{"componentChunkName":"component---common-build-tags-template-js","path":"/tag/pain-management/","result":{"data":{"allArticle":{"edges":[{"node":{"id":"Article_1961-markdown","title":"Microdosing Cannabis Stopped My Chronic Pain","slug":"microdosing-cannabis-stopped-my-chronic-pain","content":"My own experience with [microdosing](https://www.hellomd.com/tag/microdosing) completely changed how I consume medical cannabis. After suffering for years from chronic pain due to intense migraines and fibromyalgia, [cannabis allowed me to stop using narcotics](https://www.hellomd.com/articles/how-we-can-disrupt-the-opioid-epidemic-with-cannabis). Those traditional pharmaceuticals didn’t provide much benefit other than occasionally masking the pain. Once I turned to cannabis, I found a solution that not only prevented my chronic pain but also helped me manage pain when it crawled through. Once I realized cannabis was a possible solution for me, I began experimenting and eventually found that microdosing was my path to success.\n\n![Hello6-min (6).png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Hello6_min_6_6f0daaad5e.png)\n\n### Microdosing Cannabis as Effective Pain Relief\n\nWhen many people talk about microdosing, they mean taking small amounts of cannabis, waiting to feel the effects, and then taking more until you reach your desired result. The microdosing I want to talk about is taking small amounts of cannabis on a consistent basis to receive health benefits without the psychoactive effect.\n\nRespected cannabis doctor [Dr. Dustin Sulak noted substantial anecdotal evidence](https://www.projectcbd.org/sobre-cbd/clinical-research/dr-dustin-sulak-cannabis-dosing) within his practice over a period of years with microdosing. He said in a recent article, “*I discovered that most people have a certain threshold dosage of cannabis, below which they’ll actually experience a gradual increase in health benefits over time, and above which they’ll start building tolerance, experiencing diminishing benefits, and more side effects.*”\n\nAs with so much within the cannabis community, we depend upon anecdotal evidence as clinical research is scarce due to marijuana’s classification as a [Schedule 1 drug](https://www.dea.gov/drug-information/drug-scheduling#:~:text=Schedule%20I%20drugs%2C%20substances%2C%20or,). However, a recent [study conducted by University of California, San Diego, demonstrated positive results with microdosing](http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3566631/). The study focused on subjects suffering from neuropathic pain and had them microdose through vaping. The results indicated that the patients who microdosed cannabis at 1.29% felt as much pain relief as the patients who used a medium dose at 3.53% cannabis. Those who microdosed less also felt better for a longer period of time than participants who ingested more.\n\n![Hello1.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Hello1_63481b85e9.png)\n\n### Lower Doses of THC May Enhance the Endocannabinoid System\n\nWhat’s most interesting about this study is its contrast with the average amount of [tetrahydrocannabinol (THC)](https://www.hellomd.com/tag/thc) found in most vape pens or joints, which often stand at 14% and may even go as high as 95%. The amount of THC used within microdosing is substantially lower than what most consumers ingest in a typical sitting. Some hypothesize that microdosing on a consistent basis results in more positive benefits than higher doses because lower doses of cannabis enhance the [endocannabinoid system](https://www.hellomd.com/articles/what-is-the-endocannabinoid-system) while much larger doses make our CB1 and CB2 receptors—the receptors that control appetite, pain, mood, and memoryless responsive. \n\n![Hello3.png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Hello3_de8707650f.png)\n\n### My Personal CBD Microdosing Regimen\n\nMy version of microdosing includes a daily dose of tinctures high in [cannabidiol (CBD)](https://www.hellomd.com/tag/cbd); I like a ratio of 20:1 CBD to THC. I also use a low-dose tincture with 2.5 mg of THC per dose as many as two to three times a day. \n\nSince these THC doses are incredibly low, I never feel high, if anything, I just feel mildly relaxed. When a migraine does manage to sneak through, which is now rare, I vape a high-CBD pen of any one of the strains [Canna Tsu](https://www.hellomd.com/strains/canna-tsu), [ACDC](https://www.hellomd.com/strains/acdc), or [Harlequin](https://www.hellomd.com/tag/harlequin/). These strains contain around 20% CBD to 5% THC. Again, my goal is to manage pain and not get high, and without a doubt, I reach my goal. \n\nMicrodosing allows me to live a very full life, prevent chronic conditions, and manage pain when it happens. Without cannabis and this regime, I would be in bed for multiple days a month. Now I’m not dependent on narcotics, and I’m able to be far more functional across the board.\n\n![Hello5-min (6).png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Hello5_min_6_18167593eb.png)\n\n### Microdosing Is Perfect for Newcomers & Seniors\n\nI feel that microdosing is the way to go for all newcomers to cannabis, as well as the fastest-growing group of medicinal marijuana users: senior citizens. These new consumers are faced with a confusing and disaggregated system. When walking into a typical dispensary, you’ll often come face to face with a 20-something budtender who might suggest an Indica gummy bear that contains 100 mg of THC, a chocolate bar with 1,000 mg, or a vape oil cartridge with a whopping 95% THC. Oftentimes, this is a recipe for disaster for the new patient.\n\n![Hello6-min (5).png](https://hellomd-cms.s3.us-west-2.amazonaws.com/Hello6_min_5_5d7926c2dd.png)\n\n### The Marijuana Market Needs to Catch Up\n\nUnfortunately, the cannabis marketplace is more focused on recreational consumers and hasn’t caught up with those of us using cannabis as medicine. What we need is a plethora of products that are between 2.5-5 mg per dose, whether that be a tincture, edibles, sublingual spray, or high CBD/low THC vape oil cartridges. \n\nThe bottom line is that the market has yet to catch up with consumer trends. My hope is that innovative manufacturers continue to release new products that address the new groups using medicinal marijuana, as well as the anecdotal and research-based evidence that supports microdosing cannabis.\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/tag/cannabis-101) posts.\n\n### Get Your Medical Document & Purchase Medical Cannabis\n\nIt's easy to get your medical document with the online [Telehealth service HelloMD](https://www.hellomd.com/get-started/). Register, pay, and receive an online medical consultation with a licensed partitioner and purchase medical cannabis today.","image":{"childImageSharp":{"fluid":{"base64":"data:image/png;base64,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","aspectRatio":1,"src":"/static/f4a91d37d069a9a4ea3d1e07d88ff67b/ee604/ff1b81dd1384fe1c49e9060625fc0324.png","srcSet":"/static/f4a91d37d069a9a4ea3d1e07d88ff67b/69585/ff1b81dd1384fe1c49e9060625fc0324.png 200w,\n/static/f4a91d37d069a9a4ea3d1e07d88ff67b/497c6/ff1b81dd1384fe1c49e9060625fc0324.png 400w,\n/static/f4a91d37d069a9a4ea3d1e07d88ff67b/ee604/ff1b81dd1384fe1c49e9060625fc0324.png 800w,\n/static/f4a91d37d069a9a4ea3d1e07d88ff67b/a7cbc/ff1b81dd1384fe1c49e9060625fc0324.png 830w","srcWebp":"/static/f4a91d37d069a9a4ea3d1e07d88ff67b/58556/ff1b81dd1384fe1c49e9060625fc0324.webp","srcSetWebp":"/static/f4a91d37d069a9a4ea3d1e07d88ff67b/61e93/ff1b81dd1384fe1c49e9060625fc0324.webp 200w,\n/static/f4a91d37d069a9a4ea3d1e07d88ff67b/1f5c5/ff1b81dd1384fe1c49e9060625fc0324.webp 400w,\n/static/f4a91d37d069a9a4ea3d1e07d88ff67b/58556/ff1b81dd1384fe1c49e9060625fc0324.webp 800w,\n/static/f4a91d37d069a9a4ea3d1e07d88ff67b/d59c9/ff1b81dd1384fe1c49e9060625fc0324.webp 830w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2972-markdown","title":"How THC & CBD Work to Fight Pain","slug":"how-thc-and-cbd-work-to-fight-pain","content":"Over and over, we hear countless anecdotal reports from medical marijuana patients about how cannabis has helped relieve their pain and improve their quality of life. \n\nIn fact, [a joint study](https://hellomd.com/articles/hellomd-and-uc-berkeley-release-study-on-cannabis-use-as-a-substitute-for-opioid-and-non-opioid-based-pain-medication/) from HelloMD and the University of California Berkeley surveyed 2,897 people on their cannabis consumption and found that 63% took cannabis to help them manage a pain-related condition. \n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_us/?utm_medium=copy_link/)\n\nBut how does cannabis do this? Why is it able to address a variety of different types of pain so effectively? The answer is, as it is with most things involving cannabis, complicated and incomplete. \n\nCannabis has over 100 active compounds that contribute to its therapeutic effects. Of these compounds, tetrahydrocannabinol (THC) and cannabidiol (CBD) are the most well researched. \n\nAlthough research is still lacking, the studies that we have show that both of these cannabinoids seem to affect the body’s pain-processing systems in a way that reduces overall pain. \n\n### A Quick Overview of the Endocannabinoid System \n\nWe can’t talk about how THC and CBD relieve pain in the body without mentioning the endocannabinoid system (ECS). This network of receptors is located throughout the body, and it’s what cannabis works on to bring about its therapeutic effects.\n\nThe ECS has three main components:\n\n* Receptors: CB1 and CB2\n* Endocannabinoids: anandamide and 2-arachidonoylglycerol (2-AG)\n* Enzymes\n\nAnandamide and 2-AG attach to and activate the CB1 and CB2 receptors, respectively. By attaching to the receptors, these endocannabinoids are able to tell your brain to perform different tasks related to maintaining balance in the body.\n\nTHC, the psychoactive component in marijuana, can also attach to the CB1 receptor. THC’s affinity for this receptor is what brings about the characteristic high you feel when consuming cannabis.\n\nCBD, on the other hand, influences the ECS, but we still don’t fully understand how. It doesn’t attach to endocannabinoid receptors with the same gusto as THC does. Rather, CBD seems to bring about certain therapeutic effects by:\n\n* Influencing how some receptors send out signals\n* Acting on receptors outside of the ECS\n* Disrupting the breakdown of important molecules\n\nRELATED: [STUDIES SUPPORT CANNABIS AS AN EFFECTIVE PAINKILLER](https://hellomd.com/articles/studies-support-cannabis-as-an-effective-painkiller/)\n\n### How THC Reduces Pain in the Body \n\nThough we still don’t have a full picture of how THC alleviates pain in the body, we do know a few things:\n\nTHC can activate CB1 receptors in the brain and spinal cord to influence how we feel pain. It can also influence the activation of opioid receptors in these regions. These receptors also play a role in our pain response. \n\nA recent small study in the journal _Neurology_ may shed further light on how THC affects how we feel pain. Fifteen male participants with neuropathic pain were given THC in a randomized, double-blind, placebo-controlled trial.\n\nThe researchers did pain assessments and took brain scans before and after THC administration. At the end of the study, researchers found that THC significantly reduced participants’ pain compared to the placebo. \n\nAnd their brain scans held some interesting findings. \n\n\"Our study results link pain relief from THC with a reduction in the connections between areas of the brain otherwise heavily connected, suggesting that THC may alleviate pain by disrupting signals between these pain processing pathways,\" said Dr. Haggai Sharon, one of the study’s authors, in a statement.