Medical Cannabis for Chronic Pain in Canada

Living with chronic pain means enduring persistent discomfort that significantly impacts quality of life. Defined as pain lasting longer than six months and continuing after the initial injury has healed, chronic pain affects millions of Canadians and can be extremely challenging to manage effectively with conventional treatments alone.

Chronic pain is not just a symptom but a condition in itself, as it fundamentally changes how the brain processes pain signals. Over time, these altered neural pathways can cause the body to register pain even in the absence of an active injury or stimulus, creating a complex and often debilitating condition.

Some common challenges faced by people with chronic pain include:

•  Persistent discomfort that interferes with daily activities
•  Deep throbbing, stabbing, or burning sensations
•  Hypersensitivity to normal stimuli
•  Sleep disturbances and chronic fatigue
•  Reduced mobility and physical function
•  Emotional impacts including depression and anxiety
•  Difficulty maintaining work and relationships
•  Side effects from long-term pain medication use

Traditional treatments typically involve over-the-counter pain relievers, NSAIDs, prescription medications including opioids, physical therapy, and cognitive behavioral therapy. However, these don’t work optimally for everyone, and many medications come with significant side effects or risks of dependence. This has led many Canadians to explore alternative options, including medical cannabis.

Research into cannabis for chronic pain is growing, with promising results from multiple studies. Both major cannabinoids—THC and CBD—have demonstrated pain-relieving properties through different mechanisms of action.

A study published in the Canadian Medical Association Journal found that “a single inhalation of 25mg of 9.4% Tetrahydrocannabinol herbal cannabis three times daily for five days reduced the intensity of pain, improved sleep and was well tolerated.”

Additionally, Apollo’s own published research study of 751 chronic pain patients demonstrated remarkable results after 12 months of medical cannabis treatment:

•  43% reduction in pain interference with daily activities
•  37% reduction in pain severity

The effectiveness of cannabis for chronic pain may be linked to how cannabinoids interact with the body’s endocannabinoid system, which plays a key role in regulating pain perception, inflammation, and neurological function.

Here’s how cannabis may help:

1. Pain signal modulation: Cannabinoids can alter how pain signals are transmitted and processed in the central nervous system
2. Anti-inflammatory effects: CBD in particular has demonstrated powerful anti-inflammatory properties
3. Muscle relaxation: Certain cannabis strains may help reduce muscle tension associated with chronic pain
4. Neural pathway effects: Cannabis may help “reset” altered pain pathways in the brain

This multi-faceted approach to pain management might explain why many patients report more effective relief with cannabis than with single-mechanism conventional medications.

For Canadians struggling with chronic pain, medical cannabis may offer several potential benefits:

Primary Symptom Management

Many patients report improvements in core pain-related symptoms, including:

•  Reduced pain intensity and frequency
•  Decreased inflammation and associated discomfort
•  Improved sleep quality and duration
•  Enhanced ability to function throughout the day
•  Reduced muscle tension and spasms
•  Better management of breakthrough pain episodes

Complementary Therapy

Others find cannabis helpful as a complementary treatment to address various aspects of pain management:

•  Support alongside physical therapy and exercise
•  Alternative or adjunct to conventional pain medications
•  Potential reduction in opioid usage and dependency
•  Assistance with the emotional aspects of chronic pain

Different types of chronic pain may respond differently to medical cannabis treatment. Here’s how cannabis may help with specific pain conditions:

Neuropathic Pain

Pain caused by damage to the nerves themselves, often described as burning, shooting, or stabbing sensations.

How Cannabis May Help:

•  THC and CBD may directly affect neural signaling
•  Potential reduction in nerve hypersensitivity
•  May address both the pain sensation and the emotional response
•  Often responds when conventional treatments have failed

Inflammatory Pain

Pain resulting from inflammation in joints, muscles, or other tissues, common in conditions like arthritis or inflammatory bowel disease.

How Cannabis May Help:

•  CBD’s anti-inflammatory properties may reduce the underlying cause
•  THC can help provide symptomatic relief
•  Combined approach may be more effective than single-mechanism medications
•  Topical applications can target localized inflammation

Musculoskeletal Pain

Pain originating in the muscles, ligaments, tendons, and bones, often from conditions like fibromyalgia or chronic back pain.

How Cannabis May Help:

•  Muscle relaxant properties may reduce tension
•  Anti-inflammatory effects for associated inflammation
•  May improve sleep, which often exacerbates musculoskeletal pain
•  Could enhance physical therapy effectiveness by reducing pain barriers

Migraine Pain

Severe, often debilitating headaches that may include sensitivity to light and sound, nausea, and other symptoms.

