We're constantly being asked if CBD will help with a number of issues, like whether you can use CBD Oil for Sciatica. Let's take a closer look. CBD has anti-inflammatory and pain-relieving properties, making it a promising candidate for managing the symptoms of sciatica. Here’s all you need to know about CBD for sciatica.
CBD Oil For Sciatica: An Osteopath’s Guide
Whilst CBD oil is a hot topic these days with a myriad of brands and countless types of products from bath bombs to gummies, not many people actually know what it is, what is a good product and how to use it to benefit themselves.
The vast majority of CBD products on the market are just that – CBD in a carrier oil. CBD is one cannabinoid of many in the cannabis plant. CBD has useful properties in its own right but is merely one player in a team of cannabinoids, terpenes and flavonoids.
Sadly, most people buy a CBD extract with precious little else in it and whilst it may help some people it is often ineffective or only partially successful on its own.
What you really want to look for is not CBD oil but a full spectrum plant extract that contains all the other clever parts of the plant in the right balance. Unfortunately, unscrupulous sellers of CBD often label their product as full spectrum when it clearly is not.
A true, high-quality CBD oil is dark in colour and has a complex earthy, spicy smell and taste. One customer described it to me as smelling like a walk down a country lane. I think that is a pretty good description.
The name CBD oil is actually a misnomer as what we are really looking at is a cannabis extract. Our Life edition oil is actually a raw CBD product and is as close to nature as one can get with all the right, legally acceptable, the balance of cannabinoids, terpenes and flavonoids.
This means that with all CBD One’s products you get the vital entourage effect – the synergy of all the compounds in cannabis that make it potent and effective. This is far from the case for many low-grade CBD oils sold in the UK right now.
Disclaimer: This article may contain occasional references of CBD “for” a specific topic, for example, “CBD Oil for Sciatica”.
It is important for us to clarify that CBD is a food supplement that, while very useful for many people, is not sold “for” any specific purpose other than general health and wellbeing.
Any references of CBD for a specific subject are simply so we can clarify this to anyone searching for these terms.
Can CBD Oil Help With Sciatica?
People regularly ask will “CBD help me with…” and then you can add just about any illness or pain known to humanity!
Unfortunately, the answer to this question is simple but disappointing: “We don’t know if it will help.”
One thing we do know is that CBD oil is remarkably safe to take so if you are taking CBD oil for sciatica the one thing we can say with confidence is that it will do no harm.
Now if you compare that to an over the counter anti-inflammatory we see a very different story.
For every thousand users of these drugs, three have heart attacks, one of which will be fatal. They are potent drugs but they come with a potentially serious price for your health.
Given the choice between something that is natural and causes no harm and may be of benefit compared to a drug that comes with risks and merely suppresses the healing response of your body, I know what I would try first.
What Is Sciatica?
Osteopaths see a lot of sciatic type problems. We also have a lot of patients who attend our clinics telling us they have sciatica when it is quite obvious they do not.
Sciatica is a dumping ground diagnosis that often comes from a lack of knowledge of anatomy and/or a failure to examine a patient effectively. If you go to the doctor and tell them you have pain down the back of your leg there is a good chance you will be told you have sciatica regardless of any other symptoms.
There are also a thousand doctors in the pub and I can assure you they will tell you that your problem is sciatica if you mention pain anywhere near your hip or leg.
So what is sciatica?
The word simply refers to pain from the sciatic nerve. This nerve is the longest nerve in your body so simply referring to sciatic nerve pain doesn’t help us establish what or where the problem is.
Let us take a look at the anatomy of this nerve.
More often than not the nerve is formed from the union of five branches of nerves that come from the lumbar spine. Each of these branches exits your spine through a foramina. This is a gap in your spine to allow nerves out to supply your body and allow it to function and move. The gap is formed of two vertebrae, one on top and one below and between them, they effectively form a bony tunnel for the nerve to exit your spinal cord.
The sciatic nerve has the vital role of supplying the skin, muscles and joints of your thigh, leg and foot.
