Back Pain/Neck Pain

Back Pain/Neck Pain

conditions back neck pain header

80% of Americans have lower back pain at some time in their life. It can be caused by several things such as a sprain, muscle spasm, joint problems, spinal stenosis, arthritis or disc problems. Pain can also develop from an injury or as a result of aging. Lower back pain is often episodic and may come on because of a change in position or movement.

Spinal Stenosis

Lumbar spinal canal stenosis is a narrowing of the space in the lower spine, which squeezes the nerves that branch down into the legs. This may cause back or leg pain, numbness, and weakness. The pain may increase with standing or walking. Arthritis, falls, accidents and wear and tear on the bones and joints in the spine all play a part in this condition. Spinal stenosis is due to aging and found most often in those over 50.

Degenerative Disc Disease

Discs are soft cushions with a gel center between the vertebral bones of the spine. With aging, they become flatter and less cushiony. If a disk weakens to the point that the cover around it tears, the inside portion may push through (herniate) and press on the nerve beside it. Herniated discs (sometimes called slipped discs) are most common in the lumbar or cervical spine, occurring in people in their 30s and 40s. When a disc presses on a lumbar or cervical nerve it can cause pain in the back, legs or arms. The extremities may become numb or tingly. Activity can aggravate the situation while rest can help improve it. Coughing, sitting, driving, and bending forward or neck constriction may also make the pain worse.

Neck Pain

Most neck pain occurs in the occipital, cervical or upper back area, often the result of sprains or strains. Whiplash is a neck injury caused by an impact from the rear such as a motor vehicle accident. This may result in fracture, subluxation, joint instability, disc herniation or facet impingement. Arthritis, bone spurs, and spinal stenosis also cause neck pain

Back/Neck Pain and Cannabis

NOTE FOR FIRST TIME READERS: Cannabinoids – such as THC, CBD – and terpenes are the main medically active components in cannabis (aka marijuana). For more information on these components and much more about the plant, see our section on the Science of Cannabis.

A 2005 UK study of the therapeutic role of cannabis (aka marijuana) for back pain due to degenerated discs found that: “64.7% of the patients stated the symptoms of their illness to have ‘much improved’ after cannabis ingestion, 29.4% stated to have ‘slightly improved’. 76.4% stated to be ‘very satisfied’ with their therapeutic use of cannabis.”

Cannabis is especially helpful for neuropathic pain and inflammation, which results by the pressure of a slipped disk upon a nerve. It can often reduce the amount of prescription opiates required, as it has a synergistic effect with pain medications. And it can help with the side effects of other medications, such as nausea, dizziness or gastrointestinal upset.

There are multiple delivery systems for cannabis to treat back pain, including topical marijuana, which is non-psychoactive (won’t get you high). Many patients are prescribed a number of pills including muscle relaxant, opiate painkillers and NSAID anti-inflammatory medication. Cannabis can replace all of these as a single herbal medicine. Some patients take a daily dose one to three times per day as their ongoing anti-inflammatory treatment. For neck problems, cannabis can relieve muscle spasms in the neck muscles as well as pain and inflammation. It can be used internally and/or topically, applied directly to the affected area to provide relief without psychoactive effects.

References      

Bhattacharyya M. Back pain due to degenerated disc – Any therapeutic role of cannabis. J Bone Joint Surg Br. 2008, 90-B no. SUPP II 22.

Silveira JW. Protective effects of cannabidiol on lesion-induced intervertebral disc degeneration. PLoS One. 2014, 9(12): e113161.

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