"Sciatic nerve (specifically, L5 and S1 nerves) is damaged due to cancer treatment (cryoablation) causing moderate to severe neuropathic pain in the foot, specifically in the first 2 toes. What is the recommendation for a topical cannabis and oral tincture?"
HI there! This question comes up a lot in the HelloMD Community. Here are some previously answered questions that you can check out:
What dosage of CBD oil or tincture would be helpful for chronic nerve pain?
Best of luck!
All the medical literature and studies using cannabis to help w/ various neuropathy conditions used THC as the cannabinoid as choice. I have also seen this in anecdotal evidence as well. However, given Dr. Olsen’s experience with CBD products as well as a receptor phenomenon known as the "entourage effect" I might also recommend trying a tincture or topical agent that has a healthy dose of both THC and CBD, perhaps in a 1:1 ratio. The patient can then experiment w/ other THC/ CBD ratios or even try products that are only THC or only CBD. I hope this helps!