CBD, a compound derived from hemp, can help soothe joint pain. Here’s how to find a product that works for you. Arthritis patients live with chronic pain—pain which can become debilitating if it goes unaddressed. One innovation in pain management is the use of cannabidiol, or CBD. You may be wondering if marijuana may ease the pain and discomfort from rheumatoid arthritis. Here’s what to know.
Using CBD for Arthritis: Tips for How to Get Started
Enthusiasts of cannabidiol (better known as CBD) rave about the substance’s health benefits. Some small studies have shown that CBD could be a remedy for anxiety and help children with post-traumatic stress disorder get to sleep. The substance was even FDA-approved last year as a prescription drug to manage rare, severe forms of epilepsy.
So naturally, you might be wondering: Can CBD help people with arthritis and related diseases cope with pain? Anecdotal reports from patients and some preliminary research suggests yes, but the science is still emerging and more research is needed.
Here’s what you need to know right now about how to use CBD to ease arthritis symptoms, how to find a high-quality CBD product, and how to work with your doctor to incorporate CBD into your arthritis treatment plan.
What Is CBD, and Can It Help with Arthritis?
CBD is a chemical found derived from hemp. Hemp and marijuana are both types of cannabis plants, but they are very different from each other. They each have different quantities of various phytocannabinoids, which are substances naturally found in the cannabis plant. (It’s sort of like how different kinds of berries contain different combinations of antioxidants.)
- Marijuana contains an abundance of THC (tetrahydrocannabinol), which is the cannabinoid that gets you high.
- Hemp contains less than 0.3 percent THC. It contains CBD, which is a cannabinoid that doesn’t have any psychoactive effects. CBD cannot make you feel high. Instead, CBD works in other ways with your endocannabinoid system, which is a group of receptors in the body that are affected by the dozens of other documented cannabinoids.
“Cannabinoids can inhibit or excite the release of neurotransmitters [brain chemicals] and play a role in modulating the body’s natural inflammatory response, which are the two things we’re concerned about when talking about CBD for arthritis,” says Hervé Damas,MD, a Miami-based physician and founder of Grassroots Herbals, a CBD product company.
CBD is thought to work on pain in two parts of the body: the site of soreness (such as your finger joints) and the central nervous system, which sends pain signals to the brain when it detects certain stimulation or damage to nerves and cells.
The ability for CBD to calm that response is one reason the compound might be a viable pain remedy for people with arthritis. Another is CBD’s anti-inflammatory properties. Inflammation occurs when your body is fighting a perceived infection. In autoimmune diseases such as rheumatoid arthritis, the immune system is attacking healthy parts of your body like your joints.
It’s important to note that while early research on animals has shown promise for CBD, more research is needed before we can draw anything conclusive for humans. However, anecdotal reports from people who have started incorporating CBD into their arthritis treatment are positive. One CreakyJoints member shared on Facebook that topical CBD “helps better than any other ointment I’ve ever used.” CBD could be worth exploring as a potential solution to pain as part of an overall arthritis treatment plan.
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How to Find the Right CBD Product for You
From supermarkets and pharmacies to health food stores and online retailers, CBD can be found just about everywhere. But how do you choose the right CBD product for your health needs?
1. Pick the CBD Formulation You Want to Use
CBD comes in a few different forms. Commonly used ones include:
- Edibles: You eat CBD infused into gummies, chocolates, sodas, baked goods, and other edible items
- Vaporizer: You inhale CBD through a vape pen that heats up the oil
- Sublingual drops: You take a few drops under your tongue of a high-concentrate solution of CBD
- Topicals: You apply creams, lotions, balms and other products with CBD directly to your skin
The different types of CBD take effect in your body at different rates. Here’s how long you can expect different types of CBD products to kick in, according to Dr. Damas:
- Edibles: 30 minutes to two hours
- Vaporizer: Two minutes
- Sublingual drops: 15-30 minutes
- Topicals: 10 minutes
2. Look for Signs of High-Quality CBD
Don’t just buy the least expensive one on the shelf. There are lots of poor-quality CBD products on the market (some of which don’t contain the amount of CBD they claim, per these FDA warning letters).
Dr. Damas recommends looking for CBD products that are made in the United States, use a carbon dioxide-based extraction method (“It’s the cleanest,” he says), come from organically grown hemp, and don’t contain a lot of extra ingredients. Consumer Reports also has a thorough guide to shopping for CBD that can help you find a high-quality product.
