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									CBD oil, