d0b33edcea28f/69585/55f4db69ab8fef1c1754e43421bdfbb3.png 200w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/497c6/55f4db69ab8fef1c1754e43421bdfbb3.png 400w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/ee604/55f4db69ab8fef1c1754e43421bdfbb3.png 800w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/f3583/55f4db69ab8fef1c1754e43421bdfbb3.png 1200w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/f90fa/55f4db69ab8fef1c1754e43421bdfbb3.png 1365w","srcWebp":"/static/180c0d5969d8f620ba0d0b33edcea28f/58556/55f4db69ab8fef1c1754e43421bdfbb3.webp","srcSetWebp":"/static/180c0d5969d8f620ba0d0b33edcea28f/61e93/55f4db69ab8fef1c1754e43421bdfbb3.webp 200w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/1f5c5/55f4db69ab8fef1c1754e43421bdfbb3.webp 400w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/58556/55f4db69ab8fef1c1754e43421bdfbb3.webp 800w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/99238/55f4db69ab8fef1c1754e43421bdfbb3.webp 1200w,\n/static/180c0d5969d8f620ba0d0b33edcea28f/5e0b8/55f4db69ab8fef1c1754e43421bdfbb3.webp 1365w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2143-markdown","title":"New Guidance on Opiates for Chronic Pain: But There Is a Solution","slug":"new-guidance-on-opiates-for-chronic-pain-but-there-is-a-solution","content":"Each day, [about 40 Americans](https://www.usatoday.com/story/news/2016/03/15/cdc-issues-new-guidelines-opiate-prescribing-reduce-abuse-overdoses/81809704/) die from prescription painkiller overdoses. A medicine designed to help patients deal with pain from illnesses and injuries has turned into something more dangerous than health experts ever anticipated. According to the Centers for Disease Control and Prevention (CDC), up to [25% of people](https://www.cdc.gov/drugoverdose/data/overdose.html) who receive prescription opioids for non-cancer-related primary care become addicted to the substance, with drugs like methadone, oxycodone and hydrocodone being the most commonly abused.\r\n\r\nThe statistics are alarming and frightening. Finally, the medical industry is taking steps to curb the opioid addiction epidemic. The CDC is urging doctors and health professionals to be very cautious when prescribing painkillers and recommends they avoid it altogether for certain patients’ chronic pain treatment.\r\n\r\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en) \r\n\r\n### What Does the New Opioids Guidance Mean for Patients?\r\n\r\nWith the exception of those receiving end-of-life treatment or cancer care, doctors are now advised to, if possible, simply not prescribe opiates to patients with chronic pain or those suffering from injuries. Although the CDC recognizes that there are some situations in which the benefits of opioids outweigh the risks, current [CDC guidelines](https://www.cdc.gov/drugoverdose/pdf/guideline_infographic-a.pdf) recommend that doctors try other drugs, such as anti-inflammatories, as first-line treatments before prescribing opiates for pain relief. The CDC also recommends starting with a low dose of opioids and building up to a dose that’s effective at relieving pain, rather than immediately prescribing a high dose.\r\n\r\nMany in the medical industry believe that the risk of opioid addiction outweighs the benefit of temporary pain relief. After all, the numbers don't lie; painkillers are deadly and are currently abused by [nearly two million people](https://www.health.harvard.edu/newsletter_article/painkillers-fuel-growth-in-drug-addiction). There’s no reason to risk the lives of patients just so they can be more comfortable.\r\n\r\nThough doctors are under no legal obligation to follow such directives, what the CDC says carries a great deal of weight in the health care industry, and this instruction will undoubtedly lead to a significant reduction in prescriptions for painkillers to manage chronic pain.