{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/pain/16","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_8328-markdown","title":"marijuana for arthritis pain","slug":"marijuana-for-arthritis-pain","content":"","image":null}},{"node":{"id":"Question_8322-markdown","title":"Can cannabis help with joint pain, digestive problems and other symptoms due to menopause?","slug":"can-cannabis-help-with-joint-pain-digestive-problems-and-other-symptoms-due-to-menopause","content":"\"I have chronic pain in my feet from arthritis and have heard that cannabis can help with joint pain. I am also going through menopause which I do have night sweats and hot flashes, but I also have constipation about every other day which leads to bloating and lots of pain. \"\n_____________________\nResearch confirms cannabis can help with pain, women with menopausal symptoms, and it is also helps treat constipation and bloating associated with conditions such as irritable bowel syndrome (IBS). A 1:1 concentration of THC/CBD is recommended. CBD and THC interact to enhance each other's therapeutic effects.\n\nnptherasse","image":null}},{"node":{"id":"Question_8315-markdown","title":"Is there a topical cannabis available for joint pain?","slug":"is-there-a-topical-cannabis-available-for-joint-pain","content":"\n_____________________\nThere are different topical cannabis formulations. There are different forms of cannabis that may be tried for joint pain.\n\ndrpersaud","image":null}},{"node":{"id":"Question_8311-markdown","title":"What is best for stenosis pain down the leg? Topical use only.","slug":"what-is-best-for-stenosis-pain-down-the-leg-topical-use-only","content":"\n_____________________\nAny topical product you use will help relieve pain related to your muscles and superficial nerves.  It does not penetrate well into a deep nerve like the sciatic nerve.  Adding more THC will make the potency of the topical stronger, but not penetrate deeper. Most people who want relief of sciatic nerve pain use a CBD:THC ratio of 20:1 oral tincture twice daily every day (does not make you \"high\") and then after 2-3 weeks and continued use they will begin to have nerve pain relief similar to a prescription nerve pain medication such as gabapentin.\n\ndrb","image":null}},{"node":{"id":"Question_8308-markdown","title":"What is the best CBD for post-herpetic nerve pain?","slug":"what-is-the-best-cbd-for-post-herpetic-nerve-pain","content":"\n_____________________\nI have had a member that has had shingles and had post herpetic nerve pain and has been using our High CBD tincture with great results, it takes care of the pain and also itching that is left behind.\n\nPiantaTinta","image":null}},{"node":{"id":"Question_8291-markdown","title":"What's the best CBD to THC ratio for chronic low back pain?","slug":"whats-the-best-cbd-to-thc-ratio-for-chronic-low-back-pain","content":"\n_____________________\n\nClinical trials using cannabinoids for pain treatment demonstrate how cannabinoids induce analgesia via the endocannabinoid system. Studies show that combining THC and CBD may improve their therapeutic effects. Both cannabinoids work together synergistically and work better in combination with one another than they do on their own. They address the pain through their analgesic and anti-inflammatory properties. Clinical research has shown that a 1:1 CBD:THC ratio is most effective for pain. Numerous randomized clinical trials have demonstrated safety and efficacy for Sativex (a 1:1 THC:CBD medication) in central and peripheral neuropathic pain, rheumatoid arthritis and cancer pain. \n \n\nRusso, E. B. (2008). Cannabinoids in the management of difficult to treat pain. Therapeutics and Clinical Risk Management, 4(1), 245–259.\n\ntatiananp","image":null}},{"node":{"id":"Question_8284-markdown","title":"Can i get a medical card at 18 ive been back and neck pain from work and ben over whelmed ","slug":"can-i-get-a-medical-card-at-18-ive-been-back-and-neck-pain-from-work-and-ben-over-whelmed","content":"\n_____________________\nHi,  most states require you to be 18 years or older. For New York State (NYS) the following health conditions must exist 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 or chronic pain (as defined by 10 NYCRR §1004.2(a)(8)(xi)). The severe debilitating or life threatening condition must also be accompanied by one or more of the following associated or complicating conditions: cachexia or wasting syndrome, severe or chronic pain, severe nausea, seizures, or severe or persistent muscle spasms.  I'm suggestive that patients have an identifiable primary care physician, that has a documented medical diagnosis for your complaints/symptons with a complete work up and treatment history. \n\n\ncherylnp\n_____________________\n Yes, most doctors in California will give medical recommendations starting at age 18. \n\nstonedmermaid","image":null}},{"node":{"id":"Question_8278-markdown","title":"I have chronic pain from hamstring tendinopathy. Will CBD help?","slug":"i-have-chronic-pain-from-hamstring-tendinopathy-will-cbd-help","content":"\n_____________________\nSome emerging research indicates that CBD is beneficial for orthopedic and musculoskeletal health. Some studies have demonstrated that CBD has amazing anti-inflammatory effects.  CBD works by activating cannabinoid receptors. Activating these receptors causes  lipids to be secreted that signal inflammation to shut off. It also encourages the body to repair and remodel the damaged sites.  CBD should decrease inflammation from tendinopathy and promote healing.\n\nhelenanp","image":null}},{"node":{"id":"Question_8163-markdown","title":"Can cannabis help my back pain","slug":"can-cannabis-help-my-back-pain","content":"\n_____________________\npossibly! you might want to seek out light amounts and avoid heavy ones to test it out- sometimes it can help pain but for some the other effects are not enjoyable. consuming cannabis in edible form is more efficiant as a pain killer- just do not add as much cannabis oil as is ''reccomended'' for a cannabis edible and add something closer to a cannabis oil solution with 0.1g cannabis if its weak- or 0.02g-0.05g  if its hash,  or if its very good weed go for something like 0.05g-0.07g\nlower doses lessen your chances of ''getting used''to the cannabis, avoid having you get unexpectidly high, and orally consuming cannabis will make the pain killing effects last 4-7 hours instead of 1-2hours when smoked. I reccomend this method: add your desired amount of hash, or cannabis- cook on a low heat in butter, margerine  or oil until the hash dissolves or for 7-15 minutes if working with cannabis  in its plain form. from there take it off the heat and let it sit for a minute or so before then adding milk- this will be your ''tea''- personally i use the milk in a tea with cat mint for help with chronic pain- but drinking the milk alone is fine. the oil also works in baked goods.\nmany report a good pain killing effect from this- and you can adjust the dose as suited- but be warned many ''edible'' recipies call for high amounts of cannabis- thus is why people say having one edible leaves them super high for hours- with pain killing you may want to stick to low doses.\n\ncrei\n_____________________\nBack pain, particularly chronic back pain, is a common reason patients consult me regarding use of medicinal cannabis. They are often seeking alternatives to opioids to manage their back pain after finding that chronic back pain cannot be effectively managed with just opioid treatment. One clinically well demonstrated effect of cannabis is enhancing the pain relieving effects of opioids, allowing patients to reduce the opioid dose needed to control their back pain. Chronic pain involves the nerves, but also the mind and emotions, as patients try to cope day after day with their pain. Pain management physicians know this well, and this is one of the ways medicinal cannabis can be helpful for patients with chronic back pain; it moderates mood. Some patients with chronic back pain have reported topical cannabis preparations are helpful, and I'd certainly give that a try, but for many patients it's a matter of cautious experimentation with different varieties and CBD:THC ratios to find what helps the most.   \n\ndrelkind\n_____________________\nHello there!  As my esteemed colleagues have mentioed, cannabis products can be very useful for treating all types of back pain, from the neck (cervicalgia) all the way to the lower back (lumbago) and everything in between.   Chronic back pain usually has multiple causes/ etiologies and this can help guide the treatment.  For example, if the pain is more in the muscle itself (i.e. myofascial pain),  then administration of a topical med cannabis agent might be useful.  In these cases, I often administer a small amount of heat and even a small bit of myofascial release/ \"self massage\" while administering the topical agents.  There are many topical agents (HelloMD also has a recipe for topicals if you type \"topical\" in the search bar at the top of the website).  I specifically like topical cannabis products that also use other active ingredients for analgesia/ pain control.  For example, I'm a fan of products like Arni-Cann (a topical that also contains arnica gel which we use in physical therapy often to help with joint range-of-motion and pain mgmt in general).   I'm also a fan of topical agents like cannabis oil infused epsom salts for soaking extremities the the body from MakingYouBetterBrands.com  (epsom salts in hot baths have been used for over a century to help people with joint, foot, back pain.   If pt's also have more acute/ recent injury to the back, another cannabis delivery method that has quick time of onset are inhalation agents (i.e. pipes,  vape-pens etc).\n\n\ndrpark\n_____________________\nChronic back pain is one of the most common reasons for which  patients seek a medical marijuana recommendation; and as several studies demonstrate, those back pain patients have good reason to do so. \n\nIn  fact, in a survey conducted by the Minnesota Department of Health polling 2290 patients using cannabis for chronic pain, 61% of those patients reported significant pain relief, while only 10% reported  little or no pain relief.  Additionally, \"the benefits extended beyond reduction in pain severity ... the benefit described second  most often was improved sleep (27%), which likely has a synergistic (and reciprocal) relationship with reduction in pain severity ... Improved sleep, reduction of other pain medications and their side effects, decreased anxiety, improved mobility and function, and other quality of life factors were also cited as important benefits.\"\nhttp://www.health.state.mn.us/topics/cannabis/about/ipreport.pdf\n\nA very recent retrospective cross-sectional survey with significant social implications, reported that \"among study participants, medical cannabis use was associated with a 64% decrease in opioid use.\"\nhttps://www.jpain.org/article/S1526-5900(16)00567-8/abstract\n\nSimilarly, in a literature review evaluating the interactions between cannabinoid and opiod analgesics, \n(continued below)\n\n\n\ndrkim\n_____________________\nthe author relayed findings that THC enhances the potency of opioids in animal  models in a synergistic way -- allowing for significantly lower doses of opioids in order to achieve similar levels of pain relief. Interestingly, rather than via the cannabinoid pathway in isolation, \"the analgesic effect of THC is, at least in part, mediated through delta and kappa opiod receptors, indicating an intimate connection between cannabinoid and opioid signaling pathways in the modulation of pain perception.\" \nhttps://www.ncbi.nlm.nih.gov/pubmed/14706563\n\nIn another interesting study -- this time performed on rats -- researchers  found higher levels of CB1 (cannabinoid1) receptors in an area of the  brain (basolateral amygdala) which is intimately involved in modulating how we experience pain. When blocking the CB1 receptor in the basolateral amygdala, while in the presence of a chemical that mimics the action of THC, they found there was an intensified response to pain stimuli in comparison to  that of rats not given the CB1  blocker. This finding strongly suggests that THC binds specifically to CB1 receptors in the basolateral amygdala, resulting in less pain  perception. \nhttps://www.ncbi.nlm.nih.gov/pubmed/17439413\n\n(continue below)\n\ndrkim\n_____________________\nA paper published by the University of South Carolina, School of Medicine, stated  that \"the fact that both CB1 and CB2 receptors have been found on  immune cells  suggests that cannabinoids play an important role in the regulation of  the immune system. Recent studies demonstrated that administration of  THC into mice triggered marked apoptosis in T cells and dendritic cells,  resulting in immunosuppression. In addition, several studies showed  that cannabinoids downregulate cytokine and chemokine production and, in  some models, upregulate T-regulatory cells (Tregs) as a mechanism to  suppress inflammatory responses.\"  Simply put, THC has been shown to  have anti-inflammatory effects when bound to cannabinoid receptors found  on cells involved in the inflammatory response. \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2828614/\n\nAnd while cannabis research has historically focused on THC, synthetic  cannabinoids, or our own naturally occurring cannabinoids  (endocannabinoids), there is an evergrowing body of research regarding  the anti-inflammatory effects of CBD. In a study with very exciting implications -- this time performed on mice  with artificially induced arthritis -- researchers concluded that, similar to THC, \"CBD,  through its combined immunosuppressive and anti-inflammatory actions,  has a potent anti-arthritic effect\" which may even \"block the  progression of arthritis.\"\nhttps://www.ncbi.nlm.nih.gov/pubmed/10920191\n\n(continued below)\n\ndrkim\n_____________________\nFurther, a very recently published study concluded that \"topical CBD  application has therapeutic potential for relief of arthritis  pain-related behaviors and inflammation without evident side-effects.\" \nhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/\n\nWhen treating chronic back pain patients, I often recommend a high CBD:low THC product for daytime use; and if there are no objections to psychoactive effects, a product with higher levels of THC for PM relief.\nFor example:\n1. https://www.cbd.org/products/cbd-sublingual-spray 18:1 OR https://treatwellhealth.com/products/wellness-and-balance-blends/ (the \"Wellness Blend\") for daytime relief of back pain.\n2. http://truefarma.com/product/sweet-releaf-extra-strength-2oz/ apply to back as needed.\n3. https://www.cbd.org/products/cbd-chocolate (2:1) at nighttime\n\n*Please consult with a physician before starting any cannabis treatment regimen.\n\ndrkim\n_____________________\nHello, I'm not a doctor, but I can say that my partner, who's mending from a bulging disc that's causing him pain in his lower back, has found temporary relief from his back pain with the use of a few different cannabis topicals. He was skeptical about whether they would actually work to relieve his back pain, but was then subsequently amazed that after applying a generous amount of the marijuana topicals to his lower back, his pain eased up for a few hours at a time. Of course, we're aware that this isn't a cure-all. However, it's certainly helpful to have these cannabis topicals on hand when his back pain gets to be too much. He's also avoiding any physical activity that exacerbates the bulging disc; is seeing a sports MD; and is going to physical therapy. For good measure, he's added a daily CBD dose to his rehab regimen as a means of helping keep the painful inflammation in the muscles of his back in check. In any case, it would be best to consult with an orthopedic doctor to find out what the source of your back pain might be (if you haven't already), and then follow their recommendation around rehabilitating and mending that area. Cannabis can be a potential complementary therapy to pursue for back pain. That said, I'd suggest you also consult with your doctor on incorporating the plant into your road to recovery. Best wishes!\n\nlyp","image":null}},{"node":{"id":"Question_8162-markdown","title":"I would like to get some help for pain after back surgery. Could Dr. Bugalilskis Suggest ideas for back pain?","slug":"i-would-like-to-get-some-help-for-pain-after-back-surgery-could-dr-bugalilskis-suggest-ideas-for-back-pain","content":"\"I would like to get some help as to what would help me for pain relief with my back. I can't take any medication until \nafter my surgery on the 17th of October. Could dr.bugailiskis e-mail me some ideas that would help with my back \npain?\nThx you\njoyce_shultz@comcast.net\n\n\nI would like to get some help as to what would help me for pain relief with my back. I can't take any medication until \nafter my surgery on the 17th of October. Could dr.bugailiskis e-mail me some ideas that would help with my back \npain?\nThx you\njoyce_shultz@comcast.net\n\n\n\n\n\n\"","image":null}},{"node":{"id":"Question_8149-markdown","title":"Is marijuana-derived CBD more effective than hemp-derived CBD?","slug":"is-marijuana-derived-cbd-more-effective-than-hemp-derived-cbd","content":"\"I've tried hemp-derived CBD for my back pain and haven't experienced any improvement.\"\n_____________________\nHere is an article from Project CBD on cannabis vs. hemp, very imformative\nhttps://www.projectcbd.org/guidance/cannabis-oil-vs-hemp-oil\n\nPiantaTinta\n_____________________\nHere's the trouble... I make a cannabis derived CBD tincture (with no detectable THC) and have had dozens of people try hemp CBD with no luck. My tincture on the other hand, is solving pain, anxiety, sleep, etc problems for everyone that has tried it even though the lab tested strength is far less! The only explanation is that cannabis derived is far better.\n\nparksoft","image":null}},{"node":{"id":"Question_8144-markdown","title":"What is a good starting does of CBD oil for anxiety and pain relief?","slug":"what-is-a-good-starting-does-of-cbd-oil-for-anxiety-and-pain-relief","content":"\"I have some softgels and tincture.\"\n_____________________\nThe right amount of CBD oil will vary from person to person. We each have a unique endocannabinoid system so some people will require less and others will require more. It´s best to start with a low dosage and then slightly raise this dosage until you receive the desired result. I would start with a drop of CBD oil a day, and see how it affects you. Every 2-3 weeks I would increase by an additional drop. Remember to space the drops throughout the day. Continue to increase by a drop ever 2-3 weeks until your symptoms decrease. You need to experiment a little to see what dosage is best for you.\n\nhelenanp","image":null}}]}},"pageContext":{"limit":12,"skip":180,"numPages":54,"currentPage":16,"id":5599,"name":"Pain","slug":"pain","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}