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CBD for Arthritis - Cannabidiol for Joint Pain?

Written by: Lena Grammling

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Time to read 8 min

Osteoarthritis is considered one of the most common joint diseases in industrialized nations and manifests as a painful, wear-and-tear condition of the joints. Despite intensive research, there is still no cure for osteoarthritis, which is why symptom relief is the primary focus.


Are you looking for a natural treatment method to alleviate your osteoarthritis symptoms?


New studies show that the daily need for opioids could be reduced by using cannabinoids like CBD.¹ Learn more here about how CBD can support you as a natural alternative to traditional remedies for osteoarthritis.


What is Osteoarthritis?

Osteoarthritis is a degenerative joint disease characterized by the wear and tear of articular cartilage. Cartilage wear can lead to inflammation, which further worsens the symptoms of the disease. Osteoarthritis is one of the most common causes of joint pain, especially in older people.


Distinction from Arthritis

Osteoarthritis and arthritis are both joint diseases and are often confused due to similar symptoms such as joint pain and stiffness. Arthritis is an inflammatory disease that can have various causes, such as autoimmune reactions, and affects people of all ages. Osteoarthritis, on the other hand, mainly affects older people and is a degenerative disease characterized by the wear and tear of articular cartilage.


In everyday language, "arthritis" is sometimes mistakenly used as a general term for joint diseases, but medically speaking, arthritis refers to inflammatory joint diseases and osteoarthritis to degenerative ones. An accurate diagnosis is crucial, as both conditions require different treatment approaches.


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Causes, Symptoms, and Treatment Options for Osteoarthritis

Causes

  • Aging process: Natural wear and tear of joints with increasing age.
  • Obesity: Additional stress on the joints, especially knee and hip joints.
  • Injuries: Previous joint injuries can contribute to the development of osteoarthritis.
  • Genetics: A family predisposition can increase the risk.
  • Excessive stress: Years of heavy physical labor or high-performance sports.
  • Other diseases: Rheumatoid arthritis and other metabolic disorders can promote osteoarthritis.

Symptoms

  • Joint pain: Especially after prolonged exertion or at the end of the day.
  • Stiffness: Often after periods of rest, e.g., in the morning.
  • Limited movement: Restricted mobility of the affected joint.
  • Joint swelling: Due to inflammatory reactions in the joint.
  • Cracking or grinding: Noises during joint movements.
  • Deformity: In advanced stages, joint deformation may occur.

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Treatment Options

There are various ways to treat the symptoms of osteoarthritis.

  • Non-medicinal options:
    • Physiotherapy: Improving mobility and strengthening muscles.
    • Weight management: Reducing stress on the joints.
    • Lifestyle changes: Regular, joint-friendly exercise.
    • Orthopedic aids: Bandages, splints, or special shoes.

  • Medicinal options:
    • Painkillers: NSAIDs, paracetamol; for stronger pain, possibly opiates.
    • Hyaluronic acid injections: Improving joint lubrication.
    • Cortisone injections: For severe inflammation.

  • Surgical procedures:
    • In advanced cases, such as joint replacement surgery (e.g., knee or hip prostheses).

  • Alternative therapies:
    • Including the use of acupuncture, yoga, hydrotherapy, or CBD.

The choice of appropriate treatment options depends on the severity of the osteoarthritis, individual symptoms, and the patient's general health conditions. A holistic approach that combines various measures is often considered the most effective way to treat osteoarthritis.²


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What is CBD?

CBD, short for cannabidiol, is a chemical compound found in the cannabis plant. Unlike THC, another substance in the cannabis plant, CBD is not psychoactive. This means that the effect of CBD does not produce a "high" feeling.


CBD is valued for its therapeutic properties and can be helpful for a variety of health problems, including anxiety, insomnia, and chronic pain. CBD can support osteoarthritis patients because the substance has anti-inflammatory effects and can relieve pain both directly and indirectly.


CBD is available in various forms, including oils, capsules, creams, and edibles. This makes CBD a versatile option for people seeking alternative or complementary treatments to traditional painkillers.


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How can CBD help with osteoarthritis?

Mode of action & benefits of CBD against osteoarthritis

Unfortunately, CBD cannot cure osteoarthritis. However, CBD can at least alleviate osteoarthritis symptoms and improve the general physical and psychological well-being of osteoarthritis patients, making the disease as a whole more manageable.


The reason for this is the interaction of CBD with the body's own endocannabinoid system (ECS). The ECS is a complex communication system between the body and the brain. It plays an important role in regulating various bodily functions and processes, including pain perception, mood, and sleep.


The ECS is found in the brain and nervous system of all mammalian species and enables the interaction of cannabinoids like CBD with the body. This interaction can help maintain or restore balance in the body, which can be useful in the treatment of osteoarthritis.


