Chronic Pain sufferer looking for advice.

"I am a chronic pain sufferer, have had 5 failed back surgeries, have hip bursitis and frozen shoulder in both shoulders. I suffer from neurpathy down both legs. I am trying to get off opoids and want to try CBD. I live in Washington State so I guess I could go to a dispensery to get it, but I am not sure of correct dosage. Does anyone think CBD alone would help, or should I wait to talk to my doctor about using regular marijuana? In my pain contract I need his permission to use marijuana, but I have heard that CBD has such low THC it would not show up in a test. I was on medical marijuana years ago, but never renewed my license so I have experience with it. If CBD without a high concentration of THC would help me I am willing to try it. Any help would be greatly appreciated."

I suffer from a rare nervous disorder formerly called RSD (Reflex Sympathetic Dystrophy now called Chronic Regional Pain Syndrome. Also, I am a chronic insomniac. Can cannabis help?


I would like to reduce my dependency on Valium. Suggestions?


Many of my patients with chronic pain have found benefit in adding medicinal cannabis to their treatment regimen, but it can sometimes take a bit of work to discover what helps most. It sounds like you might be a little unclear on the CBD/THC issue so I suggest this quick read for a good layperson’s review of the pharmacology of cannabis: www.hellomd.com/health-wellness/cannabis-101-your-quick-guide-to-medical-marijuana CBD is remarkably non-toxic and there is no reason I can think of not to try a CBD preparation at moderate doses (up to 20mg). Reducing the discomfort of chronic pain is a complicated problem, which is why there are physicians specializing in just this area. Because the mind and emotions are extremely important in treating pain that has become chronic it is probable that some THC in the preparation being used would be more helpful. How much is more a matter of cautious experimentation than prescription. Various hybrid strains of cannabis have been developed expressing primarily CBD rather than the other cannabinoids (eg Harlequin) and many preparations for vaping or ingestion contain CBD:THC ratios anywhere from 20:1 to 1:1. I do not recommend trying to evade a drug test: you should try discussing this issue with your pain management physician and seek to add medicinal cannabis to your treatment as a way of being able to reduce your reliance on opioids. I would think your pain management physician would have a postive view of that plan.


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