The Complete Guide to Cannabis for Chronic Pain: What Works & What Doesn’t

Main Hemp Patriot
4 Min Read
Are you one of the 60 million adults who suffer 
from chronic pain? Are you one of the 13 million adults who takes an opioid for it? If only 
there was a plant that could help manage pain. I’m Catherine Goldberg. Welcome back to Senior 
Savvy Cannabis. The most frequent question I get through the website is, “What can I do to manage 
my pain?” This is obviously a complicated issue, but it’s not impossible. I want to take today 
to go through really on the whole landscape of cannabis for pain management because what works 
for one person might not work for someone else. Let’s just take a brief look into the history of 
cannabis for pain management. So, no one thinks this is just like a new trend that we’re pulling 
out of thin air. So, for the past 5,000 years, cannabis has been used in traditional medicine, 
well documented, starting with ancient China, then going over to ancient Egypt, then going to 
India, then to Greece and Rome, and eventually to America. But for lots of reasons that we’re not 
going to discuss today, cannabis is no longer used as it used to be. So, the way I want to break this 
down is that we’re going to cover cannabis that gets you high, cannabis that doesn’t get you high, 
cannabis that’s smoked, cannabis that’s ingested, and cannabis that’s applied topically. We’ll talk 
about cannabis that must be purchased through a legal shop and we’ll talk about the mail order 
hemp cannabis options that are available for you too. So, I really kind of just want to lay it 
all out there for you and you can feel informed to make the best decision for you. It baffles 
me that like we have so much of the population, one in four people living in chronic pain and like 
cannabis is a last resort after all these pills. It’s probably because people who treat their pain 
with cannabis spend less money on pharmaceuticals. So, I am of the school of thought that we often 
have to take our own health into our own hands. And I’d like to educate you on the beginning of 
this. And please, of course, speak to your doctor if you’re going to change your regimen or add 
anything or take anything away. It’s important. So, okay. So, let’s talk about cannabis that’s 
smoked. I’m going to ignore the sativa hybrid indica dichotomy for now. I’m going to say that 
THC works on the nervous system. It works on pain signaling and pain perception. CBD works on the 
immune system and inflammation. So, they very much work together. If you’ve noticed, if you go into 
a legal shop, a lot of the strains have like 29% THC, 0% CBD. I’ve made a video on why I think this 
is and what the consequences are. That’s not to say a high THC wouldn’t help someone’s pain, but 
if there’s a way that you can find a 1:1 ratio, that is usually a really good place to start. And 
because a lot of those 1:1 ratios don’t come in flower, right? Unfortunately, I wish it did, 
but it doesn’t. A lot of vapes are starting to do that. They’re starting to catch on. There’s 
usually one option for a 1:1 on the vape side of things. Kind of interesting. Let’s go a step 
further into this smoking cannabis. Second most often question I get asked right is okay cannabis 
for pain management but during the day I can’t be tired I can’t be stoned I can’t need to take 
a nap this is going to come down to terpene I’ve made a few episodes on how terpene modulate 
neurotransmitters and therefore have different effects in the brain some terpene are very 
sedating because they work on GABA like the brain system for the nervous system. And other terpene 
are very stimulating because they have to do with like dopamine and norepinephrine and for learning 
acetylcholine and things like that. Okay. So, with that said, the main terpene that you’re going to 
want to ask for, focus on, do your own research is beta caryophyllene. And beta caryophyllene unlike 
the other terpenes which I just said modulate neurotransmitters to create their effect. Beta 
caryophyllene works differently. It actually works directly with the endocannabinoid system on the 
CB2 receptor that deals with inflammation and the immune system. So, this basically directly locks 
into a system that’s going to reduce inflammation by a cascade of events. It’s not a magic pill. 
It’s not going to solve everything, but if you’re looking for cannabis for pain management, 
I’d start with beta caryophyllene. What’s interesting also about beta caryophyllene because 
it doesn’t modulate neurotransmitters is that it is neither sedating nor energizing. And cannabis 
usually comes with like trios or four like three terpene that go together that sort of will have a 
say in its effect along with some other things. So if you’re looking for daytime relief, make sure 
the beta caryophyllene terpene is paired with lemonine, pinine, terpinolene, those are all 
kind of on the energizing side of things. If you are looking for like nighttime relief, mercine, 
linol, that’s more of like the stony stoned high. One last point on terpenes to mention humuline. 
I said this in my last video that you know we all kind of know it as the terpene that like decreases 
munchies, decreases appetite, but it actually through other signaling that’s really cool. Works 
on the inflammation system. So humuline isn’t one of like the most common terpenes, but if you can 
find a strain with beta caryophyllene and humuline like you’re on to something. So okay. So I think 
that’s like the beginning of at least the terpene. Oh my gosh, this video might be a bit extensive. 
