Does CBD help with arthritis pain?
If you have chronic arthritis pain, you may be wondering about cannabidiol (CBD) as a treatment. CBD, along with delta-9-tetrahydrocannabinol (THC) and other chemicals, is found in marijuana. But unlike THC, CBD is not “psychoactive” — that is, it does not cause the intoxication or high associated with marijuana use.
There’s a good chance you’ve tried it already: according to a Gallup poll in August of 2019, about 14% of Americans report using CBD products, and the number one reason is pain. The Arthritis Foundation conducted its own poll and found that 29% reported current use of CBD (mostly in liquid or topical form), and nearly 80% of respondents were either using it, had used it in the past, or were considering it. Of those using it, most reported improvement in physical function, sleep, and well-being; of note, a minority reported improvement in pain or stiffness.
Perhaps you’ve been tempted to try it. After all, most types of arthritis are not cured by other treatments, and CBD is considered a less addictive option than opiates. Or maybe it’s the marketing that recommends CBD products for everything from arthritis to anxiety to seizures. The ads are pretty hard to miss. (Now here’s a coincidence: as I was writing this, my email preview pane displayed a message that seemed to jump off the screen: CBD Has Helped Millions!! Try It Free Today!)
What’s the evidence it works? And what do experts recommend? Until recently, there’s been little research and even less guidance for people (or their doctors) interested in CBD products that are now increasingly legal and widely promoted.
But now, there is.
A word about arthritis pain
It’s worth emphasizing that there are more than 100 types of arthritis, and while pain is a cardinal feature of all of them, these conditions do not all act alike. And what works for one may not work for another. Treatment is aimed at reducing pain and stiffness and maintaining function for all types of arthritis. But for certain conditions, such as rheumatoid arthritis, conventional prescription medications are highly recommended, because these drugs help prevent permanent joint damage and worsening disability.
In addition, individuals experience pain and respond to treatment in different ways. As a result, it’s highly unlikely that there is a single CBD-containing product that works for all people with all types of arthritis.
What’s the evidence that CBD is effective for chronic arthritis pain?
While there are laboratory studies suggesting CBD might be a promising approach, and animal studies showing anti-inflammatory and pain-relieving effects, well-designed studies demonstrating compelling evidence that CBD is safe and effective for chronic arthritis pain in humans do not exist. A randomized trial of topical CBD for osteoarthritis of the knee has been published, but in abstract form only (meaning it’s a preliminary report that summarizes the trial and has not been thoroughly vetted yet); the trial lasted only 12 weeks, and results were mixed at best. One of the largest reviews examined the health effects of cannabis and CBD, and concluded that there is “substantial evidence that cannabis is an effective treatment for chronic pain in adults.” But there was no specific conclusion regarding CBD, presumably because definitive studies were not available.
Of course, there is anecdotal evidence and testimonials galore, including reports of dramatic improvement by people who tried CBD in its various forms (including capsule, liquid, topical, and spray) for their pain. But we are still waiting for well-designed, scientifically valid, and rigorous clinical trials (such as this one in progress) that are so badly needed to answer the question of just how helpful CBD may be to people with chronic arthritis pain.
Are there downsides to CBD treatment?
As with any treatment, there can be downsides. CBD is generally considered safe; however, it can still cause lightheadedness, sleepiness, dry mouth, and rarely, liver problems. There may be uncertainty about the potency or purity of CBD products (since they are not regulated as prescription medications are), and CBD can interact with other medications. For pregnant women, concern has been raised about a possible link between inhaled cannabis and lower-birthweight babies; it’s not clear if this applies to CBD. Some pain specialists have concerns that CBD may upset the body’s natural system of pain regulation, leading to tolerance (so that higher doses are needed for the same effect), though the potential for addiction is generally considered to be low.
There is one definite downside: cost. Prices range widely but CBD products aren’t inexpensive, and depending on dose, frequency, and formulation, the cost can be considerable — I found one brand that was $120/month, and health insurance does not usually cover it.
Are there guidelines about the use of CBD for chronic arthritis pain?
Until recently, little guidance has been available for people with arthritis pain who were interested in CBD treatment. Depending on availability and interest, patients and their doctors had to decide on their own whether CBD was a reasonable option in each specific case. To a large degree that’s still true, but some guidelines have been published. Here’s one set of guidelines for people pursuing treatment with CBD that I find quite reasonable (based on recommendations from the Arthritis Foundation and a recent commentary published in the medical journal Arthritis Care & Research):
- If considering a CBD product, choose one that has been independently tested for purity, potency, and safety — for example, look for one that has received a “Good Manufacturing Practices” (GMP) certification.
- CBD should be one part of an overall pain management plan that includes nonmedication options (such as exercise) and psychological support.
- Choose an oral treatment (rather than inhaled products) and start with a low dose taken in the evening.
- Establish initial goals of treatment within a realistic period of time — for example, a reduction in knee pain that allows you to walk around the block within two weeks of starting treatment; later, if improved, the goals can be adjusted.
- Tell your doctor(s) about your planned and current CBD treatment; monitor your pain and adjust medications with your medical providers, rather than with nonmedical practitioners (such as those selling CBD products).
- Don’t make CBD your first choice for pain relief; it is more appropriate to consider it if other treatments have not been effective enough.
- Don’t have nonmedical practitioners (such as those selling CBD products) managing your chronic pain; pain management should be between you and your healthcare team, even if it includes CBD.
