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Pain Strains
Cannabis and Chronic Pain

Overview

If an alien came down from space and asked you to define “pain,” how would you respond? We’ve all had it. We know it’s awful. But, defining it is another story. How do you define a highly subjective experience? Those who live with pain on a near daily basis will likely describe it as “debilitating,” “exhausting,” and “intolerable.” Describing it easy, but defining it is more difficult. The International Association for the Study of Pain (IASP) offers a useful definition: “[Chronic pain] is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage.”

20 percent of American adults report suffering from chronic pain, a staggering number that is only expected to increase over coming years. As science advances, it may seem incomprehensible that more people will suffer from chronic pain in the future than they do now. But, paradoxically, as science advances, people live longer and survive conditions that previously would have ended their lives. Conditions such as cancer, severe injuries, HIV, that were once a death sentence are now treatable. And, while the patients survive, they’re often left to deal with severe persistent neuropathic pain.

Legal medical marijuana is available to more than half of America. Given how widespread chronic pain is and how limited truly efficacious treatment options are, predictably, an increasing number of sufferers are turning to cannabis to treat their condition.

However, whether cannabis is right for you is a highly personal decision. What works for others, may not be appropriate for your situation. Likewise, deciding on whether cannabis should be an adjunctive therapy to your your current treatment protocol or a replacement, is yet another consideration.

We have accumulated more evidence supporting a therapeutic role for cannabis to treat chronic pain than we have for most other conditions. Nonetheless, before you decide to use cannabis, it’s important you develop a fundamental understanding of the dynamics of chronic pain, and how cannabis may (or may not) fit into your treatment program.

What is Chronic Pain?

Broadly speaking, if you have pain that has persists for more than three months and has not been relieved by medical or surgical care, you may have a chronic pain condition. Chronic pain is a condition characterized by generalized muscle or nerve pain, that persists well beyond reasonable expectations of recovery; it affects 100 million Americans — approximately two out of five adults.  

Nociceptive - Caused by tissue damage or inflammation, it is usually described usually described as sharp, aching, or throbbing pain.  

Neuropathic - Caused by nervous system damage or malfunction. Sufferers commonly describe the pain as causing numbness or a burning sensation.

Conditions and Diseases Associated with Chronic Pain:

  • Fibromyalgia
  • Rheumatoid arthritis
  • HIV/AIDS
  • Cancer
  • Spinal diseases
  • Complex regional pain syndrome (CRPS)
  • Recurrent headache, including migraines
  • Painful neurological disorders resulting from damage to the nerves

Issues Commonly Caused by Chronic Pain:

  • Immobility, followed by wasting of muscle and  joints
  • Health issues from immune system issues that can cause increased vulnerability to disease
  • Insomnia and sleep disturbances
  • Depressed appetite and poor diet
  • Dependence on medications.
  • Job performance issues
  • Isolation from friends and family
  • Fear and anxiety
  • Depression which can become severe leading to a higher risk of suicide

What Causes Chronic Pain?

Anyone can develop chronic pain, although it most commonly affects older adults and people with health conditions like diabetes, arthritis, or back problems. There are also a number of specific diseases that associated with chronic pain, including shingles, diabetes, blood vessel problems, HIV, and most types of cancer. While treatment may cure one of these diseases, it’s common for chronic pain symptoms to persist.

Treatment may bring the disease under control, or even cure it completely, but the chronic pain persists. Similarly, in the event a pain-inducing disease may not be able to be cured, does not mean the pain cannot be mitigated. Effective pain management requires ongoing attention in conjunction with a qualified medical professional.

What Treatments Are Available to Treat Chronic Pain?

  • Antidepressants
  • Anticonvulsant analgesic
  • Nonsteroidal
  • Anti-inflammatory drugs
  • Opioids

The downside of these treatments is that for many patients they are only nominally effective and can come with intolerable and potentially debilitating side effects, including:

  • Constipation with opioids
  • Gastrointestinal issues
  • Cardiovascular damage from NSAIDs

Because of the unpredictable efficacy, often intolerable side effects, and risk of addiction, an increasing number of patients are turning to cannabis.

How Does Cannabis Treat Chronic Pain?

The endocannabinoid system (ECS) is responsible for a number of physiological functions related to health, including pain modulation and inflammation. The ECS, through two receptors, CB1 and CB2, help modulate a variety of functions, including:

CB1: Appetite, muscle control, pain, cognition, and reward

CB2: Immune function, cell proliferation, inflammation, and pain

When you ingest cannabis, cannabinoids such as THC and CBD, act on the endocannabinoid system’s receptors and periphery to provide anti-inflammatory and analgesic effects.

“I believe that the reason we and all animal species have the complex system of cannabinoid receptors and endocannabinoids is to help us modulate the experience of pain,” notes Dr. Donald Abrams, professor of clinical medicine at the University of California, San Francisco and chief of hematology & oncology at San Francisco General Hospital. “It is no wonder, therefore, that the plant cannabinoids also seem to have a significant analgesic activity.”