\r\n\r\nHowever, the directive does add that, when benefits are greater than risks, it's OK to prescribe opiates. Health professionals are strongly advised to talk to patients about using the painkiller and identify the potential of a substance abuse disorder. Exploring alternatives, such as holistic therapies, exercise and nonsteroidal anti-inflammatory medicine, such as aspirin, is another option.\r\n\r\n### Could Medical Marijuana Be a Better Solution Than Opioids?\r\n\r\nJust because doctors won't be prescribing painkillers as much doesn't mean people have to struggle through life. In addition to exercising, eating well and using holistic healing measures, medical marijuana represents a capable and safe alternative to painkillers.\r\n\r\nStereotypes surrounding the drug may turn some folks in the health care industry off, but research is proving that patients benefit from the use of this medicinal plant. Specifically, a comprehensive study undertaken by HelloMD of a community of patients using medical marijuana revealed very promising results on the effectiveness of marijuana as a medicine. Eighty-four percent of [survey respondents](https://s3-us-west-2.amazonaws.com/hellomd-news/HelloMD_Medical_Marijuana_Patient_Survey.pdf) claim that medical marijuana is extremely effective in relieving their symptoms. Many also reported using the drug to treat other health symptoms, including anxiety, insomnia, nausea, mental health disorders and stress.\r\n\r\n### Medical Marijuana Is Effective at Treating Chronic Pain Symptoms\r\n\r\nPatients are using medical marijuana for a variety of reasons and are reporting excellent results. The survey by HelloMD found that 84% of patients using medical marijuana said that cannabis offered them relief from their symptoms. As well, very few reported negative consequences when using cannabis for medicinal purposes. In fact, 96% of respondents said they’d recommend it to a family member, friend or colleague in need. In short, patients see improvement when they use medical cannabis, with little to no side effects or other issues. That can't be said for prescription painkillers, which—as the research proves—leads to a high rate of addiction and many deaths.\r\n\r\n### You Don’t Have to Smoke Medical Marijuana \r\n\r\nSome may be turned off by the fact that marijuana is traditionally ingested by smoking the plant, but that isn't the only method of ingestion. HelloMD discovered that many women and older people, for instance, preferred topical creams and fragrance products. Younger males, on the other hand, chose to smoke and vape. Folks in the industry are inventing new ways to take cannabis every day—with edibles, tinctures, oils and capsules—to suit any preference; patients aren't forced to inhale. Additionally, doses can be adjusted to meet individual needs.\r\n\r\n### Medical Marijuana Won’t Lead to Overdoses\r\n\r\nUnlike opioids, it’s very hard to overdose on medical marijuana. In fact, it has [never been shown](http://www.drugwarfacts.org/chapter/overdose#%20sthash.SjSqCr2X.dpbs) that marijuana alone has caused an overdose. Overdose amounts suggested by some scientists are so high that it would be impossible for anyone to take that much. Hence, cannabis is a safe solution.\r\n\r\nOpioid overdoses tragically claim many lives. They also pose huge costs to ER departments, who must administer emergency treatments to quickly counteract the effects of the drugs taken. Reducing the rate of overdose could therefore have many important benefits for society.\r\n\r\nFor those suffering with chronic pain, finding a safe and effective way to improve overall well-being is a priority. The danger of prescription painkillers is all too real. Medical marijuana has been shown to be [safer than alcohol and tobacco](https://www.hellomd.com/health-wellness/56e884c21e4e2b000800001a/marijuana-is-safer-than-alcohol-and-tobacco-study-finds)—two completely legal substances. Additionally, marijuana carries [little risk of dependence](https://www.healthline.com/health-news/marijuana-addiction-rare-but-real-072014), a characteristic other drugs can't claim.