{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/pain/49","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_10928-markdown","title":"Is there a marijuana strain that is known to not cause anxiety?","slug":"is-there-a-marijuana-strain-that-is-known-to-not-cause-anxiety","content":"\"I use marijuana for pain and want to find a strain that is good at curtailing pain but also does not induce anxiety or paranoia and does not couch lock me. Is there a strainnot cause anxiety?\"\n_____________________\nEach strain of cannabis will produce different effects based on genetics, cultivation techniques, method of ingestion as well as dose. High doses of sativas have been known to cause anxiety, while the sedative effects of indica are well known. It is generally believed that the high THC content can be responsible for the anxiety, and that by utilizing higher levels of CBD and lower levels of THC, this anxiety can be avoided. Also, the route of administration, as well as set and setting are all also of importance. Inhaling cannabis (smoking, vaping or dabbing) results in a very rapid onset of effects and this sudden change in conciousness can be startling and may cause anxiety. Therefor when smoking cannabis it is often best to take one small inhale and wait for 15 minutes before taking another. Other administraion methods such as sublingual, edible, rectal and topical can vary significantly in the onset of action and in the duration of effects. Great care should be taken to start with a small dose and increase very slowly. Set and setting refer to the individual characteristics of the user, as well the surroundings, respectively. A relaxed, comfortable and safe environment is often the best place to utilize cannabis. If excessive anxiety dose occur, focusing on slow steady breathing can provide relief, as well as focusing on an interactive task that occupies the mind. No one has ever overdosed on marijuana, and reminding yourself of that knowledge can conforting as well.\n\nandrewvanmd\n_____________________\nCBD strains like ACDC, Valentine X, and Charlotte's Web that have only very small amounts of THC, and varieties with 1:2 or 1:1 THC:CBD, where there is enough CBD available to mitigate the psychoactivity of THC are not likely to cause anxiety. For optimal pain relief, I would consider a 1:1 like Medihaze or Harlequin. You may feel a little buzz that quickly goes away and enjoy pain relief and muscle relaxation without mental impairment or anxiety.\n\ndrfrye","image":null}},{"node":{"id":"Question_10926-markdown","title":"Marijuana after open heart surgery","slug":"marijuana-after-open-heart-surgery","content":"\"I had open heart surgery 9 weeks ago to repair the mitral valve, and a single by bypass. I also developed Afib which was treated last week with electric cardioversion. I have not used marijuana since the surgery, but did prior mostly in the evening to sleep well and to help alleviate pain in one shoulder. Is it safe to use marijuana in my present condition?\"\n_____________________\nMarijuana can increase heart rate, so it is important that you discuss any therapy you are considering with your surgeon. Most likely, you will at least need to be able to ascend one flight of stairs without difficulty before taking any substance that may increase heart rate. Furthermore, smoked marijuana may damage blood vessels and increase blood pressure. Smoking of any substance should absolutely be avoided.\n\ndredmunds","image":null}},{"node":{"id":"Question_10912-markdown","title":"can marijuana help with pain from peripheral neuropathy and lumbar radiculopathy?","slug":"can-marijuana-help-with-pain-from-peripheral-neuropathy-and-lumbar-radiculopathy","content":"\n_____________________\nI believe marijuana will help significantly for these conditions. Since high CBD cannabis acts as an anti-inflammatory and blocks pain signals, positive results may be obtained by taking the inflammation away from the nerve and blocking the pain signals from reaching the brain. This would be a great opportunity for you to change your life and correct posture problems that may be contributing to this chronic pain issue. Your body can't call you on the telephone to say 'get off the nerves', so it gives you pain and you automatically move in response to the pain but if you would correct your posture you would prevent the build up inflammatory cells. Consider taking a movement class, one for an injured person if that is this situation and learn to correct your posture 100 times a day and your body won't have to keep screaming at you. You must also correct your vitamin D level because your body cannot get calcium into the bones without adequate vitamin D so your bones are more likely to deform with lips and spurs when you keep you're bad posture. You ultimately learn that you live with the pain you create. Hydration is another common problem since people drink everything but water so your body will pull water out of the discs in your spine and your bones will splay out. Peripheral neuropathy tends to be an inflammatory disease from inside meaning your body is toxic and you're likely eating too much sugar, not exercising or you're stressing to the max.\nMedical problems are complex and multidimensional but there is a huge satisfaction when you start taking care of yourself and find you do not need dangerous, Western medical drugs to heal your body.\n\ndrolson","image":null}},{"node":{"id":"Question_10910-markdown","title":"What is the best way to help alleviate pain with cannabis, as opposed to prescription medications?","slug":"what-is-the-best-way-to-help-alleviate-pain-with-cannabis-as-opposed-to-prescription-medications","content":"\n_____________________\nPain is usually due to inflammatory cell build up so in my opinion, it is best addressed with an anti- inflammatory medication but since NSAIDS increase your risk of a stroke in your lifetime it might be best to consider CBD cannabis since it will act as an effective anti-inflammatory. CBD cannabis may lower your blood pressure the first week you take the medication but your body usually adapts quickly and you are relaxed. It does take time to remove the inflammatory cells so also consider a shorter acting CBD. The best combination may be a super concentrate CBD like 28 : 1 in a MCT extract along with a shorter, faster acting cannabis like the 4 : 1 spray of CBD : THC repeated every 4 hours but do keep in mind the shorter acting cannabis has more THC and you will not be able to drive or go to work because you will be tipsy. Ice and elevation also help to reduce pain but acute pain should last only a few hours to a few days and if the pain is lasting longer, your body is trying to communicate another message, maybe you are Vitamin D deficient or you may need buffered Vitamin C for tissue repair. All prescription medicines carry significant side effects and keep in mind side effects are the negative effects that are likely to happen so please, consult your pharmacist. \nChange your life and live free.\n\ndrolson","image":null}},{"node":{"id":"Question_10905-markdown","title":"Can you recommended a low dose edible for pain management?","slug":"can-you-recommended-a-low-dose-edible-for-pain-management","content":"\"I just got my recommendation and that is was the doctor advised me to start with.\"\n_____________________\nWe love the Flora Probiotic Chocolates for low dose edibles. Only 5mg per piece, they're delicious and effective with additional absorption of the cannabinoids offered through the probiotics. We also carry a 1:1 CBD Chocolate from Bhang which is great for physical pain.\n\nherbabuena\n_____________________\nNo matter what edible you try, make sure to note the strength (how many grams of THC). Start low, with 1-2 grams, and work your way up, allowing an hour before taking anymore. You'll quickly learn the best dose for you tolerance and symptoms. You may also want to start with an edibles that is high in CBD (a non-psychoactive component that has many medicinal benefits). \n\nOm Edibles has a CBD sipping cacao. Treat Yourself has a line of edibles that are higher in CBD, but also contain lower doses of THC. Outset edibles sells fruit crisps that start at 5mg (you can break them in half easily as well) and Functional Flora sells 5mg chocolates. All can be found on www.getsava.com.\n\nandrea13\n_____________________\nYou'll want to ask your doctor about the appropriate THC to CBD ratio for your specific pain. It is usually 1:1 but if you're not used to THC it can have psychoactive effects.\n\ncla1982","image":null}},{"node":{"id":"Question_10903-markdown","title":"Is CBD effective in the Anti-Inflammatory drink, or can it be used alone for shoulder pain?","slug":"is-cbd-effective-in-the-anti-inflammatory-drink-or-can-it-be-used-alone-for-shoulder-pain","content":"\n_____________________\nI'm not sure I understand the question, but I believe you are referring to the anti-inflammatory properties of a CBD beverage? I would reccomend CBD tincture. Oral/mucous membrane absorption is superior to edible/digestive system, more of the active cannabinoids will be absorbed and will provide a faster onset as well. What kind of inflammation are you treating? Acute or Chronic?\n\nandrewvanmd","image":null}},{"node":{"id":"Question_10884-markdown","title":"Is fibromyalgia related to a deficiency in cannabinoids within our body. Will marijuana help?","slug":"is-fibromyalgia-related-to-a-deficiency-in-cannabinoids-within-our-body-will-marijuana-help","content":"\"I've read that fibromyalgia stems from a lack of cannabinoids. If this is true will smoking or taking marijuana help replenish cannabinoids and stop the pain I feel from fibromyalgia?\"\n_____________________\nThe CBD oil has anti-inflammatory properties and may help pain. Taking it regularly over a number of months may help\nAlso checking all the thyroid function tests and treating sub-optimal thyroid function can help fibromyalgia.\n\ndrraisen","image":null}},{"node":{"id":"Question_10880-markdown","title":"Making sure my medications wont affect if I'm using Cannabis as well?","slug":"making-sure-my-medications-wont-affect-if-im-using-cannabis-as-well","content":"\"If you have already been taking sleep medication Trazodone and also Prozac for depression and was recommended Cannibis for my Chronic Back Pain and for menstrual pain. Is there a concern for the other meds?\"\n_____________________\nWhat we know from research is that Prozac is no better than a placebo but it costs more and has side effects but a placebo has no side effects. If you go off the Prozac you can stop it immediately but hold onto extraProzac because in about 4 to 5 days your body may scream for the medicine and you can give it one or two Prozac and then discontinue it again. In about a week your body will want more Prozac, this time you give it one and maybe one the next day and discontinue the medicine. Going back and forth like this you should be able to go off the Prozac very easily, quickly and successfully. You should be taking CBD cannabis the whole time you were going off the Prozac because the CBD should be much more effective in resolving depression unless the depression is due to a genetic problem or a dietary deficiency. The Trazodone is a much bigger problem but for that you definitely want to have a good Indica and probably a vape pen of Indica by the bed in case you awaken in the middle of tonight. Do not do Sativa in the later afternoon or your Indica will just keep bumping your THC backed up and stimulating your brain making it impossible to sleep.\nHappy dreams.\n\ndrolson","image":null}},{"node":{"id":"Question_10879-markdown","title":"I'm interested in hearing personal experience with transdermal patches. Do they work?","slug":"im-interested-in-hearing-personal-experience-with-transdermal-patches-do-they-work","content":"\"I've had good success with topicals for localized pain but would like to try something for more systematic relief. I've seen transdermal patches but they seem expensive. Do they actually work?  I don't care about getting high.\"\n_____________________\nThis is a great question, and one we get quite a bit. First I'll say that it depends on what symptoms you're trying to treat, and which cannabinoids you're focused on using (THC, CBD, CBN etc...) to treat those symptoms. \n\nI think patches can be really useful for getting a longer release period for CBN which helps aid in sleep, and for treating body pain with a ratio of THC to CBD that works best for your body.\n \nThe problem I've found with transdermal patches is that they tend to work with varying effect, even by the same manufacturer. I've also gotten feedback from a lot patients that they experience a reaction to the adhesive.\n\nherbabuena\n_____________________\nI saw this article about the patches; let us know if this helps.\n\nhttp://www.collective-evolution.com/2017/02/21/new-cannabis-patch-treats-fibromyalgia-diabetic-nerve-pain/\n\ndrraisen\n_____________________\nIt certainly sounds like you may be experiencing neurological pain and for that, CBDs show great promise. I encourage you to try a high CBD vape for your pain but also the topical salve applied to your left foot and your low back where the nerves exit your lower spine and apply the salve frequently and over time, you likely will experience a significant reduction in pain. \nIf you do not want to vaporize your medication you may use a tablet, sublingual strip or tincture to utilize more CBD cannabis to reduce your inflammatory and neurological pain challenges. \nThe THC patch I only recommend for evening and night use since the THC patch will go systemic and it may have a significant psychoactive effect so please, use caution if using the THC patch.\n\ndrolson\n_____________________\nNeuropathic pain, or pain related to damaged nerves, is something that cannabis can probably help.  A patch is often designed to be \"transdermal\", meaning that the medicine goes through the skin and into the bloodstream, so it has widespread effects.  Topical products like most balms, lotions, salves, etc are designed to sink into the skin to calm inflamed nerve endings, but not into the bloodstream in general.  You could try topical products to your foot to have local effects, and/or try a patch or other product with broad effects like gummies, tinctures, etc.  There are some more in-depth articles on the HelloMD Health & Wellness section to check out for more details.\n\ndrbultman","image":null}},{"node":{"id":"Question_10856-markdown","title":"What medical conditions are best treated with Sour Diesel? Is this a good choice for chronic pain?","slug":"what-medical-conditions-are-best-treated-with-sour-diesel-is-this-a-good-choice-for-chronic-pain","content":"\"I've been smoking a high CBD strain, Harlequin, but want to try a higher THC strain now. Is Sour Diesel a good choice for chronic pain and insomnia?\"\n_____________________\nStress, pain, and depression fade away in long-lasting relief that makes Sour Diesel a top choice among medical patients. This strain took root in the early 90's with cannabis breeder Chem Dog, and it is believed to have descended from Chemdawg, Northern Lights, and a Skunk phenotype.\r\n\r\nSour Diesel is often used for chronic pain and nausea but is praised for its help with anxiety and stress due to its paranoid-free effect!\r\n\n\npetergdw\n_____________________\nSour Diesel is one of the most popular strains in Ca. It is a Sativa and has a high average of THC so it would be a good choice for daytime pain management.\nit is energizing, used for stress, pain and depression. also a good choice for someone with social anxiety.\n\nakasha\n_____________________\nPeople often use Sour Diesel as a daytime strain and smokers report it to be an energizing and \"cerebral\" high with very little body effects. It is a predominately Sativa strain, and therefore affects your mind without the physical drag. It is very popular as a creativity booster or a good strain to use when you want to focus on a task or go out and explore the world with a little boost. \n\nPeople report it helping with depression, lethargy, anxiety, and busy mind. I've heard it helping with pain only in that it can distract you from the pain. For insomnia I would likely recommend a strain heavier in indica that will knock you out.\n\nandrea13","image":null}},{"node":{"id":"Question_10851-markdown","title":"I recently had knee surgery. Any product suggestions for pain?","slug":"i-recently-had-knee-surgery-any-product-suggestions-for-pain","content":"\"6 days ago, I had knee surgery and the Dilaudid, ibuprofen, and arnica tincture just are not cutting through the pain and allowing me to sleep. I have CBD 18% (0% THC) spray, but it is not helping with pain much. I do not want any edible or smoking or vaping products but would like to use cannabis to help relieve post surgery neurological (nerve) pain from the stitches, incisions and other invasive procedures. Any suggestions appreciated.\"\n_____________________\nYou may benefit from a combination of products. If you have not tried topical cannabis salves or creams, I encourage you to investigate what you local dispensary carries. There are some very effective topical products on the market of varying ratios of THC(A) to CBD(A)* with and without other terpenes and essential oils. Many terpenes and cannabinoids are analgesic in addition to THC and CBD and are often included in topical applications. \n\n*(Topical applications of cannabis are usually made with the \"acid\" form of cannabinoids, which means they have not been subjected to heat that converts THCA to THC).\n\nStarting with an inhaled, sublingual or edible product, that has a relatively balanced ratio of CBD to THC gives you the benefit of the therapeutics from both chemicals but; removes the risk of significant cognitive disruption. \n\nCBD tends to inhibit the cognitive effects of THC, but not the anti-inflammatory and pain-relieving effects. CBD also helps with muscle spasms, vascular flow, and has been shown to stimulate bone remodeling in lab studies. \n\nThe duration of benefit from any product depends on how it is delivered to the body.\nInhaled - effects about 2-4 hours\nSublingual - effects about 4-6 hours\nEdibles - effects up to 8 hours\n\ndrgerhart","image":null}},{"node":{"id":"Question_10840-markdown","title":"Best products for back pain and insomnia without the high?","slug":"best-products-for-back-pain-and-insomnia-without-the-high","content":"\"I'm completely new to this so I need help in finding something that will work for me. I have chronic back pain, insomnia and anxiety. I would love something that could help me more with the back pain and the insomnia...but without the high. I don't want to smoke it either, so I'm thinking a tincture, a cream or a vape, but i have no idea what to ask for. I used my medical card for the first time last weekend, and bought two vapes. One was 110mg of CBD and the other was 250mg of CBD. I was told to use the lower dose during the day and the higher one at night. But sadly, neither one has affected me at all. I have a very high tolerance to medicine in general. Could this be why? Energy drinks and caffeine don't touch me either. The reason I'm coming here for help is because I'm so new to this and did not realize that this was so expensive. The next time I go in to purchase something I'd like to have a better idea of what I need.\"\n_____________________\nI would use a high CBD tincture like 18:1 Care by Design plus a topical balm if needed. You can go slow with the topical balm and see how you feel after the tincture.\n\njrec\n_____________________\nThe high concentrate CBD oil, smoked in a vape pen, may help both the pain and insomnia, if taken nightly. \nThe back pain relief may be augmented (helped more) with a topical product of medical marijuana.\nDispensaries may offer samples of the topicals to experience which works best for you.\n\ndrraisen\n_____________________\nCBD alone for back pain might work but it might not. You may want to review our Educational blurb on the entourage affectBecause when you do CBD and it has a low dose of THC, you will not be high but the THC supports the effectiveness of the CBD so book doing CBD alone you will miss that extra support. The topical cannabis salve that is CBD dominant works well to block muscle spasms and pain especially in your back and it will not make you high because it does not go systemic so I would question why you wouldn't want any THC in your salve If it makes it more effective. You do need a recommendation for the CBD with the THC.\nYou can also purchase a vapor pen with high CBD and very low THC ratio that will not make you high but it will help you get out of pain. If you are sensitive to the THC then keep the THC level very low. You may also try THCA, or juicing green buds.\nIt is nice to live life pain-free. Often the missed connection between back pain and freedom from back pain is a deficiency of vitamin D. Ideally your blood level of vitamin D3 should be above 55 ng/ML for optimal pain relief. If you are brown skinned, over 50 years old, take proton pump inhibitors or have any gastric absorption problems, You are likely vitamin D3 deficient and your doctor should measure your levels and You should consider supplementing rather than ruining your skin trying to get enough vitamin D from the sun.\n\ndrolson\n_____________________\nHonestly what people have been saying about the entourage effect with cannabis is true.  Cannabinoids in themselves heightens the effectiveness of other medicines.  But to truly answer this question one has to know a bit about the sources of your pain, insomnia and anxiety, as these are dual symptoms that could come from physical accidents or mental depression.  The cure will be found in targeting the cause of the discomfort.  Generally with these symptoms a combination of talk therapy and medicine is most effective.  I would recommend a medicinal bar that I have actually created, it will give you a light buzz but as long as you stay in the recommended dose it will not get you very high.  Less than a Xanax or Wellbutrin.  Remember that cannabinoids increase the effectiveness of the mind's ability to make use of other medicine, so sometimes the best way to use cannabis compounds is to take them with a significantly lower dose of whatever else you used to take for this problem before.  I can assume you were medicating the pain before you moved to cannabis?  In case you don't find my product, the active ingredients are full indica flower and ashwagandha root. it is further supplemented with Gingko Bilbao, ginseng (and others in my energy bar) or in my anxiety bar there is also Kava.  These combinations I have found work the very best for pain, insomnia and anxiety.  My bar is called the e420 bar and my company is Whole Soul Holistic.\n\ne420bar\n_____________________\nEveryone's situation and CBD preferences are different. \n\nSince you prefer vaping, you might wish to try something stronger, Respira offers a 600mg option in a really popular grape-mint flavor: https://elixinol.com/product/cbd-vape-oil-600mg-respira-grape-mint/\n\nIf you're still not getting the results you want after you try it, feel free to reach to Dr. Philip Blair through our website, he can work with you to make serving size recommendations specific to your situation.\n\nelixinol\n_____________________\nIf cost is an issue, might I offer a very easy recipe for an infused oil/ topical with cannabis?  It should be much cheaper than purchasing one and in my experience, pt's who make their own topicals seem to get more pain relief (perhaps love is the secret ingredient?).  This recipe is very easy and all it requires is a slow cooker/ crock pot,  1 cup coconut oil (you can buy in bulk @ Costco),  15-17 grams of plant material (shake, flowers).  You combine all three for 6-8 hrs at 250 degrees. Apply to the back, combine w/ use of heat pack.  Don't forget to do myofascial release daily (I teach pts to do self massage using tennis/ racquet balls against a wall to provide pressure to localized myofascial points.  Don't forget to ask health insurance if they cover basic PT sessions or provide accupuncture sessions like Kaiser and other plans.  I hope this helps out!\n\ndrpark","image":null}}]}},"pageContext":{"limit":12,"skip":576,"numPages":54,"currentPage":49,"id":5599,"name":"Pain","slug":"pain","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}