{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/chronic-pain/","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_12638-markdown","title":"Best medical marijuana strains for chronic pain? ","slug":"best-medical-marijuana-strains-for-chronic-pain","content":"***”I’ve been dealing with fibromyalgia for many years and am trying to lower my usage of opioids. I want to try cannabis for my pain, what are some good strains to try?”***\n\nBella K \n_______________ \n\nWhen figuring out which strain is the best option for soothing your pain, it’s important to consider what time of the day you’re planning on using the cannabis product, what kind of pain you’re experiencing, and the level of psychoactivity you’re comfortable experiencing. Patients who use cannabis for their chronic pain often choose different strains based on the time on the time of day they plan on taking it. During the day, it is best to use a low [THC](https://www.hellomd.com/tag/thc) and high [CBD](https://www.hellomd.com/tag/cbd) variety whereas, in the evening, a higher THC strain can aid in pain relief.  \n\nIt is also important to consider different administration methods when thinking about using cannabis for pain management. For example, [vaporizing your marijuana](https://www.hellomd.com/articles/cannabis-vaporization-a-better-delivery-method) will allow for quicker pain relief whereas [oils](https://www.hellomd.com/articles/cbd-oil-breaking-the-stereotypes-of-cannabis) may process slightly slower but maintain pan relief for longer. Like using any other cannabis product, it is important to consider that each patient is different, and choosing the right strain for pain relief will take trial and error, what works for someone else, may not work for you. Here are some great strains to try for chronic pain relief.  \n\n![Untitled39-min.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Untitled39_min_d2e21a2545.png)\n\n[OG Kush](https://www.hellomd.com/strains/og-kush) gives a hard-hitting cerebral high with body-melting physical effects. This is a great strain for those looking to unwind, combat nausea, pain, or loss of appetite. Arguably the most well-known cannabis strain, OG Kush is an Indica-dominant hybrid with high levels of THC. The THC concentration ranges from 20-25% This strain can be extremely effective for pain relief, but users will often experience high levels of psychoactivity due it the THC and little CBD in the strain. Patients who choose to give this strain a try are advised to start with a low dosage and work their way up to find the perfect amount for their individualized pain. OG Kush is best to be consumed in the evening as it can aid with insomnia as well. \n\n![Untitled53-min.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Untitled53_min_92dc3cdff3.png)\n\n[Cherry Pie](https://www.hellomd.com/strains/cherry-pie#:~:text=This%20hybrid%20is%20crossed%20with,scent%20that's%20reminiscent%20of%20cherries.) offers a sweet smell and flavor that’ll leave you feeling relaxed and happy. Consumers love Cherry Pie for its euphoric, uplifting, and pain-relieving effects. When smoking this strain expect a cerebral high that will progress into full-body relaxation. Its mood-boosting effects and physical qualities help medical cannabis users suffering from stress, depression, or chronic pain, it can also help you get a good night's sleep.  \n\nBrandon D.  \n_______________\n\n![Untitled56-min.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Untitled56_min_66519ab978.png)\n\nAccording to the Institute of Medicine of the National Academies, [approximately 100 million Americans](https://nap.nationalacademies.org/read/13172/chapter/2) suffer from chronic pain, pain that lasts for weeks or months. This is often due to underlying medical conditions such as migraines, fibromyalgia, inflammation, or spinal injuries. With chronic pain comes the use of opioids, which can be addictive and extremely dangerous. In recent years there have been numerous clinical trials that prove marijuana reduces the intensity of chronic pain. In a study conducted by Dr. Kevin Hill from Harvard Medical School, six trials suggested that [medical marijuana was an effective pain reliever](https://jamanetwork.com/journals/jama/article-abstract/2338266) in patients suffering from chronic pain, neuropathic pain, and multiple sclerosis.  \n\nGenerally, cannabis strains with a high percentage of CBD and THC are most effective at pain relief. Ace of Spades is a great strain to try as it's used for a wide range of medical symptoms including fibromyalgia and other chronic pain. Rich in CBN this strain will also give you a good night's sleep. It is an Indica-dominant cross between Black Cherry Soda and Jack the Ripper. Consumers can expect a deep, full-body relaxation followed by sedation thanks to the CBN.\n\nAlex M.","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1,"src":"/static/ff804dc7d035fef07ce4beca8f03f4b7/3dd72/62e3e345308369fd2baf409f25857c79.png","srcSet":"/static/ff804dc7d035fef07ce4beca8f03f4b7/69585/62e3e345308369fd2baf409f25857c79.png 200w,\n/static/ff804dc7d035fef07ce4beca8f03f4b7/497c6/62e3e345308369fd2baf409f25857c79.png 400w,\n/static/ff804dc7d035fef07ce4beca8f03f4b7/3dd72/62e3e345308369fd2baf409f25857c79.png 474w","srcWebp":"/static/ff804dc7d035fef07ce4beca8f03f4b7/1e319/62e3e345308369fd2baf409f25857c79.webp","srcSetWebp":"/static/ff804dc7d035fef07ce4beca8f03f4b7/61e93/62e3e345308369fd2baf409f25857c79.webp 200w,\n/static/ff804dc7d035fef07ce4beca8f03f4b7/1f5c5/62e3e345308369fd2baf409f25857c79.webp 400w,\n/static/ff804dc7d035fef07ce4beca8f03f4b7/1e319/62e3e345308369fd2baf409f25857c79.webp 474w","sizes":"(max-width: 474px) 100vw, 474px"}}}}},{"node":{"id":"Question_12589-markdown","title":"What are the qualifying conditions for getting a medical marijuana card in New York in 2022?","slug":"what-are-the-qualifying-conditions-for-getting-a-medical-marijuana-card-in-new-york-in-2022","content":"**“I’m dealing with chronic pain from an old motocross accident and I’m scared of taking opioids. I live in New York. Would I qualify for a medical marijuana card to buy weed here in New York?”**\n\nRoy A.\n\n-------------\n![Anxiety can be crippling - but medical marijuana may help](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2022_01_19_at_2_58_44_PM_d9687fad18.png)\n\nThe list of qualifying conditions to get your medical marijuana card in New York are as follows:\n\n- Chronic Pain (Arthritis, Migraine, Fibromyalgia, Back Pain, Neck Pain, Severe Dysmenorrhea, Endometriosis, Uterine Fibroids, etc) \n- P.T.S.D. Post Traumatic Stress Disorder (Anxiety, Depression, Insomnia, Panic Attacks, etc)\n- I.B.D. Inflammatory Bowel Disease, Ulcerative colitis, Crohn’s Disease, I.B.S.  Irritable Bowel Syndrome (Abdominal pain, gas, bloating, cramps, etc)\n- Pain that degrades health and functional capacity where the use of medical marijuana is an alternative to opioid use.\n- Opioid Use Disorder/Substance Use Disorder, you must be enrolled in an [Article 32 Treatment program](https://www.nysenate.gov/legislation/laws/MHY/TEA32)\n- Neuropathy, Radiculopathy, sciatica, pinched nerve, numbness, tingling\n- Epilepsy, Seizure Disorder\n- Cancer\n- HIV or AIDS\n- A.L.S. Amyotrophic Lateral Sclerosis (A.K.A. Lou Gehrig’s Disease)\n- Parkinson’s Disease\n- Multiple Sclerosis\n- Damage to the nervous tissue of the spinal cord with objective neurological indication of intractable spasticity\n- Huntington’s Disease\n\n​Associated or complicating conditions include:\n\n- PTSD\n- Opioid Use Disorder (must be in an Article 32 Treatment program)\n- Seizures\n- Severe Nausea\n- Severe or Persistent Muscle Spasms\n- Severe or Chronic pain resulting in substantial limitation of function\n- Cachexia/Wasting Syndrom\n\nIt's always good to check back to the [cannabis regulations page in the state of New York](https://cannabis.ny.gov/), as things change over time.\n\nHope this helps!\n\nAnne.Y\n\n-----------------------\n![Back pain is a common reason people seek medical marijuana](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2022_01_26_at_10_18_24_PM_240f9632cf.png)\n\nYes, you would. Sorry to hear about your accident and discomfort. Your condition, chronic pain, is exactly the type that New York’s medical cannabis laws were designed to address. According to the [New York State Department of Health](https://www.health.ny.gov/regulations/medical_marijuana/patients/):\n\n“You may be eligible for medical marijuana if you have been diagnosed with one or more of the following severe debilitating or life-threatening conditions: cancer, HIV infection or AIDS, amyotrophic lateral sclerosis (ALS), Parkinson's disease, multiple sclerosis, spinal cord injury with spasticity, epilepsy, inflammatory bowel disease, neuropathy, Huntington's disease, post-traumatic stress disorder, chronic pain, pain that degrades health and functional capability as an alternative to opioid use or substance use disorder.”