\r\n\r\nSimply put, if health care professionals want a worthy and safe alternative to prescription opioids, the solution is to go green. Go for medical marijuana.\r\n\r\nPhoto Credit: [Army Medicine](https://www.flickr.com/people/armymedicine/)\r\n\r\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.\r\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1.5625,"src":"/static/b40a2f7e82f7297c783a5024c6ccd8f2/ee604/bb758e88491eda5f0cd1fecd7a3d97fc.png","srcSet":"/static/b40a2f7e82f7297c783a5024c6ccd8f2/69585/bb758e88491eda5f0cd1fecd7a3d97fc.png 200w,\n/static/b40a2f7e82f7297c783a5024c6ccd8f2/497c6/bb758e88491eda5f0cd1fecd7a3d97fc.png 400w,\n/static/b40a2f7e82f7297c783a5024c6ccd8f2/ee604/bb758e88491eda5f0cd1fecd7a3d97fc.png 800w,\n/static/b40a2f7e82f7297c783a5024c6ccd8f2/50562/bb758e88491eda5f0cd1fecd7a3d97fc.png 1198w","srcWebp":"/static/b40a2f7e82f7297c783a5024c6ccd8f2/58556/bb758e88491eda5f0cd1fecd7a3d97fc.webp","srcSetWebp":"/static/b40a2f7e82f7297c783a5024c6ccd8f2/61e93/bb758e88491eda5f0cd1fecd7a3d97fc.webp 200w,\n/static/b40a2f7e82f7297c783a5024c6ccd8f2/1f5c5/bb758e88491eda5f0cd1fecd7a3d97fc.webp 400w,\n/static/b40a2f7e82f7297c783a5024c6ccd8f2/58556/bb758e88491eda5f0cd1fecd7a3d97fc.webp 800w,\n/static/b40a2f7e82f7297c783a5024c6ccd8f2/5ae49/bb758e88491eda5f0cd1fecd7a3d97fc.webp 1198w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2064-markdown","title":"Opioid Induced Constipation","slug":"opioid-induced-constipation","content":"OK. Let me get this straight. Patients are prescribed opioids for pain. They then possibly obtain relief from their pain, get sedated and sleepy and subsequently get constipated. The brilliant marketing people at Big Pharma then dreamed up a solution to a problem that they created. They invented the term “Opioid Induced Constipation”!  You might have seen one of their 30-second Superbowl ads this year costing about $5 million dollars. And of course they had a solution. Take another drug! \n\nBig Pharma is far from stupid. Why run an ad if if they couldn’t make money. So of course they have a drug to treat this! Of course the company that ran the ad, Astra Zeneca, dreamed up an oh-so-cute name for their drug. Movantic (get it – mov- like move your bowels) costs about $300 per month. There even is another drug by Salix named Relistor ( relis – like release your bowels I guess) is actually a injection you give yourself and goes for about $400. What a deal.\n\nHere’s a suggestion. STOP TAKING OPIOIDS! There are about 38 million people who are prescribed opioids each year, with some people having monthly refills, resulting in 259 million prescriptions written in 2012. Between 40-80% of these people suffer from opioid induced constipation. So you can imagine the incentive for Big Pharma in creating a drug to treat a side effect of a drug. They benefit from both ends. What does this result in? \n\nHow about 16,000 people dying per year from overdose of opioids. Over 420,000 emergency department visits relating to abuse of narcotic pain relievers. DO you know how to stop this from happening? STOP TAKING OPIOIDS!\n\nThere is a solution. In January 2016 HelloMD perform a [survey of 17,000](https://hellomd.com/articles/download-our-medical-marijuana-patient-study/) of our patients. Of the patients that responded, 34% of all users used it to help with their pain symptoms and 84% found that it helped. Not only that, 0% got constipated! Also, there has NEVER been an overdose from cannabis. Cannabis has been used for thousands of years to help treat painful conditions and has a perfect safety record.\n\nOf course this is not what Big Pharma wants. They would rather get you addicted to opioids and then sell you a drug to treat the side effects. \n\nNice.