Glossary of Terms:
Cannabis: the genus of plant to which both marijuana and hemp belong.
Cannibinoid: chemical compounds found in cannabis plants; there are more than 100 active cannabinoids in cannabis.
THC: a cannabinoid that has psychotropic effects. (We do not use product with THC)
Cannibidiol(CBD): a cannabinoid that has pain-relieving and other effects, minus the psychotropic effects of THC.
Cannabidiol (CBD)—Infused topical products. Salves, creams, oils and patches touted as relaxing and pain-relieving—is the point at which marijuana and massage intersect.
CBD oil derived from hemp does not effect the high commonly associated with marijuana, according to several sources.
What is the mechanism by which CBD might effect pain relief?
Both CBD is called an endocannabinoid, acts as an ligand—or a chemical that binds to receptors—at cannabinoid receptors within the central nervous system, according to the article, “The Endocannabinoid System, Cannabinoids, and Pain,” posted on the National Institutes of Health’s website. The human body contains an endocannabinoid system, which is involved in “a host of homeostatic and physiologic functions, including modulation of pain and inflammation,” the article noted.
Jean Talleyrand, M.D., is the founder of MediCann, which operates complementary health care clinics that offer massage, medical cannabis consultations and more, throughout California. In an interview with MASSAGE Magazine, Talleyrand explained that CBD stops pain through the endocannabinoid system.
“This system consists of at least two receptors, termed CB1 and CB2 … the receptors are in every organ, including the skin, and typically found on nerve cells and immune cells in these organs,” he said.
The [endocannabinoid] system modulates inflammation and pain, said Talleyrand—and because inflammation may also cause pain, the system affects pain in two ways.
First, CBD binds to a TRPV1 receptor. That TRPV1 receptor has, in turn, a positive influence on the CB1 and CB2 receptors, which is how CBD indirectly mitigates pain, Talleyrand said.
Additionally, he said, “TRPV1 is directly related to pain transmission, and thus CBD may influence pain in this direct fashion as well—and that is why CBD is considered the anti-pain compound ”
Osteopath Dustin Sulak, D.O., who treats patients with cannabis at his Maine Integrative Healthcareclinic in Manchester, Maine, told MASSAGE Magazine that CBD has numerous anti-inflammatory effects that can decrease pain, “mostly by preventing the release of inflammatory signals from B and T immune cells, and in animal studies [have] been shown to prevent the development of hyperalgesia, or abnormally increased pain signaling at the site of an injury.”
CBD has also recently been shown in animal studies to speed the healing of injured connective tissue, and also has numerous anti-anxiety mechanisms, which can indirectly influence pain and pain behavior, Sulak added.
“Patients who receive CBD massages only report the high from relaxation, [which is] different from the high of [ingesting] THC,” he said.
-Source Massage Magazine April 2018