How Cannabis May Help:

•  May reduce frequency and severity of migraine attacks
•  Could address associated symptoms like nausea
•  Potential to stop developing migraines when used at onset
•  Might help with the hypersensitivity to stimuli

Medical cannabis comes in various forms, each with different onset times, durations, and potential benefits for pain management. Finding the right option depends on your specific pain condition, symptoms, and lifestyle needs.

Oils and Tinctures

•  Precise dosing capabilities
•  Longer-lasting effects (4-8 hours)
•  Good for maintaining consistent pain management
•  Can be taken sublingually for faster absorption

Capsules and Softgels

•  Pre-measured doses for consistency
•  Extended-release options available
•  Similar to taking traditional medication
•  Convenient for people with established pain management routines

Vaporization (as a safer alternative to smoking)

•  Rapid onset of effects (within minutes)
•  Shorter duration (2-4 hours)
•  Useful for breakthrough pain episodes
•  May provide immediate relief during pain flares

Topicals

•  Applied directly to painful areas
•  Localized relief without systemic effects
•  No psychoactive effects
•  Ideal for targeting specific painful joints or muscles

Many chronic pain patients find that a combination approach works best—perhaps using a longer-acting oil for day-long pain management with a faster-acting option for breakthrough pain episodes.

Your healthcare provider can help determine which forms might work best based on your specific pain condition, daily schedule, and previous experience with pain management.

If you’re considering medical cannabis for chronic pain in Canada, here’s how to begin the process:

1. Consider if medical cannabis may be right for you

To determine if medical cannabis may be appropriate for your situation:

•  You have been experiencing pain for more than six months
•  You may have tried conventional treatments with inadequate results or experienced significant side effects
•  You must reside in Canada
•  You’re looking for a comprehensive approach to pain management

2. Book an online consultation

Our streamlined process makes it easy:

•  Visit apollocannabis.ca to fill out an intake form
•  Schedule a video consultation with a healthcare provider
•  Complete a brief triage questionnaire after booking
•  Discuss your pain condition, treatment history, and goals

3. Receive your online prescription

If approved, you’ll receive:

•  A personalized treatment plan
•  A legal medical cannabis prescription
•  Guidance on product selection and dosing specifically for your pain condition
•  Registration assistance with licensed producers

4. Ongoing support

Our care doesn’t end with your prescription:

•  Follow-up consultations to monitor progress
•  7 day a week support by phone and email
•  Dosage adjustments as needed
•  Access to healthcare professionals for questions
•  Educational resources about cannabis and pain management

Starting medical cannabis treatment for chronic pain is a significant decision. Our team of healthcare professionals specializes in cannabis medicine and can help you navigate this process safely and effectively through online prescription services across Canada.

An important consideration for anyone with chronic pain is how medical cannabis might interact with other pain medications and treatments.

These interactions could affect how your medications work or potentially cause unwanted effects, particularly with opioids, muscle relaxants, and certain antidepressants often prescribed for pain.

For your safety, always:

•  Disclose all medications to your healthcare provider during your consultation
•  Start with low doses of cannabis when using with other pain medications
•  Monitor for any unusual effects and report them promptly
•  Never adjust prescription medications without medical supervision

A comprehensive consultation with a healthcare provider is essential to ensure your treatment plan considers all aspects of your health, providing the best opportunity for successful pain management with your online prescription.

Finding the right cannabis dosage for pain management is a personalized process requiring individualized guidance. While we recommend consulting with a healthcare professional for personalized advice, here are some general principles:

Starting Your Cannabis Treatment:

•  Begin with low doses (e.g., 2.5mg THC or 5-10mg CBD)
•  Consider balanced THC:CBD ratios for pain relief with moderated psychoactive effects
•  Start with evening doses until you understand your response
•  Observe effects for at least 2-3 days before adjusting

Gradual adjustments:

•  Increase by small increments (e.g., 1-2.5mg THC or 5-10mg CBD)
•  Allow time between adjustments to assess the effects
•  Focus on finding the minimal effective dose for pain relief
•  Consider different ratios for different times of day or pain intensities

Pain-specific strategies:

•  Breakthrough pain may require fast-acting options
•  Consistent background pain may benefit from longer-acting formulations
•  Consider topicals for localized pain in addition to systemic options
•  Develop strategies for both daily management and pain flares

These general guidelines are based on clinical experience but must be tailored to your specific needs by a healthcare provider during your online consultation.

Remember that cannabis affects everyone differently, and finding your optimal dosage may take time and patience. Working with a healthcare provider experienced in cannabis for pain can significantly improve your results when getting an online prescription in Canada.