- For people with rheumatoid arthritis or related conditions, do not stop prescribed medications that may be protecting your joints from future damage; discuss any changes to your medication regimen with your doctor.
The bottom line
If you’re interested in CBD treatment for chronic arthritis pain or if you’re already taking it, review the pros, cons, and latest news with your healthcare providers, and together you can decide on a reasonable treatment plan. Depending on the type of arthritis you have, it may be quite important to continue your conventional, prescribed medications even if you pursue additional relief with CBD products.
We may not have all the evidence we’d like, but if CBD can safely improve your symptoms, it may be worth considering.
Follow me on Twitter @RobShmerling
About the Author
Robert H. Shmerling, MD , Senior Faculty Editor, Harvard Health Publishing
Dr. Robert H. Shmerling is the former clinical chief of the division of rheumatology at Beth Israel Deaconess Medical Center (BIDMC), and is a current member of the corresponding faculty in medicine at Harvard Medical School. … See Full Bio
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More and more arthritis sufferers are turning to cannabidiol (CBD) as a natural way to support pain relief. CBD arthritis creams and lotions can be applied topically to specific areas to help reduce inflammation, swelling, and pain. What are the best CBD arthritis creams? In this article, we explain the science behind CBD and arthritis and recommend the top CBD creams to try.
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Why Would You Try CBD Cream?
CBD is a compound found in cannabis plants that has gained much attention for its apparent ability to aid in inflammation, stress, and many other issues. This compound can be infused into creams, lotions, and salves as a way to apply CBD topically for a variety of benefits, including skin nourishment and pain alleviation.
CBD creams differ from other products, like oil tinctures or CBD capsules, in that they allow you to apply CBD directly to painful areas on the body, like knees, shoulders, hands, or wrists. The CBD is then absorbed through the skin to help treat the affected area more quickly than CBD that is taken orally and must be absorbed into the bloodstream. CBD lotions for arthritis also provide an alternative to ingesting or inhaling CBD, which can benefit those with sensitive digestive systems or pallets.
With a CBD cream, you can typically find much higher concentrations of CBD in each product, allowing you the potential to enjoy stronger relief. The best CBD arthritis creams also contain natural ingredients like menthol, eucalyptus, peppermint, California poppy, shea butter, and beeswax to help sooth aching joints and nourish skin.
Does CBD Help with Arthritis?
While research into the effectiveness of CBD to treat arthritis is still in its early stages, there are a number of promising studies. Take this study that concluded that topical CBD has potential as an effective treatment of arthritic pain. Researchers believe the administration of CBD could also have long-lasting therapeutic effects.
Animal studies have shown that transdermal, or topical, application of CBD does have therapeutic potential for relieving arthritis pain and inflammation. Another study using rats found that atypical receptors beyond just CB2 might be beneficial in treating inflammatory pain with cannabinoids. Recent research published in the Journal of Opioid Management concluded that CBD transdermal cream provided “significant symptom and pain relief” for patients suffering from severe back pain.
CBD is an immunosuppressive, and most often binds with the body’s CB2 receptor, which directly influences our immune system. This allows it to help inhibit the production of certain inflammatory processes in the body, which could help to reduce arthritis and joint pain.
As a reminder, CBD is one of more than 100 cannabinoids that occur naturally in the cannabis plant. These plant compounds, along with terpenes and flavonoids, work through a process known as the entourage effect to promote homeostasis within the body.
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Each product featured here has been independently selected by the writer. You can learn more about our review methodology here. If you make a purchase using the links included, we may earn commission.
- Best Organic – Cornbread Hemp CBD Lotion + Menthol
- Best for Neck Pain – Spruce CBD Salve
- Best Menthol-Free – R+R Medicinals CBD Cream
- Best Roll On – CBDistillery CBD Relief Stick
- Simplest Ingredients – NuLeaf Naturals Full Spectrum CBD Balm
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- Strength — How much CBD does the cream contain? Is it full spectrum, broad spectrum, or CBD isolate?
- Organic — Does the company use organic hemp and natural ingredients?
- Ingredients — Does the CBD salve contain additional botanicals or ingredients, like menthol or lidocaine?
- Testing — Is the product tested by an independent third-party lab, and can you access the results?
- Price — Is the CBD lotion offer a good value for the amount of CBD included?
- Customer experience — What do customer reviews say about the product and how it helped them?
Using these categories, we identified the best CBD for joint pain creams, balms, and slaves. Check out our choices below to find the right one for your needs.
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Best Organic: Cornbread Hemp CBD Lotion + Menthol
Cornbread Hemp Full Spectrum CBD Lotion is a great organic option for arthritis pain or sore muscles. It’s made with 500 mg of pure hemp flower CBD extract, which means their CBD doesn’t come from seeds or stems for a cleaner product. This cream is also packed with tons of organic botanicals like menthol, lemongrass, jojoba, peppermint, tea tree, rosemary, and eucalyptus, but it’s paraben and preservative-free.
- CBD – Full Spectrum
- Strength – 500 mg per container
- Added Ingredients – Organic menthol, lemongrass, jojoba, peppermint, tea tree, rosemary, eucalyptus, beeswax, +
Why buy: We love that this CBD for joint pain cream is USDA organic and contains so many beneficial botanicals and natural ingredients. It’s great for sore knees, shoulders, elbows, hands, and muscles.