It’s no secret by now, the decade’s green rush is on as using CBD for pain relief management is the most desired medicinal effect of the prized hemp-derived cannabis oil extract in 2020.

The cannabis trend and CBD demand is ascending to newfound heights regarding consumer use, supporting science and product innovation. The research consensus and community feedback is clear; using the highly-touted, extremely-popular cannabidiol-infused cannabinoid to alleviate various bodily discomforts is second to none as the number one reason why the majority of consumers try, take or apply CBD to begin with.

While stress, anxiety and sleep are all high on the list of potential therapeutic qualities; using CBD for beneficial pain relieving support when it comes to experiencing any number of related arthritis, chronic soreness, joint stiffness, back spasms, sciatica nerve pain or feet strain conditions is why consumers are seeking this-now legal and viable alternative in the form of a natural herbal tincture, pain recovery cream or digestible edible.

As unfortunate as it is telling, pain management is one of the most sought-after treatments in the United States. From the spectrum of chronic conditions to acute pain, the healthcare sector is exploring more effective remedies to address instances of pain from head to toe. The emergence of CBD’s phenomena has put the ‘natural’ pain relief industry on notice, quickly becoming the most popular health ingredient of 2019.

Though traditional prescription medication is still the most popular pain management method in 2020, new cannabis oil extraction advancements and innovative supplementation infusions using CBD have risen in popularity and demand in the search for safe, effective pain relief options.

While the science is limited yet growing, many interested buyers also need to analyze for the optimal product type for each to get the proper effect and dosage. From full or broad spectrum to pure isolate, to oils, edibles or topicals; ensuring the integrity of top-ranked CBD pain relief products in 2020 is not easy due to concrete cannabis health data being scarce but studies are accumulating as regulatory hurdles dissolve and funding for conducting necessary medical research is increasing in the near future.

The following is a very detailed guide on the latest research regarding using CBD for pain assistance as well as the best CBD oils for pain, edible CBD gummies for pain and topical CBD pain relief products to ‘try, take or apply’. After the top-rated CBD brands and companies rankings below, our CBD pain relief guide touches on important factors such as what the current scientific literature reveals, possible risky side effects, supplement bioavailability, being an opioids alternative, using full spectrum vs pure isolates, optimal dosage and the trending market landscape of using hemp-derived cannabidiol for pain relief benefits.

What is CBD?

Though it is often considered to be the equivalent of marijuana, CBD is a different component of the cannabis plant. Short for Cannabidiol, CBD, is a natural remedy identified as useful with many ailments and can be made from both hemp and marijuana plants.

Traditionally, cannabis plants or, Cannabis sativa, contain over 100 chemical compounds. Of these compounds, the most well-known are CBD and Tetrahydrocannabidol (THC). While THC operates as the primary psychoactive cannabinoids found in the marijuana plant, CBD does not affect cognitive or psychoactive function. As a result, CBD does not provide the common “high” discussed in marijuana usage.

The human body’s natural production of cannabis-like chemicals makes it a prime source of innovative treatment methods. The CB1 and CB2 receptors within the brain ease the production and metabolization of CBD in the human body and help to ensure more effective treatment results. The ECS or endocannabinoid system, is the link between CBD being effective for pain relief.

CBD For Pain Relief Benefits

As a treatment solution, CBD has a myriad of benefits. Many of the purported medicinal properties found in CBD use stem from its natural chemical makeup and lack of synthetic or manufactured components. Among the numerous benefits derived from CBD, primary uses include both chronic and acute health concerns. While CBD oil-infused supplementation has a long list of therapeutic benefits, pain management is atop the chart of its best use case application.

While the previously discussed CBD uses are vastly growing in terms of popularity and knowledge, CBD is considered to be a primary solution for those needing assistance with pain management. As time has progressed, the anti-inflammatory qualities found within CBD have made this a promising component of multiple treatment plans. There is currently much more research being conducted about using CBD for pain-relieving effects, where the National Institutes of Health (NIH) is put forth $3 million to investigate the potential pain reducing properties of cannabinoids and terpenes.

What is “Pain’?

When discussing the use of CBD for pain management, it is vitally important to consider what constitutes ‘pain.’ Though many people view pain in light of their own experience, scientific research provides a more concrete definition of pain and what constitutes this terminology.

According to scientific research, there are three types of pain: neuropathic pain, acute or nociceptive pain, and centralized pain. Each type of pain affects a different portion of the human body. Neuropathic pain is caused by damage or inflammation of the nerves and can be found in conditions such as carpal tunnel syndrome. Acute pain usually occurs as the result of an injury similar to a broken bone, and centralized pain is generated by conditions such as fibromyalgia or other chronic conditions.

As each type of pain has a different pathway and root cause, determining treatment can be difficult. This is especially true in patients who may have more than one condition. Though this may not be the easiest portion of the process, determining which pathway is used to communicate pain to the brain and its receptors is a crucial step in determining whether or not CBD is a viable option.

Role of CBD in Pain Management

While marijuana has been used for some time for pain management, CBD has become increasingly popular as an alternative. The effects of CBD for those suffering from pain related illnesses can be primarily located through an exploration of the endocannabinoid system within the human body.

The endocannabinoid system is highly involved in the regulation of functions such as sleep, appetite, pain, mood and immune responses. The body naturally produces endocannabinoids, neurotransmitters that bind to present cannabinoid receptors found in the nervous system. CBD’s effect on receptor activity in this system can help reduce chronic pain by decreasing the amount of inflammation and interacting with neurotransmitters.