3. Pick the Right Dose
As for dosing of CBD oil, the jury’s still out on just how much you should take. Start with a low dose (such as 5 to 10 mg), and gradually work your way up over a few weeks until you notice the effects.
“Usually people find pain relief when they take 20 to 35 milligrams of CBD daily,” says Dr. Damas.
You can take the full dose at once or break it up throughout the day. Experiment with what makes you feel best. You should start seeing improvements shortly after you start supplementing with CBD, with more noticeable effects kicking in after two weeks.
How to Discuss CBD with Your Doctor
You should talk to the doctor who treats your arthritis before you start taking CBD or any other supplement. They can let you know if CBD might interact with any medications you currently take or potentially worsen a chronic condition. For example, “CBD may make it easier to bleed,” says Dr. Damas. “So if you’re going to have surgery, you might want to stop taking it before the procedure.”
Check out this list of potential drug interactions with CBD from the U.S. National Library of Medicine, but you should always check with your doctor about your individual case.
Keep in mind that your doctor’s knowledge of CBD might be limited. There isn’t a lot of research about the benefits of CBD or about ideal dosages or formulations, so your doctor might not be able to be overly specific in terms of their recommendations. However, they still need to know that you’re taking CBD. Chances are, they’ll be interested in hearing about your experience using CBD products and your self-reports on how CBD may be helping to manage your pain or other symptoms.
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CreakyJoints is a digital community for millions of arthritis patients and caregivers worldwide who seek education, support, advocacy, and patient-centered research. We present patients through our popular social media channels, our website CreakyJoints.org, and the 50-State Network, which includes nearly 1,500 trained volunteer patient, caregiver and healthcare activists.
CreakyJoints is a digital community for millions of arthritis patients and caregivers worldwide who seek education, support, advocacy, and patient-centered research. We represent patients through our popular social media channels, our website CreakyJoints.org, and the 50-State Network, which includes nearly 1,500 trained volunteer patient, caregiver and healthcare activists.
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CBD For Arthritis: Benefits, Risks And More
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Table of Contents
- What Is Arthritis?
- Why CBD Might Relieve Arthritis
- Potential Risks of Using CBD for Arthritis Relief
- Should You Use CBD for Arthritis?
- Talk to Your Doctor
Arthritis patients live with chronic pain—pain which can become debilitating if it goes unaddressed. One innovation in pain management is the use of cannabidiol, or CBD. While there is no cure for arthritis pain, early studies have shown that CBD can potentially aid in some of the discomfort, anxiety and inflammation associated with the condition.
Read on to learn more about how CBD can be used for arthritis pain, its potential benefits, risks and if it might be an option for you.
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What Is Arthritis?
Arthritis is the acute or chronic inflammation of joints. Though commonly understood to be a singular condition, arthritis is a term used to reference joint pain and joint disease. In fact, there are more than 100 different types of arthritis and related conditions, such as osteoarthritis, rheumatoid arthritis and psoriatic arthritis, among others. Symptoms include pain and stiffness in the joints, swelling, decreased range of motion, joint deformities and other related conditions.
Causes for arthritis vary depending on the individual, but can include:
- An autoimmune disease
- A previously injured joint that develops post-traumatic arthritis later in life
- Being overweight
Types of Arthritis
While there are many types of arthritis, two of the most common forms are osteoarthritis (OA) and rheumatoid arthritis (RA).
“The most common form of arthritis is osteoarthritis, which develops over time and can intensify with age,” says Thomas Lazoff, M.D., a double board certified physician at Physical Medicine Consultants in Fort Wayne, Indiana. OA affects more than 32.5 million adults in the United States, according to the Centers for Disease Control and Prevention (CDC)  Osteoarthritis (OA). Centers for Disease Control and Prevention. Accessed 5/4/2022. .
OA affects the entire joint, including the bone, cartilage, ligaments, fat, and the tissues lining the joint, says Dr. Lazoff. Symptoms of OA can include joint stiffness, redness, and decreased motion in the hands, knees, hips, lower back and neck.
“This form of arthritis causes some element of swelling and tenderness of one or more joints,” he adds, noting joint pain can be chronic and flare up at times.
Age, gender, overuse of the same joints, genetics, former injuries and suffering from obesity can all contribute to the onset of OA. The condition is more common in people over 50 years old and tends to occur in women more than men.
“Rheumatoid arthritis is an autoimmune disease which typically attacks the joints of the body,” says Dr. Lazoff. Individuals living with RA often experience stiffness, swelling and pain in the joints. Symptoms of an RA flare can last for extensive periods of time and may include:
- Low grade fever
- Joint stiffness, tenderness or swelling that lasts for six weeks or more
- Joint stiffness that occurs in the morning and lasts for longer than 30 minutes
Symptoms occurring in multiple joints in the body, or symptoms occurring in the same joints bilaterally may also be an indication of RA.