Where Does The Sciatic Nerve Get Injured?
The sciatic nerve can be injured by a variety of problems that irritate it, inflame it or compress it.
Common injuries can be caused by a facet joint injury in the spine. This causes swelling and inflammation around the joint and since this is close to the sciatic nerve the swelling can impinge upon the sciatic nerve OR the inflamed joint releases chemicals that heal you but can also, during the healing process, irritate the nerve causing you to get the pain down your leg.
Damage to the foramina that causes it to become narrowed can compress one of the branches of the sciatic nerve. This is often from arthritic changes but can also be because of a trauma.
Disc problems can also cause sciatic pain because whether it is a slight tear of the disc or a full-blown prolapse there are chemicals released as part of the injury that irritates the nerve and the disc can also bulge and compress the nerve.
One area that is often neglected is where the nerve passes through your hip muscles to get to your leg. In about 50% of the population, the sciatic nerve passes through the piriformis muscle and if this becomes injured or contracted from postural strain and muscle imbalances, often from things like prolonged sitting, then you will get sciatic pain. This is called piriformis syndrome.
So you can see from this list, which is far from the full list, that to just dump sciatica upon somebody without investigating WHY they have the problem can lead to a pain that does not get fixed.
A common problem I see with most treatments of sciatica is that everybody stares at the site of the injury. Let’s say for the sake of argument that the injury is being caused by a disc problem in the lumbar spine.
The one question rarely asked is ‘why?’ Why has this injury happened at this place? In my experience, it is often because this area is being overloaded because another area is not working properly so the key is to hunt out the areas that are not working correctly.
I often find the area of the spine above the lower back is very stiff, especially between the shoulder blades and the hip muscles are also closed up and tight. Between the two lies the very mobile and relatively vulnerable lower back which then gets overworked because it is making up for the imbalances everywhere else. Lo and behold you get a disc injury that causes the sciatic pain but the cause is most definitely other areas not working.
If people investigated this before they embarked on major surgery they may find they can begin to change their problem without the need for a surgeon’s knife which, no matter how well-intentioned or skilfully applied, is not addressing the underlying reasons for the lower back injury.
How Does CBD Work?
Your body has a widespread system called the endocannabinoid system (ECS) which is a series of receptors in your central and peripheral nervous system. It is also in many of your organs and tissues, including your skin.
When you take CBD the cannabinoids in it effectively talk to the ECS and help it function well. The ECS is involved in homeostasis, or the ability of your body to maintain its balance regardless of the circumstances you are in. The ECS is a great balancer of your body.
CBD is also well known for having interesting anti-inflammatory effects. Because inflammation may be involved in sciatic pain CBD may have a role to play in helping. Most importantly do not forget that inflammation is a healing response and we do not want to suppress this healing or there is a possibility of ending up with a long term problem.
However, CBD is generally considered very safe and gentle acting and certainly does not come with the many serious side effects of taking too many opiate-based painkillers or Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) like Ibuprofen or Naproxen so it is highly unlikely to stop your body healing.
So if there is an inflamed injury there may be some sense in taking CBD. However, if there is a serious structural problem CBD will not fix this so make sure you speak with your doctor or health professional.
Warning signs that there may be a more serious problem are when your bowel or bladder does not seem to be working normally or you have a change of sensation in the area we call the saddle area ie. the area you would use to sit on a bicycle seat.
How To Use CBD Oil For Sciatica
You have three main choices when using CBD: oral products, a topical CBD cream or even our new CBD patches.
The oral option then subdivides into a CBD oil or a water-soluble CBD.
I would suggest that a great starting point is to look at an oral product. The oils are taken up to three times a day and up to three drops at a time. Drop them under your tongue and let them stay there for a few minutes before swallowing.
Our water-soluble products can be added to any hot or cold drink and most people, most of the time, take just one dose a day. Of course, this is a very personal choice and you may safely take more if you wish.