\n\n\"Interestingly, our results also show that the more connected the areas of the brain that process emotion and sensory prior to treatment, the greater the pain relief experienced when taking THC,\" she added. \n\nTHC may also bring about pain relief through CB2 receptors, some of which are located on immune cells; these receptors are often associated with the body’s inflammatory response. Although THC doesn’t prefer to attach to the CB2 receptor, researchers think that THC somehow influences CB2 to dampen the body’s response to an injury. \n\n### How CBD Eases Pain \n\nAlthough CBD doesn’t directly attach to CB1 or CB2 receptors, it still has a powerful effect on how we feel pain, as evidenced by myriad anecdotal reports. \n\nResearch suggests that like THC, CBD influences CB2 receptors on immune cells and tells the body to dial down its inflammatory response. CBD may do this by blocking chemicals that trigger inflammation in the body. \n\nCBD can also indirectly affect CB1 receptors. By preventing the breakdown of anandamide, CBD is able to increase levels of this endocannabinoid, perhaps leading to improved mood and reduced pain levels. \n\nBut CBD can also work outside of the ECS to alleviate pain. Some studies have found that CBD can dampen neurotransmitter pain signals and activate serotonin receptors. CBD can also influence another receptor: TRPV1, also called vanilloid receptor 1 or the capsaicin receptor. \n\nTRPV1 helps regulate body temperature and influences how we feel pain. Physical and chemical cues can activate this receptor, but CBD as well as capsaicin, the molecule responsible for the spicy sensation of chili peppers, can also activate it.\n\nWhen we eat a chili pepper, capsaicin acts on the TRPV1 receptors in our brain cells, making us feel that burning sensation we associate with spicy foods.\n\nWith repeated exposures, these brain cells no longer signal that burning sensation to our brain when capsaicin attaches to TRPV1. This may be why some people have a higher tolerance for spicy foods—their TRPV1 receptors have become desensitized.\n\nBut capsaicin does more than make our mouth burn when we eat spicy foods. It also has anti-inflammatory and anti-seizure properties.\n\nThe researchers in this study think that CBD behaves in a similar way to capsaicin—except without giving that spicy sensation. Somehow CBD desensitizes TRPV1 receptors, reducing our pain response.\n\nWhile we still don’t fully understand how THC and CBD relieve pain in the body, it’s clear that they’re affecting the body’s nervous system and inflammatory response in a way that reduces overall pain. \n\nAs the stigma surrounding the plant slowly dissipates, we’ll be able to fill in a better picture of how THC, CBD and the other components of the cannabis plant work to ease pain. And by doing this, we’ll hopefully be able to develop better medicines to help folks manage painful conditions. \n\nPhoto credit: Martin Gaal/Shutterstock\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://hellomd.com/articles/cannabis-101-what-you-need-to-know-about-marijuana/) index of articles. And if you have questions about cannabis, [ask them](https://hellomd.com/questions-and-answers/) and our community will answer.\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3793103448275863,"src":"/static/d7bfea9ecf5db01730dd2c89ff6b11ff/14b42/44025cb7fb729e893c855b84bd80009b.jpg","srcSet":"/static/d7bfea9ecf5db01730dd2c89ff6b11ff/f836f/44025cb7fb729e893c855b84bd80009b.jpg 200w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/2244e/44025cb7fb729e893c855b84bd80009b.jpg 400w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/14b42/44025cb7fb729e893c855b84bd80009b.jpg 800w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/47498/44025cb7fb729e893c855b84bd80009b.jpg 1200w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/0e329/44025cb7fb729e893c855b84bd80009b.jpg 1600w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/ffa36/44025cb7fb729e893c855b84bd80009b.jpg 1773w","srcWebp":"/static/d7bfea9ecf5db01730dd2c89ff6b11ff/58556/44025cb7fb729e893c855b84bd80009b.webp","srcSetWebp":"/static/d7bfea9ecf5db01730dd2c89ff6b11ff/61e93/44025cb7fb729e893c855b84bd80009b.webp 200w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/1f5c5/44025cb7fb729e893c855b84bd80009b.webp 400w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/58556/44025cb7fb729e893c855b84bd80009b.webp 800w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/99238/44025cb7fb729e893c855b84bd80009b.webp 1200w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/7c22d/44025cb7fb729e893c855b84bd80009b.webp 1600w,\n/static/d7bfea9ecf5db01730dd2c89ff6b11ff/d1528/44025cb7fb729e893c855b84bd80009b.webp 1773w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2889-markdown","title":"Finding Chronic Pain Relief With CBD","slug":"finding-chronic-pain-relief-with-cbd","content":"Chronic pain is actually the leading cause of disability in the U.S., and the most common reason Americans go to the doctor. In fact, according to the National Institute of Health, [pain affects more Americans than diabetes, heart disease and cancer combined. \n\nWhile many opt for dangerous and addictive painkillers to treat chronic pain, there’s a healthier alternative: cannabidiol (CBD). Scientific research and consumer reports agree that CBD is a safe and effective way to ease chronic pain. \n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_us/?utm_medium=copy_link/)\n\n### Can CBD Help With Your Chronic Pain? \n\nChronic pain is a fairly common condition, but it has a lot of variation. Pain could arise from:\n\n* Old injuries\n* Joint conditions like arthritis\n* Central nervous system disorders like fibromyalgia\n* Digestive conditions like IBS \n* Chronic tension headaches or migraines\n\nThere are too many causes of chronic pain to name them all. But for those who suffer from chronic pain, the result is similar: reduced functionality and a daily struggle to calm painful sensations.\n\nFor most pain sufferers, their doctor’s recommendations usually involve painkillers like opiates or nonsteroidal anti-inflammatory drugs (NSAIDs). But chronic use of painkillers can lead to some serious problems. [Opiates alone kill over 42,000 people each year, and the rates are only increasing](https://www.cdc.gov/drugoverdose/data/statedeaths.html). \n\nYou may think over-the-counter painkillers like NSAIDs are a safe choice, but [estimates have deaths from NSAIDs at over 16,000 a year. And hospitalization for complications caused by NSAIDs (like GI bleeding or liver damage) are in the 100,000 range](http://americannutritionassociation.org/newsletter/deadly-nsaids). \n\nThankfully, CBD can help. With its own painkilling and anti-inflammatory properties, CBD can reduce pain and inflammation, and restore functionality. And unlike traditional painkillers, CBD comes with a very low risk of side effects. \n\nIn fact, [CBD has been deemed safe, non-addictive and without any known negative side effects by the World Health Organization](http://www.who.int/medicines/access/controlled-substances/5.2_CBD.pdf).\n\nAnd for folks worried about feeling high, don’t worry. While CBD can aid in relaxation, it won’t create the kind of euphoric or disorienting high that’s associated with cannabis’s most common chemical—tetrahydrocannabinol (THC). \n\n### How CBD Works to Relieve Chronic Pain\n\nSo how does CBD relieve pain and inflammation without negative side effects? \n\nIt all has to do with how CBD interacts with the endocannabinoid system (ECS). The ECS is a [crucial system of neurotransmitters, which are found all over the body and control or affect some of its most important functions](https://www.hellomd.com/health-wellness/5a8a629cf24d1300077ccb53/want-to-improve-your-health-make-sure-your-endocannabinoid-system-is-balanced), such as:\n\n* Hunger\n* Pain\n* Stress response\n* Memory building \n* Inflammation\n* Sleep\n* Muscle control\n* Energy\n* Mood\n\nThe ECS both produces and is activated by the body’s natural endocannabinoids. But plant cannabinoids, the medicinally potent chemicals in cannabis, activate it as well. [CBD interacts with these receptors to produce both pain-relieving and inflammation-reducing effects](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2503660/) (among other benefits). \n\nRELATED: [HOW CANNABIS HELPS REDUCE CHRONIC PAIN](https://hellomd.com/articles/how-cannabis-helps-reduce-chronic-pain/)\n\nWhen someone eats CBD, it enters the bloodstream after digestion, which allows it to affect the entire body. With topicals, however, CBD permeates the skin, activating receptors at the site of the application and imparting local pain and inflammation reduction exactly where you apply it. \n\n### Treating Your Chronic Pain With CBD\n\nCurious about using CBD for your own chronic pain? \n\nCBD works well for chronic pain when used in an edible or topical form. But which option works best may depend on your condition and personal preferences. \n\n“I think the definition of chronic pain can be very different,” says Jessica Tonani, co-founder of [Basic Jane, the only cannabis company in the U.S. that holds a license to research CBD](https://www.thestranger.com/slog/2018/11/09/35297563/seattle-company-gets-washingtons-first-pot-research-license).\n\n“Somebody who has an inflammatory bowel disease may definitely prefer an edible versus somebody who has arthritis in their fingers and may prefer a topical,” Jessica explains.\n\nBasic Jane’s product line was [specifically designed to help people with everyday aches and pains](https://hellomd.com/tag/basic-jane/), and the folks at Basic Jane have been able to gain a lot of insight through their research with chronic pain patients. \n\nTiming can also be a consideration in choosing between topical and edible CBD. “If you take an edible, the amount of time it takes for it to take effect can be a longer duration,” adds Kersten Beyer, Basic Jane’s other co-founder. “The nice thing with the topicals is that you're going to have fairly immediate relief.”\n\nTopicals also allow for targeted relief, which doesn’t reach the bloodstream. So, it won’t interact with other medications you take orally, the way an edible could. And some people simply prefer to avoid taking any more systemic medications. \n\n“We have quite a few elderly clients that are tired of taking pills, are tired of taking things orally,” says Jessica. “They’re thrilled to be able to get the relief that they need by putting on a topical application. It becomes part of their activities of daily living.”\n\nIf you’re looking to treat your own chronic pain with CBD, think about what would work best for you. You may need the widespread and systematic effects of edible CBD like:\n\n* [Tinctures](https://hellomd.com/tag/tincture/)\n* [Capsules or infused treats](https://hellomd.com/tag/edible/)\n\nOr maybe you’d prefer the [targeted pain relief of a CBD topical](https://hellomd.com/articles/4-top-cbd-topicals-for-summer-skin-care/). \n\nOnce you’ve chosen the best CBD option for you, give it a try. Pain relief could be just one dose away. \n\nPhoto credit: [rawpixel.com](https://www.pexels.com/@rawpixel)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://hellomd.com/articles/cannabis-101-what-you-need-to-know-about-marijuana/) index of articles. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3793103448275863,"src":"/static/abd33be736f4c7b13a8a17516ac9f055/14b42/7e4900382da2974ac45e5e9f08a07d6d.jpg","srcSet":"/static/abd33be736f4c7b13a8a17516ac9f055/f836f/7e4900382da2974ac45e5e9f08a07d6d.jpg 200w,\n/static/abd33be736f4c7b13a8a17516ac9f055/2244e/7e4900382da2974ac45e5e9f08a07d6d.jpg 400w,\n/static/abd33be736f4c7b13a8a17516ac9f055/14b42/7e4900382da2974ac45e5e9f08a07d6d.jpg 800w,\n/static/abd33be736f4c7b13a8a17516ac9f055/47498/7e4900382da2974ac45e5e9f08a07d6d.jpg 1200w,\n/static/abd33be736f4c7b13a8a17516ac9f055/0e329/7e4900382da2974ac45e5e9f08a07d6d.jpg 1600w,\n/static/abd33be736f4c7b13a8a17516ac9f055/d59ca/7e4900382da2974ac45e5e9f08a07d6d.jpg 3666w","srcWebp":"/static/abd33be736f4c7b13a8a17516ac9f055/58556/7e4900382da2974ac45e5e9f08a07d6d.webp","srcSetWebp":"/static/abd33be736f4c7b13a8a17516ac9f055/61e93/7e4900382da2974ac45e5e9f08a07d6d.webp 200w,\n/static/abd33be736f4c7b13a8a17516ac9f055/1f5c5/7e4900382da2974ac45e5e9f08a07d6d.webp 400w,\n/static/abd33be736f4c7b13a8a17516ac9f055/58556/7e4900382da2974ac45e5e9f08a07d6d.webp 800w,\n/static/abd33be736f4c7b13a8a17516ac9f055/99238/7e4900382da2974ac45e5e9f08a07d6d.webp 1200w,\n/static/abd33be736f4c7b13a8a17516ac9f055/7c22d/7e4900382da2974ac45e5e9f08a07d6d.webp 1600w,\n/static/abd33be736f4c7b13a8a17516ac9f055/53f94/7e4900382da2974ac45e5e9f08a07d6d.webp 3666w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2887-markdown","title":"Studies Support Cannabis as an Effective Painkiller","slug":"studies-support-cannabis-as-an-effective-painkiller","content":"As cannabis science continues to surge forward, many folks are talking less about being buzzed and more about their anterior cingulate cortex and the sensorimotor cortex—in other words, the portions of the brain that process pain sensations.\n\nThis is because a hallmark study has confirmed what so many patients will already know: Cannabis appears to reduce pain sensations.\n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_us/?utm_medium=copy_link/)\n\nAn Israeli study published in _Neurology_, the journal of the American Academy of Neurology, described [a research project conducted on men who experienced nerve pain in the legs](https://www.newsweek.com/nerve-pain-legs-medical-marijuana-may-alter-brain-connections-bring-relief-1106048). After initially rating their pain from zero to 100, the study participants were divided into groups, with some taking cannabis oil containing tetrahydrocannabinol (THC) and others taking a placebo. \n\nThe process was repeated a week later, with participants who received the cannabis oil now taking the placebo. What the study found is that patients taking the cannabis oil reported a significant lessening of their pain.\n\n\"Our study results link pain relief from THC with a reduction in the connections between areas of the brain otherwise heavily connected, suggesting that THC may alleviate pain by disrupting signals between these pain processing pathways,\" said Dr. Haggai Sharon, one of the study’s authors.\n\nAnother study, conducted in October 2018 by Canada’s McGill University Health Centre found that [low doses of cannabidiol (CBD) given to animals not only alleviate pain, but also reduce anxiety](https://www.sciencedaily.com/releases/2018/10/181024163625.htm). \n\nAnd a third report published by an ad hoc committee of the National Academies of Sciences, Engineering, and Medicine found there was “[conclusive or substantial evidence that cannabis or cannabinoids are effective in the treatment of chronic pain in adults](http://nationalacademies.org/hmd/~/media/Files/Report%20Files/2017/Cannabis-Health-Effects/Cannabis-conclusions.pdf).” \n\nThe authors of the report compiled over 10,000 medical cannabis studies undertaken since 1999, and though not all of their findings pointed to cannabis as a global cure-all, its use for pain relief was found to be definitive.\n\n### Not Every Study Confirms Marijuana’s Pain Reduction Properties \n\nTo be fair, other studies haven’t shown conclusive evidence that cannabis eases pain. In some cases, the number of people in research groups was too small. In other studies, patients had differing rates of cannabis consumption prior to enrolling in a study or weren’t taking the same types of cannabis during the study period. \n\nYet anecdotal evidence continues to mount, with [more and more doctors and patients defying conventional pain management practices and turning to cannabis](https://www.chicagotribune.com/news/local/breaking/ct-met-medical-marijuana-for-pain-illinois-20180831-story.html) as an adjunct or replacement for other pain medications. \n\n### Why Try Cannabis for Pain Management? \n\nAsk any employee at your favorite dispensary or delivery service, and they’ll tell you that it’s almost impossible to track how many people are turning to cannabis to ease pain. \n\nMany are sick and tired of the side effects associated with traditional painkillers including:\n\n* Damage to the stomach and liver associated with long-term use of NSAID’s like ibuprofen\n* Excruciating constipation that those taking opiates may suffer with on a daily basis\n* Muscle relaxants that can render a person useless for anything but lying in bed \n* The downward spiral associated with opioid addiction, which has become a global public health emergency \n\nIs it any wonder that patients would look for healthier, more natural alternatives?\n\nRELATED: [HOLISTIC THERAPIES TO RELIEVE CHRONIC PAIN](https://hellomd.com/articles/holistic-therapies-to-relieve-chronic-pain/)\n\n### Cannabis Can Be a Safe, Gentle Complement to Opioid Pain Medications \n\nDespite the fact that research is still ongoing in terms of the efficacy of cannabis and pain relief, there’s one very important statistic to consider: States where medical marijuana has been legalized have a staggering 25% fewer deaths linked to opioid abuse. \n\nSome patients report [life-changing results when they add medical marijuana](https://www.washingtonpost.com/national/health-science/using-marijuana-to-treat-chronic-pain-might-help-cut-down-on-opioid-abuse/2017/02/24/518fbec2-f84e-11e6-bf01-d47f8cf9b643_story.html?utm_term=.a109d38c7dd0) to their pain-relief regimen. And with [no recorded death ever from a cannabis overdose](https://www.huffingtonpost.com/entry/marijuana-lethal-dose_us_58f4ec07e4b0b9e9848d6297), more and more states are voting to allow medical cannabis in their jurisdictions. \n\n### How Do I Begin Adding Cannabis to My Pain Program? \n\n* **Know the laws in your state:** You should always abide by state and local guidelines regarding the possession, purchase and use of cannabis products. Some states only allow medical marijuana for specific health conditions, so [make sure you know the laws where you live](https://www.safeaccessnow.org/state_and_federal_law). \n\n* **Talk to your doctor:** It’s always a good idea to [speak to your doctor about taking cannabis](https://www.huffingtonpost.com/catherine-hiller/post_10902_b_9140818.html), especially if you’re already taking other medications. Don’t stop taking your prescribed medications unless you’re doing so with the support and guidance of your doctor. If you feel like they’re not very educated or supportive when it comes to cannabis, you can always [schedule a face-to-face video consultation with a HelloMD doctor](www.hellomd.com). \n\n* **Educate yourself:** There are [so many ways to take cannabis for pain relief](https://www.safeaccessnow.org/using_medical_cannabis), so do your homework. Understand that medical cannabis therapy looks different for every individual. There’s no one- size-fits-all approach for medical marijuana, as everyone responds differently to the plant.\n\n* **Start slowly:** If you’re brand new to cannabis, consider using a topical cream or spray containing non-psychoactive CBD for starters. Some patients derive [immense pain relief from CBD products](https://www.health.harvard.edu/blog/medical-marijuana-2018011513085), while others need the psychoactive components found in THC to alleviate pain. Whatever cannabis product you try, start with a very small amount and wait to see how it affects you before you take more. \n\n* **Eat cannabis edibles with caution:** If you want to medicate with marijuana edibles, [start with very small amounts, also known as microdosing](https://www.hellomd.com/health-wellness/5ab47f4ef24d1300077ccb98/3-popular-questions-about-marijuana-and-microdosing-answered). For most, around 2–5 milligrams of THC per dose is a good place to start until you know your unique response to the product. Wait a couple of hours before eating more, if you feel like you need it. \n\n* **Journal your cannabis experience:** Use your journal to adjust your doses and to help document what worked best for you. Things to write down are: \n\n>* The name and type of product you tried\n>* How much you used\n>* When you used it \n>* How you felt after taking it \n\n* **Combine & conquer:** Once you’ve familiarized yourself with the many types of cannabis pain-relief options available, you may want to try layering. This is a technique where you take medicinal cannabis by different consumption methods through the day to layer the different effects of the products.  \n\n>Some pain patients begin their day by smoking or vaping a cerebral, sativa-dominant cannabis strain. Then, as their pain spikes, they may turn to concentrates with a more sedative effect or a topical if they’re out and about. Finally, to help with sleep, some folks wind down with a cannabis-infused bath bomb, or a marijuana edible to promote relaxation and a good night’s rest.\n\n* **Be a patient patient:** Sometimes, enthusiastic cannabis consumers may give people the impression that marijuana is the answer to all of your medical woes. When we’re suffering, we all want relief, but as with any medication, cannabis may work miraculously for some and not at all for others. Learning to manage pain using cannabis takes time, and what works for one person may not work for another. Sometimes it takes a little experimentation to find what works for you.\n\nIf you find that medical marijuana isn’t easing your pain, seek out a reputable cannabis expert to discuss the specifics of your condition, your dosage schedule and the types of products you’re using. \n\nOften, with a little tenacity and some adjustments to your regime, you’ll discover how to create your cannabis sweet spot, which will hopefully result in reduced pain, an enhanced quality of life and a marked improvement in your ability to manage your aches and pains.\n\nPhoto credit: [Wei Ding](https://unsplash.com/@weiding22)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://hellomd.com/articles/cannabis-101-what-you-need-to-know-about-marijuana/) index of articles. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3793103448275863,"src":"/static/3d6b8afd1101ede84047814b6189cb4d/14b42/51170448bbd0a3598c3b0de25cc4953d.jpg","srcSet":"/static/3d6b8afd1101ede84047814b6189cb4d/f836f/51170448bbd0a3598c3b0de25cc4953d.jpg 200w,\n/static/3d6b8afd1101ede84047814b6189cb4d/2244e/51170448bbd0a3598c3b0de25cc4953d.jpg 400w,\n/static/3d6b8afd1101ede84047814b6189cb4d/14b42/51170448bbd0a3598c3b0de25cc4953d.jpg 800w,\n/static/3d6b8afd1101ede84047814b6189cb4d/47498/51170448bbd0a3598c3b0de25cc4953d.jpg 1200w,\n/static/3d6b8afd1101ede84047814b6189cb4d/0e329/51170448bbd0a3598c3b0de25cc4953d.jpg 1600w,\n/static/3d6b8afd1101ede84047814b6189cb4d/f4f90/51170448bbd0a3598c3b0de25cc4953d.jpg 3111w","srcWebp":"/static/3d6b8afd1101ede84047814b6189cb4d/58556/51170448bbd0a3598c3b0de25cc4953d.webp","srcSetWebp":"/static/3d6b8afd1101ede84047814b6189cb4d/61e93/51170448bbd0a3598c3b0de25cc4953d.webp 200w,\n/static/3d6b8afd1101ede84047814b6189cb4d/1f5c5/51170448bbd0a3598c3b0de25cc4953d.webp 400w,\n/static/3d6b8afd1101ede84047814b6189cb4d/58556/51170448bbd0a3598c3b0de25cc4953d.webp 800w,\n/static/3d6b8afd1101ede84047814b6189cb4d/99238/51170448bbd0a3598c3b0de25cc4953d.webp 1200w,\n/static/3d6b8afd1101ede84047814b6189cb4d/7c22d/51170448bbd0a3598c3b0de25cc4953d.webp 1600w,\n/static/3d6b8afd1101ede84047814b6189cb4d/a83fd/51170448bbd0a3598c3b0de25cc4953d.webp 3111w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2782-markdown","title":"3 Popular Questions About Marijuana & Tension Headaches","slug":"3-popular-questions-about-marijuana-and-tension-headaches","content":"While we may not all suffer from migraines, chances are everyone at some point in their life has experienced a tension headache. You’re probably familiar with tension headache symptoms: pressure in your forehead, neck or the back of your head; aches, pain or tightness in your head, neck or shoulders. \n\nMost people tend to pop a few Advil or Tylenol and go about their day when they have a headache. But it’s possible to overuse over-the-counter drugs—and sometimes this can cause even more headaches. \n\nSo, if you’re looking for an alternative to the usual headache treatments, you may want to consider cannabis. Here are our top three Q&As about how marijuana can help ease tension headaches. These Q&As come from our [Answers](https://www.hellomd.com/answers) page, where members of the HelloMD community get answers to their cannabis questions from qualified doctors, nurses and cannabis industry experts. Head over there if you still have questions about how marijuana could help you when you’ve got a headache that just won’t quit. \n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en)\n\n### Q: Is marijuana good for tension headaches?