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    CBD Oil For Pain: Everything You Need To Know

    Since CBD One was established back in 2017 one of the most common questions we have been repeatedly asked is, “Can I use CBD oil for pain?”

    It seems that this and anxiety are just about the two biggest reasons that someone wishes to try CBD.

    So I thought it would make sense to have a blog article to discuss the use of CBD for pain.

    I’ll try to cover what CBD oil is, how it works, the kind of pain it may help, and what the best methods are for taking CBD oil. In addition I’ll discuss how long CBD takes to work and the best kind of products to use.

    From the outset it is important to remember that there is a fine line to be walked when discussing CBD oil because we are not allowed to make any medical claims for our products.

    That being said, as a registered osteopath I can certainly give you an informed discussion of what I have seen with my patients and customers and you can rest assured you have a natural health expert explaining everything.

    An Overview Of CBD Oil And Its Properties

    Cannabidiol (CBD) is a plant derived compound known as a phytocannabinoid. It is one of over 100 such compounds in the cannabis (or hemp – cannabis and hemp are the same plant) plant.

    These phytocannabinoids have interesting properties of which the one that gets the headlines is THC with its psychoactive qualities. Depending on how much THC you take and the strain of cannabis involved you can get a euphoric high or feel stoned, where you are so relaxed you do not want to move. 

    However, whilst THC is the one most people may have encountered or heard about, often in disapproving tones in the press, it is the gentler cousin to THC, CBD, that is slowly but surely beginning to become very popular.

    Whilst cannabis remains illegal and THC is a controlled substance CBD can be sold legally providing it contains an agreed low level of THC. This level is so low that it is often marked as ‘trace’ or ‘non detectable’ in lab reports. In practical terms this means a CBD product will not get you high or stoned. It is non psychoactive and, therefore, is safe to be used. 

    This also means you may drive or operate heavy machinery when using CBD and the chance of it showing up in a doping test is virtually zero. I have yet to hear of anyone failing a doping test having taken CBD. That being said, if you are a professional sportsperson caution is advised because the tests used for professional athletes are far more sensitive than for the general public.

    I would advise any professional athlete to speak to the company who make the CBD before trying it. If they do not respond or give you advice then stay well away from them!

    Whilst CBD is very important as a phytocannabinoid there are other elements involved in a cannabis extract that also have a role to play in making it effective.

    Firstly there are other cannabinoids such as CBDa, CBN and CBG. These may only be present in small amounts but it is thought that they add to the effect of the CBD oil. Generally you will only find these in a full spectrum CBD oil which, in my opinion is just about the only way one should take CBD. 

    You can also take broad spectrum CBD or use an isolate which just means there is nothing else in the product but pure CBD but, except for certain circumstances, I would always advise people to get a full spectrum CBD product. 

    A high quality full spectrum CBD oil will also contain terpenes. Terpenes are volatile essential oils that, in nature, attract pollinators and repel predators. They are so powerful in cannabis that it can be grown very easily without the need for nasty chemicals. There are up to 200 different terpenes in cannabis and they give it its very distinctive smell. However, each terpene is thought to have an interesting effect on our body. Some terpenes are calming, others are mood lifting or promote sleep whilst others still can improve our appetite! 

    It is no coincidence that there are as many cake and donut shops as there are coffee shops in Amsterdam. This is because many people get ‘the munchies’ having smoked cannabis and need to eat something. This is evidence of the terpenes at work.

    In addition to cannabinoids and terpenes there are also flavonoids. These compounds are present in all plants and are important for giving them their colour but they also have useful antioxidant properties.

    Therefore, you can see that when you use a good quality, full spectrum CBD oil you are getting far more than just CBD.

    When CBD is contained in a full spectrum plant extract with all the other compounds in cannabis it can become a very useful supplement. The synergy of all the compounds in cannabis is known as the entourage effect and enables the full plant to be far more potent than isolating one active ingredient for use.

