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Cbd oil for decompressing nerve

Cbd oil for decompressing nerve

Ever heard of CBD?

Well, if not, I challenge you to learn more about it!
CBD is an oil derived from cannabis that can help to save the lives of many who suffer from a multitude of conditions. Ranging from Autism, Aspergers, ADHD, Cancer, Degenerative Disc Disorder, bulging and herniated discs, sciatica, fibromyalgia, general pain disorders, etc.

CBD is derived from all-natural sources and is backed by the FDA. It is also clinically proven to interact with the brain to improve functioning. Contact us here at ERC to get more information on the product available here at our office and/or to schedule your free consultation to see if CBD is right for you!

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Can CBD Oil Help with Spinal Stenosis Pain?

CBD has potent anti-inflammatory properties, indicating potential benefits for the symptom control of spinal stenosis, also known as spinal injury.

Spinal stenosis refers to a spine issue associated with high inflammation markers. The discomfort is also followed by nerve pain, further deteriorating the quality of life of many patients. People with spinal stenosis often rely on potent prescription medications — putting themselves at a high risk of dependence and severe withdrawals.

Being unable to rest and function properly throughout the day, individuals suffering from spinal injuries turn to natural remedies for relief.

CBD is touted by the medical community to reduce inflammation and mitigate pain signaling to the brain. These qualities put it high on the list of potential natural alternatives to treating spinal stenosis.

Read this article to find out if CBD can help you with symptom control.

Does CBD Oil Help with Spinal Stenosis Pain?

Some studies suggest that CBD oil could help many spinal stenosis symptoms. In a study published in the Journal of Pain Research in 2018, the research team examined the link between cannabinoids and spinal cord stimulation in patients with spinal stenosis from a failed back surgery.

The Italian study analyzed the situation of 11 patients diagnosed with neuropathic pain after their surgery. All participants discontinued other treatments in favor of a cannabinoid-based solution. They were taking a predetermined dose of THC/CBD, which they could adjust to their response. At the end of the study, the patients reported significant improvement in pain management compared to the beginning of the trial .

Several spinal disorders, including spinal cord injury, spinal stenosis, and radiculopathy (pinched nerve) due to herniated discs, are common triggers of nerve pain.

A research paper published in 2020 in C current Pharmaceutical Biotechnology analyzed the efficacy of CBD oil in managing neuropathic pain in 29 participants with peripheral neuropathy.

The group that received CBD reported that their severe pain and cold, itchy sensations had been diminished significantly. They also didn’t report any adverse effects. The researchers concluded that transdermal use of CBD oil helps considerably improve pain and other types of discomfort experienced by patients with peripheral neuropathy .

CBD for Other Spinal Stenosis-Related Symptoms

Spinal stenosis — and chronic back pain in general — is often accompanied by anxiety. A study posted in the Journal of Psychopharmacology in 2011 evaluated the effects of CBD on social anxiety disorder (SAD). The authors found that patients with SAD who used a high dose of CBD reported substantial improvements . CBD can help manage anxiety disorders by acting on serotonin and GABA receptors on top of improving endocannabinoid signaling in the brain .

Another study on CBD and anxiety — published in The Permanente Journal — investigated the efficacy of CBD on sleeping disorders and anxiety . The final sample examined 72 adults, 47 of whom reported anxiety as their primary health problem. The other 25 volunteers pointed to sleep deprivation as the main issue.

Almost 80% of participants experienced significant relief from anxiety within the first month. Sleep scores improved in over 66% of the tested subjects . Individuals with spinal stenosis struggle with anxiety and insomnia; when combined, they can take a serious toll on their overall well-being.

How CBD Helps to Alleviate Symptoms of Spinal Stenosis

CBD’s potential in controlling the symptoms of spinal stenosis is largely attributed to its interaction with endocannabinoid receptors, serotonin receptors, and TRPV-1 vanilloid receptors.

In a 2014 study published in the British Journal of Pharmacology , CBD was found to inhibit chemotherapy-induced neuropathic pain. The researchers discovered that the analgesic and anti-inflammatory effects of CBD could be produced partly by its interaction with the 5-HT1A (serotonin) receptor .