When it comes to CBD dosage the key on how to get the right dose for you is to listen to your body. When you see changes you can maintain the dose or increase or lower it depending on your progress. Some people find they can take CBD every other day but others find they have to take it much more regularly. This is a very personal choice and relies on you observing what is happening.
The best place to start is with a middle strength CBD product such as Signature Blend No2 or Absorb Pure or Ultra. This allows you to increase or lower your dose. If you start with a lower strength product and nothing changes the temptation is to think CBD did not work for you when it may simply have required something with a little more strength to begin with.
Some people use a topical cream to apply to the area of pain. I suspect with a sciatic problem this will do little good because the injury is often quite deep inside and there is little chance the CBD will get anywhere near the site of the injury.
How Soon After Taking CBD Should The Pain Subside?
Do not despair if you do not see instant relief from your problem. Whilst many see rapid improvements it can take from a few days to a few weeks to really get the optimum from CBD whatever you may be taking it for.
I have seen people get almost instant relief and others report that they felt nothing then after 8 weeks, everything improved all of a sudden.
I have also seen some people get no relief at all. There is no substance on planet earth that fixes everyone all the time but the key with CBD is that it comes with little risk, therefore, is a safe option for possibly great gains. It certainly does not come with the risk of heart disease or internal gut bleeding that the NSAID group of drugs comes with.
Will Taking The Oil Versus The Absorb Range Impact How Fast It Works?
We find that the oils tend to have a more calming effect whilst our Absorb products tend to have a more energising effect. I suspect this is because the water-soluble Absorbs get into your system faster.
Because they both have these slightly different initial effects many people get one of each and take the Absorb first thing in the morning for an energising hit then take the oils later in the day for their more calming properties.
Do I Have To Keep Taking CBD Oil For Sciatica?
The answer one of my osteopathic tutors would give to this question is succinct and to the point, “You don’t have to do anything!” I take CBD oil regularly because it is good for me.
With chronic problems, more action is often required to make a permanent fix than just taking CBD. So with sciatica, I would suggest you add a few other important changes to make more permanent improvements.
Many back problems are caused by a chronic lack of movement and I refer to these as ‘too much sitting syndrome’ so please look at how you use your body. We are built to move and if there is one posture more unhealthy and guaranteed to cause more trouble than any other it is prolonged sitting.
Take up pilates and/or yoga with a trained tutor who can tailor the exercises to help you safely and make sure you practice a little every day. If you have an injury do not just turn up at a class at your local gym without getting guidance from a tutor first. With the greatest will in the world, a generic class at your local gym may be perfectly fine for most of us most of the time but if you have pain you need skilled support and advice on a one to one basis first.
People often worry about the cost of such one to one lessons but my answer back is what is the cost to you of your pain?
A skilled osteopath is also a useful option where they can look at the cause of your problem and find ways to fix it and also give you lifestyle advice to prevent further trouble.
Fasting can also help because this allows your body to direct its energy into healing and repair processes rather than digesting food. Do not underestimate the power of this simple act. We have evolved to be able to have periods of fasting and it is an incredibly healthful thing to do.
Which CBD Oil Is Best For Sciatica?
I would suggest going for a moderate to high am/pm bundle which gives you a potent combination of the best of our products. The Absorb will get to work fast and then later in the day and overnight you will benefit from the slower more calming effects of the oil.
If you have any questions about your problem and what may help, get in touch via our free health advice service.
CBD for Sciatica: How It Works, Safety, Drug Interactions, & Best Products
Cannabidiol (CBD) is a popular natural health supplement with broad-acting anti-inflammatory, muscle relaxant, and pain-relieving properties that make it a gentle and effective option for those looking to address muscle and nerve pain — like sciatica.
Here’s everything you need to know about how using CBD for sciatica symptoms.
Table of Contents
- What Is Sciatica?
- How CBD Works For Sciatica
What Is Sciatica?
Sciatica is a peripheral neuropathic pain disorder that occurs when the sciatic nerve is damaged, pinched, or compressed. This often happens as the result of a herniated disk, bone spur on the spine, or spinal stenosis.