How Effective Are Cannabinoids in Treating Chronic Pain?

Over 200 studies have been conducted evaluating the efficacy of cannabis and cannabinoid-derived formulations to treat chronic pain conditions. One comprehensive systematic study conducted by Harvard professor and addiction psychiatrist, Dr. Kevin Hill, reviewed 28 well-designed studies. The author concluded, “[The] use of marijuana for chronic pain, neuropathic pain, and spasticity due to multiple sclerosis is supported by high-quality evidence.”

Summary of Key Findings:

  • Six out of six general chronic pain studies demonstrated significant improvement in symptoms.
  • Five out of five neuropathic pain studies found a significant improvement in symptoms. (Three out of five studies investigated “smoked” cannabis, while two examined an oral spray preparation).

Canadian researchers came to similar conclusions in their 2011 Review Study of 18 trials, identifying 15 trials that demonstrated efficacy in treating chronic non-cancer pain. They noted several trials reported significant improvements in sleep, with no serious side effects. Further, the studies found just a few adverse effects which were mild to moderate and well tolerated.  

Can Cannabis Help Patients Eliminate (Or Reduce) Opioids?

In recent years, North America has been ravaged by an ever-growing epidemic: opioids. Since Purdue Pharma brought OxyContin to the market in the mid 1990s, prescriptions have increased four-fold. Following the increase in prescriptions, rates of heroin addiction and the number of opioid-related overdoses have skyrocketed.

Data from the Centers for Disease Control (CDC) illustrate how dire the situation is:

  • Fatal overdoses have increased by 400%: sales and overdoses of prescription opioids quadrupled between 1999 and 2014.
  • More than 165,000 people have died in the U.S. from overdoses related to prescription opioids between 1999 and 2014
  • At least half of all U.S. opioid overdose deaths involve a prescription opioid.
  • More than 14,000 people died from overdoses involving prescription opioids in 2014.

Evidence suggests opioids are only effective for acute pain, and many patients find they must progressively increase their dosage to achieve the same effect; within a short period of time, their pain isn’t responsive to opioid treatment.

How could medical marijuana help? By providing an efficacious substitute to opioids, or helping patients reduce their opioid intake. The Centers for Disease Control argue that the overprescribing of opioid is fueling the epidemic, so it would be a sensible strategy to encourage physicians to consider cannabis as an alternative (or, adjunct) to opioid-based treatment programs.

Cannabis Acts Synergistically With Opioids

There is evidence that cannabis (or, more specifically, cannabinoids) may act synergistically with opioids, allowing patients to lower dosage of opioids while achieving comparable pain relief.

Dr. Abrams conducted a small study to investigate cannabis as an opioid potentiator. His team found that while vaporized cannabis didn’t affect morphine or oxycodone blood levels, patients reported (on average) a 27% decrease in pain. By augmenting “the analgesic effects of opioids without significantly altering plasma opioid levels,” Abrams and his team concluded vaporized cannabis produces a “synergistic effect.”

“We have studied the effectiveness of cannabis in painful nerve damage (neuropathy) as well as in combination with opiates. From my own oncology practice I am impressed that cancer patients are able to decrease their use of narcotic analgesics when adding in cannabis medicines.” — Dr. Abrams

Dr. Mike Hart, Head Physician at Marijuana for Trauma (Ontario, Canada), agrees: “In my clinical practice I frequently work with patients who are able to significantly reduce their dependence on opioids,” said Dr. Hart. “In hundreds of cases, I’ve seen patients who’ve been able to wean off them altogether by integrating cannabis into their treatment protocol.”

Cannabis Can Reduce Opioid Use

Studies support the role of cannabis as part of a strategy to reduce opioid use. A University of Michigan March 2016 Study provided evidence that cannabis may be superior to opioids and provide a valuable harm reduction strategy.

Cannabis use by chronic pain patients was associated with the following outcomes:

  • Decrease in Opioid Use: 64% lower opioid use
  • Quality of Life: Cannabis use associated with improved quality of life
  • Reduces Side Effects: Reduction in side effects from other medications

The authors also noted that previous studies found that when states enacted medical marijuana laws, they went on to experience (on average) a 25% decline in fatal opioid overdoses.

Dr. Daniel Clauw, one of the study’s researchers and a professor of pain management anesthesiology at the University of Michigan Medical School, commented: "We are learning that the higher the dose of opioids people are taking, the higher the risk of death from overdose. This magnitude of reduction in our study is significant enough to affect an individual's risk of accidental death from overdose."

“Cannabis can play an important role in pain relief — with or without opiates — and, given the epidemic level of opioid overdoses, clearly more physicians should seriously consider cannabis as part of their patients’ therapeutic protocol. Not to, would be irresponsible, if not unethical.” — Dr. Michael Hart, Marijuana for Trauma

Case Study: Kevin Ameling, A Real World Success Story

A “real-world” success story comes from Kevin Ameling, a chronic pain patient who now works for the IMPACT Network in Colorado (a cannabis research advocacy non-profit), is a success story. After getting injured from a fall in 2007, his doctor prescribed him a combination of prescription drugs that included Clonazepam, Tramadol, Lexapro, and OxyContin.

As his chronic pain progressed, Ameling had found the drugs to be less effective, particularly the OxyContin. A resident of Colorado, he became a medical marijuana patient. Cannabis helped him reduce reliance on on prescription drugs, allowing him to cut his dosages significantly:

  • Clonazepam: 3 mg to .5mg
  • Lexapro: 30 mg to 5 mg
  • Tramadol: 300 mg to 75 mg
  • OxyContin: Reduced daily intake by more than 50% (and, reports being able to skip doses)

“I was well aware of the dangers associated with benzodiazepines and opioids, and didn’t want to be a statistic. OxyContin became less effective and I didn’t want to up my dosage,” recounts Ameling. “By using cannabis as an adjunct to my therapy, I was able to cut back on all my medications. Most impressively, while reducing my OxyContin intake, it didn’t become less effective, and in fact, I believe cannabis allows OxyContin to be maintain efficacy far longer than typical.  

Ameling noted everyone responds differently, but for him, “low dose edibles work much better than smoking. In fact, smoking seems to worsen my symptoms, while edibles clearly improve them.”

Final Considerations & Tips

Chronic pain sufferers have turned to cannabis for years, long before more than half of the U.S. legalized medical marijuana. Encouragingly, over recent years, research is starting to catch up — although far more is needed — and, an ever-increasing body of evidence validates what medical marijuana chronic pain patients have known for years.

While the evidence is compelling — particularly for the treatment of neuropathic pain — it’s important for patients to recognize that strains can vary considerably in chemical composition. Moreover, choice of delivery device influences outcomes. It may take a little trial and error before you find the most effective strain and preferred form of administration. Most importantly, if you are currently using opioids, it would be unwise to radically change your treatment protocol without professional medical supervision.

Key Tips:

  • Administration Method Matters: Keep in mind that method of administration is important. An edible will have a different effect than vaporizing. Vaporizing will elicit different effects from a tincture. And, of course, prescription formulation. While anecdotally, many patients report a preference for edibles, everyone is different, so you may want to experiment with different methods until you find what works best.
  • It May Take Some Trial & Error: Different strains will elicit different effects that are THC and CBD dose-dependent Further, differing ratios of THC will impact the effect. Similar to how people respond differently to the same drug, people will have different experiences that may be affected by the diverse composition among strains.
  • Most (But, Not All) Patients Prefer Indica: A 2016 study published in the Journal of Studies in Drugs and Alcohol found that pain patients preferred indica strains over sativa.
  • Exercise Caution If Currently Using Opioids: If you’re currently taking prescription opioids, exercise caution as withdrawal from opioids can be severe. Protocol changes should be monitored by a physician. Withdrawal from opioids can be severe!

Dr. Michael Hart, head physician at Marijuana for Trauma in Canada, advises: “When considering cannabis to treat chronic pain, the adage — less is more — rings true. Patients seem to find more relief in Indica strains which are higher in THC than most Sativa or Hybrid strains. But, what we’ve found is that these strains can be highly effective in low to moderate doses, but could actually make pain worse in higher doses. So it’s important to start low, and titrate up as appropriate.”
 

References

Cannabis & Pain Management

Donald I. Abrams, MD.  

Department Anesthesia, Psychiatry, Dalhousie University, Halifax, Canada. Mary Lynch, MD; et, al.

Harvard Medical School. Kevin Hill, MD.

Ethan Russo, MD.

Department of Pain Pharmacology, Polish Academy of Sciences. Barbara Przewlocka, Katarzyna Starowicz, Ph.D.

J Manzanares, MD; et, al.

Division of Hematology, Oncology and Transplantation and the Vascular Biology Center, University of Minnesota. Pankaj Gupta, MD; et, al.

Department of Psychological Brain Sciences, Indiana University. Andrea Hohmann, Ph.D., Ethan Russo, MD.  

 

Cannabis & Opioids

Centers for Disease Control.

Division of Hematology-Oncology, San Francisco General Hospital, University of California, San Francisco. Donald Abrams, MD; et, al.

National Center for PTSD, Veterans Affairs Palo Alto Health Care System. Marcel Bonn-Miller; et, al.

University of Michigan, Medical School. Kevin F. Boehnke, MD; et, al.

Department of Psychology, Ariel University, Ariel, Israel. D. Feingold, MD; et, al.

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Wikileaf fan
5:36, February 14, 2017
I choose to self medicate, I suffer from disk degeneration in my back. 3 years ago I herniated 4 disks at once and was barely able to walk for months. The only thing that would elevate my pain was to smoke weed, or take pain pills. The pill epidemic in my town is forceful and strong and easy to get caught up in. I chose life, and I chose to manage my pain through CBD and Smoking!
I consume for sight. There is nothing I love more than to pack up my rig, or roll a days worth of joints and take off on a trail to explore. The sounds are more clear, the smells envelope me, and the sights I see are more beautiful and felt when I am one with nature. Smoking with mother earth makes everything more clear!
Wikileaf fan
12:35, February 09, 2017
I was constantly on pain killers and sleep aids. My anxiety would leave me awake and I did not feel like I reached my full potential as a being. Ever since I went on cannabis, I have deeper thoughts and my mind opens up to so many answers I've never knew before. It is a truelly healing and loving experience and I never thought I would love myself now than I did before.
Wikileaf fan
7:04, February 07, 2017
I choose to consume because in 20 years of mental disorders this is the ONLY medication that has helped the symptoms yet allowed me to still be who I am...Vs a pill high zombie who can't function properly. That isn't an option when you have 3 kids. I smoke to relieve pain from my medical marijuana approved back problems, my anxiety, ptsd, to help me be able to eat by relieving nausea and to get some much needed rest from my insomnia.
#ichoosetoconsume
Wikileaf fan
12:42, February 06, 2017
Hi my name is Ashley I choose to eat edible eater I also dab cbd for pain in my back, but this story isn't about me it's about the love of my life my finance Ashley (yes we have the same name) she chooses to smoke to keep her anxiety under control it is really hard to travel but we love to this would be an opportunity of a life time to travel and not worry about her having her meds please let me win for me and her thank you for the opportunity
Wikileaf fan
12:13, February 05, 2017
I choose to consume in order to make it from one day to the next more comfortably. Since being diagnosed with stage 2B testicular cancer i have to constantly struggle with nausea and headaches. It also helps with the pain in my back due to the mass that was removed. From CBD to THC I consume to help stay healthy and happy!
Wikileaf fan
9:00, February 05, 2017
I choose weed not only for a creative mind, or even to relax but, I have a serious issues with depression, and when I get in that state of mind, I tend not to eat for certain amount of weeks. Also, I have scoliosis in my lower spine, which doesn\'t help me cause I can no longer sleep more than 4 hours. I consume it cause it helps me gain an appetite and it eases the pain for me to sleep.
Wikileaf fan
8:09, February 03, 2017
After having hip surgery I chose to use this as a root to stop my pain! I love my pax and my apothecanna lotion!
Wikileaf fan
4:14, February 02, 2017
Well, why I smoke! I smoke because of an back injury I received when I was young. Weed has helped me to not take dangerous pain pills. I've lost friends to pills and didn't want that to be me. I also don't sleep well and helps me get to sleep. I'd really like to see it shown in a better light. So many lives could be saved from proper Marijuana use.
Wikileaf fan
3:31, February 02, 2017
I choose to relax my mind and body with cannabis. It's my medicine since I do not consume pills for my pain.
Wikileaf fan
8:42, February 01, 2017
I love everything to do with marijuana. The Tricombs, aroma, different colors. It's a beautiful plant. I use pot to stay relaxed. I've been prescribed Benzo's to help my anxiety but I don't want to be restricted by a pill. The side effects are just on going and a downfall for people who are recovering addicts which I am. It helps my appetite since I lack on eating a lot. Makes my migraines go away. AND ITS NOT ONLY THE THC PART. CBDS saved me as well. I was born with my hips not aligned,they were able to fix it but once in a while the pain is unbearable. Putting some cbd cream after a shower and relaxing makes me so calm. My insomnia has been terrible since I was a child. Weed does help and so does applying CBD around my neck before bed n THC/CBD honey 1:1. I'm blessed that this plant is on earth!
Wikileaf fan
6:37, February 01, 2017
I choose to consume because I have ptsd and also pain from surgery that it helps ALOT i also choose to relax and like to wind down after a long day
Wikileaf fan
10:28, January 31, 2017
Im a 35 year old mother of three teenage boys. I have endometriosis. I had a partial hysterectomy and it spread to my ovaries. They see it on my kidneys and colon. I refuse the treatment of pain management with opiates. I love my kids so much. I want to be a grand parent someday. I think marijuana is giving me the strength physically and mentally to accomplish that.
Wikileaf fan
8:52, January 31, 2017
I choose to consume because, I had an epidural and they split a disc in my back also for insomnia eases pain in many ways pills cant.
Wikileaf fan
9:36, January 29, 2017
Me and my husband smoke together. He has ADHD and insomnia, I have anxiety and PCOS. We were both in a car accident and suffer from back pain. With cannabis, we can actually sleep, relax, and not be in pain.
Wikileaf fan
7:13, January 29, 2017
I choose to consume for my chronic back pain , to help spark creativity for my budding business and to escape the harsh realities of a Trump presidency!!!
Wikileaf fan
5:08, January 29, 2017
I chose to consume to alleviate the pain of fibromyalgia and sciatica. It also helps with depression and appetite.
Wikileaf fan
4:17, January 29, 2017
#Ichoosetoconsume because it brings out the creativity within myself, and it helps deal with chronic joint pain too! Nothing better than feeling good, and getting active.
Wikileaf fan
9:54, January 27, 2017
I have Crohn's disease and smoking helps me be able to relax when I'm going threw really bad days and can't eat or sleep I was diagnosed about 2 years ago and have been smoking just about ever since then I think that without smoking it would be really hard for me to get threw day by day I've struggled with my doctors to find some medicine that helps me but so far the only thing that's really help me make it day by day without being in a lot of pain is cannabis
Wikileaf fan
4:21, January 26, 2017
I consume because I choose to not have anxiety, to not be in constant pain, to be able to sleep through the night, and to eat a meal each day.
Wikileaf fan
2:09, January 26, 2017
I choose to consume to help with PTSD from a gunshot at the age of 9yrs old as well as pain relief and by God it just feels so fucking good.
Thank you....
Wikileaf fan
4:43, January 16, 2017
I use cannabis for anxiety, nausea, pain relief from DDD (degenerative disc disease), and most of all to chillax and be creative.
Wikileaf fan
8:06, January 15, 2017
I consume cannabis because I suffer from chronic pain due to a motor vehicle accident. It helps make the pain manageable and get's me through the day. Without cannabis I would be a different person, so happy to have it in my life!
Wikileaf fan
5:12, January 07, 2017
I choose to consume because of nerve pain. Without cannabis I would be sitting in a wheel chair. Thanks to marijuana I've been able to completely treat my pain, regain mobility, and not let a disease control me. I choose to consume because marijuana saved my life.
Wikileaf fan
7:02, December 30, 2016
As a family, we chose to consume for many reasons... pain relief, insomnia, ptsd, anxiety... we truly feel that marijuana can not only improve your quality of life, it could save your life as well. Mary Jane is a family member!
Wikileaf fan
10:53, December 20, 2016
I choose to headache and body pain
Wikileaf fan
11:27, December 16, 2016
I have undiagnosed chronic back pain from 7 years of football. For the past 3 years I've used Marijuana to help soothe the pain.
Wikileaf fan
11:25, December 14, 2016
Im a single dad with two lil girls id love to have my own plants instead of buying from street dealers i got hit bye a car at a young age deal with pain everyday .
Wikileaf fan
6:04, December 13, 2016
Like a lot of people I consume mostly at night after work. It is my nightly \"beer after work\". No hangover though. I also use as a helper for pain relief when I have migraines. No synthetic pain killer needed. Thank you for reading.
Wikileaf fan
4:01, December 09, 2016
Started smoking with my dad and his hippie friends as a teenager, now that I'm older and I have healthy problems, I have completely taken myself off of prescription antidepressants and anxiety meds and am only smoking marijuana for my pain, stress and anxiety and I feel wonderful!! The natural cannabis route is the way to go!!
Wikileaf fan
11:39, December 08, 2016
I choose to consume cannabis for multiple reasons. My main reason is because of the constant pain and nausea I get from PCOS. I've seen prescription addiction ruin lives of those close to me and they make me feel terrible! Without cannabis I would be in a lot of pain, I'm so grateful! Also, it helps me relax and boosts my creativity. I'm not much of a drinker and I love not waking up with a hangover!
Wikileaf fan
11:24, December 08, 2016
I choose relief from my chronic arthritis pain in my ankles and lower back. I am 24 years old living like a 90 year old when I'm sober. It hurts so much to walk I limp and have asked for a cane for Christmas, no joke. Only one Cortisone shot has worked before, lasted 6 months and that was when I was 19; every shot since hasn't taken. The only thing that helps is cannabis.
Wikileaf fan
10:36, December 08, 2016
I use for pain relief and I like it
Wikileaf fan
9:20, December 08, 2016
I choose to defeat social anxiety and chronic pain
Wikileaf fan
3:51, December 08, 2016

My name is Joseph and I choose to consume....bcuz 3 years ago i could barely get out of bed some days bcuz of Fibromyalgia(chronic pain disease). I quit cigs n McDs, began working out, continued to say no to pills and consumed only cannabis.

On April i left Oakland and WALKED to San Diego and then back up through to Gold Beach Oregon.

167 Days, 1530 Miles with 70 pounds in my backpack.

Ive dealt with mtn lion, hid from a bear, barely escaped a series of coves at high tide and had to race thru sea tunnels in Malibu with water waist high (and i cannot swim), had to do a controlled fall down a 30 foot cliff (deathly afraid of heights too), walked highways as semis flew past me with only inches to spare (the Pacific Coast Highway is no joke) and i barely missed 2 major wildfires.

I slept inside a redwood, in a fort made of driftwood on a beach, along lakes n lagoons n rivers n creeks n bays and the ocean.

Ive seen a gray whale n calf in Malibu, dolphins surrounding a paddleboarder, watched sea lions fall in love on a beach within inches from me, woke in a field surrounded by a herd of sleeping deer, woke n had 20 white lil butterflies all floating about me.

My trek has been all about
Fuck Fibro
Fuck Fear
Fuck Limitations
and most importantly
Fucking Thinking That You Cant

and when i tore a calf muscle in Pismo Beach at mile 350, i scored crutches and hobbled down highway 1 on them for a week because:
Quitting Is Not An Option.


And the ONLY thing i used Constantly to deal with the pains of Fibromyalgia is Cannabis.

I choose to consume because i choose to live. Because i choose to Not be stuck in bed contemplating suicide.

Thanx to cannabis i have a new life!

Wikileaf fan
10:02, December 07, 2016
I choose to smoke because it helps with my bladder condition. My bladder was hurt when I was in the Army. I also just found out i have a 50/50 chance that this tumor in my leg is cancerous. cannabis helps with the everyday pain that's constant. I also love edibles and i'm willing to learn more about it. my fiancé has type one diabetes and it helps with his blood sugar as well as his foot pain.
Wikileaf fan
5:34, December 07, 2016
I choose to consume because I suffer from chronic illness and it helps me cope the pain, the stress from the pain, and life in general. I also have grown to just plain enjoy the act of smoking itself.
Wikileaf fan
2:44, December 07, 2016
I consume because I am free to use cannabis. I also have a lot of back and shoulder pain.
Wikileaf fan
1:02, December 07, 2016
So in August of 2015 I had a table saw accident and had over 250 stitches on my left hand and to make things worse in August of 2016 I fell 30ft and broke 6 ribs, collapsed my right lung, messed up my right knee and shattered my right wrist and forehand. The hospital has had me on many opioids and I have found the CBDS do t work for pain. The higher the TCH value in marijuana the better it is for pain. The problem is that in the United States pain management clinics won't give you opioids if you smoke marijuana even if your doctor says it will help. They give me GABAPENTIN for the nerve pain in my left hand for the detached fingers but it really doesn't help unless I can mix it with using marijuana. I have to take a drug test every two weeks so smoking medical marijuana is out of the question even though I have my card in Arizona. Its been a rough go of things as of late and it doesn't seem to be getting any better
Wikileaf fan
8:13, December 04, 2016
I chose to consume because I have chrones, it replaces a plethora of pills I didn't need and keeps me healthy. Instead of being a zombie to pain meds I can function and care for my daughter.
Wikileaf fan
5:06, December 04, 2016
I consume to relax the muscles all over my body because I feel consistent pain ever since my accident in which I fractured my skull twice and broke my neck in 3 spots, and was dead when found and I like the pain releaving effects over opiate pain killers
Wikileaf fan
12:37, December 03, 2016
My back pain is unbearable, prescriptions make me feel terrible and i get sick after taking them. It makes me more social, i remember to eat when i consume. Topicals, edibles, and smokables are all useful for me. It helps me deal with people on a daily basis when the last thing i want to do is socialize
Wikileaf fan
9:22, December 03, 2016
I consume to help deal with pain being 30 years old with arthritis is no fun with a seven and a four year old running around sometimes you just need to relax or take a deep breath or smoke marijuana has helped me through many struggles in my life I believe it is a medicine for all types of things
Wikileaf fan
7:00, December 03, 2016
I choose to consume because the high is better than the pain but the pain is better than the sickness from opioids.... degenertive disk disease became addicted to oxycodone from pain management then overdosed and almost died from cardiac arrest but am currently 9 mo clean with help of tough love, some support and out patient rehab
Wikileaf fan
5:13, December 03, 2016
I was diagnosed with Crohn's when I was 15 years old. Over the years I've been ran through the Big pharmaceutical mill. No medication has ever blessed me with remission, Every single doctor I've ever had has kept me on prednisone to keep my inflamation at bay while trying to find the latest trial drug to get me on. Well all these drugs have taken a tole on my body now age 28 I have osteoporosis due to the prolonged use age of steroids. As of two years ago I began my search for CBD oil. I've long smoked to stay away from the toxicity of pills, but the beautiful sweet Cannabis plant had a better totality of health effects than I could have ever dreamed! Using the cbd oil is the closest I've ever come to remission, taking away my inflamation of my bowels, dulling my pain, returning my appetite, curing my nausea, practically a cure all!
Wikileaf fan
4:24, December 03, 2016
I consume because I have extreme nerve pain, vein damage and muscle damage cause by my rare blood disorder that I was diagnosed with in 1999. Without it, I can barely move because of constant muscle spasms and I refuse opiates because at one point in my life, I became addicted to them. This is the safer and better alternative pain medcine for me.
Wikileaf fan
7:17, December 02, 2016