\n\n![Chronic pain interferes with life - cannabis can help](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2022_01_26_at_10_23_06_PM_f255f44257.png)\n\nTo [obtain the medical marijuana card](https://hellomd.com/articles/how-to-get-your-medical-marijuana-card-in-new-york-state) you need to to purchase medical marijuana from a legal dispensary, you must: \n\n- Contact a [registered practitioner](https://newyork.hellomd.com/start) to see if medical cannabis may be able to help with your condition.\n- Obtain patient certification from a registered practitioner.\n- Register online—a registry ID card will be mailed after the application is approved.\n- Buy your medical cannabis from a licensed dispensary.\n\n![cdc-BbP7rqIGB3c-unsplash.jpg](https://hellomd-cms.s3.us-west-2.amazonaws.com/cdc_Bb_P7rq_IGB_3c_unsplash_d6d0cb8f19.jpg)\n\nThe easiest way to get your medical marijuana card is to have an online consultation with [HelloMD](https://hellomd.com/get-started/new-york). Meet with a doctor or nurse online and get expert cannabis advice. Assuming you are approved, you get your medical card in days - it's super easy and discreet too.\n\nCarl.S\n\n------------\n![New York has had medical marijuana since 2016](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2022_01_26_at_10_20_07_PM_3682bf63bd.png)\n\nThe good news is, since New York made medical cannabis legal in 2016, it has been [expanding the list of conditions covered](https://hellomd.com/articles/new-york-expands-condition-list-for-medical-marijuana) and making other improvements in terms of access and the range of weed products available.\n\nIn October 2021, the New York State Office of Cannabis Management announced [several enhancements to its Medical Marijuana Program](https://www.health.ny.gov/regulations/medical_marijuana/). It advanced regulations for public comment that would allow medical weed patients to grow their own cannabis plants, saving the higher dispensary costs.\n\n![Pineapple Silver Haze cannabis strain](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2022_01_25_at_6_56_01_PM_48e9cbeffc.png)\n\nIt also added whole flower weed to be used for vaporization; made permanent the temporary waiver of the $50 patient and caregiver registration fee; and allowed registered organizations to dispense up to a 60-day supply of medical marijuana to a registered patient, following the recommendations of their medical practitioner.\n\nAs well, the state expanded the types of practitioners who can certify patients for the medical use of marijuana to “anyone who is licensed, registered, or certified by New York State to prescribe controlled substances to humans within the State such as dentists, podiatrists, and midwives.” \n\nPractitioners must complete at least a two-hour course and register with the New York Department of Health before they can begin certifying patients for medical cannabis.\n\nJody H.\n\n---------\n\nA good reason to get your medical marijuana card is that even though adult-use weed has been legalized in New York, it may be a long time before you can actually buy it in a legal dispensary. Some sources even predict we [might not see any legal recreational dispensaries operating at all in 2022](https://www.thecity.nyc/2021/12/21/22848537/waiting-to-inhale-legal-weed-shops-may-not-hit-nyc-in-2022). \n\n![A New York Medical Card from HelloMD](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2022_01_26_at_9_19_46_AM_df5dd4ee5b.png)\n\nBy the end of 2021, every city and town in the state was supposed to decide whether or not they should allow cannabis dispensaries and/or consumption spots to operate within their borders.\n\nAny town that didn’t submit a decision would automatically opt in. In the run-up to Dec. 31, 2021, far more municipalities were opting out of at least one of the two possible forms of cannabis access in their districts. Some estimates had [642 dispensary opt-outs and 733 consumption site opt-outs at the beginning of 2022](https://www.marijuanamoment.net/hundreds-of-new-york-municipalities-will-allow-marijuana-businesses-as-opt-out-deadline-passes/).