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CBD oil for Neuropathy

Neuropathy | Last Active: Aug 20, 2023 | Replies (460)

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@wolfbauer

So I looked up PA's medical marijuana program (appears more inclusive for potential patients), and it looks like they have quite the range of dosage forms that NY doesn't have, especially actual dried plant. I have no idea how familiar you are with marijuana so I apologize if the detail I'm going into is unnecessary (dried plant is what one would normally think of when you hear marijuana, but with the advent of different extraction processes that produce different oil, waxy, buttery, and harder [think malleable jolly rancher] 'shatter' substances that can be smoked or vaporized, the actual 'buds' of the plant that Cheech and Chong smoked are now commonly referred to as flower. After a cursory review of PA's site, I didn't see anything that specifically outlawed smoking it (actually combusting the plant material), but instead said 'for administration by vaporization or nebulization,' (oil would be used in a nebulizer similar to those used by patients with different respiratory disorders, whereas vaporization uses a 'vaporizer' which heats the plant or oil [depending on the vaporizer some can only accommodate one, while others have special chambers to vaporize both] to a point where THC, CBD, and other cannabinoids and beneficial terpenes are literally turned into vapor [think boiling], but without being so hot as to ignite the plant itself and produce noxious smoke). Inhalation is generally considered the fastest and most concentrated way to consume marijuana (edibles are a different story that I admittedly don't fully understand; 'pot brownies' are known to get people uncomfortably high with bad paranoia if taking to much or if you aren't used to marijuana), although smoking is the worst for your lungs as you can imagine, and vaporization is still not fully researched... since it doesn't contain the combustion products it's considered safer, but the heated vapor can irritate your throat and lungs after prolonged use (it is possible to combine a vaporizer with a water pipe [bong] or other apparatuses so as to cool the vapor and help remove any oily/tar like residue from the vapor). From what I understand, in NY, the oil is pre-filled into single use cartridges built into vaporizers that is unique to each dispensary so there isn't the ability to utilize additional paraphenrnalia or specialized high end vaporizers. Tinctures (in the pharmaceutical compounding sense) use ethanol to extract the active components into a concentrated liquid. Tinctures, pills, 'liquid' (it doesn't specify anything about it, so it's too vague for me to know what the exact dosage form is) and oil should all be able to be taken orally. And of course the topicals you would just apply to the affected areas (this could be difficult if you have a restricted range of motion or areas of pain in your back where you can't reach. Theoretically you could have someone apply it for you with gloves on (I'm not sure if caregivers are allowed to 'administer' any of the products to you [example: pharmacists are not legally allowed to take a pill out of a patient's bottle and put it in their mouth if they have physical difficulty, but nurses and doctors can]). Bottom line, if you want the healthiest option, avoid inhaling. This stance is controversial as many people believe vaporizing is healthy, however, inhaling trace amounts of oil can theoretically cause a specific type of pneumonia and/or cause damage to the anatomy of the lungs depending on how long you've used it. There is not enough research out there yet to give a very good picture of the long term effects of vaporizing. It is one of the most popular methods of delivery out there right now, so it is up to you. Again, since it doesn't actually combust the plant, it's not like smoking it or a cigarette with the additional noxious fumes from the burning plant material, and there are ways to filter/cool down the vapor.

Your best bet is to discuss the options available to you with your doctor, along with the specific reasons/symptoms you're using medical marijuana along with your goals for treatment with it. He or she should be much more knowledgeable on the topic than I, although as I said before, this is relatively new, and long term studies on health impact and adverse effects simply don't exist as federal funding is a gray area since it's still considered a DEA schedule I narcotic (street drug with no medicinal value and high abuse potential).

The other major important factor to consider is the strain of medical marijuana you get, along with the percentages of THC and CBD. THC is the psychoactive component, but also is attributed as being a pain killer and relieving spasticity. In NY, three oil preparations must be available at each dispensary (though the exact concentrations are not regulated and vary from one to another), 1. High THC, Low CBD; 2. High CBD, Low THC; and 3. 50% THC, 50% CBD. Since plant material is available in PA, many different strains with different concentrations of each could possibly be available; you'd have to ask your doctor and the dispensaries. High THC can cause anxiety and paranoia in some people, whereas CBD is good for anxiety. Marijuana comes from Cannabis indica, Cannabis sativa, and varieties of hybrids of the two. Indicas are generally known for a relaxed 'high', with sedation and strong appetite stimulation. Sativas are known for a more 'heady high' while being mood elevating and giving the user energy (marijuana users who use during the day typically are using sativas or sativa dominant hybrids). Once you figure out your goals of treatment and symptoms you want to relieve, you can work with your doctor, dispenser, and even research different strains (and learn about marijuana) on websites like leafly dot com.