Back in mid 2010 I broke my ankle twisted my left foot completely around tearing multiple tendons apart and during my initial surgery I caught a virus called Osteomilitus. Soon I had a pick line in my left arm going through and to my heart where each day of the week, all 7, I would be given Levaquin. Levaquin is a fluoroquinolone antibiotic that fights bacteria in the body. Osteomilitus is a bone eating virus. Within just a day after surgery my bones in my ankle/left foot began to be eaten away. I then began living in the hospital where I was introduced quickly to a drug called dilaudid. I was given very high doses every 3 hours for pain. I was given these doses for a straight 5 months until I was finally released from the hospital and from there I was given Oxycodone and Oxycontin. The only difference in those drugs was one was instant release and the other was time released. I had a total of 3 doctors at the time. Once my wound closed up and healed on my foot/ankle, I was told by my wound doctor that he could only fill one last prescription of my percocet and that he would transfer me to my initial doctor where I would be dropped down to 10mg of Hydrocodone, a much weaker pain reliever, and within 3 months he had winged me off of this drug, but not away from my pain. It was then that I started smoking marijuana to help me with my pain, and amazingly it helped me just as well if not better than the oxycodone. The great thing about the marijuana was that it did not leave me sick if I didn't need to use it the next day. My pain still is really bad and will be according to the latest specialist that I see in Springfield, Illinois. I have been told there is no cure for this. My bones were ate up in my left foot/ankle, leaving me with Osteoarthritis and Osteoporosis. The greatest thing is that I went from a wheelchair to now being able to walk with a cane. That was a huge miracle in my life! After being dropped down to nothing on my pain meds I realized I had become addicted to the pain meds because I was very sick without them. The biggest miracle in my life was discovering that marijuana could do everything that the opiates was doing yet it didn't ever leave me sick or feeling helpless without it. I may be disabled from this, but I live a close to normal life now thanks to the pain relief I get from marijuana.
Wikileaf fan
4:09, December 02, 2016
I consume so I do not have to take pain killer,antidepressants or anxiety medicine..
I have been in a couple of bad wreaks and have had a lot of death in my life...Consuming saved me!
Wikileaf fan
6:48, December 01, 2016
I choose to consume for my pain and anxiety.
Wikileaf fan
10:00, November 30, 2016
I choose to consume because it prevents me from suffering from exhausting and sometimes painful panic attacks everyday of my life.
Wikileaf fan
8:25, November 28, 2016
I choose to consume so I don't have to rely on a plethora of medications for pain management.
Wikileaf fan
6:42, November 27, 2016
I choose pain relief and happiness over depression. I'm a dispensary agent in Phoenix, AZ and I would love to visit a weed B&B in Colorado!!
Wikileaf fan
1:09, November 27, 2016
Hello... my name is Danny. I'm 23 and live in New Bedford, ma. Ever since I was a kid, I suffered from depression. Marijuana helps me control and clear my mind whenever I need it. And I know its healthy and has a boat load of benefits and healing properties. It helps me with my anxiety, joint/muscle pains, headaches, insomnia, and my eating disorder. I love this plant!!!
Wikileaf fan
8:45, November 26, 2016
I choose to consume to not be in pain every day, to sleep and to help educate my father on why consuming is a better choice for his back than moving up in pain medications.
Wikileaf fan
6:16, November 26, 2016
I choose to not let my chronic pain from siatica, spinal stenosis ,ruptured L4 & L5 discs, severe anxiety disorder , insomnia amd bipolar ruin my life. Since ,smoking medical weed I only take meds for my bipolar which the dose has been lower. I was on a opiates ,anxiety pills and sleeping pills. I am grateful to medical marijuana for helping me.
Wikileaf fan
11:47, November 23, 2016
I chose to 420 cuz of chronic pain n anxiety
Wikileaf fan
12:23, November 20, 2016
#choose to condemn to fight daily physical, and mental pain!
Wikileaf fan
2:45, November 20, 2016
i choose to consume to manage bipolar disorder, anxiety, seasonal depression, and pain from endometriosis.
Wikileaf fan
4:15, November 19, 2016
I choose to consume because I have suffered from anxiety my whole life it helps me calm my thoughts. I also is for pain relief for my back.
Wikileaf fan
8:17, November 17, 2016
I been home sent 2010....broke my back and arm...tbone auto crash....two metro bus.ran the light 6am......yes 2016...lot of therpy need it...yes i walk but with lots of pain...
Wikileaf fan
1:29, November 17, 2016
I'm 25 name edgar i have chronic back pain n knee pain becouse my kidney disease i was ababy when i hsd my first kidney transplant but gave o ut when i was 13 again to dialisis now am in wating lists at ceters cinia so close by the wry going to physical therapy Tuesday n thursdays n monday wensday n friedday am at dialisis i smoke weed becouse it help manage lot of pain love it feels great befor sleep
Wikileaf fan
11:41, November 16, 2016
I choose to be pain-free and happy.
Wikileaf fan
10:14, November 16, 2016
I consume for the calm in my mind and soul. I choose to consume for natural pain relief
Wikileaf fan
9:54, November 16, 2016
I've always preferred cannabis to any other substance whether it was for pain or to unwind to breaking the ice when meeting a new friend, \"do you smoke?\" introduced me to a lot of my oldest and dearest friends. My girlfriend had asked me to stop when our son was born which I obliged noting that I was one day going to return to, which I have. In its absence I noticed my alcohol consumption had risen (mostly in social settings never at home) and \"date nights\" started involving trips to local watering holes. I was never happy with this and neither was my girlfriend. Since my return to cannabis we find it much more relaxing to just stay at home or return home from a nice dinner out and smoke and relax in each other's company not having to deal with the drunks and younger bar crowd.