\n\n[Photo Credit](https://www.flickr.com/photos/chicagobart/5972996750/in/photolist-a6PaQA-dnNWwG-dnNXWj-8QNhPA-pxz9yN-dnNUS3-dnNUjF-dnNZJL-dnNRSp-9Ksu5-daGT9K-nmpHAv-nmpLXj-9htwiK-nmpHJ6-nmpMhh-nmpWgb-nCBEgM-dnNYrC-dnNTPS-bWDGzd-dnNS6a-5k6w6B-5XedgT-tNKKp-dnNQy4-bH1W2F-bH1W2P-bWDDrq-aL1Wx8-pxtDYF-dSuJks-pPJsPT-6iDepy-9KstQ-5LMSH9-8QNhSY-9Ksuv-dJhmNe-diC6gq-dSpaep-bH1W3e-7SwWjA-hSzmZf-dSuJAU-6iDeqq-nDpGhP-dSp9V6-bH1W3p-dSuJiG)","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1.5384615384615385,"src":"/static/72238aaab639e906737372dcc728a3c8/ee604/3901cb482fe44d1dd85ea23748833022.png","srcSet":"/static/72238aaab639e906737372dcc728a3c8/69585/3901cb482fe44d1dd85ea23748833022.png 200w,\n/static/72238aaab639e906737372dcc728a3c8/497c6/3901cb482fe44d1dd85ea23748833022.png 400w,\n/static/72238aaab639e906737372dcc728a3c8/ee604/3901cb482fe44d1dd85ea23748833022.png 800w,\n/static/72238aaab639e906737372dcc728a3c8/c78d4/3901cb482fe44d1dd85ea23748833022.png 1008w","srcWebp":"/static/72238aaab639e906737372dcc728a3c8/58556/3901cb482fe44d1dd85ea23748833022.webp","srcSetWebp":"/static/72238aaab639e906737372dcc728a3c8/61e93/3901cb482fe44d1dd85ea23748833022.webp 200w,\n/static/72238aaab639e906737372dcc728a3c8/1f5c5/3901cb482fe44d1dd85ea23748833022.webp 400w,\n/static/72238aaab639e906737372dcc728a3c8/58556/3901cb482fe44d1dd85ea23748833022.webp 800w,\n/static/72238aaab639e906737372dcc728a3c8/b822a/3901cb482fe44d1dd85ea23748833022.webp 1008w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_1968-markdown","title":"Patients Rate Cannabis Highly Effective for the Treatment of Fibromyalgia","slug":"patients-rate-cannabis-highly-effective-for-the-treatment-of-fibromyalgia","content":"[Fibromyalgia](http://www.niams.nih.gov/Health_Info/Fibromyalgia/) is a\nchronic disorder that causes widespread muscle and joint pain. Estimates\nsuggest that about five million adults in the U.S. are diagnosed with\nthe condition each year, with women affected at least eight times more\noften than men.\n\nThe exact cause of the condition is unclear, but it seems that stressful\nor traumatic life events, such as injuries and viral infections, may\nplay a role. People with fibromyalgia experience symptoms that can range\nin duration and severity. The main symptoms are pain and fatigue, but\nother common symptoms include memory problems, sleep disturbances,\nheadaches, temperature sensitivity, and stiffness upon waking. Often,\nfibromyalgia coexists with another chronic pain condition, such as\nchronic fatigue syndrome, inflammatory bowel disease, or\ntemporomandibular joint dysfunction.\n\nConventional Treatments Cause Adverse Effects\n---------------------------------------------\n\nThere is no known cure for fibromyalgia, but a combination of treatments\ncan help patients manage the symptoms. Three medications -- duloxetine\n([Cymbalta](http://pi.lilly.com/us/cymbalta-pi.pdf)), pregabalin\n([Lyrica](http://www.lyrica.com/)), and milnacipran\n([Savella](http://www.savella.com/)) -- have been approved by the U.S.\nFood and Drug Administration (FDA) as a treatment for fibromyalgia.\nHowever, these medications often put patients at risk for a variety of\nside effects, including serious allergic reactions, suicidal thoughts or\nbehaviors, dizziness, sleepiness, blurred vision, feeling \"high,\" and\nswelling of the hands, legs, and feet. Thus, there is a need for new\ntreatments that relieve the symptoms of fibromyalgia with fewer side\neffects.\n\nMarijuana Offers Effective Relief from Pain\n-------------------------------------------\n\nAn online\n[survey](http://nationalpainreport.com/marijuana-rated-most-effective-for-treating-fibromyalgia-8823638.html)\nof more than 1,300 people with fibromyalgia conducted by the [National\nPain\nFoundation](http://nationalpainreport.com/marijuana-rated-most-effective-for-treating-fibromyalgia-8823638.html)\nrevealed that medical marijuana, or cannabis, is more effective than\nconventional fibromyalgia treatments. Of the patients who reported\nmarijuana use, 62 percent ranked it very effective at relieving their\nsymptoms, 33 percent said it helped a little, and five percent said it\ndid not help at all. In comparison, among those who tried Lyrica, 10\npercent ranked it very effective, 29 percent said it helped a little,\nand 61 percent said it did not help at all. Not only is marijuana more\neffective, it is also associated with fewer side effects. The only\nadverse effect shared by Lyrica and cannabis is feeling \"high.