\n\n**_What type of marijuana products should I use and how often?_**\n\nAnswer: [@drolson](https://www.hellomd.com/people/550c5a786336370003010000/drolson/my-story) Yes, cannabis can be an excellent medication for tension headaches but if you don’t deal with the origin of the tension, your symptoms could manifest as a bigger medical problem later. \n\nConsider using a topical cannabidiol, or CBD-dominant salve on your neck or anywhere you feel the muscles are tense. You can reapply the salve every 10 minutes until the pain resolves. You could also try a CBD-dominant 4:1, spray-in-the-mouth tincture that should help with a headache. Or you may want to vaporize a CBD-dominant vape pen, such as one with the strain AC/DC. This way, it will be in your bloodstream in one to two minutes giving you relief in approximately 10 minutes.\n\nI think tension headaches respond well to a daily dose of CBD because you learn to deal with stress much better taking CBD-rich cannabis. At first, you must dose CBD frequently to get rid of the symptoms and then you can start spacing out the frequency of your CBD doses. Because if you only take one dose of CBD per 24 hours, you may be imprinting on your nerves that you want the pain to return, so please, treat your symptoms frequently to get the pain under control before you start to space out your CBD dose. Too much THC (tetrahydrocannabinol) may increase pain especially if due to tension. \n\nI also encourage reading the book or listening to the audiotape, “The Power of Now” by Eckhart Tolle to get in the present moment since the present moment is the only time we experience joy.\n\nRELATED: [WHAT’S SO GREAT ABOUT CANNABIDIOL, OR CBD?](https://www.hellomd.com/health-wellness/5a8dafa0f24d1300077ccb59/whats-so-great-about-cannabidiol-or-cbd)\n\n### Q: Can anyone recommend 1 or 2 good strains to prevent headaches?\n\n**_They aren't migraines, just tension headaches. I also suffer from a large degree of anxiety concerning them, so need something for evening time that would help me relax. As an additional piece of information, I tend to be sensitive to psychoactivity; THC makes me paranoid and then I really cannot relax._**\n\nAnswer: [@drjacquelynlew]( https://www.hellomd.com/people/58aba9f5005f8b001769728e/drjacquelynlew/my-story) Hello! Sounds like you would be a good candidate for cannabidiol, or CBD, which is non-psychoactive and can help decrease both headaches and anxiety. I would recommend using CBD in a vaporized form, starting with 1–2 puffs. I typically recommend CBD in a 20:1 ratio with THC (tetrahydrocannabinol, the psychoactive ingredient of cannabis) because a small amount of THC helps the CBD work. \n\nCannabis can also be applied topically on the temples when you have a headache. Topical forms of cannabis, such as balms or salves, are usually non-psychoactive. If this doesn't quite help, you may want to seek a more in-depth consultation from us or an evaluation from your regular health provider. Best of luck!\n\n[Read more answers to this question](https://www.hellomd.com/answers/5af7985a8bf343000746aa81/can-anyone-recommend-1-or-2-good-strains-to-prevent-headaches)\n\n### Q: How does cannabis act to stop headaches?\n**_My neurologist has told me never to take aspirin, and Tylenol rarely, because it acts by slowly compromising the nerves. I’m 79 and had one very small stroke four years ago. Sometimes I still feel it clearly where it occurred in my head._**\n\nAnswer: [@drblair]( https://www.hellomd.com/people/5984d0c740044a391b932f61/drblair/my-story) Hemp CBD is effective for many people. At 79 you will not need much to get relief, perhaps 5–10 mg. CBD will not make you high or cause any impairment. And, it protects against stroke and heart disease. Preclinical studies showed that CBD given up to five hours after a stroke provided major protection against the complications of stroke and brain injury.\n\nPhoto credit: [Maaike Nienhuis](https://unsplash.com/@maaikenienhuis)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/56201c206430320006bb0000/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3793103448275863,"src":"/static/6040b4dd4e36faaf32a6dfe8142d7502/14b42/212c87e62ccfd092c9bd8643471bf79e.jpg","srcSet":"/static/6040b4dd4e36faaf32a6dfe8142d7502/f836f/212c87e62ccfd092c9bd8643471bf79e.jpg 200w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/2244e/212c87e62ccfd092c9bd8643471bf79e.jpg 400w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/14b42/212c87e62ccfd092c9bd8643471bf79e.jpg 800w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/47498/212c87e62ccfd092c9bd8643471bf79e.jpg 1200w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/0e329/212c87e62ccfd092c9bd8643471bf79e.jpg 1600w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/02768/212c87e62ccfd092c9bd8643471bf79e.jpg 3662w","srcWebp":"/static/6040b4dd4e36faaf32a6dfe8142d7502/58556/212c87e62ccfd092c9bd8643471bf79e.webp","srcSetWebp":"/static/6040b4dd4e36faaf32a6dfe8142d7502/61e93/212c87e62ccfd092c9bd8643471bf79e.webp 200w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/1f5c5/212c87e62ccfd092c9bd8643471bf79e.webp 400w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/58556/212c87e62ccfd092c9bd8643471bf79e.webp 800w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/99238/212c87e62ccfd092c9bd8643471bf79e.webp 1200w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/7c22d/212c87e62ccfd092c9bd8643471bf79e.webp 1600w,\n/static/6040b4dd4e36faaf32a6dfe8142d7502/83969/212c87e62ccfd092c9bd8643471bf79e.webp 3662w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2776-markdown","title":"Can Cannabis Help Reduce RSI & Carpal Tunnel Pain? ","slug":"can-cannabis-help-reduce-rsi-and-carpal-tunnel-pain","content":"A carpal tunnel syndrome or any kind of repetitive strain injury (RSI) diagnosis can lead to extreme frustration. Especially because oftentimes it’s a skill or work that you love that’s causing the problem. An RSI could arise from typing on your computer. Or maybe it’s your job in construction that requires repetitive work with heavy power tools. It could also result from a sport or the type of artwork you love creating.\n\nWhatever it is that you’ve been doing to cause the injury, you’re now faced with an impossible scenario: Give up the skill you’ve spent so much time on or endure excruciating pain.  \n\nOf course, for many whose livelihoods depend on their skills, giving up their work isn’t much of a choice. These folks must find a solution, one that often involves a variety of risky options like surgery, steroids or addictive painkillers. \n\nThankfully, there’s another option: marijuana.\n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en)\n\n### What Is an RSI & Carpal Tunnel Syndrome? \n\nAn [RSI is an injury that occurs from repeated use of a particular part of the body such as a tendon, muscle or joint](https://www.medicalnewstoday.com/articles/176443.php). This repeated use can cause the affected area to swell and become inflamed, thereby compressing or pinching nerves. The repetition can even cause permanent nerve damage. \n\nFolks with an RSI can suffer from a range of symptoms in the affected area including:\n\n* Pain\n* Tenderness\n* Pulsing\n* Numbness\n* Tingling\n* Weakness  \n\nWhile there are many different types of RSIs, a common one is [carpal tunnel syndrome](https://orthoinfo.aaos.org/en/diseases--conditions/carpal-tunnel-syndrome/). This particular RSI is usually caused by repetitive use of the hands and fingers for tasks like:\n\n* Typing\n* Using a phone\n* Writing\n* Painting\n* Playing an instrument\n* Using certain tools\n\n### What Treatment Options Are Available for an RSI? \n\nFor those suffering from carpal tunnel syndrome, there are a few potential treatments. The first is to simply stop or reduce the offending activity. If you aren’t able to stop altogether, wear a brace or splint 24/7 to lessen the strain. Certain exercises may also help. \n\nWhen these low-risk treatments don’t provide relief, nonsteroidal anti-inflammatory (NSAID) painkillers like ibuprofen can help reduce inflammation and pain. In more severe cases, oral steroids, steroid injections or even surgery may be options to ease the pain and reduce swelling. In cases where the pain persists, some turn to opioid painkillers. \n\nUnfortunately, long-term use of NSAIDs, steroids or opioids can lead to some seriously negative side effects such as liver damage, weak bones, addiction and even death. [Opiates alone kill over 42,000 each year, and the rates are only increasing](https://www.cdc.gov/drugoverdose/data/statedeaths.html). \n\nYou may think over-the-counter painkillers like NSAIDs are a safer choice, but estimates have deaths from NSAIDs at over 15,000 a year. And [hospitalizations for NSAID complications, like gastrointestinal bleeding or liver damage, are around 100,000 a year](http://americannutritionassociation.org/newsletter/deadly-nsaids). \n \n### How Can Cannabis Help With an RSI or Carpal Tunnel Syndrome? \n\nWith its wide array of medicinal properties, marijuana is a perfect fit for treating these debilitating conditions. Here are a few ways that cannabis works to help those with an RSI manage their symptoms. \n\n#### Studies & Anecdotal Evidence Back Cannabis as an Effective Pain Reliever\n\nPain relief is a crucial part of treating any RSI, and cannabis is well suited for this task. Chronic pain is actually the most common reason people give for taking cannabis, and [studies say that up to 97% of cannabis patients consume the plant for pain](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3998228/).\n\nPain patients continually report that [marijuana provides them with significant pain relief](https://www.hellomd.com/health-wellness/59cbfaff388e3e39f0f313c8/how-cannabis-helps-reduce-chronic-pain). In fact, in a study by HelloMD and UC Berkeley, [81% of patients reported that cannabis alone was even more effective at relieving their pain than using opioids was](http://online.liebertpub.com/doi/full/10.1089/can.2017.0012). \n\nWith RSI, we’re usually dealing with neuropathic pain, specifically. This can be trickier to relieve, but studies show that [cannabis can help with neuropathic pain](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2950205/) as well.\n\nRELATED: [HOW CANNABIS RELIEVES PAIN BETTER THAN OPIOIDS DO](https://www.hellomd.com/health-wellness/5a99f613f24d1300077ccb73/how-cannabis-relieves-pain-better-than-opioids-do)\n\n#### Take Marijuana to Help Reduce the Inflammation Associated with an RSI\n\nCannabis is also well known for its ability to reduce inflammation, which is a major symptom of RSI and carpal tunnel syndrome. Our bodies’ endocannabinoid system (ECS) is the network of receptors that interacts with cannabis. The ECS can reduce inflammation as part of its normal functions, but unfortunately it doesn’t always do so when it’s unbalanced.\n\nThankfully, [when you consume the cannabinoids in marijuana, you can balance your ECS and trigger its anti-inflammatory effects](https://www.hellomd.com/health-wellness/55a546996636300006230000/medical-marijuana-a-safe-alternative-for-arthritis-inflammation). By taking cannabis to reduce inflammation, you may be able to avoid other options like NSAIDs or steroids to treat your RSI. Once inflammation goes down, the pain from pinched nerves can sometimes diminish or vanish entirely.