Yes. To effectively treat your spinal pain, your doctor needs to understand all the medications, drugs, and supplements you’re taking—and that includes any cannabis, hemp, or CBD products. These products may interact with a drug you’re prescribed, so your doctor needs to know this information to keep you safe. As medicinal uses of marijuana become more commonplace, clinicians understand that more patients are curious about whether it will ease their pain. Don’t be hesitant to share your interest in CBD with your doctor, as he or she may help you choose a reputable product.
Use of cannabis, hemp and cannabinoid products for many different medical conditions, including back pain, is gaining popularity. Photo Source: iStock.com.
Harris-Taylor M. He Started Vaping THC To Cope With Chronic Pain. Then He Got Sick. NPR. December 11, 2019. https://www.npr.org/sections/health-shots/2019/12/11/776356212/he-started-vaping-thc-to-cope-with-chronic-pain-then-he-got-sick. Accessed January 29, 2020.
Is vaping a safe way to use cannabis for pain relief?
The FDA warns consumers about illegal CBD marketing strategies and product promises. They also suggest the potential for liver damage, serious side effects when combined with other medications, such as central nervous system depressants (eg, tranquilizers). While CBD products can cause side effects (eg, drowsiness, mood changes), these symptoms may go away when use is stopped. The FDA raises many unanswered questions about the effects on infants and children, not only adults. 4
2. Rubin R. Cannabidiol Products Are Everywhere, but Should People Be Using Them? JAMA. 2019;322(22):2156. https://jamanetwork.com/journals/jama/fullarticle/2756099. Accessed January 29, 2020.
4. US Food and Drug Administration (FDA). What You Need to Know (And What We’re Working to Find Out) About Products Containing Cannabis or Cannabis-derived Compounds, including CBD. November 25, 2019. https://www.fda.gov/consumers/consumer-updates/what-you-need-know-and-what-were-working-find-out-about-products-containing-cannabis-or-cannabis. Accessed January 29, 2020.
To narrow the field, researchers recommend you ask the following questions before buying 1 :
Neuropathic pain is yet another symptom associated with spinal stenosis. A study published in Current Pharmaceutical Biotechnology in 2020 looked at the effectiveness of topical CBD on symptomatic relief of peripheral neuropathy. The patients in the study had pain in their lower extremities.
There are two spinal stenosis types. The classification depends on the location of the condition on the spine. It is also possible to have more than a single form of spinal stenosis.
A study published in the Journal of Psychopharmacology in 2011 looked at CBD’s effect on social anxiety disorder. It found that patients with a social anxiety disorder (SAD) who used a large CBD dose reported significant improvements. This is important because anxiety is often associated with chronic back pain.
CBD for Spinal Stenosis – Can It Help?
This happens when the narrowing occurs in the part of the spine in the neck. If a person has spinal stenosis, their spinal cord has less space to travel and may become compressed. This condition could result in dysfunction and pain anywhere in the body beneath the compression.
A study published in Pharmaceuticals in 2012 looked at the role of TRPV1 cells on autoimmune diseases and inflammation. It found a strong link between the two. This gives credence to the belief that CBD’s impact on TRPV1 cells helps reduce inflammation.
Proponents of CBD suggest that it is anti-inflammatory. As a result, it could provide an alternative method of managing symptoms of spinal injury. The spinal stenosis condition, in particular, is a spine issue associated with high inflammation levels.
The Italian study focused on 11 patients diagnosed with neuropathic pain after their surgery. All participants discontinued other treatments at least two months before the beginning of the study. They received a fixed dose of THC/CBD, which they could increase depending on their response. Ultimately, the patients reported effective pain management when compared to the baseline.
More severe side effects, while rare, include:
CBD is available in many forms; topical creams and gels have shown promising results for inflammation and neuropathy, which may make them a good option for back and neck pain. 2
Some studies suggest that CBD can have an effect on how an individual perceives pain, but more robust research is needed. CBD is generally considered a full-body treatment, which means that it does not target back pain specifically—except in the case of topical products—but contributes to an overall feeling of relaxation and pain relief.
Potential Risks and Side Effects of CBD
CBD requires more research in order to prove and explain its effectiveness as well as to better understand potential side effects (especially long-term) and potential drug interactions.
Cannabidiol, even in high amounts, is generally safe. Side effects from CBD may include:
Cannabidiol, commonly referred to as CBD, is a new and relatively understudied treatment for pain, including back pain. Studies suggest it may help relieve inflammation, which is often a factor in chronic back pain. 1
Research indicates that CBD may reduce back pain by: