Many patients self-report their use of cannabis for the relief of their chronic pain and a record of these has been kept recently. Two specific observations have been made. Firstly, a significant number of these patients have spinal pain as a result of trauma. The injuries have never been severe enough to cause neurological damage. However, all have experienced soft tissue damage and including one with a vertebral crush fracture. A common feature has been a combination of muscle spasm, excessive superficial spinal tenderness (hyperalgesia, allodynia) and lack of sleep.
Secondly, a patient with an established prolapsed intervertebral disc could relieve all his pain with cannabis. His prolapsed disc was later surgically treated with substantial relief of symptoms.
Occasionally patients in the clinic will ask for advice on their use of cannabis and its interaction with other drugs. In parts of London where cannabis is widely used socially, discussion of this issue is the norm for certain health workers.
Nabilone is a very expensive drug because of its current limited use. It is producing budgeting problems within our Hospital. Cannabis grown commercially is extremely cheap. Nabilone possibly costs 10 times as much as the equivalent amount of cannabis bought on the street. Cannabis can be grown to yield a cocktail of cannabinoids of known and repeatable concentrations. The illogicalities are evident.
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Do You Suffer From Chronic Pain? Do You Feel Like You Might Be Addicted to Pain Killers For Life? Are You Trapped on a Merry-Go-Round of Escalating Pain Tolerance That Might Eventually Mean That No Pain Killer Treats Your Condition Anymore? Have you been prescribed pain killers with dangerous side effects?