\n\n#### Cannabis Can Provide Insomnia Relief When RSI Pain Prevents Sleep\n\nFor some folks who suffer from an RSI, getting sleep can be hard. And doctors often prescribe sleeping pills to help. But cannabis can provide insomnia relief as well because our ECS is key in regulating sleep.\n\nWhen stimulated by cannabinoids like tetrahydrocannabinol (THC) and cannabidiol (CBD), [the ECS can activate your body’s natural mechanisms for rest](https://www.hellomd.com/health-wellness/55e5c6573236300006350000/medical-marijuana-could-help-insomniacs-sleep-better). \nStudies show that many patients [fall asleep easier and more quickly after taking cannabis](http://www.beyondthc.com/wp-content/uploads/2014/04/Tringale-Jensen-20111.pdf). Marijuana may be just the trick to help those with RSI get a full night’s sleep.\n\n#### Tackle an RSI Treatment-Related Nausea With Marijuana\n\nWhile nausea isn’t a side effect of RSI, it’s a side effect of some of its treatments—such as NSAIDS and opioids. Luckily, [cannabis, especially when inhaled, can quickly combat nausea](https://www.nap.edu/catalog/24625/the-health-effects-of-cannabis-and-cannabinoids-the-current-state). For patients still using traditional RSI treatment options, cannabis can help mitigate their effects. \n\nIf you suffer from carpal tunnel syndrome or another kind of RSI and think cannabis may be right for you, the best first step is to talk to a doctor. You can [consult with one of HelloMD’s knowledgeable doctors](https://www.hellomd.com/) who can help guide you on how to best take cannabis for your specific condition. \n \nPhoto credit: [Alexa Mazzarello](https://unsplash.com/@alexamazzarello)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/56201c206430320006bb0000/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.\n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3888888888888888,"src":"/static/199a350dbcd8bff130f0537f4369a0d8/14b42/ab072d1f5a23fe64201bbd2fbfc8fb18.jpg","srcSet":"/static/199a350dbcd8bff130f0537f4369a0d8/f836f/ab072d1f5a23fe64201bbd2fbfc8fb18.jpg 200w,\n/static/199a350dbcd8bff130f0537f4369a0d8/2244e/ab072d1f5a23fe64201bbd2fbfc8fb18.jpg 400w,\n/static/199a350dbcd8bff130f0537f4369a0d8/14b42/ab072d1f5a23fe64201bbd2fbfc8fb18.jpg 800w,\n/static/199a350dbcd8bff130f0537f4369a0d8/47498/ab072d1f5a23fe64201bbd2fbfc8fb18.jpg 1200w,\n/static/199a350dbcd8bff130f0537f4369a0d8/0e329/ab072d1f5a23fe64201bbd2fbfc8fb18.jpg 1600w,\n/static/199a350dbcd8bff130f0537f4369a0d8/c9d75/ab072d1f5a23fe64201bbd2fbfc8fb18.jpg 3271w","srcWebp":"/static/199a350dbcd8bff130f0537f4369a0d8/58556/ab072d1f5a23fe64201bbd2fbfc8fb18.webp","srcSetWebp":"/static/199a350dbcd8bff130f0537f4369a0d8/61e93/ab072d1f5a23fe64201bbd2fbfc8fb18.webp 200w,\n/static/199a350dbcd8bff130f0537f4369a0d8/1f5c5/ab072d1f5a23fe64201bbd2fbfc8fb18.webp 400w,\n/static/199a350dbcd8bff130f0537f4369a0d8/58556/ab072d1f5a23fe64201bbd2fbfc8fb18.webp 800w,\n/static/199a350dbcd8bff130f0537f4369a0d8/99238/ab072d1f5a23fe64201bbd2fbfc8fb18.webp 1200w,\n/static/199a350dbcd8bff130f0537f4369a0d8/7c22d/ab072d1f5a23fe64201bbd2fbfc8fb18.webp 1600w,\n/static/199a350dbcd8bff130f0537f4369a0d8/cec1c/ab072d1f5a23fe64201bbd2fbfc8fb18.webp 3271w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2735-markdown","title":"3 Popular Questions About Marijuana & Neuropathy Answered","slug":"3-popular-questions-about-marijuana-and-neuropathy-answered","content":"Numb fingers, pins and needles in your feet, burning in your shoulders. These could be signs of neuropathy, or nerve damage. Nerve damage isn’t uncommon; estimates put the [number of Americans with neuropathy at 20 million](https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Peripheral-Neuropathy-Fact-Sheet).\n\nMany times, neuropathy isn’t an isolated condition, but rather is connected to other health issues like:\n\n* Diabetes\n* HIV/AIDS\n* Celiac disease\n* Alcohol dependency\n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en)\n\nMost people with neuropathy turn to over-the-counter pain medications like ibuprofen for relief. Some also rely on prescription medications to address pain and inflammation. \nSince cannabis has therapeutic value, could it help someone suffering from neuropathy? While there’s no cure for nerve damage, anecdotally cannabis does seem to help ease the pain and discomfort of those suffering from nerve pain. \n\nHere are our three most popular questions about how marijuana could be part of a treatment plan for neuropathy. These questions were answered by knowledgeable members of the HelloMD community on our [Answers](https://www.hellomd.com/answers/) page. Don’t see your question about nerve damage and marijuana below? You can post your question on the Answers page to get advice from a doctor, nurse or cannabis industry specialist. \n\n### Q: What is best for neuropathy?\n\nAnswer: [@andrewvanmd](https://www.hellomd.com/people/55d3990c32326600062d0000/andrewvanmd) Cannabis is very effective at treating neuropathy and neuropathic pain. I would start with a whole plant extract in tincture form, with a balanced amount of cannabidiol (CBD) and tetrahydrocannabinol (THC). You can adjust the CBD:THC ratio to achieve the desired results. Inhaled cannabis and topicals can also be helpful.\n\nRELATED: [FIBROMYALGIA, NEUROPATHY & CANNABIS: ADRION’S SUCCESS STORY](https://www.hellomd.com/health-wellness/5a0dd40ee2ac1a000b2d3faa/fibromyalgia-neuropathy-and-cannabis-adrions-success-story)\n\n### Q: Cannabis tincture suggestion for nerve pain?\n**_One of my relatives has been suffering from nerve pain. He says it's just his left side, and it feels like burning pins and needles. He did see the doctor, and the doctor said he has nerve damage similar to neuropathy, but they aren't sure what the cause is. They suggested he try cannabis! He has tried the Lord Jones High-CBD lotion but has not gotten relief. We are wondering if maybe a tincture will help? What dosage might be beneficial for him? Any suggestions would be greatly appreciated. Thank you!_**\n\nAnswer: [@drelkind](https://www.hellomd.com/people/57f299fa2b1e99000a671a32/drelkind) Applying cannabis to the skin will not provide significant absorption beyond a very local area so I would definitely try a tincture or similar preparation. When tinctures or lozenges are held in the mouth, effects may be noticeable within 10 minutes; when cannabis is swallowed it may take up to an hour for effects to take place. Starting with a CBD:THC ratio of 20:1 and varying the amount taken and the cannabinoid ratio (moving toward 1:1) may yield a preparation helpful in reducing the discomfort. Most patients find this kind of cautious experimentation useful for finding the best relief of their symptoms.\n\n[Read more answers to this question](https://www.hellomd.com/answers/5a57a727d31dce000697f16e/cannabis-tincture-suggestions-for-nerve-pain).\n\n### Q: I have nerve damage from shingles.\n**_The doctors call it neuralgia. Will a transdermal patch help? I am in so much pain._**\n\nAnswer: [@VeronicaB](https://www.hellomd.com/people/583c9403925c1a000b5029bb/veronicab) Hi there!\n\nIf you are experiencing chronic pain/nerve damage due to shingles or neuralgia, you may be able to find some relief with transdermal patches. The advantage of using a transdermal patch for nerve pain is that the medicine is delivered through all seven layers of the skin and into the bloodstream to provide full body relief.\n\nTo use a transdermal patch, you will want to put it on a veiny area, and your body heat will naturally activate the patch. Once the patch becomes activated, it slowly releases small amounts of cannabinoids directly into the bloodstream to be carried throughout the body. Because this medicine is not ingested, the patch will bypass the liver and stomach acids, providing relief within 30 minutes. Depending on your body composition, cannabis use and level of pain, patches can provide relief anywhere from 8–12 hours. For severe pain, it is safe to wear more than one patch at once.\n\nPlease check out this article below that provides more information on transdermal patches for pain relief. Hopefully this helps your nerve damage and pain from shingles. I hope this information helps!\n\nhttps://www.hellomd.com/health-wellness/563d168959fa6800080000c9/cannabis-transdermal-patches-easy-to-use-and-effective-for-pain\n\n[Read more answers to this question](https://www.hellomd.com/answers/58a78f38dba3010015808c9b/i-have-nerve-damage-from-shingles).\n\nPhoto credit: [MMPR](https://unsplash.com/@mmpr)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/56201c206430320006bb0000/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online. \n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3793103448275863,"src":"/static/7458bca976acdcac7322a23be8f6521a/14b42/c0f1ac98a230a59557ca3df9ce834018.jpg","srcSet":"/static/7458bca976acdcac7322a23be8f6521a/f836f/c0f1ac98a230a59557ca3df9ce834018.jpg 200w,\n/static/7458bca976acdcac7322a23be8f6521a/2244e/c0f1ac98a230a59557ca3df9ce834018.jpg 400w,\n/static/7458bca976acdcac7322a23be8f6521a/14b42/c0f1ac98a230a59557ca3df9ce834018.jpg 800w,\n/static/7458bca976acdcac7322a23be8f6521a/47498/c0f1ac98a230a59557ca3df9ce834018.jpg 1200w,\n/static/7458bca976acdcac7322a23be8f6521a/0e329/c0f1ac98a230a59557ca3df9ce834018.jpg 1600w,\n/static/7458bca976acdcac7322a23be8f6521a/e6e45/c0f1ac98a230a59557ca3df9ce834018.jpg 2784w","srcWebp":"/static/7458bca976acdcac7322a23be8f6521a/58556/c0f1ac98a230a59557ca3df9ce834018.webp","srcSetWebp":"/static/7458bca976acdcac7322a23be8f6521a/61e93/c0f1ac98a230a59557ca3df9ce834018.webp 200w,\n/static/7458bca976acdcac7322a23be8f6521a/1f5c5/c0f1ac98a230a59557ca3df9ce834018.webp 400w,\n/static/7458bca976acdcac7322a23be8f6521a/58556/c0f1ac98a230a59557ca3df9ce834018.webp 800w,\n/static/7458bca976acdcac7322a23be8f6521a/99238/c0f1ac98a230a59557ca3df9ce834018.webp 1200w,\n/static/7458bca976acdcac7322a23be8f6521a/7c22d/c0f1ac98a230a59557ca3df9ce834018.webp 1600w,\n/static/7458bca976acdcac7322a23be8f6521a/d40b7/c0f1ac98a230a59557ca3df9ce834018.webp 2784w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2685-markdown","title":"Treating Arthritis Pain via the Endocannabinoid System","slug":"treating-arthritis-pain-via-the-endocannabinoid-system","content":"Arthritis is a general term that refers to any kind of joint disorder. According to the Centers for Disease Control and Prevention, there are over 100 different types of arthritis, all of which share the similar symptoms of joint pain and stiffness.\n\nThe most common types of arthritis are osteoarthritis and rheumatoid arthritis. There’s no cure for osteoarthritis, and while remission is the goal with rheumatoid arthritis, this is rarely achieved. Given these outcomes, managing symptoms like pain and inflammation are key to maintaining quality of life.\n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en)\n\nMedications used to manage osteoarthritis and rheumatoid arthritis include nonsteroidal anti-inflammatory drugs (NSAIDs) and sometimes opioids for pain. Other pharmaceuticals may also be prescribed depending on the type of arthritis involved. However, in many instances, management strategies come up short; medications can have detrimental side effects; and sometimes, patients simply want more options to manage their pain. \n\nThis is where cannabis and its anti-inflammatory properties come into the picture. At this point, it’s pretty widely acknowledged that cannabis can help with many different types of pain. Anecdotal evidence gathered from multiple sources—[a survey in the UK](http://files.iowamedicalmarijuana.org/science/misc/Ware-Guy%20Cannabis%20Use%20UK%20Intl%20J%20Clin%20Pract%202005.pdf), [another in Australia](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1262744/) and [one conducted by HelloMD with UC Berkeley](https://www.hellomd.com/articles/hellomd-and-uc-berkeley-release-study-on-cannabis-use-as-a-substitute-for-opioid-and-non-opioid-based-pain-medication)—support the idea of using cannabis to manage pain from myriad conditions, including arthritis. \n\nThough few clinical trials exist on arthritis of any kind, emerging evidence from preclinical research suggests that the endocannabinoid system is involved. By targeting this system with compounds from cannabis, scientists hope to one day create medicines to address inflammation and pain arising from both osteoarthritis and rheumatoid arthritis. \n\n### Osteoarthritis & Rheumatoid Arthritis—What’s the Difference?  \n\nWhile both osteoarthritis and rheumatoid arthritis involve inflammation of the joints that lead to pain, the reasons for these symptoms are different.\n\n#### What Is Osteoarthritis?\n\nJoints—the non-cannabis kind—are the places in the body where two bones meet. In osteoarthritis, the cartilage—a flexible connective tissue that covers the ends of bones—gradually wears away as we age. As this material breaks down, less of it is available to cushion the area where the two bones meet, leading to pain during movement. As the disease progresses, nerve damage can also occur. \n\nRELATED: [3 POPULAR QUESTIONS ABOUT MARIJUANA & ARTHRITIS ANSWERED](https://www.hellomd.com/health-wellness/5a720780f24d1300077ccb25/3-popular-questions-about-marijuana-and-arthritis-answered)\n\nTypical osteoarthritis symptoms are deep, aching pains and stiffness, especially in the morning or after resting. Osteoarthritis is often the result of aging, but injuries or being overweight can also cause undue stress on the joints, leading to cartilage degeneration. Osteoarthritis is most common in joints that bear weight like the knees, hips, spine and feet. \n\n#### What Is Rheumatoid Arthritis?\n\nRheumatoid arthritis, in contrast, is an autoimmune disease. The immune system attacks the joints, leading to inflammation and swelling of the joint linings, also called the synovia.\n\nIf left untreated, rheumatoid arthritis can lead to severe joint damage. Like many autoimmune diseases, we aren’t sure what causes rheumatoid arthritis. However, researchers think that genetics, environmental factors and possible infectious exposures play a role. \n\n### An Altered Endocannabinoid System in Osteoarthritis & Rheumatoid Arthritis Sufferers\n\nInside all of us is a network of receptors called the [endocannabinoid system (ECS)](https://www.hellomd.com/articles/what-is-the-endocannabinoid-system). This system has receptors that are located throughout the body: in your brain, your gut, even your immune cells. Due to the prevalence of ECS receptors, scientists now think that the ECS plays a key role in essential life processes like eating, sleeping and reproducing. \n\nThe main receptors in the ECS are CB1, CB2 and TRPV1. Your body also makes endocannabinoids: anandamide (AEA) and 2-arachidonoylglycerol (2-AG), molecules that attach to these receptors to produce certain effects such as pain relief. Likewise, cannabis makes phytocannabinoids, like tetrahydrocannabinol (THC) and cannabidiol (CBD) that can also attach to, or influence, these receptors. \n\nThe ECS plays a role in our immune process and how our bodies register pain. In patients with osteoarthritis and rheumatoid arthritis, that system is altered. A study published in _Arthritis Research & Therapy_ looked at the joint fluid of both osteoarthritis and rheumatoid arthritis patients. Researchers found that both [CB1 and CB2 receptors were present in the patients’ joint linings](https://arthritis-research.biomedcentral.com/track/pdf/10.1186/ar2401). They also discovered that AEA and 2-AG were present in the joint fluid of both types of arthritis patients, and not present in the fluid of healthy volunteers. \n\nThe presence in the joint fluid of both endocannabinoid receptors and the substances that attach to them have made scientists speculate that manipulation of the ECS can lead to therapies that can address both osteoarthritis and rheumatoid arthritis. \n\n### CBD Reduces Pain in Animal Models of Osteoarthritis\n\nFor now, the only published research on osteoarthritis and cannabis has been done in animal models. \n\nOne study looked at the effect of CBD on rats with osteoarthritis. The researchers injected the cannabinoid at the arthritis site and found that [CBD was able to stop pain sensations](https://www.ncbi.nlm.nih.gov/pubmed/28885454/). They also noted that CBD prevented the development of further pain and nerve damage. \n\nAnother study looked at the effect of CBD applied transdermally on rats with osteoarthritis. Researchers found this method of administration to be effective: The rats had [reduced joint swelling and pain](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4851925/). \n\nResearch on osteoarthritis and cannabis continues, with [a human clinical trial](https://clinicaltrials.gov/ct2/show/record/NCT02324777) set to be completed in December 2018. \n\n### Targeting the CB2 Receptor May Be the Key to Alleviating Rheumatoid Arthritis\n\nThe endocannabinoid system’s deep involvement in the body’s immune response has led researchers to speculate that this system can be targeted to alleviate rheumatoid arthritis symptoms. \n\nThere’s specific interest in the CB2 receptor, which is abundant in immune cells. Activating the CB2 receptor may relieve rheumatoid arthritis symptoms by controlling the body’s inflammatory response. Targeting these receptors may have widespread applications for other diseases, including [osteoarthritis](http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0080440), [endometriosis](https://www.hellomd.com/articles/how-cbd-can-help-relieve-endometriosis-pain) and [Parkinson’s disease](https://www.hellomd.com/articles/how-parkinsons-disease-affects-the-endocannabinoid-system).\n\nA 2014 study found that [humans with rheumatoid arthritis had a higher prevalence of CB2 receptors in their joint tissues than those with osteoarthritis](https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-15-275). Researchers also showed that activating this receptor leads to less joint inflammation and bone deterioration in mice models of this disease. \n\nThere’s a good chance cannabis’s components can target CB2, though more research is needed. THC sometimes binds to this receptor, though it often doesn’t. We still aren’t clear on how CBD influences CB2, but we know that the terpene [beta-caryophyllene](https://www.hellomd.com/articles/know-your-terpenes-beta-caryophyllene), which is found in cannabis and other plants, can activate this receptor. \n\n### Clinical Trial Shows Promising Results in Relieving Rheumatoid Arthritis Pain & Stiffness\n\nTo date, only one clinical trial has been conducted on the effects of cannabis-based medicines in rheumatoid arthritis. In this double-blind, randomized, placebo-controlled study funded by GW Pharmaceuticals, patients were given an oral spray of THC and CBD in a 1:1 ratio for five weeks. \n\nUltimately, the researchers found [significant pain reduction and improvement of other rheumatoid arthritis symptoms](https://academic.oup.com/rheumatology/article/45/1/50/1788693) like morning stiffness, in patients using the cannabis-based medicine. The researchers called their results “encouraging” and emphasized the need for more studies of this nature.  \n\nAs the U.S. population ages, incidences of arthritis—especially osteoarthritis—will rise. Current methods of managing arthritis have their shortcomings and in many cases only provide minimal relief. Cannabis’s ability to affect the endocannabinoid system and promising results in both clinical and preclinical research means that cannabis-based medicines to treat arthritis will likely be in our future. \n\nPhoto credit: [Kristina Tripkovic](https://unsplash.com/@tinamosquito)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/articles/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online. ","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3605442176870748,"src":"/static/7be07e9808c900a7d40487d675b09c6b/14b42/d3b0c18f3e3a19f1a9728f4acc497f6b.jpg","srcSet":"/static/7be07e9808c900a7d40487d675b09c6b/f836f/d3b0c18f3e3a19f1a9728f4acc497f6b.jpg 200w,\n/static/7be07e9808c900a7d40487d675b09c6b/2244e/d3b0c18f3e3a19f1a9728f4acc497f6b.jpg 400w,\n/static/7be07e9808c900a7d40487d675b09c6b/14b42/d3b0c18f3e3a19f1a9728f4acc497f6b.jpg 800w,\n/static/7be07e9808c900a7d40487d675b09c6b/47498/d3b0c18f3e3a19f1a9728f4acc497f6b.jpg 1200w,\n/static/7be07e9808c900a7d40487d675b09c6b/0e329/d3b0c18f3e3a19f1a9728f4acc497f6b.jpg 1600w,\n/static/7be07e9808c900a7d40487d675b09c6b/77d93/d3b0c18f3e3a19f1a9728f4acc497f6b.jpg 3600w","srcWebp":"/static/7be07e9808c900a7d40487d675b09c6b/58556/d3b0c18f3e3a19f1a9728f4acc497f6b.webp","srcSetWebp":"/static/7be07e9808c900a7d40487d675b09c6b/61e93/d3b0c18f3e3a19f1a9728f4acc497f6b.webp 200w,\n/static/7be07e9808c900a7d40487d675b09c6b/1f5c5/d3b0c18f3e3a19f1a9728f4acc497f6b.webp 400w,\n/static/7be07e9808c900a7d40487d675b09c6b/58556/d3b0c18f3e3a19f1a9728f4acc497f6b.webp 800w,\n/static/7be07e9808c900a7d40487d675b09c6b/99238/d3b0c18f3e3a19f1a9728f4acc497f6b.webp 1200w,\n/static/7be07e9808c900a7d40487d675b09c6b/7c22d/d3b0c18f3e3a19f1a9728f4acc497f6b.webp 1600w,\n/static/7be07e9808c900a7d40487d675b09c6b/d4378/d3b0c18f3e3a19f1a9728f4acc497f6b.webp 3600w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2631-markdown","title":"Studies Back Cannabis as a Way Out of the Opioid Crisis","slug":"studies-back-cannabis-as-a-way-out-of-the-opioid-crisis","content":"As has been addressed numerous times on HelloMD, cannabis can be a viable replacement or supplement to opioids, and there are studies to support this: HelloMD and UC Berkeley released a study in 2017 that found [97% of respondents were able to decrease their opioid use with cannabis](https://www.hellomd.com/articles/hellomd-and-uc-berkeley-release-study-on-cannabis-use-as-a-substitute-for-opioid-and-non-opioid-based-pain-medication), and 81% believed that cannabis was more effective on its own for chronic pain.\n\nThese findings, while striking, already confirm what many folks involved in the medical marijuana community intuitively know: that cannabis’s pain-fighting properties may be able to curb the opioid epidemic by helping folks reduce or stop their opioid intake. \n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en) \n\n### Opioid Use Declines With the Introduction of Cannabis\n\nThis phenomenon isn’t new: [A 2016 survey of patients at a medical marijuana dispensary in Michigan found similar results](https://www.focusstandards.org/wp-content/uploads/The-Journal-of-Pain-study.pdf). Researchers used an online questionnaire to survey 244 medical marijuana patients with chronic pain from November 2013 to February 2015.\n\nAlmost two-thirds (64%) of study participants were able to decrease their opioid use; they also saw a decrease in the number of medications taken and side effects associated with medications. Meanwhile, 45% said that cannabis had improved their quality of life. \n\nResearchers also noted a decrease in nonsteroidal anti-inflammatory drugs (NSAIDs) and antidepressant use, possibly due to the pain-sparing effects of cannabis. “One theory as to why this occurs is that cannabis has a synergistic effect with opioids, so patients need to take fewer opioids to get the same amount of pain relief,” says HelloMD’s Chief Medical Officer Perry Solomon, M.D. \n\nRELATED: [HOW CANNABIS CAN BREAK THE CYCLE OF OPIOID ABUSE](https://hellomd.com/articles/how-cannabis-can-break-the-cycle-of-opioid-abuse)\n\n### Chronic Pain Sufferers Find Relief With Cannabis\n\nThe Michigan study draws similar conclusions to that of the HelloMD-UC Berkeley study: Chronic pain patients are finding that by substituting or supplementing their intake of opioids with cannabis, they’re able to achieve similar or better benefits with fewer side effects.\n\n“The obvious conclusion with these types of studies is that with a decreased amount of opioid intake, the chance of an overdose is minimized,” says Dr. Solomon.