When hemp based CBD products became available in IOWA, Serenity Massage & Energywork did a 6 month study using 15 clients to determine just how effective CBD massage was. From January 2018 to June 2018.
I am completely astounded by the results.
EVERY client felt better.
Their pain ranged from mild but chronic, acute and severe, to severe and chromic and one client who is currently undergoing cancer treatments.
There were different brands and mgs that each client chose (and some switched to higher mgs and found better relief) but they all felt less pain and their quality of life improved. i.e. they could do more without more pain or even did more with less pain!
I have been fielding questions about CBD massage so that’s what this blog post is all about.
What is CBD Massage?
Many states have passed laws that allow people to use CBD extract, primarily in oil form. Ten states and Washington, DC, have legalized marijuana for recreational use for adults over 21. And 33 states have legalized medical marijuana (as of Nov 2018)
The cultivation of marijuana and its cousin, hemp (and the manufacture of various health-related products derived from them) is at an all-time high.
What does this mean for clients curious about products that contain CBD or THC as an add on to their massage?
Ill try to tackle the three most important questions regarding the use of this growing trend.
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.
Cannibidiol: a cannabinoid that has pain-relieving and other effects, minus the psychotropic effects of THC.
Marijuana: a cannabis plant bred for a high THC content.
Hemp: a cannabis plant containing less than 0.3 percent THC.
That category of topicals—the growing number of CBD-containing salves, creams, oils and patches touted as relaxing and pain-relieving—is the point at which marijuana and massage intersect.
MASSAGE Magazine spoke with experts around the U.S. to get the answers to questions massage therapists have about marijuana and massage, regarding the differences between products that contain hemp-derived versus marijuana-derived CBD; the pain-relieving mechanism of cannabis products; possible effects on massage therapists who apply such products; legality; and research.
1. Does every type of massage-related CBD product contain the same marijuana-derived ingredients?
No. Some of the salves, creams, lotions, oils, sprays and patches on the market contain hemp-derived CBD, which contains a miniscule amount of THC—no more than .3 percent—as their pain-relieving property; others contain marijuana-derived CBD, which contains much more—up to 25 percent in dried marijuana buds—THC.
Both CBD and THC are compounds within plants of the genus Cannabis—which includes both hemp and marijuana. CBD oil derived from hemp does not effect the high commonly associated with marijuana, according to several sources. CBD oil derived from marijuana contains an appreciable amount of THC, the same compound that gets people high, or stoned, when they smoke a joint.
2. What is the mechanism by which CBD and THC might effect pain relief?
Both CBD and THC are called endocannabinoids, and both act as ligands—or chemicals that bind 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 both THC and CBD stop 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, THC directly binds to both CB1 and CB2 receptors, and so directly influences pain, while 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 more anti-pain compound of the two cannabinoids.”
Osteopath Dustin Sulak, D.O., who treats patients with cannabis at his Maine Integrative Healthcare clinic in Manchester, Maine, told MASSAGE Magazine that both THC-containing and almost-THC-free CBD have 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.
3. What is the New DEA Code for Extract?
Cannabidiol (CBD) personal-care products include topical products such as patches, salves and oils intended for pain relief, and are created from both hemp, a cousin to marijuana. Massage therapists, chiropractors and the general public have embraced these products.
Now, many in the cannabis industry are scrambling to interpret a new rule issued by the Drug Enforcement Agency (DEA) on Dec. 14 titled “Establishment of New Drug Code for Marihuana Extract”—and to determine if it could affect manufacturers and distributors of hemp-derived products. The rule took effect Jan 13, 2017.
What has resulted is a flurry of misleading media reports and near-panic on the part of some hemp advocates and even legal professionals regarding whether or not the new code will have an effect on the CBD industry.
What is seems to come down to is whether a CBD product is ingested or applied topically.
DEA Spokesperson Russ Baer told MASSAGE Magazine that CBD lotions, topical ointments and patches are exempt from controls under the Controlled Substances Act, while edible hemp-derived products are not.
Plants of the genus Cannabis include both hemp and marijuana. Industrial hemp contains less than 0.3 percent THC; therefore, CBD oil derived from hemp seeds does not effect the high commonly associated with marijuana, while CBD oil derived from marijuana seeds contains an appreciable amount of THC.
CBD Law At a Glance
Topical products derived from cannabis are used by many people to effect pain relief.
The DEA has issued a new rule that established a drug code for extracts of all forms of cannabis, which includes hemp-derived extracts.
Hemp has less than 0.3 percent THC and doesn’t get people high like marijuana does.
In some states, the cultivation and distribution of hemp-derived products is legal. In other states, it is not.
So there is the nitty gritty on CBD massage.
it is legal in IOWA as long as it is hemp derived (which is the only one Serenity Massage & Energywork uses).
Our CBD massage won’t make you high.
Our CBD massage won’t make you fail a drug test.
If you do not notice a significant difference in pain, try one with higher CBD mg’s in it.
Regular massage (at least once a month) has an accumulative effect and works even better at pain management than non regular massage.
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