Interestingly, this interaction can also reduce anxiety levels, a more stable mood, and better emotional control.

A 2019 study further confirmed these findings in a mice model, showing that CBD decreased anxiety-like behavior and normalized serotonin activity .

CBD can also mitigate pain signals by engaging with TRPV-1 vanilloid receptors, which are the same receptors that respond to the terpenes in vanilla beans; these essential oils are responsible for the pain-dampening properties of vanilla — the reason why it has been widely used in folk medicine.

In a 2012 study published in Pharmaceuticals , the authors found a strong link between TRPV1 cells and autoimmune diseases and inflammation. This fuels the hypothesis that CBD’s impact on TRPV1 receptors helps mitigate pain signals and curb inflammation .

Last but not least, CBD can help the body level its endocannabinoid deficiencies. Not only does it signal the endocannabinoid system to produce its own endocannabinoids, but it also acts as the inhibitor of enzymes that break them down. Higher levels of endocannabinoids such as anandamide have been associated with a higher pain threshold and better stress response.

How to Use CBD Oil for Spinal Stenosis

CBD comes in many different forms. The most common format is CBD oil , which contains a CBD-rich hemp extract that is infused into a carrier oil.

CBD oil is taken sublingually (under the tongue). You need to use a dropper attached to the bottle of your oil to measure out the desired amount — then transfer it beneath the tongue and hold it in your mouth for up to 60 seconds.

From there, CBD, along with other phytonutrients, will travel to your bloodstream using the tiny capillaries under the tongue. Sublingual absorption improves the bioavailability of CBD and speeds up the onset of its calming and relaxing effects. Bioavailability refers to the amount of CBD that ends up in your bloodstream after ingestion.

The leftover amount of CBD oil is swallowed and processed by the digestive system.

CBD oil combines relatively high bioavailability with dosage precision, which is why many people use it as their go-to way to supplement cannabidiol.

The best type of CBD oil for spinal stenosis is the ful l -spectrum one because it contains all the valuable compounds from hemp; CBD and other cannabinoids, terpenes, and flavonoids work synergistically to create the entourage effect — enhancing the therapeutic efficacy of the product.

However, the problem with full-spectrum CBD oil is that it carries a strong earthy flavor, which may not appeal to many users. If you have a sensitive palate, you may want to consider the following alternatives:

CBD Cream for Spinal Stenosis

CBD cream is a decent option for spinal stenosis if you want to add a targeted approach to your treatment. While products like CBD oil or capsules will help reduce inflammation and dampen painful sensations from within, CBD topicals, such as creams, ointments, and gels, offer localized pain relief.

When you apply CBD directly to the skin, it interacts with the CB2 receptors of the skin’s endocannabinoid system. This results in an anti-inflammatory response because CBD acts on adenosine receptors, which block the inflammatory proteins known as cytokines.

Using CBD topically may help you reduce the irritation, swelling, redness, and pain of inflammation.

CBD Gummies for Spinal Stenosis

If you dislike the taste of CBD oil, you may try out CBD gummies for spinal stenosis. They are available in different flavors, potencies, shapes, and formulas and resemble regular gummy bears. Gummies offer a fixed dose of CBD per serving and deliver it to your system through the gastrointestinal tract. This method of administration has some significant advantages, but it also has one drawback.

Speaking of the positives, a predetermined amount of CBD in each gummy makes it easier to calculate the dosage. For example, if you benefit from 50 mg of CBD per day and your gummies have 25 mg each, you need to take two gummies to match your dosage.

Once CBD enters the GI tract, it is metabolized by the liver and then gradually released into the bloodstream, ensuring longer-lasting effects (up to 10 hours).

That being said, the effects of oral CBD products have a delayed onset. This phenomenon is known as the first-pass metabolism; it’s also why CBD gummies offer lower bioavailability than oils (around 20%).

CBD Dosage for Degenerative Disc Disease

The CBD space remains unregulated, so there are no dosage guidelines or standard dosage charts for specific conditions, including spinal stenosis pain and other symptoms.

A review of studies assessing CBD dosages in clinical populations concluded that an optimal dose could vary from 1 mg to 50 mg per 10 kg of bodyweight depending on the user’s metabolism, weight, the severity of symptoms, unique body chemistry, and gender.

It’s generally recommended to start with a low dose such as 5–10 mg of CBD and gradually increase the amount until you find a dose that gives you the best results without making you feel dizzy or lethargic.

To learn more about CBD Dosage, head over to this post for a general guideline.

What Is Spinal Stenosis?

Spinal stenosis is a medical name to describe a narrowing of the spaces within the spine; it’s also known as the foramina . This condition reduces the space for the nerves to travel, which can happen in the spinal canal or within the intervertebral foramina.

The spinal cord compression or a spinal nerve can cause tingling, pain, numbness, or weakness. The symptoms can vary depending on the time and the severity of narrowing over time. The location of the issue matters too.

Types of Spinal Stenosis

Spinal stenosis has two main types. The diagnosis depends on the condition’s location; it’s also possible to have both forms of spinal stenosis at the same time.

Cervical Stenosis

This type of spinal stenosis occurs when the narrowing affects the neck area of the spine. People with spinal stenosis have spinal cords with less space to travel, which may cause them to compress. The contraction could result in dysfunction and pain anywhere beneath the compressed area.

The symptoms of cervical stenosis include:

  • Pain in the neck
  • Problems with movements and balance
  • Weakness or tingling in an arm, hand, leg, or foot
  • Bladder or bowel dysfunction (severe cases)

Lumbar Stenosis

Patients with lumbar stenosis have the narrowing of the spine at the lower back. Also known as foraminal stenosis, this is the most common type of spinal stenosis:

You may have lumbar stenosis if you experience the following symptoms:

  • Back pain
  • Cramping in 1 or both legs when walking
  • Weakness, numbness, and tingling in a foot or leg

Conventional Spinal Stenosis Treatments & Their Side Effects

Doctors usually diagnose spinal stenosis via tests such as MRI scan, X-ray, or CT myelogram

Treatments for spinal stenosis depend on the location of the condition and the severity of symptoms. A physician may prescribe conventional painkillers, including:

  • Anti-seizure drugs like gabapentin or pregabalin
  • Non-steroidal anti-inflammatory drugs (NSAID)
  • Opioids such as oxycodone or hydrocodone
  • Tricyclic antidepressants such as amitriptyline

However, the above treatments come with a risk of dangerous side effects, such as liver damage, kidney failure, weight gain, hormonal imbalances, autoimmune diseases, nausea, and vomiting — not to mention the high potential for dependence and withdrawals when it comes to opioids.

Patients with spinal stenosis tend to become less active physically over time due to the pain experienced when moving. However, this can only cause muscle weakness to deteriorate. Therefore, physical therapy is often recommended as the go-to treatment to improve balance and regain strength and endurance.

Other possible spinal stenosis treatments include:

  • Decompression: People with spinal stenosis can ask their doctor about this procedure. Decompression involves removing compressed ligaments from the back of the spine. The process is known as image-guided lumbar decompression and doesn’t require general anesthesia.
  • Steroid injections: corticosteroids could alleviate inflammation at the site of the stenosis, dampening pain. Patients can only take a handful of injections annually due to the side effects associated with frequent use, such as weakened bones and connective tissues.
  • Surgery: it is performed as a last resort and aims to relieve pressure on the spinal cord or nerve roots. This can be achieved by creating greater space in the spinal canal. Surgical procedures include laminoplasty, laminectomy, and laminotomy.

There are also clinical studies involving the use of stem cells to treat degenerative disc disease. Researchers are also testing several genomic medications.

Summarizing the Potential Benefits of CBD Oil for Spinal Stenosis

Medical researchers are fueling more resources into studies on CBD’s effects on spinal stenosis and other forms of spinal injury. A growing body of evidence suggests that CBD oil can help manage several symptoms related to spinal stenosis, including inflammation, nerve pain, anxiety, and sleep deprivation.

The best part about using CBD for spinal stenosis is that its benefits aren’t accompanied by dangerous side effects, unlike most pharmaceutical medications. CBD is safe and well-tolerated, even in doses as high as 1,500 mg per day.

Research so far suggests that the best approach to treating spinal stenosis with CBD is the combination of a sublingual and topical product. Take CBD oil (or gummies) for general supplementation, and apply topicals directly on the site of the pain to relieve localized discomfort by activating the CB2 receptors with CBD.

Reference Links:

  1. Mondello, E., Quattrone, D., Cardia, L., Bova, G., Mallamace, R., Barbagallo, A. A., Mondello, C., Mannucci, C., Di Pietro, M., Arcoraci, V., & Calapai, G. (2018). Cannabinoids and spinal cord stimulation for the treatment of failed back surgery syndrome refractory pain. Journal of pain research , 11 , 1761–1767. [1]
  2. Xu, D. H., Cullen, B. D., Tang, M., & Fang, Y. (2020). The Effectiveness of Topical Cannabidiol Oil in Symptomatic Relief of Peripheral Neuropathy of the Lower Extremities. Current pharmaceutical biotechnology , 21 (5), 390–402. [2]
  3. Crippa, J. A., Derenusson, G. N., Ferrari, T. B., Wichert-Ana, L., Duran, F. L., Martin-Santos, R., Simões, M. V., Bhattacharyya, S., Fusar-Poli, P., Atakan, Z., Santos Filho, A., Freitas-Ferrari, M. C., McGuire, P. K., Zuardi, A. W., Busatto, G. F., & Hallak, J. E. (2011). Neural basis of cannabidiol (CBD) anxiolytic effects in generalized social anxiety disorder: a preliminary report. Journal of psychopharmacology (Oxford, England) , 25 (1), 121–130.
  4. Linge, R., Jiménez-Sánchez, L., Campa, L., Pilar-Cuéllar, F., Vidal, R., Pazos, A., Adell, A., & Díaz, Á. (2016). Cannabidiol induces rapid-acting antidepressant-like effects and enhances cortical 5-HT/glutamate neurotransmission: role of 5-HT1A receptors. Neuropharmacology , 103 , 16–26.
  5. Pretzsch, C. M., Freyberg, J., Voinescu, B., Lythgoe, D., Horder, J., Mendez, M. A., Wichers, R., Ajram, L., Ivin, G., Heasman, M., Edden, R., Williams, S., Murphy, D., Daly, E., & McAlonan, G. M. (2019). Effects of cannabidiol on brain excitation and inhibition systems; a randomized placebo-controlled single-dose trial during magnetic resonance spectroscopy in adults with and without autism spectrum disorder. Neuropsychopharmacology: official publication of the American College of Neuropsychopharmacology , 44 (8), 1398–1405. [3]
  6. Leweke, F. M., Piomelli, D., Pahlisch, F., Muhl, D., Gerth, C. W., Hoyer, C., Klosterkötter, J., Hellmich, M., & Koethe, D. (2012). Cannabidiol enhances anandamide signaling and alleviates psychotic symptoms of schizophrenia. Translational psychiatry , 2 (3), e94.
  7. Shannon, S., Lewis, N., Lee, H., & Hughes, S. (2019). Cannabidiol in Anxiety and Sleep: A Large Case Series. The Permanente journal , 23 , 18–041. [4]
  8. Ward, S. J., McAllister, S. D., Kawamura, R., Murase, R., Neelakantan, H., & Walker, E. A. (2014). Cannabidiol inhibits paclitaxel-induced neuropathic pain through 5-HT(1A) receptors without diminishing nervous system function or chemotherapy efficacy. British journal of pharmacology , 171 (3), 636–645.
  9. De Gregorio, D., McLaughlin, R. J., Posa, L., Ochoa-Sanchez, R., Enns, J., Lopez-Canul, M., Aboud, M., Maione, S., Comai, S., & Gobbi, G. (2019). Cannabidiol modulates serotonergic transmission and reverses both allodynia and anxiety-like behavior in a model of neuropathic pain. Pain , 160 (1), 136–150.
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Nina Julia

Nina created following the birth of her second child. She was a science and math teacher for 6 years prior to becoming a parent — teaching in schools in White Plains, New York and later in Paterson, New Jersey.