\n\nStudies are already starting to corroborate this connection: A 2015 study found that the [legalization of cannabis in Colorado was associated with a short-term decrease in opioid-related deaths](http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2017.304059?journalCode=ajph&). As the opioid epidemic rages on, it’s vital that more research be conducted to validate these findings. \n\nPhoto credit: [e-Magine Art](https://www.flickr.com/people/emagineart/)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101]https://hellomd.com/articles/cannabis-101-what-you-need-to-know-about-marijuana) post. [HelloMD](https://hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.  ","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3888888888888888,"src":"/static/678ca70e2bb7b50264ca9a32ab88b818/14b42/4709b2ca4762bf11f6f30433d529c6e7.jpg","srcSet":"/static/678ca70e2bb7b50264ca9a32ab88b818/f836f/4709b2ca4762bf11f6f30433d529c6e7.jpg 200w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/2244e/4709b2ca4762bf11f6f30433d529c6e7.jpg 400w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/14b42/4709b2ca4762bf11f6f30433d529c6e7.jpg 800w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/47498/4709b2ca4762bf11f6f30433d529c6e7.jpg 1200w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/0e329/4709b2ca4762bf11f6f30433d529c6e7.jpg 1600w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/eecc5/4709b2ca4762bf11f6f30433d529c6e7.jpg 3652w","srcWebp":"/static/678ca70e2bb7b50264ca9a32ab88b818/58556/4709b2ca4762bf11f6f30433d529c6e7.webp","srcSetWebp":"/static/678ca70e2bb7b50264ca9a32ab88b818/61e93/4709b2ca4762bf11f6f30433d529c6e7.webp 200w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/1f5c5/4709b2ca4762bf11f6f30433d529c6e7.webp 400w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/58556/4709b2ca4762bf11f6f30433d529c6e7.webp 800w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/99238/4709b2ca4762bf11f6f30433d529c6e7.webp 1200w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/7c22d/4709b2ca4762bf11f6f30433d529c6e7.webp 1600w,\n/static/678ca70e2bb7b50264ca9a32ab88b818/0dca4/4709b2ca4762bf11f6f30433d529c6e7.webp 3652w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2610-markdown","title":"5 Reasons to Try Cannabis to Relieve Your Hangover","slug":"5-reasons-to-try-cannabis-to-relieve-your-hangover","content":"For a condition that’s commonly experienced by people across the world, we know remarkably little about what exactly causes a hangover. A group of researchers who’ve dubbed themselves the Alcohol Hangover Research Group are changing all that. Their work indicates that hangovers are an inflammatory response—similar to what happens to our bodies when we get an infection or an illness. \r\n\r\nThis theory might explain why marijuana, which has powerful anti-inflammatory properties, is sometimes touted as a hangover cure. While there’s no research on the matter, some evidence suggests cannabis can help us overcome the most debilitating symptoms of a hangover—namely nausea, headaches, stomach issues, fatigue and, of course, irritability. \r\n\r\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en)\r\n\r\n### 1. Cannabis Can Nip Nausea in the Bud\r\n\r\nSometimes nausea from a hangover is so severe that you can’t keep anything down—not even water. Cannabis, with its well-established anti-emetic properties, can help you overcome that nausea so that you can get food and liquids into your body—a crucial step to feeling better.\r\n\r\nMedical marijuana patients undergoing chemotherapy and those with HIV/AIDS often use cannabis to help combat nausea, so there’s a good chance it could also help you the morning after a long, booze-filled night out. \r\n\r\n### 2. Cannabis Can Relieve the Pounding in Your Head\r\n\r\nHeadaches can be one of the hardest hangover symptoms to cope with. Thankfully, cannabis has a good track record in this department: The plant has been known to treat and prevent migraines for centuries.\r\n\r\nIn the United States, marijuana was a common headache cure that physicians turned to from 1874 all the way up to 1942. Even today, much anecdotal evidence exists for the use of marijuana in the treatment of headaches—no matter how the headaches originated.\r\n\r\nAdditionally, there are many marijuana strains on the market that are said to relieve cranial pain and pressure—some examples are [Headband](https://www.hellomd.com/strains/5a7ccfafd520d60009f4f4ac), [Durban Poison](https://www.hellomd.com/strains/5a7cb16cd520d60009f4f4a3) and [Ghost Train Haze](https://www.hellomd.com/strains/5a7ce421d520d60009f4f4b7). \r\n\r\nRELATED: [THE 5 MOST POPULAR MARIJUANA STRAINS](https://www.hellomd.com/health-wellness/5817b52aeab4e6000a28b544/the-5-most-popular-strains-of-cannabis)\r\n\r\n### 3. Cannabis Can Help Soothe Your Stomach \r\n\r\nRum bum, grog bog, the booze poos—whatever you want to call it, diarrhea the day after a night of drinking is a common occurrence. This nagging gastrointestinal (GI) discomfort can keep you from going about your day. \r\n\r\nLab research has shown that your gut contains a high concentration of cannabinoid receptors: places in the body where cannabis’s active constituents tetrahydrocannabinol (THC) and cannabidiol (CBD) attach to elicit certain effects. This is likely part of the reason why cannabis is known to provide relief in patients with Crohn’s disease, irritable bowel syndrome and other GI issues. Those who use cannabis for these purposes say that it can help with cramping while also modulating diarrhea and constipation. \r\n\r\n### 4. The Right Cannabis Strain Can Help You Fight Fatigue\r\n\r\nGeneral sluggishness is a common hangover symptom—luckily, the right kind of cannabis can get you out of bed and working on your to-do list. While this may not be your ultimate goal on hangover day, marijuana can still help you feel less groggy and more focused—some sufferers of chronic fatigue syndrome use cannabis for just this purpose. If you have something to do on the day of a hangover, picking up a marijuana strain or product with uplifting sativa effects might be the way to go. \r\n\r\n### 5. Cannabis Can Make You Less Grouchy\r\n\r\nAny of the aforementioned symptoms could make anyone cranky. But in some folks, anxiety and depression are actual hangover symptoms. Luckily cannabis, which can have mood-boosting effects, might be able to help.\r\n\r\nIt’s still not clear what kind of effects cannabis can have on mood disorders, but those who use it for these types of conditions note that it promotes a general sense of calm and well-being. \r\n\r\nAnd if you’re just generally irritable because well, you feel awful, cannabis can help a lot of hangover symptoms, which in turn just puts you in a better mood. So the next time you’re struggling through a hangover, try a little bit of cannabis. It just might make you feel a little less miserable, and a whole lot better.\r\n\r\nPhoto credit: [Matthew Henry](https://unsplash.com/@matthewhenry)\r\n\r\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.  ","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,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","aspectRatio":1.3888888888888888,"src":"/static/4a4e24b12b234b47f44ad6cee1105c80/14b42/44e15858f8f5e6cbf718abbd494f7f0c.jpg","srcSet":"/static/4a4e24b12b234b47f44ad6cee1105c80/f836f/44e15858f8f5e6cbf718abbd494f7f0c.jpg 200w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/2244e/44e15858f8f5e6cbf718abbd494f7f0c.jpg 400w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/14b42/44e15858f8f5e6cbf718abbd494f7f0c.jpg 800w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/47498/44e15858f8f5e6cbf718abbd494f7f0c.jpg 1200w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/0e329/44e15858f8f5e6cbf718abbd494f7f0c.jpg 1600w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/3e38a/44e15858f8f5e6cbf718abbd494f7f0c.jpg 3622w","srcWebp":"/static/4a4e24b12b234b47f44ad6cee1105c80/58556/44e15858f8f5e6cbf718abbd494f7f0c.webp","srcSetWebp":"/static/4a4e24b12b234b47f44ad6cee1105c80/61e93/44e15858f8f5e6cbf718abbd494f7f0c.webp 200w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/1f5c5/44e15858f8f5e6cbf718abbd494f7f0c.webp 400w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/58556/44e15858f8f5e6cbf718abbd494f7f0c.webp 800w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/99238/44e15858f8f5e6cbf718abbd494f7f0c.webp 1200w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/7c22d/44e15858f8f5e6cbf718abbd494f7f0c.webp 1600w,\n/static/4a4e24b12b234b47f44ad6cee1105c80/7280a/44e15858f8f5e6cbf718abbd494f7f0c.webp 3622w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2589-markdown","title":"3 Popular Questions About Marijuana & Fibromyalgia Answered","slug":"3-popular-questions-about-marijuana-and-fibromyalgia-answered","content":"After arthritis, fibromyalgia is the most common skeletal pain condition. It’s thought that around 10 million people in the U.S. live with fibromyalgia, which can manifest in stiffness and pain, lethargy and difficulty with memory. Many times, fibromyalgia is accompanied by other painful conditions like migraines and irritable bowel syndrome. \n\nIt’s not known exactly what causes fibromyalgia, but researchers are now looking into the brain. Some think that the constant [nerve stimulation makes the brains of fibromyalgia patients change and increase pain signals](https://www.mayoclinic.org/diseases-conditions/fibromyalgia/symptoms-causes/syc-20354780). Other researchers think that fibromyalgia sufferers have more blood flow to the parts of the brain that deal with pain signals and [less blood flow to the parts that regulate pain responses](https://www.spineuniverse.com/conditions/fibromyalgia/fibromyalgia-study-its-real-disease). \n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/explore/locations/564935726915516/united-states/san-francisco-california/hellomd/)\n\nWe know that compounds in marijuana bond with endocannabinoid system (ECS) receptors, which are found throughout the body and help modulate many processes including pain management, movement and memory. So, it fits that cannabis could help fibromyalgia suffers with pain and all of the related symptoms. \n\nWe’ve gathered the most popular Q&As from our [Answers](https://hellomd.com/questions-and-answers/) page about how cannabis can help ease the symptoms of fibromyalgia. If you have an additional question about marijuana for fibromyalgia, please feel free to post it on our website and a knowledgeable member of our community will be happy to answer it for you. \n\n### Q: What are others using to help with fibromyalgia?\nAnswer: [@pamelahadfield](https://hellomd.com/articles/cannabis-not-opioids-hellomds-pamela-hadfield-on-nowthis/) I have had fibromyalgia and what helped me was using a tincture 2–3 times a day. I use a 4:1 tincture and a 20:1 high-cannabidiol (CBD) tincture. A company called Care By Design also has 20:1 gel caps that are 10 mg tetrahydrocannabinol (THC) each, I believe. It took a while for the effects to really be felt, but now I don't get the random pains anymore. My case isn’t severe, however.\n\nHere’s a link to several articles we’ve written about fibromyalgia:\n\nhttps://hellomd.com/tag/fibromyalgia/\n\nI hope this helps!\n\nRELATED: [MARIJUANA & FIBROMYALGIA: MARY’S SUCCESS STORY](https://hellomd.com/articles/marijuana-and-fibromyalgia-marys-success-story/)\n\n### Q: Would CBD be a good choice for fibromyalgia?\n**_ Any advice from a doctor would be greatly appreciated._**\n\nAnswer: [@drkim](https://www.hellomd.com/people/5896394f4c4b960008abd774/drkim) For pain and mood symptoms due to fibromyalgia, most patients benefit from both THC and CBD. CBD on its own, for most fibromyalgia patients, does not provide adequate relief. THC is also a vital component when treating the mood symptoms related to fibromyalgia.\n\nAccordingly, I recommend neither pure CBD, nor even low THC-containing products. Microdosing a low dose of sativa would be an effective dosing protocol for most. Naturally, please trial in a safe environment and avoid operating heavy machinery such as an automobile. Please consult a qualified cannabis physician before starting any cannabis protocol.