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can cbd oil be used topically for joint pain

Nevertheless, how do we account for all the people out there (like me) who use these products and feel like they’re doing something? Beyond the placebo effect, it’s possible that something else in the cream could be doing the heavy lifting here. These products don’t just contain CBD, Dr. Tishler points out. In fact, many of them also come with ingredients like arnica, menthol, or camphor, which may all provide a more immediate sensation of soothing or pain relief. So it could be those ingredients (or just the act of massaging the balm into your skin) that makes you feel better.

Cannabidiol, commonly referred to as CBD, is a cannabinoid, a type of compound found in cannabis (marijuana). Unlike the more well-known cannabinoid THC (tetrahydrocannabinol), CBD does not produce a high.

Why does the body have receptors for compounds in cannabis? Well, it doesn’t exactly. Cannabinoids like THC and CBD are similar enough to compounds that your body naturally makes, called endocannabinoids, that they can interact with this system. Normally, the endocannabinoid system is thought to play a role in a variety of functions in the body, helping to regulate things like parts of the immune system, the release of hormones, metabolism, and memory.

So…is CBD cream just an expensive placebo?

All of this points to how hard it is to study the specific effects of CBD on its own—which might be why it’s tempting to claim that it’s the cure for everything without a whole lot of research to actually back up all of those claims.

And even though the lotion was applied topically in the rat study, it wasn’t applied locally to the knee. Instead, the researchers were really using the topical application to get it into the rats’ bloodstream, or what’s called systemic administration. But you’d likely need a different dose for it to be effective locally (if you applied it just to your aching shoulder, for instance) in a human. We have no idea what that dose should look like.

Two other common reasons people take CBD are to manage anxiety and sleep issues, two things we know can contribute to pain, Boehnke says. If you're dealing those kinds of issues in addition to pain, any reduction in pain you feel could be an indirect effect of it helping you manage anxiety or sleep. (But those are still unlikely to be affected by a topical formulation.)

But some studies have found essentially zero side effects of high-dose CBD (900mg) and those that researchers do see—like drug interactions—aren’t considered to be issues when CBD is used topically.

Science on CBD topicals (and the cannabis plant as a whole) is in its infancy, but we do know some promising things:

Creams, lotions, and salves: These are typically used for inflammation and pain relief.

CBD Topicals vs CBD Oil

In a CBD topical, the base, whether it is oil, cream, wax, or something similar, works as a carrier agent. If you recall our other discussions of how cannabinoids work, you remember that THC, CBD, and other cannabinoids bind with fatty acids. This is why carrier oils are so common.

However, many have other cannabinoids and terpenes and are therefore capable of producing the entourage effect–the effect that happens when all of the plant’s cannabinoids and terpenes work together to produce benefits.

CBD topicals generally can be used to provide localized relief by delivering CBD to the outer layer of the skin. They often have particular formulations, such as CBD creams for skin-related issues like eczema, acne, rosacea, and psoriasis, and for injuries and problems like insect bites and stings and burns.