cbd oil for sacroiliac joint

Coping with Sacroiliitis

The sacroiliac joints are located at the bottom of the spine where it joins to the pelvic bones. These joints play an important role in the movement of the lower limb. Just like most joints in our body, the sacroiliac joints can be injured. When injury occurs to these joints, a condition called sacroiliitis may develop. Sacroiliitis simply means inflammation of the sacroiliac joints.

The symptoms of sacroiliitis vary from person to person, however most patients complain of lower back or buttock pain which may extend down one or both legs and groins. These symptoms may be aggravated by prolonged sitting and standing. This is especially important for professional truck drivers, as they spend many hours sitting behind the wheel. The prolonged sitting as well as the constant bouncing from the truck seem to increase or even cause sacroiliitis.

Other factors such as stair climbing, running or standing on one leg may also increase the intensity of the symptoms. There are many possible causes of sacroiliitis. The most common cause of this condition is a traumatic injury such as a car accident or a slip or fall.

In this case, the joint and surrounding soft tissues may be injured. Arthritis or wear and tear can also occur in the sacroiliac joints, which may lead to inflammation. Other conditions such as pregnancy or infection may also lead to sacroiliac joint irritation and subsequently inflammation. The diagnosis of sacroiliitis is usually arrived at after conducting a detailed medical history and physical examination.

During the examination, the doctor will perform several orthopedic tests, which are designed to put stress on different structures in your lower back and pelvis. In addition, your doctor will palpate the soft tissues and bones in the surrounding area in order to pinpoint the location of the pain. If necessary, your doctor may request an X-ray or MRI to better visualize the injury site.

The treatment of sacroiliitis really depends on the severity of the symptoms as well as the underlying cause of the condition.

Over-the-counter pain relievers, muscle relaxants and anti-inflammatory medications are usually the first-line treatment.

If this is unsuccessful, physical therapy, chiropractic care and massage therapy may be recommended. A corticosteroid injection directly into the joint to reduce the inflammation may also be suggested by your doctor.

Finally, if all other forms of treatment do not relieve the pain and inflammation, your doctor may recommend a joint fusion in which the two bones of the sacroiliac joint are surgically fused together.

What I recommend to my patients who are suffering with sacroiliitis is to first of all rest the joints in order to give them a chance to heal.

Next, a combination of ice application and over-the-counter pain relievers may be used as needed. It is important to consult with your doctor or pharmacist before taking any new medications in order to avoid unwanted drug interactions. The good news is that in most cases, sacroiliitis will resolve with in three to six weeks.

I also recommend that professional truck drivers try to get out of their trucks and walk around as much as possible. This practice significantly reduces the changes of developing sacroiliitis. Until next time, drive safely.

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A client of mine does not want to take anything for her Sacroilitis, but it’s thinking about using marijuana

My wife goes to a Paincare clinic and they said she will always have this pain. Now she is taking Norco, Flexeril and other pain relievers. She is now thinking of medical marijuana, any thoughts. I am totally beside myself in confusion
V/R. Al

Give cbd oil a try (non psycho active molecule in pot). I have not seen any improvement from pot edibles. Yoga is more effective for me.

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Give cbd oil a try (non psycho active molecule in pot). I have not seen any improvement from pot edibles. Yoga is more effective for me.

I’m a truck driver, been driving for 12years, I had a fall while working at my home splitting some wood ,I lost my footing and fell one log found my hip and another found my middle lower back I have had 3 steroid shots, one in my back ,one at my hip and one at my front thigh trying to stop nerve pain in the in the front my leg and also goes to my knee. But never had a shot directly in joint, do you think I should try that? Had my injury 5 months ago still having nerve pain from femoral nerve and have been told I have sacorilliac joint disease.

Would Medical Marijuana Help My Joint Pain?

Unfortunately, joint pain is pervasive in aging people and even some younger individuals, with more than 100 types of the disease that affect people of all races, sexes, and ages. It’s the most common form of disability in the U.S., and it inevitably affects quality of life. People living with arthritis often find themselves uncomfortable or in pain for much of the day.

While patients want relief, many are wary about the potential side effects of pharmaceutical treatment options and wish to pursue other routes. That’s why it’s so helpful to know about medical marijuana benefits for joint pain. Medical marijuana is an often useful treatment route for arthritis pain, so we pulled together some information to help you decide whether it’s the right option for you.

Is Medical Marijuana Good for Joint Pain?

