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Cannabis is a natural plant known for its therapeutic and recreational benefits. Rich in THC and CBD, it provides relief from pain, stress, anxiety, and sleep issues. Available in various forms like flower, edibles, and tinctures, cannabis offers both medicinal and recreational options, with strains like Indica and Sativa catering to different needs.

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Cannabis is a versatile plant known for its psychoactive properties and medicinal benefits. Used for recreational and therapeutic purposes, it contains cannabinoids like THC and CBD, which interact with the body's endocannabinoid system. As legalization spreads, interest grows in its various strains, consumption methods, and potential health benefits.

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CBD vs THC for Back Pain: What Evidence Shows

Short answer

Evidence for THC is stronger than evidence for CBD alone for chronic back pain. A 2017 review by the National Academies found substantial evidence that cannabis and cannabinoids relieve chronic pain in adults. Most trials in that review used products that contain THC. Human trials of CBD by itself for back pain are few and small. Neither compound is a first-line treatment. US guidelines place exercise, physical therapy, and non-opioid drugs ahead of cannabinoids.

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What human trials show

Most cannabis pain trials studied neuropathic pain, not low back pain. Trials of smoked cannabis, nabiximols (a spray with THC and CBD), and dronabinol report pain relief in some patients. Sample sizes are small. Many studies last weeks, not months. The National Academies rated the evidence for chronic pain as substantial and noted limits in study quality. Evidence for CBD isolate for pain is thinner. The FDA has approved no CBD product for pain. Epidiolex, a CBD drug, is approved for rare seizure disorders.

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Risks

THC causes impairment, a fast heart rate, and anxiety in some users. Regular use raises the risk of dependence. It also raises the risk of psychosis in people who carry risk factors. CBD does not cause the high that THC causes. CBD can raise blood levels of some prescription drugs, including blood thinners and epilepsy drugs. Labels on retail CBD products do not always match contents.

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US law

Federal law lists cannabis with THC as Schedule I. Many states allow medical or adult use. Hemp-derived CBD at or below 0.3% THC is legal at the federal level. State rules differ. Check local law.

Steps

  1. Start with guideline care: exercise, physical therapy, sleep, and non-opioid drugs.
  2. Talk to a clinician before cannabis if you take prescription drugs.
  3. If you try a product, record the THC and CBD content per dose.
  4. Avoid THC before driving or work.

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Read our complete guide: The Cannabis Handbook: Effects, Risks, and How to Buy Smartly