Until recently, little guidance has been available for people with arthritis pain who were interested in CBD treatment. Are there guidelines about the use of CBD for chronic arthritis pain? Prices range widely but CBD products aren't inexpensive, and depending on dose, frequency, and formulation, the cost can be considerable, and health insurance does not usually cover it. Some pain specialists have concerns that CBD may upset the body's natural system of pain regulation, leading to tolerance (so that higher doses are needed for the same effect), though the potential for addiction is generally considered to be low. For pregnant women, concern has been raised about a possible link between inhaled cannabis and lower-birthweight babies it's not clear if this applies to CBD. There may be uncertainty about the potency or purity of CBD products (since they are not regulated as prescription medications are), and CBD can interact with other medications. CBD is generally considered safe however, it can still cause lightheadedness, sleepiness, dry mouth, and rarely, liver problems.
Are there downsides to CBD treatment?Īs with any treatment, there can be downsides. But we are still waiting for well-designed, scientifically valid, and rigorous clinical trials that are so badly needed to answer the question of just how helpful CBD may be to people with chronic arthritis pain. Of course, there is anecdotal evidence and testimonials galore, including reports of dramatic improvement by people who tried CBD in its various forms (including capsule, liquid, topical, and spray) for their pain. 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 and arthritis pain, presumably because definitive studies were not available. Small, short-term or survey-based studies suggest that CBD is potentially helpful for arthritis pain, but these are far from convincing.
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A randomized trial of topical CBD for osteoarthritis and psoriatic arthritis found that CBD was no more effective than placebo. 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. What's the evidence that CBD is effective for chronic arthritis pain? As a result, it's highly unlikely that there is a single CBD-containing product that works for all people with all types of arthritis. In addition, individuals experience pain and respond to treatment in different ways. But for certain conditions, such as rheumatoid arthritis, conventional prescription medications are highly recommended, because these drugs help prevent permanent joint damage and worsening disability. Treatment is aimed at reducing pain and stiffness and maintaining function for all types of arthritis. And what works for one may not work for another. It's worth emphasizing that there are more than 100 types of arthritis, and while pain is a cardinal feature of all of them, these conditions do not all act alike. What's the evidence it works? And what do experts recommend? Until recently, there's been little research and even less guidance for people (or their doctors) interested in CBD products that are now increasingly legal and widely promoted.īut now, there is. Or maybe it's the marketing that recommends CBD products for everything from arthritis to anxiety to seizures. After all, most types of arthritis are not cured by other treatments, and CBD is considered a less addictive option than opiates. Of those using it, most reported improvement in physical function, sleep, and well-being of note, a minority reported improvement in pain or stiffness. 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. There's a good chance you've tried it already: according to a 2019 Gallup poll, about 14% of Americans report using CBD products, and the number one reason is pain.
But unlike THC, CBD is not psychoactive - that is, it does not cause the intoxication or high associated with marijuana use. CBD, along with delta-9-tetrahydrocannabinol (THC) and other chemicals, is found in marijuana. If you have chronic arthritis pain, you may be wondering about cannabidiol (CBD) as a treatment.
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