Studies completed in both humans and rats have only served to bolster this determination. In one study, rats injected with CBD found a reduced pain response to surgical incisions. Additionally, several human studies have found that multiple dosage levels of CBD could result in the successful treatment of pain related to multiple sclerosis and arthritis.

In a study of 47 people with multiple sclerosis conducted in 2015, results indicated that an oral CBD spray contributed to the decrease of pain levels. Those tested with the same spray in a subsequent study found a 25% reduction in pain associated with rheumatoid arthritis as well.

As there are many unanswered questions involving CBD usage and pain relief, there is still much research to be done. Early results do indicate positive outcomes are likely for those who wish to explore this treatment option, however.

How Rating 20 Top CBD Products for Pain Relief Works

There are over 1,500 hemp CBD products in the cannabidiol-infused marketplace. While not all are geared and catered towards pain relief, we compiled our research and reviews to rank the 5 top-rated CBD oils for pain management, 5 top-rated CBD gummies for pain benefits and included 10 different topical CBD pain rubs as the interest for on-skin direct and targeted relief is at an all time high. The pivotal factors determining how we reviewed and ranked the following oil tinctures, edible gummies and topical pain rubs was based on a number of bullet-points, including: potency, purity, extraction method, taste, hemp source, price and of course a company’s reputation or brand’s trustworthiness.

Though some CBD product mediums have much more ambiguity in terms of dosage, forms such as pills, gummies or oils will generally provide recommend dosage information on the packaging when purchased. Look over the section below on dosage as well as full spectrum vs broad spectrum for more information. In general, CBD comes in many different options, and treatment can be explored based on user preference whether it be smell, taste, degree of effectiveness or speed of impact.

Types Of CBD Pain Management Products

Some of the most popular options for CBD users, however, can be separated into one of three primary groups in 2020: CBD oil, CBD edibles and CBD pain cream rubs. While each option provides the benefits of CBD use, there are still multiple defining characteristics of each that appeal to people in various ways. While we don’t advocate brand new users opting to go the smoking or vaping route, especially given the recent vape lung injury outbreak, the method of administration matters and an oil, ingestible or skin cream is the best choice for most people suffering from pain to start slow with a low dosage amount.

CBD oil is considered one of the original ways of consuming CBD available on the market. CBD oil is derived from the cannabis plant, as originally discussed. CBD oil is the result of the isolation extract of the cannabidiol compound found in hemp. In general, it can be found in multiple locations where hemp and CBD are considered legal. But as technology and science advance in the medicinal cannabis oil industry, edibles for whole bodily pain relief effects and targeted pain recovery via topical balms, salves and lotions has quickly risen to popular choices among CBD enthusiasts.

First we will review the best CBD oils for pain relief in 2020, followed up by the digestible gummies and the ever-growing topical skincare pain creams and recovery rubs.

Ranking the Best CBD Oils for Pain Relief in 2020

Those beginning treatment using CBD oil should be cautious when choosing a CBD oil. As they often come in the form of an isolate or full-spectrum product, it is often best, to begin with, a full-spectrum CBD oil. Unlike the isolate version of CBD oil, full-spectrum CBD includes a variety of cannabinoids and original compounds found in the hemp plant. These additional components may assist in the magnification and efficacy of the therapeutic effects of CBD.

How to Choose a Quality CBD Oil

Full-spectrum CBD oil (which is covered more in-depth below) may include many beneficial compounds, including:

• Chlorophyll
• Fiber
• Flavonoids
• Fatty Acids
• Proteins
• Terpenes
• Essential oils

It is also important to choose CBD oil from a reputable source. As there is not a significant amount of regulation involved with CBD, finding a company with a trustworthy reputation is imperative. Companies that are considered reputable will provide third-party testing results, and have a significant amount of availability to answer any outstanding questions you may have before your purchase.

Buyers should also look for clearly labeled options that provide the amount of CBD contained as well as any indication as to the amount of THC included in the product. Companies that assert sweeping health claims or promise extreme results would not be considered the best choice for those starting CBD treatment.

With the market being increasingly saturated with CBD oils, here are some of the highest-rated options available.

1. Charlotte’s Web
2. Joy Organics
3. CBDPure
4. FAB CBD
5. NuLeaf Naturals
6. Bonus: Veritas Farms
7. Bonus: Lazarus Naturals
8. Bonus: PureKana
9. Bonus: Populum
10. Bonus: Green Roads
11. Bonus: Hemp Bombs
12. Bonus: Nu-X
13. Bonus: Nature’s Script
14. Bonus: Penguin CBD

Though each of these CBD products provides the benefits of CBD, each provides some very positive influences on those experiencing both chronic and acute inflammation and pain.

Ranking the Best CBD Gummies for Pain Relief in 2020

As CBD use has changed and developed, the methods of ingestion have also undergone a significant amount of change. While CBD oil is one of the most popular and well-known choices, CBD gummies are becoming increasingly relied upon for their ease of use and convenience.

How to Choose a Quality CBD Gummy

Before choosing a CBD gummy, several considerations should be involved in the final decision. As with most CBD products, it is highly recommended that a great deal of research be conducted before moving forward with the purchasing process. Similar to CBD oil, those purchasing CBD gummies should consider the following:

• Production method
• Hemp Source
• Amount of THC – if any
• Availability of lab results
• The concentration of CBD per serving

As CBD gummies come in a more definitive serving size than other methods, you must consider the goals you have for your CBD use as well as the previously mentioned aspects. The reputation of the company manufacturing the CBD gummy selected should also be a prime consideration when choosing the best option.