\" However,\nstrains of cannabis with lower ratios of tetrahydrocannabinol (THC), the\nchemical responsible for much of cannabis's psychoactive, or\nmood-altering, effects, to cannabidiol (CBD), a chemical that modulates\nthese effects, have been shown to relieve pain without affecting\ncognition.\n\nResearchers Investigate Marijuana's Therapeutic Effects\n-------------------------------------------------------\n\nResearch has yet to reveal the exact mechanisms by which the chemicals,\nor cannabinoids, in cannabis exert their medicinal effects. But evidence\nsuggests that they work on the [endocannabinoid\nsystem](http://norml.org/library/item/introduction-to-the-endocannabinoid-system),\nwhich mediates several physiological functions, including pain and\ninflammation. Studies supported by the [National Institute of Arthritis\nand Musculoskeletal and Skin Diseases\n(NIAMS)](http://www.niams.nih.gov/health_info/Fibromyalgia/# h) suggest\nthat fibromyalgia results when endocannabinoid system imbalances disrupt\nthe feedback loop that inhibits pain signals, causing altered pain\nprocessing, or more specifically, increased sensitivity to stimuli that\ndo not normally provoke pain. Perhaps the result of constant pain, these\n[imbalances](http://consumer.healthday.com/cognitive-health-information-26/brain-health-news-80/brain-scans-show-fibromyalgia-patients-process-pain-differently-681820.html)\ncould also explain why people with fibromyalgia do not respond as well\nto conventional pain medications.\n\nResearch Reveals Similarities Between Marijuana-Derived Cannabinoids and Endocannabinoids\n-----------------------------------------------------------------------------------------\n\nThe cannabinoids in cannabis are structurally similar to [endogenous\ncannabinoids](http://www.drugabuse.gov/publications/research-reports/marijuana/how-does-marijuana-produce-its-effects),\nnaturally occurring chemicals that send messages between nerve cells\nthroughout the brain and spinal cord, affecting pain sensation. Because\nof this similarity, it is hypothesized that they can attach themselves\nto molecules called cannabinoid receptors on nerve cells and activate\nthem,\n[resetting](https://www.hellomd.com/health-wellness/559adb8865623000060f0000/relief-from-fibromyalgia-symptoms-the-case-for-medical-marijuana)\nor blocking pain processing. Research reveals that cannabinoids may\nprovide greater therapeutic effects in combination than alone: a\nphenomenon termed the [entourage\neffect](http://onlinelibrary.wiley.com/doi/10.1111/j.1476-5381.2011.01238.x/pdf).\nThus, taking the whole cannabis plant may modulate pain better than an\noral medicine derived from one or two of cannabis's chemical components.\n\nEvidence for Marijuana's Effectiveness Grows\n--------------------------------------------\n\nEvidence for cannabis's therapeutic effects may be mounting, but the\n[FDA](http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm421163.htm) has\nyet to approve cannabis as a safe and effective treatment for\nfibromyalgia. As a result, many people are being denied access to a\npotentially life-changing therapy. About 70 percent of the fibromyalgia\npatients who responded to the [National Pain\nFoundation](http://nationalpainreport.com/marijuana-rated-most-effective-for-treating-fibromyalgia-8823638.html)\nsurvey said they had not tried cannabis as a treatment for their\nsymptoms, which is not surprising, given that [federal\nlaw](https://www.whitehouse.gov/ondcp/state-laws-related-to-marijuana)\nstill classifies marijuana as a Schedule I drug with no medicinal\nbenefit.