{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/pain/52","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_10679-markdown","title":"i have extreme back pain, how can i obtain cannabis oil/liquid for the area affected by the  pain?","slug":"i-have-extreme-back-pain-how-can-i-obtain-cannabis-oil-liquid-for-the-area-affected-by-the-pain","content":"\n_____________________\nIf this is a new condition, it is important to be evaluated by orthopedics to determine if you have a reparable injury. Many patients with chronic back pain have found medicines high in CBD to be helpful for comforting pain and, while relatively low in THC, less psychoactive - allowing them to be more functional.  There are a variety of topical medicines, such as lotions and salves containing cannabis, that may decrease inflammation and provide localized pain relief.  These are carried at several dispensaries throughout the state.  You may want to call ahead to confirm that your dispensary carries one or more of these products.  \n\ndredmunds","image":null}},{"node":{"id":"Question_10676-markdown","title":"Can MMJ help me with subtle but yet insomnia causing pain on my left knee?","slug":"can-mmj-help-me-with-subtle-but-yet-insomnia-causing-pain-on-my-left-knee","content":"\"1 yr ago i fell off my skateboard in some freak accident, it ended up me landing on my left knee right on a sidewalk curb. Crazy thing is i decided not to go the hospital that same night so i let it heal on its own, and so it did luckily, i can run, walk, and even play sports but sometimes at night i experience minor pain on my left knee, causing discomfort and insomnia in most cases due to the fact that the pain keeps me awake. I've gone to the doctor several times and all they do is prescribe sleep aids and pain relievers. I myself do not believe in pills, so i went the alternative route to do my research on this. I just turned 18 and im wondering if i can really benefit from this?, because when it comes to pills, it relieves one symptom and has potential to cause more harm as the labels require to state the side effects. Im lost, please help? Thank you ! \"\n_____________________\nMany times there are no physical signs of injury after a fall etc., but pain can continue for no obvious cause. This can be seen especially at night when the distractions of the day are gone and you can concentrate on your body.\nFor people who have localized pain, some localized treatment can help that specific area. There are many topical ointments, lotions or salves that can contain cannabinoids that can be applied to a localized area that just work locally without any psychoactive effects. The higher CBD concentrated ointments can target the CB2 receptors in the joints to just help the pain. Use of trans-dermal patch can lead to some psychoactive effects however.\nWhen the pain that is causing lack of sleep is gone, most people find that sleep is easy to find.\n\n\nPerry Solomon, MD","image":null}},{"node":{"id":"Question_10674-markdown","title":"I have been experimenting with oils how does the potency amounts translate to inhales?","slug":"i-have-been-experimenting-with-oils-how-does-the-potency-amounts-translate-to-inhales","content":"\"I am looking for the best help for inlammatory neurogenic pain.  I don't understand the potency results They\nDon't add up and what do they mean?\nFor example Chem Dawg THC 65%,CBN  .42%, CBD .39%\nBlue Dream THC 63.7%, CBN 0.41%, CBD/a .45%\nGreen Dragon THC/a 64.0%, CBN 0.41%, CBD/a 0.51%\nStrawberry Cough THC 52.84%, CBD 0.68%, CBG .62%\nThank you for any clarification.\"\n_____________________\nIt looks like you are using oil concentrates based on the information provided here.  The reason the percentages don't add up to 100% is primarily because most the rest of the solution is the oil itself! There are also small amounts of many other cannabinoids and terpenes. Every strain is unique, and lab-testing is helping us to better understand the therapeutic benefits of different products.\n\nTHC, CBD, and CBN are 3 cannabinoids that have been found to be helpful in the treatment of pain, including neuropathic pain. THC is the primary psychoactive cannabinoid, while CBD and CBN are non-psychoactive.  For pain control without the \"high,\" it is common for physicians to recommend high CBD-containing medicine. \n\ndredmunds","image":null}},{"node":{"id":"Question_10667-markdown","title":"I have Severe Rheumatoid arthritis and Fibromyalgia. What solution is best to relive my chronic pain?  ","slug":"i-have-severe-rheumatoid-arthritis-and-fibromyalgia-what-solution-is-best-to-relive-my-chronic-pain","content":"\n_____________________\nCannabis may be useful in the treatment of both rheumatoid arthritis (RA) and fibromyalgia.  Cannabis has both immune modulating properties and anti-inflammatory properties in addition to analgesic effects. Because both RA and fibromyalgia are systemic illnesses, most patients administer either vaporized or ingested cannabis. Strains or products with a higher CBD/THC ratio have been effective in alleviating chronic pain while lessening psychoactive effects of the medicine. \n\nAlso, for musculoskeletal discomfort in general, many patients have found topical salves to be beneficial in treating localized joint or muscle pain. One benefit of this approach is that most, if not all, of the cannabis does not enter the blood stream, so their are no systemic effects; therefore, topical can be used comfortably during the day as well as the night. \n\ndredmunds","image":null}},{"node":{"id":"Question_10666-markdown","title":"Increased hunger pains or stomach cramps... the \"munchies\" when ingesting cannabis","slug":"increased-hunger-pains-or-stomach-cramps-the-munchies-when-ingesting-cannabis","content":"\"I have been ingesting cannabis oil or edibles. When I use cannabis, i get hungry a lot more rapidly than I do when I am not using it. I get pretty intense hunger pains or cramps... is there a way to decrease this symptom other than eating more food than usual?\"\n_____________________\nThe \"munchies\" are a common side effect of cannabis use and are attributed to THC's action on cannabinoid receptors. Just like most side effects, the appetite stimulation due to cannabis may decrease over time with regular use. Some patients also find that sipping water, as opposed to eating, may help stave off appetite. \n\nOn the same token, strains lower in THC may have less of an effect on appetite, and strains high in THCV (South and East Africa) may actually suppress appetite by counteracting THC!\n\ndredmunds","image":null}},{"node":{"id":"Question_10662-markdown","title":"plantars fasciitis. enable me to get a reccomendation?","slug":"plantars-fasciitis-enable-me-to-get-a-reccomendation","content":"\"foot, heel, leg, and lower back pain. already had the surgeries to almost no avail. have dealt with this problem for years now\"\n_____________________\nUnfortunately, plantar fasciitis and the other bone problems you're describing may actually indicate that you may be rapidly aging. You must examine what you're doing with your diet and exercise plan because it sounds like you were building up a lot of inflammatory cells and this is typically from eating too many Omega 6 and Omega 9 foods in your diet causing inflammation and that is why we typically give large doses of omega-3 is to counter the inflammation along with high CBD low/THC cannabis to stop inflammatory cells. Try alkalinizing your tissue by eating vegetables, fruit and legumes and for two weeks eliminate all prepared foods, white foods, dairy, meats, sugar and simple carbohydrates in order to adequately change the pH in your tissue reducing pain signals. Support your body with vitamin D3 and high CBD cannabis to improve your overall health. Do not take extra calcium unless you have been proven to be deficient because extra calcium calcify's the blood vessels, heart valves and muscles, tissue you don't want calcified because it leads to more medical complications. In order to put the dietary calcium obtain from greens and seaweed into the bones it is necessary to have a healthy vitamin D blood level above 50 ng/ML. You may want to look up the exercises for plantar fasciitis and apply topical cannabis salve to your low back and the bottom of your feet before you start the stretching exercises and remember isometric stretches work well to reduce your pain. If you are over 60 years old you may want to talk with me about how to support a failing hypothalamus/pituitary since plantar fasciitis is often the first sign of this aging process. Do try the things I have suggested and if you aren't significantly improved within six weeks consider contacting me.\n\ndrolson","image":null}},{"node":{"id":"Question_10660-markdown","title":"i actually wanted to ask; if i could get marijuana recommended because i think it actually helps me with my pain","slug":"i-actually-wanted-to-ask-if-i-could-get-marijuana-recommended-because-i-think-it-actually-helps-me-with-my-pain","content":"\n_____________________\n     The overwhelming majority of the estimated one million people who are using marijuana medically in the State of California do so to treat pain. One of the few large population studies conducted in California looked at records from several large medical marijuana clinics to determine the top diagnoses. Pain was number one and back pain topped the list! That is not surprising at all given back pain has driven doctors office appointments and urgent care and emergency department visits historically. This is compounded by the occupational strain of jobs in our society that require extended sitting, standing, driving, lifting and loading.