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cervico-brachial neuralgia

"Hello, My mother has cervico-brachial neuralgia and is in a lot pain, even after a surgery. It's been 3 years now and while the surgery made things a bit better, the pain is still significant. Before the surgery, she had an intense pain in the neck which extended to her arm and then hand/fingers. After the surgery, the neck pain disappeared but the arm/finger pain is still persistent. The lesion causing cervico-brachial neuralgia is located in the cervical vertebrae and the cervical vertebrae affected are C5 and C6. Could someone advise me an effective product to order here in order to alleviate the pain ? Thank you,"


Hello. Sorry to hear about your mother's condition. Cannabis can potentially help reduce neuropathic pain. I recommend to try a product that has higher CBD. CBD is not psychoactive. A little bit of THC can help CBD work. I recommend to look for a ratio around 20:1 CBD to THC. Products in this ratio are typically non psychoactive. You might try starting with edible cannabis in the dose of 2.5mg, increasing slowly over time to find a dose that works without over-medicating. Additionally I would apply CBD balm or lotion on the skin at the site of pain. Hope this helps you some. Best of luck.

drjacquelynlew


Hi there! Dr. Lew makes some great suggestions. I also recommend that you try different products and ratios. Everyone responds to cannabis differently. Also, there is some research suggesting that THC is what's most responsible for neuropathic pain relief. However, as Dr. Lew mentioned, CBD would also be vital in your mother's situation, since the neuropathic pain is due to nerve compression/entrapment. CBD may reduce the inflammation, which should then relieve some compression and hence reduce pain, paresthesias, and impaired motor function if present.

For non-inflammatory pain issues, such as neuropathic pain, migraine headaches, fibromyalgia and psychogenic pain, I tend to recommend -- if amenable to the patient -- products and strains with higher levels of THC, such as

  1. https://www.cbd.org/products/chocolates/1-1-chocolate - a "whole plant" 2:1 edible
  2. http://dosist.com/pen-relief/ - a 1:2 vaporizer pen
  3. http://kivaconfections.com/products/bars/ginger - a 1:1 "whole plant" edible
  4. http://truefarma.com/product/sweet-releaf-extra-strength-2oz/ - a THC and THCA topical cream.

Some CBD strains to consider: Harlequin - a 5:2 sativa strain Sweet and Sour Widow - a 1:1 indica strain Pennywise - a 1:1 indica strain Cannatonic - a 3:1 hybrid strain

drkim


However, because this issue stems from compressed and inflamed nerve(s) -- in other words, both inflammatory and non-inflammatory/neuropathic pain -- I agree with Dr. Lew's recommendation of starting off with a very low THC containing product or strain, such as those listed below. Then, if your mother's pain is not appreciably relieved, I would recommend that she try more THC heavy products, such as the ones listed above.

Products to consider before trying higher THC containing products/strains: https://www.cbd.org/products/drops/18-1-drops https://www.cbd.org/products/soft-gels/18-1-soft-gels https://www.cbd.org/products/chocolates/18-1-chocolate

Some very high CBD strains to consider: ACDC - a 20:1 sativa strain Ringo's Gift - a 25:1 hybrid strain Charlotte's Web - a 30:1 sativa strains

Hope this helps!

drkim