Cannabidiol (CBD), a natural treatment for chronic arthritis pain, may be an option. CBD, along with delta-9-tetrahydrocannabinol (THC) and other chemicals, is found in marijuana. CBD, unlike THC, is not psychoactive. It does not produce the same high or intoxication as marijuana.
There’s a good chance you’ve tried it already: according to a Gallup poll in August of 2019, about 14% of Americans report using CBD products, and the number one reason is pain. The Arthritis Foundation conducted its own poll and found that 29% reported current use of CBD (mostly in liquid or topical form), and nearly 80% of respondents were either using it, had used it in the past, or were considering it. Most reported improvements in their physical function, sleep, well-being, and a few reported an improvement in stiffness or pain.
Maybe you were tempted to give it a try. You should know that CBD is less addictive than opiates and most forms of arthritis can’t be treated with other methods. Maybe it’s the marketing, which recommends CBD oil northern ireland products to treat everything from anxiety to seizures to arthritis. It’s hard to miss the ads. (It’s funny, but it happened as I was typing this: my email preview displayed a message that appeared to leap off the screen: CBD has helped millions! Get it for free today!
Is there any evidence that it works? What do experts suggest? There has been very little research on CBD products, and even less guidance for doctors and patients who are interested.
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A few words about arthritis pain
It is important to note that there are many types of arthritis. While pain is the most common feature, not all conditions act in the same way. What works for one person may not work for the next. All types of arthritis require treatment that aims to reduce stiffness, pain, and maintain function. Conventional prescription medication is highly recommended for certain conditions like rheumatoid. These drugs prevent permanent joint damage from worsening disability.
Individuals experience pain differently and may respond to treatment differently. It is unlikely that a single CBD-containing CBD product will work for everyone with arthritis.
Is there any evidence that CBD can be used to treat chronic arthritis pain?
While there are laboratory studies suggesting CBD might be a promising approach, and animal studies showing anti-inflammatory and pain-relieving effects, well-designed studies demonstrating compelling evidence that CBD is safe and effective for chronic arthritis pain in humans do not exist. A randomized trial of topical CBD for osteoarthritis of the knee has been published, but in abstract form only (meaning it’s a preliminary report that summarizes the trial and has not been thoroughly vetted yet); the trial lasted only 12 weeks, and results were mixed at best. One of the largest reviews examined the health effects of cannabis and CBD, and concluded that there is “substantial evidence that cannabis is an effective treatment for chronic pain in adults.” But there was no specific conclusion regarding CBD, presumably because definitive studies were not available.
There is plenty of testimonials and anecdotal evidence, as well as reports of people experiencing significant pain relief after using CBD. But we are still waiting for well-designed, scientifically valid, and rigorous clinical trials (such as this one in progress) that are so badly needed to answer the question of just how helpful CBD may be to people with chronic arthritis pain.
Is there anything negative about CBD treatment?
There are always risks with any treatment. CBD is generally safe, but it can cause sleepiness, lightheadedness, dry mouth and liver problems. Because CBD products are not controlled as prescription drugs are, there may be some uncertainty regarding their potency and purity. CBD can also interact with other medications. There has been concern about pregnant women consuming cannabis while they are still in their wombs. It is not known if CBD can be used to treat this condition. Although the risk of addiction is low, some pain specialists are concerned that CBD could disrupt the body’s natural pain management system.
One thing is certain: the cost. Although prices vary widely, CBD products can be expensive. Depending on the dosage, frequency and formulation, they can also be very costly. One brand I found was $120/month. Health insurance doesn’t usually cover it.
Is there any guidance regarding the use of CBD to treat chronic arthritis pain?
People suffering from arthritis pain and who are interested in CBD treatment have had to do without much guidance until recently. Patients and doctors had to decide if CBD was an appropriate option for them, depending on the availability of CBD and their interest. While this is still true to a large extent, some guidelines have been published. This is one set of guidelines that I consider reasonable for anyone considering CBD treatment. It was based on the Arthritis Foundation’s recommendations and a commentary in Arthritis Care & Research.
Dos:
- When looking for a CBD product to purchase, make sure it has been tested independently for potency, purity, and safety. For example, you should look for one with a Good Manufacturing Practices (GMP) certification.
- CBD should be one part of an overall pain management plan that includes nonmedication options (such as exercise) and psychological support.
- Start with a small dose in the evening and choose an oral treatment over inhaled products.
- Set realistic goals for treatment. For example, you want to reduce knee pain so that you can walk around the block in two weeks. If your condition improves, the goals can then be adjusted.
- Inform your doctor about any CBD treatments you are considering. You can also monitor your pain and adjust your medication with your physician, instead of with non-medical practitioners like those who sell CBD products.
Do not:
- CBD is not the best option for pain relief. It should be considered if other options have failed.
- Non-medical practitioners, such as those who sell CBD products, should not be managing chronic pain. This is why you and your healthcare team should discuss pain management.
- People with rheumatoid or other conditions should not stop taking the medications that are protecting their joints. Discuss any changes with your doctor.
The bottom line
You can discuss CBD treatment for chronic pain with your healthcare provider. Together, you will be able to decide on a sensible treatment plan. It may be important that you continue taking your prescribed medication regardless of whether CBD products offer relief.
Although we may not have all of the evidence, CBD may be worth looking into if it can help with your symptoms.
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