While the cause of RA is unknown, a genetic component is suspected to play a part in the disease, especially when triggered by lifestyle and environmental factors. Women are more likely to develop RA than men, and women who have never given birth are thought to be at higher risk, according to the CDC.
Medical Marijuana, CBD Oil, and Rheumatoid Arthritis
Researchers still don’t know a lot about how marijuana affects your body. But there is substantial evidence that it can help relieve long-term pain. And pain is a major symptom of rheumatoid arthritis (RA).
Here’s what’s known so far about how medical marijuana and a marijuana extract called CBD (cannabidiol) might affect RA.
Benefits for RA
The Cannabis sativa plant has more than 100 chemicals that can affect your body and mind. The two that scientists know the most about are THC and CBD.
THC, or delta-9-tetrahydrocannabinol, is what gets you high when you smoke, vape, or eat marijuana. CBD doesn’t affect your brain that way. For that reason, some people prefer CBD for medical uses.
Rheumatoid arthritis is an autoimmune disease that can make your joints stiff, tender, and painful. RA also can affect your lungs, eyes, skin, and other body parts.
The federal ban on marijuana and CBD means studies on humans have been few. So researchers don’t know for sure that cannabis eases RA symptoms. But the results from several very small studies suggest that in people with rheumatic diseases, including RA and osteoarthritis, it may help:
- Curb morning pain (but not the overall level of pain)
- Improve sleep
- Lower inflammation in joints (but not joint stiffness)
Some lab testing suggests that cannabinoids may help tamp down the body’s immune response. But the studies have been limited to animals, not humans.
Doctors will need more proof before they can recommend cannabis products to treat rheumatic diseases. For example, we know very little about the effects on RA from smoking marijuana or other uses of herbal marijuana.
Is Cannabis Right for You?
The best way to answer this is to ask your doctor. They can tell you about possible side effects and drug interactions, legal considerations, and which form and at which dose may help you the most.
More than half of the states have legalized marijuana for medical use. More than a dozen other states allow limited medical uses of CBD.
The FDA doesn’t regulate marijuana or CBD, so you might not know exactly what’s in the products you buy. One batch of pot or edible marijuana may have a much higher or lower amount of THC than another, or affect you differently. CBD also can be unpredictable.
Cannabis can affect you mentally and physically. THC can impair driving, so you shouldn’t get behind the wheel for at least 8 hours after you take it. Smoking or vaping (inhaling) marijuana will hit you more quickly than if you eat it. It’s also not good for your lungs or respiratory system.
If you use marijuana regularly, it could make you more likely to get anxiety, depression, and other mental illnesses.
CBD side effects are usually mild or moderate. They can include:
Medical marijuana has similar side effects, that may include:
Where to Get It
Depending on your state, you may need to buy medical marijuana and CBD at specific dispensaries or pharmacies from approved vendors. Your doctor may need to certify that you have a condition that may benefit from marijuana.
Marijuana is available in many forms, like pills, prepared foods, teas, nasal sprays, and as something you smoke or vape.
In some states, CBD is sold at many all-natural food stores and online. It can be taken by mouth as oil or extracts, or applied to your skin.
Chemistry & Biochemistry: “History of Cannabis and Its Preparations in Saga, Science, and Sobriquet.”
Mayo Clinic: “Mayo Clinic Q and A: Treatment with medical cannabis,” “Marijuana,” “What are the benefits of CBD — and is it safe to use?” “Rheumatoid arthritis.”
News release, The National Academies of Sciences, Engineering, and Medicine: “The Health Effects of Cannabis and Cannabinoids.”
Dialogues in Clinical Neuroscience: “Cannabis, Cannabinoids, and Health.”
Arthritis Care & Research: “Efficacy, Tolerability, and Safety of Cannabinoid Treatments in the Rheumatic Diseases: A Systematic Review of Randomized Controlled Trials.”
Nature Reviews Rheumatology: “Cannabinoids for the treatment of rheumatic diseases — where do we stand?”
U.S. Drug Enforcement Administration: “Drug Scheduling.”
Cannabis and Cannabinoid Research: “Cannabis and Pain: A Clinical Review.”
Journal of Medical Toxicology: “Medical Marijuana and Driving: A Review.”
National Center for Complementary and Integrative Health: “Marijuana and Cannabinoids.”