\n\nProponents of Medical Marijuana Lobby for Changes to Law\n--------------------------------------------------------\n\n[Proponents of medical marijuana](http://norml.org/marijuana) are\nlobbying for a change to the law so that the millions of Americans who\nlive with fibromyalgia could legally buy marijuana for personal use from\na safe source. Twenty-three states and Washington, D.C. have already\nlegalized smoked marijuana for medicinal purposes. However, a [bill\ndecriminalizing\ncannabis](https://www.congress.gov/bill/113th-congress/house-bill/499)\nat the federal level has yet to be signed into law. Currently, more than\n[60 national and international health\norganizations](http://norml.org/component/zoo/category/health-organizations-endorsements),\nincluding the American Academy of Family Physicians and the American\nCollege of Preventive Medicine, support a move towards granting patients\nimmediate legal access to medical marijuana under a physician's\nsupervision. Legalization would enable people with fibromyalgia to\nmanage their symptoms more effectively without worrying about potential\nlegal repercussions.\n\n[image credit](https://www.flickr.com/photos/sbmontana/10428460483/in/photolist-gTwzYP-cYycRh-6nAJLn-upH71f-uR7suE-b8HRNi-eW1NYW-Nr3KJ-5T1SRZ-4XR1PW-5T6eWE-cL6ZzS-bNpKLp-d6Ch8f-9vX53p-earuhL-bitb9r-9gT4if-29Nofz-Kei68-ewUJjd-ohRa5g-NryNT-buy6iM-buy6cV-buy6o4-7wY4nG-bYe9dE-buy6sc-9fDbN9-rKGFhG-dwaHRH-bWRbif-5RTu7c-bWR5DG-BNV8J-bWPsRS-bXviVu-66JmzH-acMU5H-7h6UAq-dw3ah-dw3ai-uThpC1-pHEUeh-qpDE9i-enQuQt-eTXDHt-uSWouQ-sF1Mz)","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5151515151515151,"src":"/static/93fad56c660a44548f5bd7dfc589e566/14b42/31a44134b93c1f0b850b174d0fb20601.jpg","srcSet":"/static/93fad56c660a44548f5bd7dfc589e566/f836f/31a44134b93c1f0b850b174d0fb20601.jpg 200w,\n/static/93fad56c660a44548f5bd7dfc589e566/2244e/31a44134b93c1f0b850b174d0fb20601.jpg 400w,\n/static/93fad56c660a44548f5bd7dfc589e566/14b42/31a44134b93c1f0b850b174d0fb20601.jpg 800w,\n/static/93fad56c660a44548f5bd7dfc589e566/47498/31a44134b93c1f0b850b174d0fb20601.jpg 1200w","srcWebp":"/static/93fad56c660a44548f5bd7dfc589e566/58556/31a44134b93c1f0b850b174d0fb20601.webp","srcSetWebp":"/static/93fad56c660a44548f5bd7dfc589e566/61e93/31a44134b93c1f0b850b174d0fb20601.webp 200w,\n/static/93fad56c660a44548f5bd7dfc589e566/1f5c5/31a44134b93c1f0b850b174d0fb20601.webp 400w,\n/static/93fad56c660a44548f5bd7dfc589e566/58556/31a44134b93c1f0b850b174d0fb20601.webp 800w,\n/static/93fad56c660a44548f5bd7dfc589e566/99238/31a44134b93c1f0b850b174d0fb20601.webp 1200w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_1912-markdown","title":"Top 14 Marijuana Strains for Different Kinds of Pain","slug":"top-14-marijuana-strains-for-different-kinds-of-pain","content":"Two studies paint a grim picture of the American landscape when it comes to pain and pain management. \n\nAccording to the Institute of Medicine of the National Academies, approximately [100 million Americans suffer from chronic pain](http://www.nap.edu/read/13172/chapter/2), defined as pain that lasts for weeks or months. Often this is due to an underlying medical issue such as inflammation, migraines, fibromyalgia or spinal injury, to name a few.\n\nMeanwhile, the Centers for Disease Control report that between 2001 and 2003, there was a [three-fold increase in the total number of deaths from opioid overdose](http://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates), often prescribed as pain relievers. \n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en)\n\n### Clinical Trials Show Marijuana Reduces Intensity of Pain\n\nThe good news is that an increasing number of medical organizations acknowledge the benefits of medical marijuana for pain management. \n\n* A 2011 UCSF study led by Dr. Donald Abrams observed the effect of cannabis when combined with certain opiates  and found that [after being exposed to vaporized cannabis for four days, participants reported increased pain relief](http://www.ucsf.edu/news/2011/12/11077/ucsf-study-finds-medical-marijuana-could-help-patients-reduce-pain-opiates) even though morphine levels in the bloodstream decreased, while oxycodone levels remained unchanged.