\n\n![Medical marijuana has many health benefits](https://hellomd-cms.s3.us-west-2.amazonaws.com/Screen_Shot_2022_01_25_at_6_41_03_PM_1c31d55096.png)\n\nApparently, New York State hasn’t yet issued any licenses to the companies that will supply, ship, and sell legal cannabis to customers, so it’s going to be a while before legal recreational sales are underway.\n\nBut the good news is, if you have a qualifying medical condition, you can get a medical marijuana card to access cannabis right now from legal, quality-controlled sources. It’s fast, easy, and cost-effective to [get your medical cannabis card in New York through HelloMD](https://hellomd.com/get-started/new-york). \n\nRegister online, pay a $129 consulting fee, have a telehealth consultation with an approved medical practitioner, receive your medical authorization, and then make your first purchase from a medical marijuana dispensary.\n\nAldus Paige \n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.550387596899225,"src":"/static/e8705dd5edf5d68fde58b22620440293/14b42/aef83f369c0483c28789c81000a54109.jpg","srcSet":"/static/e8705dd5edf5d68fde58b22620440293/f836f/aef83f369c0483c28789c81000a54109.jpg 200w,\n/static/e8705dd5edf5d68fde58b22620440293/2244e/aef83f369c0483c28789c81000a54109.jpg 400w,\n/static/e8705dd5edf5d68fde58b22620440293/14b42/aef83f369c0483c28789c81000a54109.jpg 800w,\n/static/e8705dd5edf5d68fde58b22620440293/47498/aef83f369c0483c28789c81000a54109.jpg 1200w,\n/static/e8705dd5edf5d68fde58b22620440293/0e329/aef83f369c0483c28789c81000a54109.jpg 1600w,\n/static/e8705dd5edf5d68fde58b22620440293/e99ba/aef83f369c0483c28789c81000a54109.jpg 4506w","srcWebp":"/static/e8705dd5edf5d68fde58b22620440293/58556/aef83f369c0483c28789c81000a54109.webp","srcSetWebp":"/static/e8705dd5edf5d68fde58b22620440293/61e93/aef83f369c0483c28789c81000a54109.webp 200w,\n/static/e8705dd5edf5d68fde58b22620440293/1f5c5/aef83f369c0483c28789c81000a54109.webp 400w,\n/static/e8705dd5edf5d68fde58b22620440293/58556/aef83f369c0483c28789c81000a54109.webp 800w,\n/static/e8705dd5edf5d68fde58b22620440293/99238/aef83f369c0483c28789c81000a54109.webp 1200w,\n/static/e8705dd5edf5d68fde58b22620440293/7c22d/aef83f369c0483c28789c81000a54109.webp 1600w,\n/static/e8705dd5edf5d68fde58b22620440293/349a2/aef83f369c0483c28789c81000a54109.webp 4506w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Question_12335-markdown","title":"I have psoriatic arthritis and was wondering if this would be the best product for chronic pain, inflammation, and sleep problems.","slug":"i-have-psoriatic-arthritis-and-was-wondering-if-this-would-be-the-best-product-for-chronic-pain-inflammation-and-sleep-problems","content":"\"@\"\n_____________________\nPsoriasis  is an autoimmune skin condition which leads to an overproduction of  skin cells called keratinocytes. The immune system mistakes components  of the body's own skin as pathogens, such as a virus or harmful  bacteria, that need to be removed from the body. This autoimmune  reaction leads to inflammation and an overproduction of skin cells,  resulting in scaling, itch and pain. Between 18% and 42%of people  with psoriasis develop psoriatic  arthritis (PA).\n\nThe endocannabinoid system (ECS) is the body's own  naturally occurring network of receptors and cannabinoids that is  involved in several bodily functions - immunoregulation being one of the  most important and extensively studied. Several  studies have shown that the CBD downregulates an overactive and self-attacking immune  reaction. \n https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3044336/\n\nThe ECS is largely devoted to maintaining homeostasis (the  tendency of organisms to auto-regulate and maintain their internal  environment at  equilibrium). Deficiency or malfunction of the ECS has  become a focus for researchers seeking treatment options for several  maladies, including psoriasis and PA. In fact, the scientific community has   recently termed the ECS malfunction: Clinical Endocannabanoid  Decifiency, or CECD. Restoring balance to the ECS with phytocannabinoids, such as CBD and THC, is the crux of medicinal cannabis treatment.\n\ndrkim\n_____________________\nIn fact, the phytocannabinoids THC, CBD,  CBN and CBG have all been found  to inhibit keratinocyte proliferation in hyper-proliferating  keratinocyte cell lines, such as those found in psoriasis and PA.  Among the four  phytocannabinoids, CBD showed the most anti-proliferative potency, and required the lowest plasma concentration to inhibit keratinocye  overproliferation.