The pain associated with sciatica can take the form of sharp pain, numbness, tingling in the lower back that jolts down into the affected leg. For some patients, even simple spasms like sneezing can cause acute sciatica pain.
Sciatic nerve damage is often easily remedied, but it can also become a chronic disorder that may require surgery. Nonetheless, sciatica is painful and uncomfortable and produces significant inflammation in the body.
How Is Sciatica Treated?
Treatments for sciatica are usually focused on reducing inflammation and muscle spasms, managing pain, and preventing future injuries.
Although some sciatica patients need further care, most people can move on from sciatic nerve pain after a relatively short time with at-home care after a visit from a movement rehabilitation clinic.
Caring for sciatica at home is as simple as soothing the muscles and reducing the inflammation as much as possible. Taking a warm bath in Epsom salts, icing and heating the lower back, and taking anti-inflammatory medication can all help reduce sciatica symptoms.
It’s a good idea to talk to your doctor about sciatica if the symptoms persist beyond a few weeks.
How CBD Works For Sciatica
Cannabidiol (CBD) is the main pharmacologically active component in hemp plants that have been shown to have broad-acting applications towards pain, healthy stress management, and much more.
CBD primarily alleviates pain by targeting the nerve cells directly. This makes it especially promising for nerve-related pain such as sciatica.
Here’s how it works:
CBD Reduces Inflammation
One of the leading causes of pain is inflammation.
When it comes to sciatica, inflammation may cause swelling that pinches or compresses the sciatic nerve in the low back. When it comes to managing sciatica pain, reducing inflammation through heat and cold therapy and non-steroidal anti-inflammatory drugs (NSAIDs) are popular treatment methods.
CBD is an excellent anti-inflammatory compound because it works through multiple pathways involved with the inflammatory response compared to many anti-inflammatory medications, which only address one enzyme in the inflammatory process .
Related article: CBD For Inflammation
CBD May Offer Some Relief For Nerve Pain
Nerve pain or neuropathic pain is difficult to treat, but CBD has been shown to be effective at supporting neuropathic conditions through its unique interactions in the endocannabinoid system.
Not only does CBD reduce inflammation, as we’ve previously mentioned, but it increases anandamide levels — a neurotransmitter that binds to endocannabinoid receptors that stimulate bliss and wellness, which can help to manage pain.
CBD has also been shown to activate vanilloid and opioid receptors to block pain signals from the nerve to the spinal cord and brain. These findings have been observed in both internal consumption of CBD (smoking and eating) as well as topical applications .
In a recent study, patients reported a significant reduction in pain and uncomfortable symptoms, like itchiness or cold sensations, after using CBD oil to topically treat peripheral neuropathy .
CBD Has A Much Lower Risk For Abuse
Pain is the number one reason people become hooked on dangerous opioid drugs.
Several of the drugs used to treat sciatica pain are habit-forming, and tolerance is quickly developed. CBD is most effective for addressing pain in inflammation at higher doses (50 mg CBD or more). The good thing is that CBD is found to be well-tolerated and has very minimal, short-term adverse effects .
How To Use CBD For Sciatica
There are many different ways to use CBD for sciatica. For most people, this stubborn source of pain requires some pretty aggressive action. This means applying a high-strength CBD topical to the area (local pain relief) and taking some high-potency CBD oil, capsules, or gummies.
Some people even find topping these effects up with a few puffs on a vape pen every now and then help keep the pain control consistent and long-lasting.
1. CBD Oils For Sciatica
CBD oils come in all shapes and sizes. If your goal is to use it for general health and wellness, a simple 1000 mg oil should do the trick.
However, if your goal is to use it for hard-to-treat neuropathic pain conditions, such as sciatica, you’re very likely to need something much stronger.
Aim for something with at least 60 mg per mL. This works out to around 2000 mg per 1 oz (30 mL) bottle.
Full-spectrum oils are generally considered superior for managing nerve pain to a CBD isolate.
2. CBD Gummies For Sciatica
Oils and gummies serve the same purpose. CBD gummies are just a little bit more pleasant to use and makes figuring out the dosage simpler.
Look for gummies with high-potency broad-spectrum or full-spectrum extract. Most gummies are made from CBD isolate, which won’t work quite as well for nerve pain. Many of the other cannabinoids aside from CBD have analgesic and neuroregulatory benefits.
3. CBD Topicals For Sciatica
Many people with sciatica choose to combine both internal CBD (like oils or gummies) with a topical.
CBD topicals have faster relief but won’t work as thoroughly or for as long.
Your best bet is to opt for a high-potency, full-spectrum topical with at least 6 mg per mL (more is even better).
We like topicals with other painkilling ingredients the best — such as the Pain Cream from Kiara Naturals (Called Joint Cream, but it works for all sources of pain). This formula includes camphor, arnica, and menthol for added effect.
4. Other Cannabinoids For Sciatica
CBD isn’t the only cannabinoid with pain-killing benefits. When it comes to neuropathic-specific pain, the other options to consider are CBG (cannabigerol), CBN (cannabinol), THC (both delta 8 THC and delta 9 THC), and a novel cannabinoid called THCC.
Will CBD Interact With My Sciatica Medications?
All drugs that have a pharmacological effect bring the risk of side effects or interaction with other drugs or supplements. CBD is no different.
While this compound has a very high level of safety and isn’t known to cause any major side effects on its own, it could interfere with the effects of other, more dangerous prescription medications.
Common sciatica medications and their potential for negative drug interactions with CBD include:
CBD may interact with anti-inflammatory drugs by slowing the metabolism in the liver. It’s unlikely for there to be any major side effects with this combination, but it’s wise to speak with your doctor if you’re using corticosteroids like prednisone and want to take CBD.
B) Muscle Relaxants
Muscle relaxants used for sciatica include Lioresal (baclofen), Soma (carisoprodol), Lorzone (chlorzoxazone), and Fexmid (cyclobenzaprine).
All of these medications bring a high risk of side effects. Combining CBD with these medications could (theoretically) lead to a higher incidence of side effects. However, in practice, side effects from this interaction are uncommon. Always speak to your doctor before combining CBD with muscle relaxants.
C) Opioid Pain Medications
Opiates are, by far, the most common and potent class of painkillers. They work for all kinds of pain, including neuropathic pain conditions like sciatica.
The problem is that opioids commonly lead to side effects, can be addictive, and have the potential to cause overdose if used incorrectly.
CBD and opioids have a moderate to low risk of negative interaction but should be used very cautiously together.
CBD could slow the metabolism and elimination of these medications, leading to a buildup of the drug in the body with repeated doses. This could be very dangerous.
CBD may interact with drugs such as buprenorphine, hydrocodone, oxycodone, tramadol, and others.
Depression is a common side effect of any chronic pain condition — including but not limited to sciatica.
For this reason, it’s common for doctors to prescribe antidepressants along with other, more direct medical interventions.
CBD has the potential to interact with all major classes of antidepressants, including SSRIs, SNRIs, MAOIs, and tricyclic antidepressants.
In most cases, the interaction won’t cause any noticeable side effects, but sensitive individuals or people taking high doses of both the drug and CBD may experience adverse reactions with this combination. Talk to your doctor if you’re on any prescription antidepressants.
Summary: CBD Oil For Sciatica
Sciatica is a painful and uncomfortable peripheral neuropathy disorder. It’s often treated with muscle relaxants, anti-inflammatory drugs, and narcotics, but CBD can treat all the same symptoms these drugs seek to fix.
CBD can reduce inflammation, calm muscle spasms, and reduce pain associated with nerve damage. Using CBD for sciatica is as simple as rubbing a topical on the lower back and leg or taking an oral CBD product.
Be cautious about using CBD if you’re taking any prescription medications to manage your symptoms. Speak with your doctor before using CBD to ensure there aren’t any potential red flags about mixing CBD with your medications.