Nerve pain is a common symptom of Lyme disease, Lyme co-infections
and associated conditions. One of the main associated conditions of
which I speak is that of Fibromyalgia, which is considered a condition
as opposed to a disease as it has no known root cause.
Originally, Fibromyalgia was characterized by severe, debilitating
nerve pain. However, over the past 3 years, the list of symptoms
embodying the diagnosis of Fibromyalgia has grown to include other
ailments such as brain fog, chronic fatigue, depression and muscle
stiffness, just to name a few.
Legitimate evidence as to what exactly causes Fibromyalgia continues
to flat line as spikes in the number of symptoms Fibromyalgia causes
continue to surge. In order to avoid further scattering your brain or
thickening what, if any, brain fog you may currently be enduring
through, we will focus on addressing nerve pain in this section.
The Role of the Endocannabinoid System in Nerve Pain
The endocannabinoid system’s importance as a neuromodulatory system
in the brain has recently began to surface in research. Neuromodulatory
systems are made of several neurotransmitters that are not reabsorbed by
the presynaptic neuron, and therefore spend excess time in the
cerebrospinal fluid modulating overall brain activity. Neuromodulators
include neurotransmitters such as serotonin and dopamine, both of which
play significant roles in pain perception. The brain’s endocannabinoid
neuromodulatory system is involved in a plethora of physiological
functions related to pain, leading scientists to hypothesize that
individuals with Fibromyalgia pain have dysfunctional endocannabinoid
neuromodulatory systems, thus lending to their grand hypothesis that the
cannabinoids in cannabis can bind with malfunctioning CB1 (cannabinoid
receptor type 1) and CB2 (cannabinoid receptor type 2) receptors in the
brain’s endocannabinoid neuromodulatory system to repair the malfunction
and relieve the patient of pain.
Studies Find Cannabis to Be More Effective at Relieving Nerve Pain Than Mainstream Drugs Cymbalta, Lyrica, and Savella
After conducting a study based partly
on this hypothesis, the National Pain Foundation concluded medicinal
cannabis may be far more effective at treating pain from Fibromyalgia
than pharmaceuticals. The study compared Savella, Lyrica and Cymbalta,
the top 3 FDA approved drugs currently prescribed by physicians for
Fibromyalgia pain. Out of 1,300 patients only ten percent felt Lyrica or
Savella were effective in any way, and only eight percent reported
receiving any pain relieving benefits from Cymbalta. Even more
disheartening is the fact that over sixty percent of the thirteen
hundred patients who participated in the study did not receive any pain
relief at all from the medications. However, sixty-two percent of the
patients reported cannabis was “very effective” at relieving their pain
and thirty-three percent reported that cannabis offered them mild to
moderate pain relief, while only five percent reported cannabis did not
help at all.
Vaporized Cannabis for Neuropathic Pain
The problematic nerve pain of neuropathy occurs when the peripheral
nerves, spinal cord, or brain are injured or when the sensory system
malfunctions due to the manifestation of an underlying pathological
condition, such as Lyme disease, or a serious injury from a catastrophic
event such as a stroke or severe spinal cord damage. Pain management
with the use of pharmaceuticals has proven quite difficult, pushing some
scientists to consider the use of unconventional analgesics such as
cannabis as possible effective alternatives for neuropathic pain relief.
It turns out that cannabis may indeed be an effective alternative for
neuropathic pain relief.
According to data from a clinical trial conducted by researchers from
the Davis Medical Center at the University of California, vaporized
cannabis containing low amounts of THC effectively reduced neuropathic
pain even in test subjects who failed to respond to conventional methods
of neuropathic pain relief. In a randomized, double-blind,
placebo-controlled study, researchers administered cannabis with a
medium dose of THC (3.53%), cannabis with a low dose of THC (1.29%), or
placebo cannabis to test subjects. Subjects were ordered to hold the
vaporizer bag with one hand, hold the vaporizer mouthpiece in their
mouth with their other hand, inhale for five seconds, hold the vapor in
their lungs for ten seconds, and then exhale and wait for forty seconds
before inhaling again. The subjects inhaled four times over the course
of sixty minutes. Of the thirty-seven test subjects who were
administered cannabis with low dose THC, twenty-one individuals reported
that they received pain relief as a result of vaporizing cannabis. Out
of the thirty-six test subjects who were administered cannabis with
medium dose THC, twenty-two reported a reduction in their pain levels as
a result of cannabis use. From this data, it was concluded that
vaporizing cannabis with low doses of the psychoactive ingredient THC
can offer pain relief from neuropathy while minimizing the cognitive
effects otherwise seen in individuals using cannabis with high doses of
THC.
References
- Science, Leaf (2014, April 21). Cannabis May Be Best Treatment For Fibromyalgia, Survey Finds. Retrieved from http://www.leafscience.com/2014/04/21/cannabis-best-treatment-fibromyalgia/
- Jimena, F., M. Durán, D. Capella, Et. al., “Cannabis Use in Patients with Fibromyalgia: Effect on Symptoms Relief and Health-Related Quality of Life”. PLoS One: A Peer-Reviewed, Open Access Journal. 2011; 6(4): e18440. doi: 10.1371/journal.pone.0018440
- Wilsey, B., T.D. Marcotte, R. Deutsch, et. Al. (2012). “Low Dose Vaporized Cannabis Significantly Improves Neuropathic Pain.” The Journal of Pain, 14(2); 136-148. doi: 10.1016/j/pain.2012.10.009
- Armentano, P. (2013, January 3). Study: Vaporized, Low-Potency Cannabis Reduces Problematic Nerve Pain. Retrieved from
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