Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Pain Management


Dr Nancy Reid



Cannabidiol (CBD) is a naturally occurring component of Cannabis sativa which can be derived from both the marijuana and hemp plants. CBD, the second most active ingredient in Cannabis, has no intoxicating effects. According to the World Health Organization, CBD usage in humans demonstrated no effects of abuse or dependence potential. CBD usage has markedly increased. It is often sold as a natural, organic remedy. According to the Congressional Research Service, American CBD sales are projected to exceed $2 billion in 2022.

Pain management is the most common reason for CBD usage. In 2019,14% of Americans used cannabidiol-based products, with 40% of those Americans using CBD for pain management. Although CBD users claim its effectiveness in pain control, sufficient high-quality evidence is lacking to support those claims. With an increasing number of chronic pain patients, the widespread use of CBD, and the lack of regulatory guidance or oversight, healthcare providers must be poised to educate themselves and their patients on the risks and benefits of CBD usage. This article provides healthcare providers with information on the risks, benefits, pharmacology, safety, and legalities of CBD usage with which to educate their patients who wish to use CBD for pain management.

Keywords: cannabidiol; CBD; chronic pain; opioids; pain management


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