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North Shore Pain Management

With all the buzz about medical and recreational marijuana, you may have heard about a related product called CBD oil or CBD hemp oil. While research on CBD oil is still limited, it does seem to be very useful in managing chronic pain and other conditions. Here is a little information about CBD oil – what it is, how we think it works, and how to get it.


CBD stands for cannabidiol, one of the 100 or so substances found in marijuana and related plants that are active in the human body, called cannabinoids. CBD oil is extracted from hemp, a plant related to marijuana, but grown for oil and fiber. Marijuana and hemp come from the same species, Cannabis sativa, but marijuana is a shorter, stockier plant bred for high levels of cannabinoids, while hemp is a tall (sometimes up to 20 feet!) slender plant. Most marijuana strains are some degree of hybrid between the two closely related species Cannabis sativa and Cannabis indica. Marijuana often has high levels of THC, the cannabinoid most popular for recreational use, although THC also has medical uses. THC levels in marijuana are generally between 5% and 30%. In contrast, in order for hemp to be called hemp, the plant must have a THC content of less than 0.3%, but can have high levels of CBD. Some strains of hemp have very low levels of CBD, and are used for nutritional and body care oils, or for fibers for clothing and rope. There are thousands of uses for hemp products.

Endocannabinoid System (How we think CBD works in the body)

Many substances have an effect on the human body through proteins in cell membranes called receptors. Specific substances fit into specific receptors, similar to a key into a lock, and cause a specific change in the activity of the cell. Receptors are a way that cells communicate with other cells, but they are also a way that we can alter the function of the body, by using drugs that also fit into the receptors. One receptor system in the body is the endocannabinoid system. Endocannabinoid receptors are present in large numbers in the nervous system and the immune system, as well as glands, connective tissue, and some organs. The overall function of the endocannabinoid system seems to be homeostasis (the maintenance of a stable and balanced environment inside the body) and communication between intersecting systems in the body. Because endocannabinoid receptors are found in so many types of cells in the body, there are many types of responses to cannabinoids, and the endocannabinoid system may be involved in regulation of appetite, insulin sensitivity, the immune system, the body’s response to stress, and the utilization of nutrients. The endocannabinoid system also seems to be involved in anxiety, mood, sleep, and the perception of pain.

THC and CBD are the two most well-known and well-studied cannabinoids. THC is mostly active at the endocannabinoid receptor type called CB1, which is found in the highest concentrations in nerve cells and lowest in immune system cells. CBD seems to be active at all types of cannabinoid receptors, and the function seems to be to increase the overall activity of the endocannabinoid system, and reduce inflammation, especially in the nervous system, including the brain.

An interesting side note: Endocannabinoids, the natural substances in the body that bind with endocannabinoid receptors, increase dramatically during exercise, and may contribute to exercise-induced euphoria, also known as runner’s high.

Uses of CBD oil

Most of the research about the effects of CBD oil has been in animals, with very little research in humans, but what we have seen is promising. Some of the most interesting research has been done regarding the beneficial effects of CBD in multiple sclerosis and epilepsy. Arthritis pain is reported to be improved with CBD oil, and markers of inflammation are reduced. Many people report reduction in chronic pain, including hard-to-treat pain such as fibromyalgia. As an added bonus, tolerance to the effects does not seem to develop, unlike opioids. Speaking of opioids, CBD oil has shown some promise in the treatment of opioid and nicotine addiction, and may reduce the symptoms of opioid withdrawal. CBD oil may also have some benefit in the treatment of mental health conditions such as anxiety, insomnia, PTSD and OCD, all of which are also associated with chronic pain.