\n\n[Read more answers to this question](https://hellomd.com/questions-and-answers/what-products-would-be-best-for-fibromyalgia/).\n\n### Q: The right cartridge for fibromyalgia?\n**_I just looked at the strains that are good for fibromyalgia, but I’ve been using a vape pen and the names for the cartridges are different. Maybe I'm just confused and new at this, the dispensary that I went to was not very helpful and didn’t seem to know much about the cartridges. Any help would be appreciated. Thank you._**\n\nAnswer: [@drolson](https://www.hellomd.com/people/550c5a786336370003010000/drolson) The names of the oils are not as significant as the contents. Please look for a high-CBD oil. AC/DC, Harlequin and Cannatonic are three of the more popular high-CBD strains and therefore oils to vaporize to get you out of pain almost immediately. At the same time, you may start oral CBD in tincture form, since they do take about a month to build up in your system and become fully effective. But in any form, CBD works to get rid of the inflammatory cells.\n\nVitamin D has also been shown to help healing in cases like fibromyalgia. Ideally the blood level for vitamin D to overcome chronic pain would be above 55ng/ml, but don’t take your vitamin D on the day you're having your blood tested or it could appear erroneously high.\n\nPhoto credit: [huyen.](https://unsplash.com/@byhuyen/)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://hellomd.com/articles/cannabis-101-what-you-need-to-know-about-marijuana) guide. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.  \n","image":{"childImageSharp":{"fluid":{"base64":"data:image/jpeg;base64,/9j/2wBDABALDA4MChAODQ4SERATGCgaGBYWGDEjJR0oOjM9PDkzODdASFxOQERXRTc4UG1RV19iZ2hnPk1xeXBkeFxlZ2P/2wBDARESEhgVGC8aGi9jQjhCY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2NjY2P/wgARCAAOABQDASIAAhEBAxEB/8QAGAAAAgMAAAAAAAAAAAAAAAAAAAQBAwX/xAAVAQEBAAAAAAAAAAAAAAAAAAABAP/aAAwDAQACEAMQAAABzGV7yVIE/8QAGRAAAwEBAQAAAAAAAAAAAAAAAAECEQMi/9oACAEBAAEFApeFepwhbfdOaP/EABQRAQAAAAAAAAAAAAAAAAAAABD/2gAIAQMBAT8BP//EABQRAQAAAAAAAAAAAAAAAAAAABD/2gAIAQIBAT8BP//EABcQAQEBAQAAAAAAAAAAAAAAAAEAEBL/2gAIAQEABj8CjAuXP//EABkQAQEBAQEBAAAAAAAAAAAAAAERACEQMf/aAAgBAQABPyGi3NnGH11ZgpVncVW8vHz/2gAMAwEAAgADAAAAEJv/AP/EABURAQEAAAAAAAAAAAAAAAAAABBB/9oACAEDAQE/EIf/xAAVEQEBAAAAAAAAAAAAAAAAAAAQQf/aAAgBAgEBPxCn/8QAGhABAQEBAQEBAAAAAAAAAAAAAREAITFRcf/aAAgBAQABPxApkT0vHOSDQChd04LgaYxPK/dL6DFA/OZg+u//2Q==","aspectRatio":1.3793103448275863,"src":"/static/9792acb3b341aade6a82249c3f08fc2b/14b42/c386cd3dc9fe2fa68a8a8ffc639a1db3.jpg","srcSet":"/static/9792acb3b341aade6a82249c3f08fc2b/f836f/c386cd3dc9fe2fa68a8a8ffc639a1db3.jpg 200w,\n/static/9792acb3b341aade6a82249c3f08fc2b/2244e/c386cd3dc9fe2fa68a8a8ffc639a1db3.jpg 400w,\n/static/9792acb3b341aade6a82249c3f08fc2b/14b42/c386cd3dc9fe2fa68a8a8ffc639a1db3.jpg 800w,\n/static/9792acb3b341aade6a82249c3f08fc2b/47498/c386cd3dc9fe2fa68a8a8ffc639a1db3.jpg 1200w,\n/static/9792acb3b341aade6a82249c3f08fc2b/0e329/c386cd3dc9fe2fa68a8a8ffc639a1db3.jpg 1600w,\n/static/9792acb3b341aade6a82249c3f08fc2b/5912d/c386cd3dc9fe2fa68a8a8ffc639a1db3.jpg 3530w","srcWebp":"/static/9792acb3b341aade6a82249c3f08fc2b/58556/c386cd3dc9fe2fa68a8a8ffc639a1db3.webp","srcSetWebp":"/static/9792acb3b341aade6a82249c3f08fc2b/61e93/c386cd3dc9fe2fa68a8a8ffc639a1db3.webp 200w,\n/static/9792acb3b341aade6a82249c3f08fc2b/1f5c5/c386cd3dc9fe2fa68a8a8ffc639a1db3.webp 400w,\n/static/9792acb3b341aade6a82249c3f08fc2b/58556/c386cd3dc9fe2fa68a8a8ffc639a1db3.webp 800w,\n/static/9792acb3b341aade6a82249c3f08fc2b/99238/c386cd3dc9fe2fa68a8a8ffc639a1db3.webp 1200w,\n/static/9792acb3b341aade6a82249c3f08fc2b/7c22d/c386cd3dc9fe2fa68a8a8ffc639a1db3.webp 1600w,\n/static/9792acb3b341aade6a82249c3f08fc2b/b3a9e/c386cd3dc9fe2fa68a8a8ffc639a1db3.webp 3530w","sizes":"(max-width: 800px) 100vw, 800px"}}}}},{"node":{"id":"Article_2614-markdown","title":"Cannabis: A Better Alternative to Benzodiazepines","slug":"cannabis-a-better-alternative-to-benzodiazepines","content":"While the opioid epidemic has been grabbing headlines nationwide for its staggering impact on lives and productivity, [prescriptions of benzodiazepines, another class of potent drugs, have also been soaring](https://psychnews.psychiatryonline.org/doi/full/10.1176/appi.pn.2016.PP3b2?code=psychnews-site). Between 1996 and 2013, the number of adults filling a prescription for some type of benzodiazepine, or benzo, jumped by 67%. These powerful medications for anxiety, insomnia and a number of other conditions are implicated in roughly 8,000 overdose deaths a year. But just as it does for opioids, cannabis could be an exit drug out of benzodiazepine dependency and abuse, because of its ability to affect the same neural pathways in the brain.\n\nFOLLOW US ON [FACEBOOK](https://www.facebook.com/pg/hellomdcompany/posts/) & [INSTAGRAM](https://www.instagram.com/hellomd_com/?hl=en)\n\n### What Are Benzodiazepines?\n\nBenzodiazepines are a large [class of lab-synthesized drugs](https://www.rxlist.com/benzodiazepines/drugs-condition.htm) that includes:\n\n* Diazepam (Valium) \n* Lorazepam (Ativan) \n* Clonazepam (Klonopin)\n* Alprazolam (Xanax)\n\nThese [medications are widely prescribed](https://www.psychologytoday.com/blog/demystifying-psychiatry/201505/how-many-people-take-benzodiazepines) for conditions such as:\n\n* Anxiety \n* Insomnia \n* Nervousness \n* Panic disorders \n* Seizures \n* Muscle spasms \n\nSometimes they’re also used for sedation during surgery, and to treat premenstrual syndrome and the symptoms of alcohol withdrawal. \n\n### The Many, Sometimes Deadly Side Effects of Benzodiazepines\n\nLike opioids, benzodiazepines are intended largely for short-term use, because they act relatively quickly. This means they’re prescribed for acute situations, such as calming a patient before a surgical procedure or easing the anxiety of a traveler before a flight. But also, similar to opioids, these drugs are frequently prescribed for long periods of time, which can lead to a number of serious side effects and addiction. \n\nBenzodiazepines alone are only rarely responsible for overdose deaths. But because they depress the central nervous system, which controls respiration, heart rate and other autonomous functions, they can contribute to death by overdose when they’re taken along with other kinds of central nervous system depressants such as alcohol or opioids.  \n\nThough they’re not likely to be fatal, these drugs do have a long list of side effects. The more minor of these include:\n\n* Dizziness\n* Confusion\n* Problems with memory and concentration\n* Gastrointestinal problems\n* Poor balance\n* Fatigue \n\nBut serious effects can also occur, such as:\n\n* Jaundice\n* Severe low blood pressure\n* Elevated heart rate\n* Musculoskeletal problems\n* Cognitive decline and dementia (especially in older people who take them for long periods of time)\n\n### How Do Benzodiazepines Work?\n\nScience still hasn’t clearly established the exact reasons benzodiazepines work, but recent research points to their ability to affect a network of receptors in the brain related to the body’s production and use of gamma aminobutyric acid (GABA), an amino acid that inhibits the transmission of nerve impulses in the central nervous system. Because GABA slows neural activity, and benzodiazepines have been shown to enhance the effects of GABA, this relationship appears to account for benzos’ calming, slowing effects that reduce anxiety and promote sleep and muscle relaxation. \n\nMalfunctions in the GABA receptor system seem to play a role in a number of psychological and neurological conditions such as:\n\n* Anxiety\n* Panic\n* Insomnia\n* Epilepsy\n\nSome research suggests that schizophrenia and other psychoses might be related to GABA deficiency. Though GABA receptors are found in many areas of the brain, they’re especially prevalent in the prefrontal cortex, hippocampus and amygdala, areas related to managing emotion, cognition and coordination.  \n\nBenzodiazepines can bind to GABA receptors to boost their inhibitory activity. But so can cannabis—and the relationship between the GABA receptor system and the body’s large network of endocannabinoid receptors reveals why cannabis products can be safe and effective alternatives to benzodiazepines for just about every condition these drugs are used to treat.\n\n### The Cannabis/GABA Connection\n\nEndocannabinoid receptors are found in organs and tissue throughout the body, binding both to cannabinoids produced internally and to those from outside sources such as spices and cannabis. The [cannabinoid receptor CB1 occurs widely in the \nbrain](http://www.jneurosci.org/content/21/23/9506?utm_source=TrendMD&utm_medium=cpc&utm_campaign=JNeurosci_TrendMD_0), especially in the prefrontal cortex, hippocampus and amygdala—areas that are also rich in GABA receptors.  \n\n[Anandamide](https://www.hellomd.com/health-wellness/5a949d06f24d1300077ccb66/eating-anandamide-the-bliss-molecule) and 2-AG, the body’s natural cannabinoids, also promote feelings of calm and relaxation—and recent research indicates that [they can affect processes\nthat reduce the release of GABA](https://link.springer.com/article/10.1007%2Fs00213-017-4648-z), just as benzodiazepines do. And because cannabinoids from cannabis, particularly cannabidiol (CBD), bind to the same receptors as natural cannabinoids do, they support those processes, too. \n\n### Cannabis Offers Benzo Benefits—Without the Risks\n\nCannabis products of all kinds, especially those high in CBD, can be effective—and far safer—alternatives for benzodiazepines. Although endocannabinoid receptors are found in relatively large numbers in many areas of the brain, they’re notably absent in the brainstem—unlike receptors for both opioids and GABA. For that reason, cannabis is extremely unlikely to cause or contribute to an overdose death.   \n\nRELATED: [TOP 10 HIGH-CBD MARIJUANA STRAINS FOR ANXIETY](https://www.hellomd.com/health-wellness/57f2b7f12b1e99000a671ac3/top-10-high-cbd-marijuana-strains-for-anxiety)\n\nWhen used for long periods of time, benzodiazepines can override the body’s own expression of GABA. These medications can become addictive, and when stopped, they can trigger a series of potentially dangerous withdrawal symptoms. The risk of benzodiazepine addiction is so high that a majority of drug rehab programs now include treatment for them alongside protocols for opioids and other kinds of drugs.\n\nBut stopping cannabis causes few, if any, physical withdrawal symptoms. And because cannabis affects all of the functions of the endocannabinoid system (ECS), it brings with it other positive effects such as immune system support and relief from pain and the symptoms of a long list of health conditions.\n\nRecent research on cannabis as a substitute for prescription medications reveals that an [overwhelming majority of cannabis consumers were able to reduce or stop using not only opioids, but also other medications](https://arstechnica.com/science/2017/06/survey-pain-patients-overwhelmingly-prefer-medical-marijuana-over-opioids) including benzodiazepines, by using cannabis. \n\nThe documented benefits of cannabis include relief from anxiety, insomnia and depression, as well as the symptoms of epilepsy and other disorders that are currently treated with benzodiazepines. In all its forms, cannabis works with the brain’s GABA pathways just as benzos do—and it just might be an exit drug from this burgeoning addiction epidemic, too.\n\nPhoto credit: [Thought Catalog](https://unsplash.com/@thoughtcatalog)\n\nIf you’re new to cannabis and want to learn more, take a look at our [Cannabis 101](https://www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana) post. [HelloMD](https://www.hellomd.com/) can help you get your medical marijuana recommendation; it's easy, private and 100% online.  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