\n* In a study conducted by Dr. Kevin Hill from Harvard Medical School, six trials suggested that [medical marijuana was an effective pain reliever](http://jama.jamanetwork.com/article.aspx?articleid=2338266) on patients suffering from chronic pain, neuropathic pain and multiple sclerosis. \n* In his study at the McGill University Health Centre and published by the _Canadian Medical Association Journal_, Mark Ware found that [an inhalation of 25 mg\nof medical cannabis with 9.5% THC helped reduce the intensity of pain](http://www.cmaj.ca/content/182/14/E694.abstract) over four years for patients suffering from non-cancer pain. \n\n### So Which Type of Marijuana Is Best for Pain Relief? \n\nGenerally, cannabis strains with high percentages of cannabidiol (CBD) and tetrahydrocannabinol (THC), are most effective at pain relief. \n\n![Blueberry Kush](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-e182ab45-d6e7-4f4a-bed1-147a7b35724f/original.jpg)\n**Blueberry Kush**\n\nBlueberry Kush is a hybrid strain that features a blueberry aroma and dark green buds and has been widely used as part of a pain management regimen. \n\n![White Widow](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-28da2679-f8ef-49d5-926d-eb8f5458d08f/original.jpg)\n**White Widow**\n\nAnother strain that's been getting attention when it comes to generalized pain is the Auto White Widow. The strain is also helpful for those suffering from insomnia and depression.\n\n### Try Grand Daddy Purple or Blue Dream for Migraines\n\n![Grand Daddy Purple](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-fbc47669-a0e9-4095-8ff8-82ecfa007120/original.jpg)\n**Grand Daddy Purple**\n\nTo treat migraines, Grand Daddy Purple is an indica strain that delivers cerebral euphoria to relieve headaches. \n\n![Blue Dream](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-2fa7b263-e137-45a2-8621-de65ffb6fb38/original.jpg)\n**Blue Dream**\n\nSimilarly, many migraine sufferers swear by the pain-relieving properties of Blue Dream. This hybrid strain can ease the user into cerebral invigoration and body relaxation.\n\n### Master Kush & AK-47 Help Treat Arthritis\n\n![Master Kush](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-72472879-c2b4-4d8e-868d-99656083af9e/original.jpg)\n**Master Kush**\n\nMaster Kush has been doing wonders for patients suffering from arthritic pain. This strain provides a visual high before gradually providing full-body relaxation.\n \n![AK-47](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-6fee646a-f238-47c4-856b-45a418d93619/original.jpg)\n**AK-47**\n\nAlso used for arthritis, AK-47 is a popular strain with a high THC content. This sativa-dominant strain provides alertness along\nwith pain relief. \n\n### Combat Menstrual Cramps With Acapulco Gold or Alaskan Ice\n\n![Acapulco Gold](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-39afbcc3-79a3-410e-955b-d79e029627e0/original.jpg)\n**Acapulco Gold**\n\nAcapulco Gold is widely used by women suffering from menstrual cramps. This plant, whose buds resemble gold, has a 23% THC content.\n\n![Alaskan Ice](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-ab1c3bf3-b63b-4795-a5dc-09cbbf7c946e/original.jpg)\n**Alaskan Ice**\n\nAlaskan Ice is another option to consider when it comes to relieving the pain associated with menstrual cramps, as this potent sativa strain provides a euphoric high.\n\n### Critical Mass & Ace of Spades Help With Fibromyalgia\n\n![Critical Mass](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-99c1c352-0594-4ef2-8749-7db2562ad7fe/original.jpg)\n**Critical Mass**\n\nCritical Mass is a combination of Skunk #1 and Afghani strains and has a THC level of 19-22%, making it a good choice for treating fibromyalgia pain. \n\n![Ace of Spades](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-e89e3e9c-96d2-4500-a95d-e7a901c5659a/original.jpg)\n**Ace of Spades**\n\nAce of Spades is another strain to consider using for a wide range of medical symptoms and conditions including fibromyalgia\npain.\n\n### Spinal Injury Sufferers Should Try Purple Haze or Khalifa Kush\n\n![Purple Haze](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-49c3df0c-19a9-43da-964a-368070739a51/original.jpg)\n**Purple Haze**\n\nPatients suffering from spinal injury will like the euphoria-inducing effect of Purple Haze. This purplish plant has green and orange undertones with an earthy smell. \n\n![Khalifa Kush](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-3ae5c67f-6637-4f76-b869-aa498f5855f8/original.jpg)\n**Khalifa Kush**\n\nKhalifa Kush is also a good option for those who want to be up and running all throughout the day, as it provides an energy boost. This medical cannabis also leaves the patient with distinct cerebral buzz to help alleviate the pain.\n\n### Start With Mendo Purps & Bhang Skywalker OG if You Have MS\n\n![Mendo Purps](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-284f313d-9e74-4f81-ba40-34906bfde07f/original.jpg)\n**Mendo Purps**\n\nMendo Purps is an indica-dominant cannabis strain used to treat the symptoms of multiple sclerosis. It can also help relieve muscle spasms and fatigue. \n\n![Bhang Skywalker OG](https://hellomd-development.s3.amazonaws.com/articles-562150d03232620006450000-efe04a89-3972-462b-9ba1-0c2e8abd7e57/original.jpg)\n**Bhang Skywalker OG**\n\nIf you’re new to medical marijuana and want the therapeutic effects of the plant, you can\nalso try Bhang Skywalker OG, a strain with coconut oil that's infused with 25-35% THC, making it a strong sedative and a popular pain reliever.\n\nA growing body of scientific data now backs up the anecdotal evidence that medical marijuana relieves pain, helps folks stay focused and improves their overall quality of life. It may\nalso be an important weapon in the fight against opioid addiction. The key is finding the right strain to combat your pain so that you can live your best life—pain free.\n\n[Main Photo Credit](https://www.flickr.com/photos/16210667@N02/9048590552/in/photolist-eMAoHW-bMntm-pQK2Ky-6J712H-8GpStT-9ZfBdP-8YgykV-jKBJtD-cq5vN7-eQ8SWp-7zF9jE-obwhvp-qYjA-3fCcUW-83KDDP-aLLLFc-nmqGR2-b5c3wM-6aMj5E-gH5cK4-gH59cn-pEU9mf-qhCRBQ-5YLeJp-62gr3v-aihCSC-9542b3-4tQDV1-aihCUy-9vCsAM-9EAdyE-ftq9RZ-TtxC2-dx6zu6-gjQqwC-m1HWCQ-95oQHQ-eDFDHf-9Pr2c7-ayqLuo-8Z4Ze9-rZERyb-83NLT9-83KExK-5J6NHw-5p4bNo-69hHvm-69dwor-NUCJL-7Cycuq)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://hellomd.com/articles/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.  ","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.5151515151515151,"src":"/static/7a0066590e4356496a55e825f2576f74/14b42/e9096d4eb8f9047db354a090a9ef9252.jpg","srcSet":"/static/7a0066590e4356496a55e825f2576f74/f836f/e9096d4eb8f9047db354a090a9ef9252.jpg 200w,\n/static/7a0066590e4356496a55e825f2576f74/2244e/e9096d4eb8f9047db354a090a9ef9252.jpg 400w,\n/static/7a0066590e4356496a55e825f2576f74/14b42/e9096d4eb8f9047db354a090a9ef9252.jpg 800w,\n/static/7a0066590e4356496a55e825f2576f74/47498/e9096d4eb8f9047db354a090a9ef9252.jpg 1200w","srcWebp":"/static/7a0066590e4356496a55e825f2576f74/58556/e9096d4eb8f9047db354a090a9ef9252.webp","srcSetWebp":"/static/7a0066590e4356496a55e825f2576f74/61e93/e9096d4eb8f9047db354a090a9ef9252.webp 200w,\n/static/7a0066590e4356496a55e825f2576f74/1f5c5/e9096d4eb8f9047db354a090a9ef9252.webp 400w,\n/static/7a0066590e4356496a55e825f2576f74/58556/e9096d4eb8f9047db354a090a9ef9252.webp 800w,\n/static/7a0066590e4356496a55e825f2576f74/99238/e9096d4eb8f9047db354a090a9ef9252.webp 1200w","sizes":"(max-width: 800px) 100vw, 800px"}}}}}]}},"pageContext":{"limit":12,"skip":36,"numPages":5,"currentPage":4,"id":5600,"name":"Pain Management","slug":"pain-management","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}