\nhttps://www.google.com/search?client=firefox-b-1-ab&q=Wilkinson%2C+J.D.%2C+and+Williamson%2C+E.M.+%282007%2C+February%29.+Cannabinoids+inhibit+human+keratinocyte+proliferation+through+a+non-CB1%2FCB2+mechanism+and+have+a+potential+therapeutic+value+in+the+treatment+of+psoriasis.+Journal+of+Dermatological+Science%2C+45%282%29%2C+87-92.\n\nFurther, studies have showed that both endocannabinoids and  phytocannabinoids can directly treat the symptoms of psoriasis and psoriatic arthritis, such as  pain and itch.\nhttp://www.jaad.org/article/S0190-9622(17)30308-0/fulltext\nhttps://jamanetwork.com/journals/jama/fullarticle/233825\n\nAnd  finally, CBD can treat the the lost sleep, anxiety and depression  most psoriasis patients experience.  Beyond helping the patient better cope with the emotional toll psoriasis can cause, improving sleep and  lowering depression and anxiety can also reduce the frequency of  psoriasis flare-ups.\n\n\n\ndrkim\n_____________________\nThat product is an excellent choice: Rather than simply isolating CBD, Elixinol follows a  \"whole-plant philosophy\" which increases the oil's medicinal properties  by preserving accessory cannabinoids and terpenes—which all work  together in synergy to provide the \"entourage effect.\"  Furthermore,  rather than chemical solvents, Elixinol uses CO2 to extract CBD,  accessory cannabinoids and terpenes—which results in a more potent, pure  and safe CBD oil. \n\nFurther still, this product is very easily dosed, as the bottle specifies the miligrams of CBD per mililiter, drop or dropper-full.  Most CBD products are very poorly labeled, which leads to confusion and guessing.\n\nI hope this helps!\n\ndrkim","image":null}},{"node":{"id":"Question_12221-markdown","title":"Hello, will this help with relieving chronic headaches due to an automobile accident?","slug":"hello-will-this-help-with-relieving-chronic-headaches-due-to-an-automobile-accident","content":"\"I was in an auto accident about 2 years ago where I was rear-ended by a distracted driver at a stop light, and since then, I have not had a single day where I do not have a headache.  It feels like my head is going to explode, and I have tried so many things for relief that have not helped.  I even tried a different brand cbd oil with no relief.  I just need to get relief.  I am also in chronic pain, and have had 3 surgeries for this accident, my neck, my wrist and my elbow.   I have depression due to chronic pain, ptsd and anxiety as well, all from the accident that changed my life.  \"\n_____________________\nI had a similar situation where after a car accident I had headaches and eventhough smoking or vaporizing indica usually helps it did not alleviate the pain completely. I would also suggest perhaps going to a chiropractor for a holistic/physical  approach and then using cannabis and CBD to assist in recovery afterwards\n\nBartSmart","image":null}},{"node":{"id":"Question_12077-markdown","title":"What is the best cannabis product for chronic pain?","slug":"what-is-the-best-cannabis-product-for-chronic-pain","content":"\n_____________________\n\"Best\" comes down to method of ingestion - for chronic pain, preferably a tincture or edible for their long-lasting, global effects. You can read more about using cannabis to treat chronic pain here: https://hellomd.com/articles/how-cannabis-helps-reduce-chronic-pain\n\nKevin P.\n_____________________\nHi there!\n\nUnfortunately, there is no best cannabis product for any condition. Everybody's situation is a bit different: pain level; tolerance to pain; tolerance to THC; amenability to psychoactive effects; and type of pain are some of the factors to consider when formulating a treatment plan. However, I can provide you with a rough guideline, along with product recommendations.\n\nFor \"conventional\" (nociceptive) pain issues, such as arthritis, sprains, strains, dislocations, bone fractures, and myofacial pain -- in other words, inflammatory pain  -- I most often recommend a high CBD vs THC edible, spray or tincture,  such as the 18:1 formulations offered by Care By Design. I have no  affiliation with them; however, I like that they: use the whole plant when making their products, rather than isolating only THC and CBD; offer a variety of ratios; offer all routes of  administration, other than combustion; clearly label their products in mgs of THC and CBD per dose; and are relatively easy to find.  \nProducts to consider:\nhttps://www.cbd.org/products/drops/18-1-drops\nhttps://www.cbd.org/products/soft-gels/18-1-soft-gels\nhttps://www.cbd.org/products/chocolates/18-1-chocolate\nIf  the pain is localized, you can also try a topical cream. I recommend  the creams with THC rather than the pure CBD creams. THC containing  topical creams will not cause any psychoactivity.\nhttp://truefarma.com/product/sweet-releaf-extra-strength-2oz/\n\n\ndrkim\n_____________________\nSome very high CBD strains to consider for inflammatory pain:\nACDC - a 20:1 sativa strain\nRingo's Gift - a 25:1 hybrid strain\nCharlotte's Web - a 30:1 sativa strains\n\nFor  non-inflammatory pain issues, such as neuropathic pain, migraine  headaches, fibromyalgia and psychogenic pain, I tend to recommend -- if  amenable to the patient -- products and strains with higher levels of THC, such as\n 1. https://www.cbd.org/products/chocolates/1-1-chocolate - a \"whole plant\" 2:1 edible\n2. http://dosist.com/pen-relief/ - a 1:2 vaporizer pen\n3. http://kivaconfections.com/products/bars/ginger - a 1:1 \"whole plant\" edible\n4. http://truefarma.com/product/sweet-releaf-extra-strength-2oz/ - a THC and THCA topical cream.\n\nSome CBD strains to consider: \nHarlequin - a 5:2 sativa strain \nSweet and Sour Widow - a 1:1 indica strain \nPennywise - a 1:1 indica strain \nCannatonic - a 3:1 hybrid strain\n\nHope this helps!\n\n\n\ndrkim","image":null}},{"node":{"id":"Question_11908-markdown","title":"How much CBD do I need to take in order to help with my chronic pain?","slug":"how-much-cbd-do-i-need-to-take-in-order-to-help-with-my-chronic-pain","content":"\"Is there a difference between different types of CBD? I am new to cannabis and have struggled with chronic pain for some time following a car accident. I do not want to take pharmaceuticals and I am not interested in THC and the high associated with it. If I take CBD, what kind do I take, how much and in what form. It seems very confusing to me. My state is not yet legal, will that complicate things?\"\n_____________________\nCBD can be great for chronic pain management, depending on what you may be dealing with, because it is used to reduce inflammation. It is also great for people that do not want the psychoactive effects you get from THC, but still want to get the medical benefits you get from the cannabis plant. \nIf you are in a state that is not legal, that can complicate things, but fortunately, hemp derived CBD oil is not regulated the same way cannabis, so hemp derived CBD is legal in most states. There are products available in many different varieties, such as gummies, vape pens, oil tinctures, gel capsules, topicals, and many other forms so you can find the product that works best for you.  \n\nnsavelli\n_____________________\nCBD is a compound found in cannabis the way vitamin C is in oranges.  Is the vitamin C in lemons different? Of course not.  The effects of cannabis in humans result from the interplay of many compounds in the plant, of which CBD is just one.  While some of the others (eg THC) have psychoactivity, CBD by itself does not.  Whether taking a given amount of CBD is reliably associated with a reduction in pain as experienced by most patients is a question that has not yet been scientifically answered, although there is no shortage of answers on the internet.  But at the same time it appears that CBD is not particularly toxic to humans at any dose, making it remarkably safe to give it a try.  Some preparations consist of CBD extracted from cannabis by itself, others combine it in various ratios with other cannabis compounds, and some patients prefer using a cannabis strain bred specifically to express a lot of CBD relative to other compounds (eg Harlequin).  It is confusing because, unlike penicillin or Prozac, there is no scientifically validated protocol for taking CBD.  Many patients have reported benefit in finding a particular ratio of CBD:THC that reduces discomfort without compromising focus or intellectual function.  There is no substitute for cautious experimentation, and you might begin by reading this short article to get some background information: (https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana).  \n\ndrelkind","image":null}},{"node":{"id":"Question_11873-markdown","title":"Does it help with chronic pain from Osteoarthritis??","slug":"does-it-help-with-chronic-pain-from-osteoarthritis","content":"\n_____________________\nThe truth is, osteoarthritis is almost always a deficiency in the building materials necessary to make new healthy cells and the result is inflammation and deterioration of the bone and cannabis certainly can help with the inflammation while you are correcting your diet but please, refrain from strenuous activity until the inflammation has resolved. You may want to go high with CBD & CBG and as the inflammation reduces you may reduce the cannabis.  Cannabis tends to be a very safe antiinflammatory medication but you must check for interactions if you are on other prescription medications. Consider topical applications also because cannabis can be especially beneficial if taken in more than one route.\n\ndrolson\n_____________________\nYes, cannabis can be extremely helpful in chronic pain such as that caused by osteoarthritis.  Chronic pain is a very different treatment problem from acute pain, and the most successful approaches involve engaging the patient's attention and emotions elsewhere from the source of the chronic pain.  This is one of the useful characteristics of the cannabinoid and terpenoid effects that many people experience.  There may be some actual anti-inflammatory activity involved, as measured by tissue levels of various biologically active compounds, but I see that as an additional benefit rather than the basis for why people with chronic pain, such as that caused by osteoarthritis, often report cannabis helpful.  I do agree with Dr. Olson that sufficient numbers of patients have reported benefit from topical cannabis preparations in this condition to make it worth a try, even though little, if any, reaches the systemic circulation when applied as a balm or lotion.  There may well be local effects we don't understand, and the essential lack of toxicity of cannabis makes trying it in this way reasonable.    Cannabis will not cure or stop the progression of osteoarthritis, but it can be very useful in treating the chronic pain caused by osteoarthritis.\n  \n\ndrelkind","image":null}},{"node":{"id":"Question_11739-markdown","title":"What are the strongest marijuana strains out there? ","slug":"what-are-the-strongest-marijuana-strains-out-there","content":"\"I'm interested in knowing what strains have the highest THC percentage. I have chronic pain and need really strong cannabis to help me get through the day.\"\n_____________________\nIt depends on what effect you are looking to get, and also the types of strains and the exact high THC percentages that you prefer. From the symptoms that you are describing, the strongest marijuana strains I would recommend would mainly be heavy indica strains. If you prefer more flavorful marijuana strains I would suggest the various Gelato strains, GSC, Sunset Sherbet, Grand Daddy Purple, Purple Punch, Cherry Pie, Afghani, etc. However if you prefer less flavorful strains that still have high THC percentage, I would recommend Gorilla Glue #4, the various OG strains, Kush based strains, God's Gift, Northern Lights, etc. \n\nnsavelli\n_____________________\nIf getting enough THC were all that is needed you could just smoke or eat more, rather than try different strains. But the differences in effects between cannabis varieties seems to have a lot do with what else is in the plant, particularly the amounts of the many other cannabinoid compounds and, perhaps even more importantly, the amounts of the various essential oils (terpenes). It has been observed that pain relief is often best with whole-plant preparations in order to take advantage of the interaction of all the active compounds in cannabis working together, which is sometimes termed the \"entourage effect\" (try a search on that term). The Indica dominant varieties are often experienced as more sedating in their effects, and for some people this might contribute to better pain relief.  But sedation is not always appropriate for 'getting through the day.”  There is no variety of cannabis that has been shown to be 'better' for pain relief.  That effect is highly individualized.  Many patients who try various hybrid strains will find one or two whose effects they prefer to the others, and use that clue to try related strains until they discover what seems most helpful for their symptoms.  This is why I always suggest patients persevere in their exploration if the first cannabis they try doesn't provide as much relief as they are looking for.  