1. Charlotte’s Web CBD Gummies
2. Joy Organics Premium Hemp Gummies
3. CBDmd Premium CBD Gummies
4. FAB CBD Edible CBD Chews
5. Green Roads CBD Gummy Bears
6. Bonus: Sunday Scaries Gummies
7. Bonus: CBDfx Hemp Gummy Bears
8. Bonus: Hemp Bombs High Potency Gummies
9. Bonus: Green Roads Relief Toads
10. Bonus: JustCBD Gummy Bears
11. Bonus: Made by HempTasty Hemp Oil – CBD Gummies
12. Bonus: Comfort Leaf CBD Gummy Bears
13. Bonus: Avid Hemp Full Spectrum CBD Gummies
14. Bonus: Pure Relief CBD Gummy Bears
15. Bonus: Nature’s Script High Potency Gummies

Ranking the Best CBD Topicals for Pain Relief in 2020

For those looking for a pain management solution isolated to one specific spot or location, a CBD rub or lotion may be appropriate. These topical solutions are ideal for those experiencing conditions such as carpal tunnel syndrome or arthritis.

How to Choose a Quality CBD Pain Rub

As with many other CBD products, choosing a CBD rub can often be confusing and daunting. When choosing the best CBD rub or lotion, there are two primary considerations to take into account.

• Amount of CBD included
• Availability of lab reports

First, you should always consider the amount of CBD contained within the product. In CBD topical applications, the most costly item included in the product will be CBD. The amount of CBD in a topical application should closely mirror the price and affordability of the selected product. If the topical lotion contains a significantly lesser amount of CBD compared to the price, other options may be better suited for you.

Second, lab reports should always be included for your review. Topical rubs and lotions appear to have the highest number of sweeping claims and assertions related to sales. As a result, you should always be mindful of researching and reviewing any available lab information.

Among the many CBD topically applied options, there are several that stand out for their effectiveness and superior quality. Choosing a topical CBD product could be considered one of the most difficult tasks possible. The following options have proven to be some of the best available for pain management solutions on the market:

1. Pro Restore CBD+
2. Charlotte’s Web Hemp-Infused CBD Balm
3. JOY Organics CBD Salve
4. CBD Pure Muscle and Joint Pain Cream
5. CBDfx Hemp Cream + Pain Relief Muscle Balm
6. Hemp Bombs Pain Rub
7. Green Roads Pain Relief Cream
8. Just CBD Pain Roll-On
9. Just CBD Coconut oil
10. Green Garden Gold CBD Salve
11. Bonus: DaCrema Botanicals: Hemp Healing Salve
12. Bonus: ExHemplary Life Body Butter
13. Bonus: Nature’s Script Hemp Pain gel

While each of these products provides similar benefits found through CBD use, they are individually different. This provides a wide array of choices for those looking for effective relief for their pain management concerns.

Why Full Spectrum CBD Dosage Matters

Full spectrum matters when it comes to medical cannabis oil infusions. The endocannabinoid system features numerous receptors, two of which are CB1 and CB2. The former is located within the brain and central nervous system, while the latter is found in the GI tract. The presence of cannabinoids derived from cannabis activate the receptors and cause neurotransmitters to release, thus impacting the body and mind.

More studies still need to be conducted to learn more about the endocannabinoid system and to fully understand its physiological functions. Thus far, though, scientists have determined that the endocannabinoid system modulates regulation of homeostasis, or balance, throughout major components of the body, including pain, memory, inflammation, sleep, appetite, mood, and the like. Moreover, researchers believe that the ECS has an impact on disease, such as cancer, and neurogenerative disease.

The big distinguishment to note is the three major CBD pain relief product classifications;

1. full spectrum (has whole plant trichomes consisting of terpenes, flavonoids and all accompanying cannabinoids including THC)
2. broad spectrum (has all whole plant essentials excluding THC)
3. pure cannabidiol isolate (99%+ CBD concentrate only)

It is important for all users to know that THC could cause problems within you’re job or anywhere that may require you to be drug tested. If worried, it may be optimal to make sure you use an isolate or broad spectrum CBD pain relief product to be safe and sure that no THC would be detected during a screening. However, the majority seem to agree with the notion of full spectrum CBD products being the most effective for producing noticeable results due to something called the ‘entourage effect‘.

The Entourage Effect of CBD Oil Infused Products

There are over 500 various compounds in the cannabis plant; and they include terpenes, flavonoids, omega fatty acids and a whole host of essential oils. This holds for natural cannabis plants, not synthetic cannabis. While THC and CBD are the two most popular phytocannabinoids, and are also the two most dense biomass profiles of the cannabis plant, there are well over 100 cousin cannabinoids in addition to the 500 compounds in cannabis sativa plants.

The current-verdict is that while CBD works in isolation, much like THC, it is even more powerful and beneficial if used in conjunction with all of the medicinal whole plant molecules. Together, CBD seems to work optimally when used synergistically with these medical cannabis compounds. Despite the science still being submitted, assuming there is no worry about possible consuming or topically using THC along with your choice of CBD pain relief product, it may be best to use a full-spectrum type over the others.

Optimal Dose Ranges

If CBD is determined to be a suitable treatment option, the dosage could become an area of concern for patients. Though traditional healthcare methods often tend to have very finite and definitive amounts to take, CBD users have a more ambiguous dosage structure.

There are multiple factors to consider when choosing the right dose of CBD to take, including:

• Bodyweight
• Condition being treated
• Body chemistry
• CBD concentration

Before trying CBD, it is important to consult a physician directly. This means speaking with a physician familiar with CBD usage and treatment. As CBD use still has multiple unknown elements involved, it is important to communicate and work with a physician familiar with not only the benefits of CBD but also any associated risks.