Any THC containing product will still have the same rules as recreational marijuana including that you cannot and should not operate a motor vehicle, or heavy machinery while under the influence or while you suspect you may still have some affect from it. Common sense things.

Medical marijuana has provided many patients with amazing results and relief and resulted in a much greater quality of life. The pain-killing, anti-anxiety, anti-depressant, stress-relieving, anti-inflammatory, sedating and sleep inducing, and appetite stimulating effects can be quite drastic (in an obviously very positive way) in patients with serious health conditions where other treatments have failed.

I hope this provided some initial information for you to at least know what to research and talk to your doctor about! Good luck with your treatment and I hope it works well for you! If you would, please let me know what you end up trying... I have yet to get my card here in NY as the actual product is too expensive for me. I am very interested in how it works out for SFN!

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Replies to "So I looked up PA's medical marijuana program (appears more inclusive for potential patients), and it..."

Thanks for the detailed reply wolf , much appreciated!
I’m not really sure what my diagnosis is only I have numbing and tingling in both feet .
About 10 years ago I injured my back in the gym . To make a long story short 4 days in the hospital then release with pain meds ... was told I had L5 and S1 , I don’t remember a definitive diagnosis or maybe it was because I was just so doped up .
I was released from the hospital in four days back pain subsided almost immediately but I developed knee pain and nerve pain going down through my inner Psi my growing into my knee where I felt like there was a balloon in my knee. Went to an orthopedic doctor had an MRI done of the knee he said there was a slight tear in the meniscus it might get better and make it worse it may stay the same. Started PT to help strengthening the back even though the back pain subsided you could see the nerve jumping on my knee where it actually was moving my shorts, the PT looked at me immediately and said it was nerve damage ,He then told me there was nothing that he could do or could be done. Over the last 11 years it really didn’t bother me and on some days it was better than others .
Started to get back pain early last spring and then I had a pain management doctor give me nine Cortizone shots in six months. After the last shots I didn’t go back anymore and then five months after started to develop severe pain in my hips where I could even climb a flight of steps. I went to see a back surgeon that said I had spinal stenosis and had a lumbar laminectomy which didn’t solve anything . Now the pain radiates down through my lower back into my left leg like it feels like severe sciatica. Went back to see the neurologist shortly before Christmas and he did another EMG and said that I need to PRP in my back which I knew was a laughable diagnosis .
I’ve been to the ER room numerous times and now they’ve got me labeled. There have been times that I haven’t even asked for pain medicine when I brought to the ER only to find out what was wrong with me of course they don’t do any testing in the ER and that was my mistake thinking they would.
The pain has gotten really bad over the last month or two so I figured my only option was to get on the medical marijuana program and hopefully the pain will subside and I can find a doctor that can diagnosed me correctly because as of now I’ve been to three neurologist three pain management doctors and no one seems to be able to know what to do or help me or give me the right diagnosis which is quite frustrating .
I plan on get on The medical marijuana program and going with the high CBD low THC Indica .
Hoping to get off the gabapentin and getting some rest and getting back to work and finding a doctor that can figure out this nerve problem .
Thank you for your advice quite detailed and I appreciate it you seem to be very knowledgeable in your field if you knew how to read an EMG i would email it yo you .
You and John seem to give out great advice I’m sure everyone appreciates it
Thank you once again !!

Wolf wanted to get your advice on something . I’m 61 when I was 38 I developed symptoms of Frequent urination without emptying my bladder and just constant peeing and feeling if my bladder was full all the time. My eurologist just at that time diagnosed me with an large prostate and wanted to remove my prostate at the age of 38. I have course got a second opinion and that doctor started me on proscar and all my symptoms were relieved including low back pain which was excruciating.
As I mentioned I had back surgery in October had no relief in sight actually things have gotten worse. I went back to my urologist because I was thinking that possibly enlarge prostate might be contributing to my symptoms a back pain. He examined me and said that my prostate was huge that I was actually in the top 5 percentile. He prescribed an antibiotic for UTI infection and medicine to increase my urine flow but nothing to decrease the size of my prostate he wanted to wait 30 days I am 100% sure that my low back pain has something to do with my prostate.
Any advice?

Wolf , I think I mentioned that I had back surgery , of course it’s been difficult with oxycode with withdrawal. I went off cold turkey on Christmas Day . For a month buy the back ache and also hip pain I now Attribute to the with drawl. I just saw a new drug called lucemyra can you give me some info with your back ground getttib very difficult