    Think of this synergy much as you would a sports team where all the individuals are working together to create success. They all have a role to play and whilst there may be one or two star players, without the rest of the team supporting them they will not be able to achieve the same kind of success.

    This is why all the products at CBD One use a whole plant full-spectrum extract. Indeed, it would be more accurate to call our products cannabis oil instead of CBD oil.

    The gentle nature of using whole plants means they are often remarkably safe to use and a report by the World Health Organisation found this to be true for CBD oil.

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    Can CBD Oil Help With Pain?

    I have lost count of the number of people who use CBD to try to help their pain. I have also lost count of the number of people who have contacted me to tell me that taking CBD has changed their life.

    The one thing we can say with absolute certainty and assurance is that CBD is safe. Now that might seem rather disappointing but if you look at the statistics for many of the drugs your doctor may be prescribing you for pain, not only do they come with dangerous side effects but they can also be highly addictive and there is no guarantee they will help.

    In fact, they can be so toxic that your body ends up diverting so much of its energy to dealing with these drugs that the healing process is much less responsive and takes longer to get going.

    If we look at the group of drugs called non steroidal anti inflammatories (NSAIDs), they come with the risk of heart disease and gut damage. In fact, the NHS spends more money on the side effects of these drugs than they do on the drugs themselves. For every one thousand users of NSAIDs approximately three will have heart attacks one of which will be fatal. 

    Couple this with the fact that acute inflammation in your body in response to an injury is actually a normal, healthy healing response and one wonders where the logic is in taking a drug that suppresses this healing reaction.

    There is a law of physics along the lines of ‘for every action there is a reaction’ and this applies to the human body too. So if we repeatedly suppress an acute healing reaction with a drug I can assure you that the certain end result will be a chronic problem.

    We can then turn to the opiate based drugs. It has been noted that whilst cocaine, heroin and cannabis use have dropped around the world the drop has been entirely made up for with the misuse and abuse of prescribed opiate drugs. Opiates are highly addictive and very dangerous.

    Common ones I encounter in my osteopathic work that people are using frequently are codeine, fentanyl and duramorph.

    The common side effects are drowsiness, confusion, nausea, constipation and even slowed breathing which can lead to coma, brain damage and even death. In 2018 data showed that 128 people a day in the USA alone were dying after overdosing on opiods! If osteopaths were killing 128 people every day we would be called murderers.

    These drugs are a curse on humanity and whilst in a very small way can bring huge relief to a small number of people, in my opinion this is far outweighed by the suffering and misery they cause.

    Therefore, having established that modern prescribed pain killing medication may kill you or give you all manner of side effects we can take a look at gentle CBD.

    It is an insane state of affairs that the system that allows so many to die at the hands of the pharmaceutical companies is the very same system that does not allow anyone to make a medical claim for CBD products.

    However, knowing the risks of legal, prescribed drugs, we can with great certainty say that CBD will do you no harm whatsoever.

    This means you have a simple choice:

    1. A drug that may kill you or lead to opiate addiction with all the resultant destruction to your life, relationships and community. It might help your pain but it might not.
    2. CBD which does no harm at all, comes with no risk and may bring you all manner of benefits. 

    I think that is what they call a ‘no brainer’ don’t you?

    CBD Oil For Pain: Everything You Need To Know 1

    How Does CBD Help With Pain?

    The largest medical request for using cannabis is to help with pain. There is enormous anecdotal evidence that smoking cannabis seems to help people’s joint pain.

    But how does it do this?

    There are pain pathways in your body that are influenced by CB1 receptors. These receptors are part of your endocannabinoid system (ECS) and help maintain homeostasis. Homeostasis is your body’s ability to maintain your health regardless of what you are doing or changes in your environment.

    A simple example of homeostasis in action is if you stand up from a seated position. Your body will automatically change your blood pressure to take into account the fact you are now stood up and it requires a slight increase in pressure to ensure blood gets to your brain. This is where you can actually experience a lag between you standing up and the body adjusting, when you get light headed if you do it too fast.