Following the initial consultation, it is also important to continue the recommended dosage provided by the physician. This becomes increasingly important when combining CBD use with other traditional prescription options.

Those who choose not to consult a physician should start treatment with a smaller dosage amount. This will allow the body an opportunity to become acclimated to CBD. If the initial amount does not yield the desired effects after approximately a week, you may then increase the dosage by 5mg. Dosage amounts should only be increased weekly, depending on the effects experienced.

It is also recommended that you keep a journal of your CBD dosage when first starting treatment. Though this may seem tedious to some, this assists in determining whether or not the amount being consumed are working efficiently. Journal documentation should include not only dosage amounts but also any adverse effects which may warrant a decrease in the dosage currently consumed.

While there have been some concerns regarding liver damage from excessive use of CBD, subsequent studies and research indicate that the possibility of taking too much CBD is fairly low. Those taking excessive amounts, however, may experience side effects such as fatigue or diarrhea. Before increasing the dosage amount significantly, you should always consult a trained physician when available.

Which CBD Product Option is Best For Pain Relief?

With all of the information available on CBD, choosing the right treatment method will vary greatly from person to person. While pain management can be treated successfully in most cases, you should always consider bioavailability when choosing which CBD product is best for you.

Bioavailability

When using CBD, one of the most compelling things to consider is the bioavailability of the product being consumed. Bioavailability can best be defined as “the degree to which a substance is absorbed or is made available at the site of interaction.”  Recent research has determined that the bioavailability of CBD in most products currently is approximately 4%. This would leave the remaining 96% with little to no effect initially.

In the case of pain management, bioavailability can greatly determine whether or not treatment is a success or has any effect on the intended pain relief.

Bioavailability When Swallowed

CBD that is consumed or swallowed will inevitably undergo the digestive process. As a result of this, CBD products such as gummies or oil that is orally consumed have a lower bioavailability than other products available on the market. In general, the bioavailability of ingested CBD is roughly 13-19%. This could lead to a significant decrease in absorbed CBD once it has been processed in the liver.

Those who choose to consume CBD for pain management may want to consider how severe their condition is before committing to gummies or orally consumed oil. While the benefits may be felt, the efficacy of these methods may take considerable time to come to fruition.

Bioavailability Through the Skin

While topical applications of CBD such as balms, salves, lotions, or rubs have a low degree of bioavailability, there is a stark difference between them and other CBD products. Designed for site-specific pain in most cases, their effectiveness, and usage standalone.

This difference is mainly caused by the receptors used in the absorbance of CBD during topical application. While gummies or ingested methods of CBD use CB1 receptors found mainly in the brain and central nervous system, topical applications use CB2 and TRPV1 receptors located in the skin and periphery system.

While they are not comparable to other methods, topical applications can still be highly successful depending on the type of pain being managed and its spread across the body. Those looking for a more expansive solution should possibly explore other options such as oils or gummies.

How To Increase Bioavailability

While typical CBD products for pain management may be low in terms of bioavailability, this can be modified using a few simple methods.

One of the most successful ways to increase bioavailability is the use of high-fat snacks. As CBD is a fat-soluble compound, consuming or combining your CBD with some form of fat is ideal for increased bioavailability. Those choosing to use CBD oil could add a bit of oil to an avocado sandwich or a cooked dish to boost its efficacy and absorbability.

Additionally, CBD bioavailability can be increased using supplemental terpenes such as Limonene or Myrcene. Terpenes are fatty oils that occur organically in the essential oils of most plans. Though it may be difficult to add these to gummies or an oil-based CBD product, you can look for full-spectrum products that will include these naturally.

Ultimately, choosing the CBD product for your pain will rely on the extent of the specific pain issue. Those who may have very site-specific pain are more than likely suited to a rub or oil as a topical solution, while those who have a more expansive issue may want to consider gummies as an adequate choice.

Overall, each CBD product can be enhanced to increase bioavailability and generate more effective results.

Where to Buy CBD Products for Pain Management

Choosing the best place to purchase CBD can be very difficult, especially if you are new to the market. There are often many questions involved in making sure that you not only choose the best CBD product in terms of value but also that you choose the best product to address specific health concerns.

In general, CBD can be purchased using one of the following locations:

• Online retail store
• Traditional retail store

With both choices, however, there are still several considerations to keep in mind.

CBD Pain Products Near Me or Online Retail Store?

With the expansion of online shopping, the ability to purchase CBD in this way seems like a natural progression. Buying CBD online brings a great deal of convenience and benefits; however, there are several aspects to be cautious of when deciding to take this route.

For those looking for a quick and easy way to achieve their CBD needs, an online retailer is vastly appealing. In many cases, there are multiple companies that provide not only affordable products but also research and information to better inform their customers.

Those using an online retailer, however, should be extra careful to ensure all possible research has been completed before settling on one CBD option. As there is very little regulatory action regarding CBD, there are very restrictions placed upon claims and assertions made by different companies. Online shoppers should always check for third-party lab records when choosing a product.

Additionally, online shoppers should focus on sourcing their products from trusted brands and websites. Though this can often be hard to decipher, previous customer reviews are always a good place to start when beginning the search process. While there may be some questions regarding how a product may perform, very often, previous buyers will provide a good gauge as to whether or not a product’s claims are truthful and valid.

Traditional Local Store

While traditional retail locations may not be as readily convenient as those found online, they do have a very specific set of benefits that cannot be found through other shopping methods. One of the main benefits found through the use of a traditional retailer is the in-person contact that occurs.

When first beginning the use of CBD, it is important to have trusted sources available for consultation purposes. While a physician is often helpful in this area, having a trusted retailer can also be a bonus. An employee at a retail location has the benefit of being able to speak with you one-on-one to decide which product would be most effective for your needs specifically.