Adverse effects and risks of CBD oil

Of course, everything that has an effect also has possible adverse effects. The most common adverse effects of CBD oil are not generally severe, and include fatigue, diarrhea, changes in appetite and weight (up or down), nausea, changes in sleep, and irritability. CBD oil may change the way the body responds to other medications, so it is always important to check with your prescriber before trying CBD oil. Of particular concern are medications such as Coumadin (warfarin), chemotherapy drugs, anti-epileptic drugs, and psychiatric drugs.

Another possible adverse effect is that, in some people, CBD oil can reduce the body’s inflammatory response too much, and may result in increased risk of infection, especially in the lungs.

A rare condition called cannabis hyperemesis syndrome, causing severe cyclical nausea and vomiting in people who use a lot of marijuana, does not seem to be associated with CBD oil.

Legality of CBD oil

Hemp has a complicated legal history in the US. Hemp was a common crop during Colonial times – in fact, George Washington rather famously had a large hemp crop. In a political gaffe, hemp was grouped with “cannabis” and included in the Marijuana Tax Act of 1937, then included in Nixon’s War on Drugs in 1970. This made growing hemp illegal in the US, although during World War II, growing hemp was encouraged as part of the “Hemp for Victory” program, because of the many industrial uses of hemp. In 2014, the Farm Bill signed by President Obama included a section outlining the “legitimacy of industrial hemp research.” Today, from a federal standpoint, growing hemp is illegal, but buying and selling hemp products is not. As a result, most of the hemp products sold in the US are from hemp grown in Canada, Europe and China. There are 3 states that have passed legislation allowing hemp farming for commercial purposes (Vermont, Colorado and Oregon), and 6 states that allow research crops. Thirty-three states have introduced legislation to legalize hemp farming.

CBD hemp oil is legal to buy and sell in the US. It is considered a dietary supplement by the FDA, so there is not much regulation concerning quality, purity, additives, strength, labelling or dosing. In fact, because of the status of CBD oil as a dietary supplement, portions are referred to as “servings,” not “doses.” This lack of regulation, combined with the increasing popularity of CBD oil, means that unscrupulous manufacturers trying to get rich quick may produce a very inferior product, so it’s best to do some research about different manufacturers before you buy.

Drug tests do not test for CBD, but often test for THC. Most CBD hemp oils have very low concentrations of THC, but using CBD hemp oil could result in a drug test positive for THC. There are CBD hemp oil preparations that claim to have no detectible levels of THC, however these are often more expensive.

Buying CBD oil

CBD oil is commonly purchased from online vendors, but there are brick-and-mortar stores that carry it. Medical marijuana dispensaries do not typically carry CBD hemp oil, and it will likely not be available at pot shops in Massachusetts when they open. Purchasing CBD oil is definitely “buyer-beware,” but with a little research, it is not difficult to find a supplier and a product that will meet your needs.

  • Read labelling of CBD oil carefully, because there is no standardization in labelling. Does the label list mg of CBD oil or mg of active CBD? For example, 100 mg of CBD oil that is 20% active CBD will only be 20 mg of active CBD. Does the label tell you the strength of the oil? This is usually listed in mg/ml or percent.
  • Request lab results done by a third party, not the manufacturer or seller, to determine potency, the presence of pesticides or other toxins, additives, and residual solvent. A reputable manufacturer or seller will be able to provide these results.
  • Check online reviews. This can be a good source of information about the product and the company you are considering.
  • Some companies selling CBD oil offer various risk-free trial options, which might be good option.
  • CBD oil comes in various preparations, including sprays, tinctures, and capsules for oral or topical use; creams and patches for topical use only; and vapes. Concentrates are also available, so you can make your own topical or oral preparations.

Hemp seeds and hemp oil are considered nutritional “super-foods” and contain a high level of beneficial nutrients, but do not contain CBD.

As a final caveat: As with any medication or therapy, talk to your health care provider before trying CBD oil

For more information:
General info about CBD oil

At North Shore Pain Management we provide advanced, evidence based, multidisciplinary and cost effective pain management. Our goal is to improve your ability to return to the activities you have been missing as well as provide a meaningful reduction in pain.