Wikileaf fan
9:03, November 16, 2016
I choose to consume bc if I don't, I can't walk. I learned how to walk incorrectly, due to that part of my kneecap grinds into my muscles, and it's pretty painful. I consume to be a part of normal life.
Wikileaf fan
7:25, November 16, 2016
I consume because it helps my chronic pain.
Wikileaf fan
3:29, November 16, 2016
I chose to consume for many a reason. First off I was injured in a random assault 8 years. Some a-hole decided to randomly punch me in a bar and fractured my orbital socket in 7 places and broke nose.so I've had chronic pain because of it. It helps with both the pain management and PTSD. Also I just enjoy the relaxing nature of it.
Wikileaf fan
11:31, November 15, 2016
I consume for actual medicinal reasons! I am waiting on a full hip replacement and the pain some days is unbearable. Marijuana keeps my pain pills to a minimum.
Wikileaf fan
10:07, November 15, 2016
I choose to smoke because of my back pain I've had for over 10 years and it has helped rid me of depression and lower my anxiety!
Wikileaf fan
3:43, November 15, 2016
I have pressing for legalization for Cannabis for a long time now in Massachusetts. Our time finally has come. Well soon enough. My motto is this, If you have a chest cold you don't buy sinus medicine. That's what illegal Marijuana is like. It's like going to a street dealer and buying bootleg sinus medicine for a chest cold. Cannabis has many different strains, a strain for pain, a strain for help sleeping, a strain to help eat. A strain for day time activities( which I love) Sativa all the way baby! Ie: agent orange, sour tang.. Winning this trip would mean the world to me. A way to celebrate for my father who unfortunately lost his battle to cancer before this reform and legalization took place. Cannabis Sativa helps me in many ways in my life. I want to start taking classes so I can actually make a career from something I care so much about. Thank you for considering me #ichoosetoconsume
Wikileaf fan
10:35, November 14, 2016
I choose to not have any back pain
I choose to heal my body
I choose to relax
Wikileaf fan
5:16, November 14, 2016
I'm an army veteran. I smoke it because I prefer it over alcohol, pills and all other drugs. It's good for the pain I always have to deal with. It also helps keep me positively creativity influenced.
Wikileaf fan
3:49, November 14, 2016
I choose the ease the pain in my mind and body!
Wikileaf fan
10:49, November 13, 2016
I choose to consume due to debilitating joint pain and the horrendous die effects opiates have on my mental and physical health. Also, cannabis aides me in my creative writing and overall great state of mind.
Wikileaf fan
10:45, November 13, 2016
I consume because nerve pain is terrible, but opioids might just be worse~
Wikileaf fan
5:42, November 13, 2016
I choose to relieve pain.
I choose to forget.
I choose to entertain.
I choose to be happy.
I choose an accepting world.
Wikileaf fan
3:19, November 13, 2016
I prefer to inhale with my desktop vape every day to relax and for creative work (paintings such as the one in this pic
Wikileaf fan
11:19, November 12, 2016
I choose to consume for my stomach pains, head pains, and my creative soul.
Wikileaf fan
4:40, November 12, 2016
I chose to use cannabis because it relaxes my stress, helps me get to sleep at night and pain relief for my arthritis. So much better than the pills Drs. Prescribed.
Wikileaf fan
12:48, November 11, 2016
Pain RELIEF
Wikileaf fan
12:36, November 11, 2016
I have a lot of arthritis and I am always in pain
Wikileaf fan
11:43, November 11, 2016
I love it ! the fact that it is beneficial for my health is a plus. Helps with the migraines and back pains.
Wikileaf fan
11:39, November 11, 2016
I've been a cannabis consumer since 1991. I remember the exact moment, friends with me, and feeling I got. I consume for relaxation. I consume for back pain. I consume so I don't have to ingest pills or medicine. I consume for anxiety. And I consume because I just love it.
Wikileaf fan
11:25, November 11, 2016
I use MJ and find it is FAR superior to the RX I have had to take at night for pain. It is also responsible for making the Viral Load (HIV Positive) in my bloodwork better.
Wikileaf fan
11:21, November 11, 2016
Marijuana keeps me running without pain in my body. The relaxation effect will change the way a person deals with the drama which is life. Although not for all people marijuana is good for me.
Wikileaf fan
11:17, November 11, 2016
Best pain relief EVER!
Wikileaf fan
1:47, November 11, 2016
I'm a service connected disabled vet. I Use canabis to help with PTSD, anxiety and chronic pain. I am a RN unable to practice anymore due to health problems. I went without a vacation for over 10 years while I cared for my mother and father in my home until the passed. Two weeks after they passed I had a massive heart attack and and needed a triple bypass. I have used up all my savings to save my house from the bank taking it. With out canabis I probably would be dead. Just would like one vacation in my life without worry and to enjoy / celebrate no longer being in fear of being arrested for using one of gods natural cures
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