Additionally, building a relationship with someone in person could serve as an even better benefit over time. As your needs change, there may be new products released. A retail worker familiar with you and your preferences may be more apt to suggest new products or enhancements for your healthcare regimen accurately.

Lastly, in-person retail stores have the advantage of verifying claims and assertions based on their customer history and their own experience in some cases. Traditional retail stores have the benefit of first-hand testimonials as to whether or not a product follows through on their sweeping claims or assertions. This is not something that can usually be matched through the online retailer market.

If you happen to be hesitant regarding either option, you may also consult your physician for more information. Though they may not have purchased a product themselves, they may be able to point you in the right direction. Overall, choosing to buy CBD requires a great deal of research and effort before committing to one specific product.

Does CBD Pain Relief Science Stack Up to Support Claims?

Soothing the body when it is in pain can be a struggle, which is part of the reason why there are so many man-made products on the market to tackle this issue. However, what if the way that consumers treated their pain was with something natural but effective? That’s the role that cannabidiol (CBD) has been working to fill, and the body is already equipped with the system to use it.

Even with this option available, there are three questions that need to be answered – is it safe, does it work, and how (if at all) does it handle the pain? Before December 2018, there was basically no verifiable and legal evidence of CBD’s ability to do anything, because that’s the month that the Farm Bill passed. With this bill, CBD became legal with certain stipulations, and many studies have been able to show the effects of CBD as an anti-inflammatory.

Reviewing the Latest CBD Studies on Pain Management

CBD is often tested by researchers with the use of THC, which is the compound found in cannabis that creates the intoxicated effect that most people thing of. In a recent interview, Kevin Boehnke, Ph.D., research investigator in the department of anesthesiology and the Chronic Pain and Fatigue Research Center at the University of Michigan, shared his thoughts on the THC, CBD and pain relief management matter. Boehnke explained,

“It seems like if you take them together, you can tolerate more THC without having the same types of side effects. Also, taking CBD and THC together, compared to a similar amount of THC alone or CBD alone, seems to have better analgesic effects.”

There’s been several reviews that have analyzed the way that pain can be impacted by cannabis in general, which would ordinarily be helpful to the everyday consumer. However, the results have been consistent, at best. The Department of Veterans Affairs published a review in 2017, which was titled “Benefits and Harms of Cannabis in Chronic Pain of Post-traumatic Stress Disorder.” It found that “cannabis preparations with precisely defined THC-cannabidiol content (most in a 1:1 to 2:1 ratio) may alleviate neuropathic pain but insufficient evidence in populations with other types of pain.” More specifically, the evidence showed “mixed findings” across eight different trials, but ultimately stated that there was no major difference in the quality of life for users of natural cannabinoids versus users of placebos.

In the same year, another report came out, but from the National Academies of Sciences, Engineering, and Medicine (NASEM). This report stated that cannabis’s ability to treat chronic pain was supported by “conclusive or substantial evidence.” This research added that nausea and vomiting (associated with chemotherapy) and muscle spams and stiffness (related to multiple sclerosis) was also verifiable. Covering research published through the last 18 years before the study, pain seemed to find the greatest soothing from cannabis, though the report added details about the impact on the risk of cancer, cardiometabolic issues, and respiratory disease. It also stated that cannabis use can be listed to “better performance on learning or memory tasks.”

Cochrane Library published another study, examining the use of cannabis for the treatment of chronic neuropathic pain. The study offered another contradiction, saying that “there is a lack of good evidence that any cannabis-derived product works for any chronic neuropathic pain.” However, it is important to note that there are other pain conditions that the researchers believe should be studied to examine the reaction of the body with cannabis.

To read through the studies references, visit the below links:

• Department of Veterans Affairs report: here
• National Academies of Sciences report: here
• Cochrane Library report: here

The Problems With Current Studies

Even with the variations in the reports, one common element is the limits that previous studies have shown. Boehnke points out that many of the studies are “small,” and they don’t often provide the participants with long-term use of the cannabis, which means that they are incapable of determining “exact underlying pain phenotype.” More so, Boehnke stated, “[T]hey don’t use cannabis products that are representative of what people are using today.”

Presently, there’s a major roadblock by the Drug Enforcement Administration that keeps researchers from adequately accessing legal marijuana for research. The only authorized supplier for the DEA is the University of Mississippi, even though the authority has stated that it was planning to accept applications for others before seemingly being halted with the Trump administration. If the quality was the right quality, this wouldn’t be a concern. However, researchers have stated that the marijuana provided by the university is low in quality, doesn’t have the genetic profile of marijuana (as it is more like hemp), and sometimes contains mold, posing a huge risk.

Safety and Efficacy

So, is CBD safe? The answer isn’t clear, since studies are so widespread and inconsistent. However, considering the quality of cannabis that is being tested, that could be the culprit. CBD itself is likely to have more reliable studies, since it is now legal to perform the necessary testing on it.

Does CBD work? Perhaps, but there is simply not enough research to be conclusive. A study published in Pain considered the effects of CBD in animals, discovering interactions with serotonin receptors. These receptors, releasing the chemical that makes the individual feel elated and relaxed, are believed to play a role in pain, though they are also linked to depression and anxiety. Still, Boehnke points out, “It’s just tough to know because CBD is such a promiscuous molecule.”

In addition to all of the closely-followed CBD for beneficial pain killing effects, there are a few other health conditions cannabidiol has ties with.