According to the CDC, arthritis affects 350 million people worldwide and 54 million in the U.S., and a known cure does not exist. So, can marijuana help with chronic joint pain? Scientists have found that cannabis does ease symptoms of arthritis, and that science backs what has been anecdotal information for years.

Recent research has shown that cannabis can reduce both pain and inflammation. Patients in studies have noticed a reduction in their pain not only when they’re at rest, but also during movement. Improved sleep quality has also been reported. Furthermore, studies on mice have shown that cannabis can reduce the progression of arthritis by modulating the immune system.

With almost immediate pain relief from medical marijuana and a higher ability to manage pain, patients are reporting their overall quality of life has drastically improved.

Types of Marijuana Administration for Joint Pain

Both major cannabinoids — cannabidiol (CBD) and tetrahydrocannabinol (THC) — have been shown to decrease patient pain. Hundreds of strains are available, which means any patient can find a version that works best for them and treats the right side effects. Additional marijuana benefits for joint pain can include an enhanced appetite, improved mood, and relief from insomnia associated with pain. Certain strains help more than others in treating each of these issues.

Many patients have found relief through different forms of administration, including a topical form of the medical weed that come in creams, ointments, and lotions and can be applied to specific affected areas without psychoactive effects. These methods — including oils, sprays, and others — are all available for patients suffering from joint pain. With the help of a certified physician, each patient should experiment to find the method that improves their life the most.

Contact Regional Orthopedics

If you’re wondering whether medical marijuana can help your chronic joint pain, the answer is yes. Discuss your unique situation with a doctor by contacting Regional Orthopedics to set up an appointment with Dr. Husain, our pain management specialist. He’ll walk through the many options with you and help answer your questions about using medical marijuana for joint and arthritis pain.

Women Increasingly Turn to CBD, With or Without Doc’s Blessing

When 42-year-old Danielle Simone Brand started having hormonal migraines, she first turned to cannabidiol (CBD) oil, eventually adding an occasional pull on a prefilled Δ-9-tetrahydrocannabinol (THC) vape for nighttime use. She was careful to avoid THC during work hours. A parenting and cannabis writer, Brand had more than a cursory background in cannabinoid medicine and had spent time at her local California dispensary discussing various cannabinoid components that might help alleviate her pain.

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A self-professed “do-it-yourselfer,” Brand continues to use cannabinoids for her monthly headaches, forgoing any other pain medication. “There are times for conventional medicine in partnership with your doctor, but when it comes to health and wellness, women should be empowered to make decisions and self-experiment,” she told Medscape Medical News.

Brand is not alone. Significant numbers of women are replacing or supplementing prescription medications with cannabinoids, often without consulting their primary care physician, ob/gyn, or other specialist. At times, women have tried to have these conversations, only to be met with silence or worse.

Take Linda Fuller, a 58-year-old yoga instructor from Long Island who says that she uses CBD and THC for chronic sacroiliac pain after a car accident and to alleviate stress-triggered eczema flares. “I’ve had doctors turn their backs on me; I’ve had nurse practitioners walk out on me in the middle of a sentence,” she told Medscape Medical News.

Fuller says her conversion to cannabinoid medicine is relatively new; she never used cannabis recreationally before her accident but now considers it a gift. She doesn’t keep aspirin in the house and refused pain medication immediately after she injured her back.

Diana Krach, a 34-year-old writer from Maryland, says she’s encountered roadblocks about her decision to use cannabinoids for endometriosis and for pain from Crohn’s disease. When she tried to discuss her CBD use with a gastroenterologist, he interrupted her: “Whatever pot you’re smoking isn’t going to work, you’re going on biologics,” he told her.

Krach had not been smoking anything but had turned to a CBD tincture for symptom relief after prescription pain medications failed to help.

Brand, Fuller, and Krach are the tip of the iceberg when it comes to women seeking symptom relief outside the medicine cabinet. A recent survey in the Journal of Women’s Health of almost 1000 women show that 90% (most between the ages of 35 and 44) had used cannabis and would consider using it to treat gynecologic pain. Roughly 80% said they would consider using it for procedure-related pain or other conditions. Additionally, women have reported using cannabinoids for posttraumatic stress disorder, sleep disturbances or insomnia, anxiety, and migraine headaches.

Observational survey data have likewise shown that 80% of women with advanced or recurrent gynecologic malignancies who were prescribed cannabis reported that it was equivalent or superior to other medications for relieving pain, neuropathy, nausea, insomnia, decreased appetite, and anxiety.

