And we have a long way to go before we fully understand the relationship between CBD and pain regulation. But strong anecdotal evidence, combined with multiple lab tests and even some clinical trials, have established that CBD holds a lot of promise for pain relief. Or in science-speak, CBD “represents a novel class of therapeutic agents for the treatment of chronic pain.”
Our pick for Best Customer Experience is Fab CBD, a brand that offers high-quality CBD products at a reasonable price and provides additional perks for shoppers. The company’s CBD oil is available in four concentrations, ranging from 240mg to 1,500mg, which makes the oil suitable for those with light to moderate insomnia symptoms. The oil is available in natural, mint, and citrus flavors; prices range from 11 to 26 cents per mg, depending on the concentration. Fab CBD also offers edible gummies and a CBD topical oil.
Dr. Cohen has found that chronic conditions including autoimmune diseases and pain syndromes can be helped with a 6-mg under-the-tongue tincture (the fastest delivery system) or a 25-mg capsule taken twice a day. Dosages for topical products like lotions are especially hard to determine—there’s no clarity on how much CBD gets into the system through the skin.
So when people began touting the benefits of CBD for pain, it was a big deal. A non-addictive substance that can ease pain without making you feel high or groggy? It’s easy to see why CBD has been making so many waves. In fact, cannabis plants have a long history as a pain reliever. Whether or not it’s true that Queen Victoria took CBD-rich cannabis to help with menstrual cramps, it is certainly true that her royal physician, Sir J. Russell Reynolds, listed cannabis as “one of the most valuable medicines we possess.” Victorian doctors aside, there are also ancient Assyrian and Ayurvedic manuscripts that recommend cannabis for pain.
The unflavored oil is derived from organic hemp seed oil. It is considered both vegan and gluten-free, and does not have any artificial sweeteners or preservatives. The oil contains 0.3% THC, meaning those who face the possibility of drug tests may want to avoid taking it, but this relatively small amount produces little, if any, psychoactive effect. The price per mg is $0.11, making the Spruce Lab Grade CBD Oil less expensive than average.
There are likely very complex relationships also occurring between various Cannabinoids in Cannabis that may lead to certain medical efficacy. That is important to remember when considering the consumption of products that contain Cannabinoids. There is an attractiveness to isolating a specific chemical, researching it, patenting synthetic derivatives, and marketing specific drugs. That said, the relationships are complex, will likely take years to understand, and many patients I’ve met appear to find the most medical benefit from a diverse group of Cannabinoids whose interactions are not particularly well understand, but the results are hard to argue with.
Hemp oil does have a number of uses and is often marketed as a cooking oil or a product that is good for moisturizing the skin. It is also used in the production of certain soaps, shampoos, and foods. It is also a basic ingredient for bio-fuel and even a more sustainable form of plastic. Hemp has been cultivated and used for roughly 10,000 years, and it definitely has useful purposes. However, a lack of cannabinoids, namely CBD, means that it has little therapeutic value.
Most human studies of CBD have been done on people who have seizures, and the FDA recently approved the first CBD-based drug, Epidiolex, for rare forms of epilepsy. Clinical trials for other conditions are promising, but tiny. In one Brazilian study published in 2011 of people with generalized social anxiety disorder, for example, taking a 600-mg dose of CBD (higher than a typical dose from a tincture) lessened discomfort more than a placebo, but only a dozen people were given the pill.
“Buying from a reputable manufacturer is crucial, because it matters how the plant is cultivated and processed,” Dr. Maroon says. One clue that a company is cutting corners: too low a cost. Good CBD is pricey—a bottle of high-quality capsules is sold in Cohen’s office for $140. But for many, it’s worth the money. Roth spent $60 on her tiny bottle. But when her energy returned the day she started taking CBD, she decided that was a small price to pay.
Luckily, it’s possible to procure CBD oil that has no THC in it. Products made from CBD Isolate or Broad Spectrum CBD can be good options if you want to avoid THC. In fact, some of the best CBD products for pain include topical salves that can be made from isolate CBD oil. Just be sure to check out third-party lab reports to ensure you’re getting exactly what you pay for. And keep your eyes peeled for future research on CBD for pain.