Epilepsy

At the forefront of the change in public perception towards CBD and its users, epilepsy sufferers have witnessed a significant increase in benefits from CBD use. Following research and data, the FDA approved the use of CBD in the treatment of epileptic seizures in 2018.

Though approved, there are two specific conditions under which this treatment can be given. Treatment with CBD can be provided in the event the patient has LGS (Lennox-Gastaut Syndrome) or DS (Dravet Syndrome). Though both of these conditions are related and derived from epilepsy, each focuses on children in a younger age group. LGS appears primarily between the ages of 3-5, and DS frequently appears during the first year of life.

Though it can now be legally provided to those experiencing these diseases, however, physicians must still adhere to the stipulations of the FDA. Of these, the most prominent restriction pertains to children younger than the age of 2.

CBD can also be used in treatment for complications linked to epilepsy, such as neuronal injury, psychiatric diseases, and neurodegeneration. Though further research is needed to determine any long-term effects, it is clear that the use of CBD has the possibility of improving the quality of life for epilepsy sufferers.

Anxiety

Anxiety has become one of the most prominent health concerns among adults in the United States. Generally, those experiencing chronic anxiety symptoms have been directed to avoid cannabis due to its THC content. This molecular component can trigger episodes of increased anxiety and paranoia. This, however, has not been the case with CBD usage.

As CBD does not contain THC, the psychoactive component of CBD, the effects experienced are vastly different from traditional marijuana use. According to scientific research conducted thus far, CBD may help in the reduction of anxiety in those with certain disorders, including post-traumatic stress disorder, panic disorder, social anxiety disorder, and obsessive-compulsive disorder.

While there is some additional research needed, the current information regarding CBD use and anxiety have had promising outcomes thus far.

Cancer

As one of the number most dominant health concerns in the United States, the fight to cure cancer has taken a prominent spot in terms of research. Though there are still many unknown elements when determining both the cause and cure for cancer-related illnesses, CBD has started to rise in terms of popularity.

In a review published in 2017, authors in the British Journal of Clinical Pharmacology found conclusive evidence that CBD had a significant impact on the spread of cancer. Though it did not solidify the eradication of cancer cells, CBD was found to prevent the spread of cancerous cells but also promote their destruction.

The chemical makeup of CBD, combined with its natural antagonistic qualities, allows for the reduction of tumors present during cancer treatment. According to the Augusta University Medical Center in 2016, research determined that CBD could potentially reduce tumor size by approximately 20%.

When compared with other cancer-related treatments, CBD also has a much less toxic effect on the human body, allowing for rapid healing and a higher rate of tolerance. Though it is not set to replace current cancer treatments, it has been leaned upon as a possible companion to standard methods of care.

Acne

Commonly thought of as a condition associated with puberty or teenage growth, acne has affected many of those in the United States. As acne is generally caused by an inflammatory response within the sebaceous glands of the body, CBD could be an effective natural treatment option.

This has been further endorsed by a 2014 study published by the Journal of Clinical Investigation. During this study, it was found that CBD reduces the production of sebum. Sebum is an oily substance, and overproduction of this substance can eventually lead to acne and associated breakouts.

While still in its early stages, CBD could prove to be an effective treatment for those experiencing severe issues with chronic acne.

Alzheimer’s

Studies associated with Alzheimer’s involving traditional healthcare treatments are very preliminary. As a result, the cause and treatment of this disease have multiple unknown elements involved. While this is equally true of CBD usage, initial research on this subject appears to be very promising.

The Journal of Alzheimer’s Disease published a study in 2015, which indicated that CBD might have many beneficial qualities for those suffering from this specific disease. Due to the molecular structure of CBD, it was found that this compound may have the ability to prevent the development of a social recognition deficit.

These results would mean a flood of new possibilities for those who find their memory and cognitive function deteriorating as a result of this disease. With the research presented, CBD may be able to assist those in the earlier stages of Alzheimer’s to retain the ability to recognize the faces of people they know.

As this study was the first evidence to support CBD could provide a substantial benefit in slowing the progression of Alzheimer’s, there is still much to be done to validate the assertions and claims made.

Side Effects of Using CBD for Pain

Though there are many benefits found with the use of CBD, those who use CBD for pain management may use it more frequently and should be well-aware of the possibility of side effects associated with CBD. In general, CBD is very well-tolerated, with very few adverse reactions recorded. When compared with traditional prescription use, there is a significantly lower possibility of adverse effects with CBD.

Some of the more prevalent side effects are:

• Addiction
• Liver Damage
• Dry Mouth
• Diarrhea
• Reduced Appetite
• Drowsiness

CBD does tend to interact with some medications and any reported side effects are generally mild assuming you use a tested, verified and high-quality CBD oil infused product. The tolerance level for CBD is extremely high due to the naturally occurring substances within the human body. While the FDA nor the federal government has not granted CBD as GRAS (generally recognized as safe) status, as CBD is still in the beginning stages of use for pain treatment and various ailments, it is always recommended that a physician be consulted before partaking in this option.

In the event of a severe interaction, consumers should cease using CBD and consult with a physician to review any alternatives that may be needed.

Could Opioids Be Replaced with CBD as a Pain Reliever?

Most associate smoking marijuana as a ‘natural’ pain relief solution, but CBD could start to take over this market share as an alternative to a) smoking and b) getting ‘high’. In the midst of an ongoing ‘opioid crisis‘, CBD could be a bright spotlight to shine attention on in the future as millions of Americans and people around the world suffer from pain.

Let’s review the latest medical marijuana research into its pain relief properties and see if CBD can take its shine given all of the investigative information using relentless, rigorous research tactics to help find the very best when it comes to using CBD for pain relief benefits.

• Multiple studies show that patients may be able to diminish or stop opioid use by introducing medical marijuana.
• States with medical marijuana laws had lower daily opioid doses than those that still criminalize its use.

It is estimated $560 billion to $635 billion is spent annually on pain management methods, could cannabis and all of its 500+ molecules, compounds and acids be the alternative to prescription drugs solution of the future?

Can Medical Marijuana and CBD Disrupt the Opioid Industry?

Opioids are the most commonly prescribed medication for consumers suffering with pain, despite the ongoing epidemic of addiction to them. There are substantial risks associated with opioid use, and doctors continue to prescribe them without any regard for the risk of becoming addicted in the first place. Already, consumers are starting to combine opioid use with marijuana consumption and/or CBD oil-infused product use to help with pain, but could marijuana use alone help?

Featured in the JAMA Journal of Medicine, there are two studies from last year that suggests that the use of marijuana for medical purposes has reduced the use of opioid prescriptions, and even lowered the rate of which opioids are prescribed in the first place. The first study examined the way that opioid use was impacted in states that legalized medical marijuana use, discovering that prescriptions for painkillers dropped by 2.21 million daily doses yearly. After medical marijuana dispensaries opened, an additional decrease of 3.74 million daily doses a year was recorded.

The second study examined the prescription data from 2011 to 2016 of Medicaid in the US. The study found that there was a 5.88% lower rate of prescribing opioids for consumers in states with medical marijuana programs. The presence of legal recreational marijuana have seen a 6.38% reduction, which amounts to just slightly more than medical marijuana legalization alone.

In a research study in 2014, which was also found in the JAMA research journal, reviewed data from 1999 to 2010 with all 50 states, specifically comparing states with current medical marijuana laws. In these states, the annual opioid overdose mortality rate was 24.8% lower than the states without medical marijuana laws. Statistically, this information suggests that some chronic pain can be treated with the use of marijuana, and some patients are even able to use it and discontinue treatment with opioids. The science is still filing in when it comes to CBD and its hope-filled beneficial pain relief effects.

Anna Lembke, Ph.D., states that there are many patients that are capable of making the transition from traditional opioids to marijuana use, though there are others that have major side effects from the change. Some of these issues include psychotic behavior or even a dependency on marijuana. In a 2017 study in Israel, researchers found that patients with depression and anxiety were more likely to abuse the use of their selected treatment, whether it consisted of marijuana or opioids.

Ultimately, just like any other prescribed regimen, the type of marijuana determines how effective it is in treating chronic pain. For example, four types of marijuana managed to provide the best regimen for fibromyalgia patients, which balances THC and CBD almost evenly. However, finding the right balance can vary from one condition to the next.

There are many reasons that consumers may decide to take on marijuana into their pain relief regimen, even if it presently includes opioids, like:

• Increased sensitivity to pain with long-term use of opioids.
• Onset of sleep apnea as a result of opioid use.
• Opioid addiction.
• Opioid overdose history.
• High risk of overdosing on opioids.

Treating chronic or intermittent pain with marijuana also requires the user to consider the dosing of the substance to get the right reaction. Marijuana has a bell-shaped response curve, which means that there’s different effects with different doses.

With the wrong dose, pain sensitivity may increase, though there’s a complete guide on marijuana dosing on Healer.com, created by Dr. Dustin Sulak. Furthermore, using opioids and cannabinoids at the same time can confuse signals in the body for tolerance, pain levels, and dependency. This may be the reason that combining these treatments leads to a lesser desire for using opioids.

A 2019 research study in the Harm Reduction Journal found that a third of patients that have substituted medical marijuana for their opioid medications managed to completely discontinue the use of the latter. A separate study in the same year, “Pills to Pot: Observational Analyses of Cannabis Substitution Among Medical Cannabis Users with Chronic Pain” revealed that about 75% of the patients involved had stopped using opioids with the treatment of marijuana.

Realistically, it seems that there is still ongoing research to create any definitive statement on how marijuana use can impact the opioid addiction epidemic. Still, it has shown success for a substantial number of patients, suggesting that researchers may be onto a new trend. In the meantime, any pain relief regimen should be discussed with a medical professional to get the best results. And the fascinating aspect starts to come full circle when all of these medical cannabis for pain relief management science and study results come forward and start to shine in the spotlight, that the most popular cannabinoid in CBD may be a great alternative to alleviating bodily aches and pains without smoking or the psychoactive ‘high’ effects of THC in marijuana. This brings up our final focal point in our best CBD oil products for pain relief guide, in that consumers are hungry for high-in-demand effective and remedial cannabidiol solutions.

Consumers Grow Hungry for CBD Pain Products in 2020

• Nielsen recently released the 2020 Forecast, regarding changes in the CBD supplementation market.
• About half of all consumers would be more likely to try a CBD product with the recommendation from a health professional.
• Athletes and celebrities are starting to endorse and support CBD use
• CBD safety risks and use concerns still worry users looking for natural pain relief

The Food and Drug Administration is still determining certain regulations for the use of CBD in food products, but a recent study by Nielsen discovered that consumers are already interested. In fact, in the most recent 2020 predictions from the researchers at Nielsen, the platform predicts an expansion of up to 375% in the next year for ingestible CBD formulas. It also states that the CBD market could reach $2.75 billion by the end of 2020, but this progress will largely depend on the FDA.

Even while the public awaits more information from the FDA, the marketplace is still believed to be a big catalyst for change in retail and the CPG industry. In the next five years, the beverage market is set to pass $208 billion, and the use of CBD in these drinks is growing more popular by the day. Still, not every CBD drink is backed up by scientific evidence, but that hasn’t stopped producers from pushing themselves into this sector. In fact, big names like Molson Coors Brewing, Constellation Brands, and Ab InBev have all invested in the CBD market.