Here are some aspects of how CBD can help with osteoarthritis:


  • Pain relief: CBD can help with pain management by interacting with the body's pain signaling system in various ways. It influences the activity of receptors involved in pain perception, thereby reducing the sensation of pain. A study of 40 patients suffering from chronic osteoarthritis pain found that the daily need for opioids could be reduced by using cannabinoids.¹

  • Improved sleep quality and reduced stress: Osteoarthritis patients often suffer from sleep problems and stress, which can worsen the symptoms of the disease. CBD can have calming effects that improve sleep and reduce stress. Better sleep and reduced stress can contribute to an overall improvement in well-being. In this way, pain perception can also be indirectly influenced.³

  • Anti-inflammatory properties: In the course of osteoarthritis, inflammation can occur in addition to cartilage wear. CBD has shown anti-inflammatory properties by inhibiting the production of pro-inflammatory cytokines and modulating the activity of immune cells. This anti-inflammatory effect can help alleviate the symptoms of osteoarthritis.

  • Lower risk of dependence: Unlike conventional painkillers, especially opioids, CBD has a lower risk of dependence or severe side effects. This makes it a potentially safer alternative for people who need long-term treatments for chronic conditions such as osteoarthritis.

It is important to note that research on CBD is still ongoing and further studies are needed to fully understand its effectiveness. In addition, people react differently to CBD: what works for some may not necessarily work for others. Everyone has to find that out for themselves. In case of existing health problems or in combination with other medications, a doctor should be consulted as a precautionary measure.


Application of CBD for osteoarthritis

To benefit from the modes of action of CBD described above, various CBD products and application methods are available to you:


  • Oral CBD: CBD products such as oils or capsules have a harmonizing effect on the body's endocannabinoid system and can thus improve your overall physical and mental well-being.

  • Topical CBD: For direct application to the joints, there are CBD gels. Cooling gels with CBD are particularly popular, as they have anti-inflammatory and decongestant effects. Warming gels with CBD can also be useful. Here's what matters:

    • CBD cooling gel: Cold therapies are particularly effective in relieving acute inflammation and swelling. If your osteoarthritis pain is accompanied by inflammation and swelling, a CBD cooling gel could be a good choice. The cold can help reduce inflammation and provide a sense of relief.

    • CBD warming gel: Heat therapies are helpful to promote blood circulation, relax muscles, and relieve stiffness in the joints. If you mainly experience stiffness and muscle pain, a CBD warming gel could be useful. The warmth can help keep the joints supple and improve mobility.

It is also possible to use both products alternately, depending on which symptoms are currently in the foreground. However, it is always advisable to discuss such treatments with a doctor or physiotherapist to ensure that they are suitable for your specific situation.

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Further tips for dealing with osteoarthritis

Even if CBD can help you manage osteoarthritis, you should consider other things to prevent osteoarthritis or slow down the progression of the disease. The following aspects play an essential role:


  • Health-conscious diet: Obesity is a major risk factor for osteoarthritis, as it leads to increased stress on the joints. A nutrient-rich and balanced diet can help to reduce body weight and thus lessen the strain on the joints. In addition, certain foods, such as turmeric with its active ingredient curcumin, can have positive effects on joint pain.

  • Active lifestyle and appropriate exercise: Regular exercise helps strengthen muscles, tendons, and ligaments, which in turn has a stabilizing effect on the joints. Sports that promote even stress on the joints are particularly recommended. These include, for example, cycling, swimming, or yoga. In contrast, sports that lead to impact loads or require one-sided movements should be avoided.

  • Joint-friendly measures in everyday life: It is important to minimize strenuous activities for the joints in everyday life, at work, and during sports. Orthopedic aids such as elastic bandages, special shoe soles, or crutches can help relieve the joints. Relaxing measures such as massages or heat and cold therapies can also be supportive. It is also advisable to avoid wearing high heels to protect the joints.

Conclusion - Can CBD help with osteoarthritis?

CBD products help with osteoarthritis in a holistic way: it's not just about alleviating physical symptoms like pain and inflammation. CBD also contributes positively to your sleep and your ability to manage stress. Restful sleep not only improves your physical well-being but also your mental state. If you feel physically better, your mental well-being also increases, which in turn leads to a more positive mood.


This improvement in your overall condition can then also positively influence your perception of pain. This creates a positive cycle in which every improvement leads to further positive effects. CBD alone, however, will not be enough for the treatment of osteoarthritis. Further forms of treatment and general measures in everyday life will be necessary to alleviate your symptoms. But CBD can support you holistically and make your life with the disease easier.


Sources and Studies

¹ Renslo, B. et al. (2022). Medical Cannabis Use Reduces Opioid Prescriptions in Patients With Osteoarthritis. Downloaded on January 31, 2024, from [Source]

² Köller, M. Arthrose. Öffentliches Gesundheitsportal Österreich. Downloaded on January 31, 2024, from [Source]

³ Schrimpf, M. et al., (2015). The effect of sleep deprivation on pain perception in healthy subjects: a meta-analysis. Sleepmedicine. Downloaded on January 31, 2024, from [Source]