    CB1 receptors also influence pain and it appears from research that cannabinoids like CBD and others can inhibit (reduce the action of) these pain receptors. 

    In addition cannabinoids also influence CB2 receptors which have a role to play in inflammation. I think this is particularly useful when we have chronic inflammation which is the out of control destructive response of our body, mainly because of our diet and its concentration on too many processed grains and cereals and not enough healthy fats like olive oil, fish oil, butter and coconut oil.

    Chronic inflammation is present in 3 in every 5 adults in the world and is considered the greatest threat to human health by the World Health Organisation. Sadly, the idea that we can influence and remove this threat by making small changes to our diet goes unheard because such lifestyle changes do not fill the coffers of powerful organisations such as the processed food manufacturers and the drugs companies, who promise to take away our pain with their dangerous and addictive pills.

    Intriguingly, when we have a joint that is damaged from osteoarthritis research has shown the damaged areas have receptors in them for cannabinoids. This means it may well be useful to take some form of cannabinoid to get relief from pain.

    We know that the body makes its own form of cannabis, one such being the endogenous (it is produced internally) cannabinoid called anandamide but we also think that with illness or high stress and our lifestyles it may not produce enough.

    This is where taking an exogenous (its origin is external to our body) cannabinoid such as CBD oil may have a role in helping our body. 

    What Type Of Pain Might CBD Help?

    Because CB1 receptors influence our body’s pain pathways it may be that cannabinoids have a role to play in helping all manner of pain such as neurological pain, damaged joints, injured muscles, ligaments and other musculoskeletal injuries such as intervertebral disc injuries. 

    Do make sure you have established why you have pain and how it can be fixed before taking any type of pain relief. Pain is a warning sign and is always worth listening to. It is much like the oil warning light on your car and you wouldn’t ignore that, cover it up and keep driving would you? That way can lead to disaster.

    How To Use CBD Oil For Pain

    CBD Oil For Pain: Everything You Need To Know 2

    Here at CBD One we currently have two types of product. Those you take orally, like our CBD oils or Absorb range, or our topical Complete body and face lotion.

    The most effective way to use CBD is to take it orally, either under the tongue and held there for a couple of minutes or with our Absorb products, which can be added to a drink.

    Whilst our Complete cream is superb for your skin I would never suggest using this to help an injured joint because very little of the cannabinoids in it will get through your skin, though it may have a role when used together with an oil or an Absorb product.

    We are close to also having patches available which will give a steady release of CBD throughout the day so make sure you sign up to our newsletter to find out when these become available. I suspect these will prove very popular as they will remove the need for you to have to remember to take your oil.

    How Long Does It Take For CBD Oil To Work For Pain?

    There is no precise answer to this question. I have seen people report almost instant changes whilst others see nothing for eight weeks then suddenly, as if a key is turning in a lock, they get a whole host of benefits.

    The important factor is to be patient. While many people feel a difference in the first few days I would say give it eight to twelve weeks before you decide what CBD is doing for you.

    An interesting phenomenon we see is that some people don’t feel as if anything has changed. Then they stop taking CBD and problems come back that they had forgotten had gone away in the first place!

    We all have our own sensitivity to CBD oil so allow your body time to adapt to it. Of course, there are some people who see no changes at all. This is unfortunate but I have yet to stumble across anything on planet earth that works for every person all the time. If I had, I’d be a rich man by now.

    At least with CBD oil you will do no harm and have everything to gain from trying it.

    What Is The Best CBD Oil For Pain Relief?

    I always suggest people start with a middle strength product. The reasoning behind this is simple. If you start too low and nothing changes there is a temptation to think that CBD did not work for you when it may be that you just needed a stronger dose to begin with.

    In our range I would suggest trying Signature Blend No2 or Absorb Pure if you can because these have plenty of cannabinoids in them to get you started and if it is going to work for you, you should see some changes with these.

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