To gain appeal amongst consumers and stores, education in this sector on CBD will be paramount. Nielsen believes that healthcare providers will likely start seeing more efforts to educate them about benefits from manufacturers. Presently, based on the recent Q4 Health Care Practitioner Tracking Study, CBD is discussed with patients by 70% of the surveyed practitioners. However, only one out of every three practitioners seemed to be aware of the laws that govern its use.

This kind of information could be crucial to the expansion of the CBD industry, considering that half of the adults surveyed who had interest in hemp-based CBD stated that they would be more motivated to try such a product with a doctor’s advice. Recommendations by a family member or friend fell behind the recommendation from a healthcare practitioner at 16% and 17%, respectively.

One of the most recent companies to violate the regulations (or lack thereof) from the FDA is Elixinol LLC. A class action lawsuit was recently filed in California against the company, stating that it was illegally marketing CBD products as dietary supplements. The lawsuit further stated that the company had mislabeled multiple forms of CBD – including capsules, tinctures, etc. – as dietary supplements, even thought the FDA presently prohibits this use.

According to a recent survey held by Harris Poll, over 2,000 Americans were questioned about their CBD use and perceptions. Here is a chart showcasing the breakdown of the reasons why adults say they have used a CBD oil infused product:

While sleep, relaxation and anxiety stress relief topped this chart, when combining all of the CBD for pain ailment options of muscle, joint and chronic pain relief, there is a distinct winner as to why people are using cannabidiol.

NFL, MLB, MMA, NHL and NBA Athletes Use CBD for Pain Relief

The biggest catalyst for why CBD for pain relief demand is growing so high is largely due to athletes looking for natural products to help in performance and recovery. The Major League Baseball association just dropped cannabis off its list of banned substances, the NFL is strongly considering allowing players to use CBD for pain management and are currently studying the beneficial effects of cannabidiol. There are also many veterans of the National Basketball Association who are now advocating for basketball players to try CBD to help alleviate their pain from a long 82 game season filled with multiple back to back playing nights as well.

As the lay of the landscape continues to unfold in 2020 and beyond, as the cream of the crop continues to rise to the top, there is one resounding foundation that remains consistent throughout: and that is – CBD for pain. From CBD pain relief patches, sticks, salves, roll-ons, sprays and freezes, the demand for using cannabidiol as a soothing, natural pain alleviation tool will only trend upwards in the new decade.

Unfortunately, it is very apparent many people are in discomfort, dealing with aches, soreness, strain, spasms and even agony at times. While popular names like Mike Tyson, Nate Diaz and Rob Gronkowski are prominent figures who endorse CBD products, can the cannabis oil substance put an end to the misery so many people deal with on a daily basis? Time will tell, but one thing is for sure – CBD is at the forefront of the pain relief revolution when it comes to not relying on opioids or even smoking medical marijuana to experience helpful effects that go along way in today’s pill-pushing climate of treating symptoms, not root causes. CBD use in professional sports leagues by athletes and celebrities will continue to rise in the new decade as barriers fall and performance recovery benefits stack up.

Study Finds Users Concerned About Safety of CBD Pain Relief Aids

According to a 2019 survey report by YouGov concerning a analysis of over 300 people’s responses, the study’s results determined:

• 18 percent of those who responded to the survey were very concerned with CBD product safety
• 30 percent were somewhat concerned,
• 26 percent were not very concerned,
• and another 26 percent reported that they were not concerned at all

The concerns had to do with the potential of CBD oil-infused products could be contaminated with pesticides, heavy metals and harmful ingredients (such as artificial additives or vape flavors).

Joy Organics quality assurance director Darcie Moran shared in the news report that the poll indicates consumers “simply don’t know” what they are putting in or on their body or which brand to trust. She also indicates the bottom line is if a company does not test its product through third-party labs and publishes the results from each batch, consumers “cannot know what their product contains.” This is why the best CBD oils for pain relief list above are only from reputable companies with trustworthy branded-product lines that provide certificate of analysis (CoA) and reveal their verification, authentication and ultimately proof that the product matches the supplement facts nutrition label of dosage, potency and ingredients list.

Best CBD for Pain in 2020 Recap

Pain management is an ever-evolving area of medicine and requires a great deal of research and analytical detail. While there have been many attempts at generating success via prescription medication, many have chosen to explore more natural means of relief. It is now 2020 and CBD may be a smart, safe and natural pain relief solution for you, but regardless self-care should be at the top of the priority list as the new decade begins.

CBD has been proven to assist in the resolution of several chronic conditions and has now progressed to the forefront of pain management. With its wide array of forms, it should come as no surprise that CBD is not only emerging as a contender in the healthcare market but stands to surpass its predecessors. However, make no mistake about it, the CBD oil-infusions market is flooded with untested pills and potions as the FDA is a government agency who moves slow in comparison to how fast new cannabidiol-based health supplements are entering the industry.

The total global cannabis consumer for both legal and illicit expenditures in 2019 tallied up to $344 billion ($13.6 billion in US legal cannabis sales). With only 28% of US adults having consumed a CBD product and just a year of legalization, the dizzying cannabidiol craze may have only just begun – to see whether or not CBD gets the royal red-carpet treatment of the all the cannabis compounds, displacing THC and all other known cannabinoids to date so far, remains to be seen. One thing is very clear, if the CBD for pain relief management trend continues as it has, the echoes of those three letters will remain for years and decades to come as individuals search for a pain-free life in 2020 and beyond.