\n     You are asking a very intuitive question, however. Is there evidence that marijuana will actually help treat your pain? The answer is resoundly yes. In fact the California Medical Association- the state division of the American Medical Association - once held a press conference to announce the organization's White Paper conclusions on marijuana. The CMA reported that medical marijuana research in difficult to treat neuropathic pain is so favorable it should be considered a first line intervention.\n\ndrsumchai","image":null}},{"node":{"id":"Question_10659-markdown","title":"What is a good resource to find if a strain causes anxiety or paranoia?","slug":"what-is-a-good-resource-to-find-if-a-strain-causes-anxiety-or-paranoia","content":"\"My friend uses cannabis for anxiety, but I use it for muscle pain. I find that some of the strains that I use will give her some uneasy feelings, while I normally don't experience the negative aspects she gets from these strains. Where is a good place to find if certain strains can cause anxiety?\"\n_____________________\nIt can be difficult to gauge what percentage of THC in a flower strain will activate the fight flight sympathetic nervous system to trigger symptoms of hyperarousal that can include paranoia, \"unease\"', nausea, headache and even mania. I have evaluated responsible professional people who report using high THC strains that triggered symptoms of florid mania. Fortunately the duration of action of inhaled cannabis is only four hours and the peak effect is only 30 minutes. The rapid onset within five minutes creates a \"bolus\" drug effect that many people find pleasurable. It can lift the mood, enhance creativity and promote a positive mental attitude. In my professional opinion I believe the sympathetic hyperarousal symptoms that are most unpleasant are seen in strains greater than 20% THC. When I authorized my first patients in 2007 I was taught that it was not possible to find THC strains with greater than 20% THC! Times have changed.\r\n     My professional belief is that delicious, nutrition grade, low dose edibles in doses as low as 5 to 10 mg THC offer the most pleasant and long acting effect on mood, pain and muscle tension. In very low doses THC relieves anxiety but does not trigger the adverse effects seen in high dose THC edibles and flower strains. Low dose edibles are far and away the most cost effective way to use cannabis for chronic anxiety or pain. \n\ndrsumchai","image":null}},{"node":{"id":"Question_10658-markdown","title":"What is recommended for daytime nerve pain?","slug":"what-is-recommended-for-daytime-nerve-pain","content":"\"My doctor recommended \"A good starting dose for pain might be 2.5-5mg CBD\". She went on to say \"CBD alone without any THC may not be as effective for pain\", but gave not guidance on THC. \"\n_____________________\n     I have a great deal of personal and professional experience in the safe and effective management of neuropathic pain, having served as a spine trauma researcher. I suggest you start with a CBD enriched transdermal body balm, lotion or massage oil. This makes sense because research has proven there are cannabinoid receptors in human skin in nerve and inflammatory cells. By stimulating them with a Cannabidiol (CBD) enriched topical that penetrates the skin, the transmission of nerve cell mediated pain signals to the spinal cord and brain are blocked! CBD was patented by the Federal Government for it's neuroprotective benefits and bench research in an esteemed pharmacology journal showed CBD promoted neurogenesis...the creation of new nerve cells! The distribution of the neuropathic pain is important. If you have a carpal tunnel syndrome due to occupational repetitive strain or sports overuse, it is easy to apply a CBD enriched transdermal to the wrist and median nerve distribution of the thenar eminence, thumb, index and long finger. If you suffer from a diabetic peripheral neuropathy in a stocking and glove distribution you can apply the transdermal to your feet and lower legs or to your forearms and hands.\n     I advocate for the use of transdermal topicals for athletes and people working in public safety and emergency response capacities because in the concentrations available in most preparations, cannabinoids do not absorb into the blood stream to trigger undesirable psychoactive or sedating impacts on human cognitive performance. Memory, reaction times, psychomotor coordination and balance are not impaired by use of transdermal body balms, lotions and massage oils in standard preparations available at most dispensary's and collectives throughout the State of California.\n     \n\ndrsumchai","image":null}},{"node":{"id":"Question_10636-markdown","title":"What role do terpenes play in helping with pain relief?   ","slug":"what-role-do-terpenes-play-in-helping-with-pain-relief","content":"\"I use cannabis for back pain. Should I be only concerned about THC and CBD, or should I be looking for plants with the right terpenes as well? If so, which ones? Thanks for your help!\"\n_____________________\nIf the variety of cannabis you are using isn't addressing your pain, first make sure that both CBD and THC are present. They work against pain together better than either one does alone: 2+2= > 4. Also make sure you are not using too much. THC is most effective against pain at low to moderate doses and is very ineffective against pain at high doses. You might look at the terpenes associated with pain relief, including muscle relaxation, and decreasing  inflammation. All of these modalities play a role in causing and perpetuating pain. Caryophyllene (black pepper, cloves, oregano, rosemary, cinanamon, basil) is a pain reliever, muscle relaxant, and anti-inflammatory;  linalool  (lavender, citrus fruits, coriander, bay leaves) is a pain reliever; pinene is an anti-inflammatory and pain reliever; myrcene     (mango, bay leaves, hops, thyme, lemongrass) is analgesic and anti-inflammatory and humulene (hops) is a potent anti-inflammatory.  Don't limit yourself to the terpenes in cannabis, but also consider incorporating these terpenes into your diet and aromatherapy as well. \n\ndrfrye\n_____________________\nCleaning houses for a large part of my life has led to back pain for me. I recently started adding the Lime OG terpene from https://www.true-blue.co/products/lime-og-terpenes to my vaporizer and I do feel a difference. \n\n\nAng","image":null}},{"node":{"id":"Question_10629-markdown","title":"What is  the best marijuana for neuropathic pain?","slug":"what-is-the-best-marijuana-for-neuropathic-pain","content":"\n_____________________\nStudies performed in rat models and subjective survey results of Cannabis users indicate that Cannabidiol (CBD) at doses between 2.5mg and 20mg per Kg of body weight produce laboratory evidence and subjective reported relief of the symptoms related to peripheral neuropathy and radicular nerve pain from spinal nerve root injury. Exact dosing in humans has not been determined and likely needs more study, but preparations of concentrated CBD are available in many dispensaries. \n\nRecent studies related to symptoms of chemo-therapy induced peripheral neuropathy show that using CBD concentrated products in conjunction with chemotherapy treatment may reduce the risk and intensity of chemotherapy induced neuropathic pain and persistent neuropathy.  \n\n\n\ndrgerhart\n_____________________\nI, nightly, use a CBD topical which relieves the burning pain.  It does not complete get rid of the pain but there is enough pain relief my sleep is not disturbed by pain.  Transdermal patches are not as effective but they can relive pain on the big toes.  I would like to find an ointment with a 1.1 THC/CBD ratio as I feel it would help more.\n\npagina132000\n_____________________\nA relative close to me uses Sweet ReLeaf to help with their neuropathy:\r\nhttps://www.hellomd.com/marijuana-undefined/deeply-soothing-body-butter\r\n\r\nThey rub it on their feet to aid with the tingling and burning sensation that arises from neuropathy in the extremities.\n\nryan","image":null}},{"node":{"id":"Question_10626-markdown","title":" How can cannabis oil/creams help with medicine caused joint pain? ","slug":"how-can-cannabis-oil-creams-help-with-medicine-caused-joint-pain","content":"\"Meds taken after breast cancer causing joint pain side effects.\"\n_____________________\nJoint pain from arthritis effects about 10 million people in the world today. Those that are effected by joint pain after chemotherapy are unknown, That being said however, cannabis has been used for centuries to help with joint pain. Today there are many oils and creams that can be used topically on the skin over the joints that are painful. The anti-inflammatory effect of cannabis as well as it's ability to modulate the immune system has made it a staple in many people who suffer from joint pain either form osteoarthritis or Rheumatoid arthritis.\n\nCannabis infused creams and oils and other trans-dermal  methods work by binding to CB2 receptors that are part of the bodies endocannabinoid system. Some of the topicals do not have any THC in them at all and therefor avoid any psychoactive effects. Even those with some THC in them have a mild, if any, psychoactive effect. Part of the reason is that it is difficult for these creams to pass through the skin and need to be combined in an oil base. Transdermal patches with THC can cause some psychoactive effects since that don't evaporate as fast as topicals and can permeate the skin over time enter the bloodstream. \n\nPerry Solomon, MD","image":null}}]}},"pageContext":{"limit":12,"skip":612,"numPages":54,"currentPage":52,"id":5599,"name":"Pain","slug":"pain","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}