Okay, so now let’s talk about we talked about THC and CBD. We need to talk about at least one other 
minor cannabinoid that is becoming very popular now. CBG. Okay. So, CBG has been shown to have 
like really positive effects for people who suffer from Crohn’s, IBS, IBD, stomach, gut issues. There 
are different ways to consume CBG products. Again, if you go to the dispensary and you look at the 
weed, there’s not there’s not like a CBG strain. So, people they you have a couple options. What 
I’ve heard people doing is that they’ll purchase CBG hemp online and they’ll mix that with 
their THC flower and sometimes CBD and they really enjoy that effect. The other option is that 
companies like Level Therapeutics makes pills that are isolates of the cannabinoids. Some people have 
issues with this because it can’t because there’s no entourage effect, but that doesn’t make it like 
not effective at all. This is just something you have to weigh. So anyway, so they make a CBG pill 
that I’ve heard is really good for gut health and surprisingly focus, even though that’s not what 
we’re talking about today. Okay, cool. Now we’ve talked about Oh, so for those level pills, you can 
buy those online and they’ll mail them to you. The other option for specifically for pain management 
and mail order cannabis is that 1906 they make these pain AM and pain PM gummies. They are also 
hemp. They combine their cannabis with other herbs and the one that they combine it with that I think 
they really like hit the nail on the head with with it is Boswellia and it seems like according 
to the people I work with that cannabis paired with Boswellia I hope I’m pronouncing that right 
I’ll put a thing in the the description really helps reduce pain at a significant level. I’ve 
heard it’s the only thing that works for a lot of people. And the thing is with these pain AM and 
pain PM gummies from 1906, they are psychoactive. They’re like they’re pretty strong to be perfectly 
honest. So, for the night ones, great. But if you’re taking 1906 for the daytime, I would start 
with a half a gummy. I would start on a weekend just to see how it affects you. But I appreciate 
that they have those options. But also like just double check the active ingredients because I 
think when you start mixing cannabis with other herbs and adaptogens and things like that, you 
just have to really make sure there are not going to be any issues. I’ve heard someone wrote to me 
recently and said that they had been using 1906 focus genius and it like messed with their blood 
sugar levels. So again, please ask your doctor. let’s talk about one other dispensary only option 
or homemade farmerade don’t make it yourself is RSO Rick Simpson oil. This is sort of like the 
gold standard for pain management. However, in the past, RSO has been wildly psychoactive. 
It’s wildly concentrated. The dose is the size of a grain of rice and people are stoned for like 
12 days when they take RSO for the first time sometimes and that often turns them off. However, 
I did an interview with Emerald Bay extracts. They make RSO not only in the oil sticky form 
but in tablets and they make CBD RSO and they make CBG RSO. So, I haven’t tried this yet, but if 
you live in California and you suffer from pain in like a serious way and you just like want results 
and you don’t want to be messing around picking the same strain and having them not have this 
strain the next time you go into the dispensary, Emerald Bay, I can link to that interview. Watch 
it, make your own decision. But for people who are dealing with severe pain issues, that’s often 
the answer. And the fact that they make these options that are not psychoactive but still full 
spectrum, they may have solved something major here. Great. Okay. And then I’ll just end with one 
last thing. Everything we’ve talked about so far is like either inhaled or ingested, but topicals 
are really amazing. So often if you go into a dispensary and you’re looking for a topical, if 
you can find a one to one, again, this is going to be the best for pain relief. Sometimes they 
don’t make these. I make my own topicals. I’m going to tell you the recipe and you can make it 
yourself. It helps some people. It doesn’t help others. It helps some people in a very profound 
way. Others say it just feels good. So again, every body is different. And everyone just needs 
something different. So the way I make it is, I combine coconut oil with emu oil. I add a little 
bit of beeswax. Then I put in one gram of cannabis concentrate. And again, the concentrate that I 
buy at the store is like 90% THC, 0% CBD. I wish I could get a 1:1 concentrate, but people say this 
works. So, okay. Then the last two ingredients are menthol crystals that I get the crystals and 
I like pound them up and then put them in. And then over the counter capsaicin cream, which 
is like what makes chilies hot. It’s like a warming sensation. So, people say that helps 
them. If you guys have specific questions and want to talk more about your particular pain, 
please reach out. I’ve been working with really nice people for over a decade. Helping them 
navigate this landscape. I’m happy to call the dispensaries ahead of time so you don’t have to 
shlep over there. And yeah, I just like, you know, I see how chronic pain is not only debilitating 
for the person who’s suffering, but for everyone around them. And I just hope that more people 
know that there’s a safe alternative that has been used for over 5,000 years to help manage 
pain that may be worth trying. And it’s pretty like cruel that it’s not available to everyone. 
It depends on your zip code if you have access to this medicine. And then I’m not even going to 
get into the if your job drug tests you because that’s a whole other thing that we can discuss if 
we want to. But I hope this has kind of given you the landscape of all your options for cannabis. 
You can smoke if you want. You can vape if you want. You can eat it if you want. You can put it 
on your skin. Lots of options, lots of things to try. The people who get the best results are the 
ones that experiment the most. So, thank you for sticking with me and I hope your pain decreases in 
the very near future. I’m Catherine Goldberg. Bye.
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