In another survey, almost half (45%) of women with gynecologic malignancies who used nonprescribed cannabis for the same symptoms reported that they had reduced their use of prescription narcotics after initiating use of cannabis.

The Gray Zone

There has been a surge in self-reported cannabis use among pregnant women in particular. The National Survey on Drug Use and Health findings for the periods 2002–2003 and 2016–2017 highlight increases in adjusted prevalence rates from 3.4% to 7% in past-month use among pregnant women overall and from 5.7% to 12.1% during the first trimester alone.

“The more that you talk to pregnant women, the more that you realize that a lot are using cannabinoids for something that is basically medicinal, for sleep, for anxiety, or for nausea,” Katrina Mark, MD, an ob/gyn and associate professor of medicine at the University of Maryland, in College Park, Maryland, told Medscape Medical News. “I’m not saying it’s fine to use drugs in pregnancy, but it is a grayer conversation than a lot of colleagues want to believe. Telling women to quit seems foolish since the alternative is to be anxious, don’t sleep, don’t eat, or use a medication that also has risks to it.”

One observational study shows that pregnant women themselves are conflicted. Although the majority believe that cannabis is “natural” and “safe” compared with prescription drugs, they aren’t entirely in the dark about potential risks. They often express frustration with practitioners’ responses when these topics are broached during office visits. An observational survey among women and practitioners published earlier this year highlights that only half of doctors openly discouraged perinatal cannabis use and that others opted out of the discussion entirely.

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This is the experience of many of the women that Medscape Medical News spoke with. Krach pointed out that “there’s a big deficit in listening; the doctor is supposed to be working for our behalf, especially when it comes to reproductive health.”

Mark believes that a lot of the conversation has been clouded by the illegality of the substance but that cannabinoids deserve as much of a fair chance for discussion and consideration as other medicines, which also carry risks in pregnancy. “There’s literally no evidence that it will work in pregnancy [for these symptoms], but there’s no evidence that it doesn’t, either,” she told Medscape Medical News. “When I have this conversation with colleagues who do not share my views, I try to encourage them to look at the actual risks vs the benefits vs the alternatives.”

The “Entourage Effect”

Data supporting cannabinoids have been mostly laboratory-based, case-based, or observational. However, several well-designed (albeit small) trials have demonstrated efficacy for chronic pain conditions, including neuropathic and headache pain, as well as in Crohn’s disease. Most investigators have concluded that dosage is important and that there is a synergistic interaction between compounds (known as the “entourage effect”) that relates to cannabinoid efficacy or lack thereof, as well as possible adverse effects.

In addition to legality issues, the entourage effect is one of the most important factors related to the medical use of cannabinoids. “There are literally thousands of cultivars of cannabis, each with their own phytocannabinoid and terpenic profiles that may produce distinct therapeutic effects, [so] it is misguided to speak of cannabis in monolithic terms. It is like making broad claims about soup,” writes coauthor Samoon Ahmad, MD, in Medical Marijuana: A Clinical Handbook.

Additionally, the role that reproductive hormones play is not entirely understood. Reproductive-aged women appear to be more susceptible to a “telescoping” (gender-related progression to dependence) effect in comparison with men. Ziva Cooper, PhD, director of the UCLA Cannabis Research Initiative, told Medscape Medical News. She explained that research has shown that factors such as the degree of exposure, frequency of use, and menses confound this susceptibility.

It’s the Data.

Frustration over cannabinoid therapeutics abound, especially when it comes to data, legal issues, and lack of training. “The feedback that I hear from providers is that there isn’t enough information; we just don’t know enough about it,” Mark said, “but there is information that we do have, and ignoring it is not beneficial.”

Cooper concurs. Although she readily acknowledges that data from randomized, placebo-controlled trials are mostly lacking, she says, “There are signals in the literature providing evidence for the utility of cannabis and cannabinoids for pain and some other effects.”

Other practitioners told Medscape Medical News that some patients admit to using cannabinoids but that they lack the ample information to guide these patients. By and large, many women equate “natural” with “safe,” and some will experiment on their own to see what works.

Those experiments are not without risk, which is why “it’s just as important for physicians to talk to their patients about cannabis use as it is for patients to be forthcoming about that use,” said Cooper. “It could have implications on their overall health as well as interactions with other drugs that they’re using.”

That balance from a clinical perspective on cannabis is crucial, writes coauthor Kenneth Hill, MD, in Medical Marijuana: A Clinical Handbook. “Without it,” he writes, “the window of opportunity for a patient to accept treatment that she needs may not be open very long.”

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