I wish you success in your quest \n\ndrelkind\n_____________________\n \nAfter doing some research, I’ve found that the strongest marijuana strains consistently have over 20% THC content, and have been known to test upwards of over 30% THC. Durban Poison, Chemdawg, Godfather OG, and Strawberry Banana are some of the strains that I’ve found with the highest THC percentage. I’ve tried most of these strains and I must say that I agree with these being listed as some of the strongest marijuana strains. As long as you are located in our service area, you can purchase Chemdawg through us. \n\nYou can use this link to view more info: https://www.hellomd.com/products/5af63e661bf83e0007fdd9d1/chemdawg\n\nRyanG","image":null}},{"node":{"id":"Question_9187-markdown","title":"Newbie edibles for cronic pain.","slug":"newbie-edibles-for-cronic-pain","content":"\"I've never consume cannabis in any manner. I have been in horrible chronic pain after a leg bypass surgery period opiates are not working period have applied for a medical marijuana card. Not sure what dose to start with. I prefer edibles. Any suggestions. Thanks in advance.\"","image":null}},{"node":{"id":"Question_8947-markdown","title":"Can HelloMD assist w/potential MMJ patients in Wisconsin or make a referral to a WI based doctor?","slug":"can-hellomd-assist-w-potential-mmj-patients-in-wisconsin-or-make-a-referral-to-a-wi-based-doctor","content":"\"I've been an MMJ patient for the past few years in CA and have explained the potential medical benefits to my wife's grandmother who is a resident of WI. As an 84 year old she suffers from chronic pain and has been addicted to pain killers, in various forms for the past 20 to 30 years. She recently tested postive for THC and her doctors threatened to stop her prescription of oxycoton should she test positive again in 60 days. Reviewing Wisconsin Act 4 (http://docs.legis.wisconsin.gov/2017/related/proposals/sb10) it seems she could be a MMJ patient (CBD oil usage) but I'm curious whether or not the provisions would allow HelloMD to assist her or make a referral?\"\n_____________________\nHi there! HelloMD's practitioners are licensed in New York or California, and as such, are not permitted to consult with patients outside of their state of licensure. The good news is that any physician with an active Wisconsin medical license may write a recommendation for the possession and use of CBD for a Wisconsin-based patient. Good luck!\n\nashleigh","image":null}},{"node":{"id":"Question_8908-markdown","title":"Staten Island . How can I get started. Chronic pain","slug":"staten-island-how-can-i-get-started-chronic-pain","content":"","image":null}},{"node":{"id":"Question_8885-markdown","title":"What is the best product for chronic pain?","slug":"what-is-the-best-product-for-chronic-pain","content":"\n_____________________\nBecause everyone's biochemistry (and endocannabinoid system) is unique, there's no one-size-fits-all solution. In other words, what may work for one person, may not work for another. I suffer from chronic pain in the form of migraines and have found that the dosist relief vape pen (1:2 cbd-to-thc ratio) works to a certain extent when I have an attack. Meanwhile, I'm experimenting with tinctures that have a 1:1, 3:1 and 18:1 ratio of cbd to thc -- the 1:1 tincture I take when I'm having an attack, while the 3:1 and 18:1 (high cbd) tinctures, I interchange and have started to take on a daily basis. In contrast, I know folks who've gone off opioid painkillers and are able to solely rely on high CBD vapes and tinctures to relieve their chronic pain. That said, have a look at the following roundup of 3 Q&As on this subject. Hope it helps!\n\nlyp\n_____________________\nHey  there, just saw your question and as I have chronic back pain I'm going  to answer this question based on my experience with CBD.\r\n\r\nI think chronic pain is worse than pain, as there to stay for a long time.\r\n\r\nI was recommended to try CBD by a friend and after using it for a time I started noticing its positive effects.\r\n\r\nCannabidiol aka CBD is a natural alternative that is derived from the Hemp plant.\r\n\r\n\n\nsebastianwross","image":null}}]}},"pageContext":{"limit":12,"skip":0,"numPages":6,"currentPage":1,"id":5114,"name":"Chronic Pain","slug":"chronic-pain","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}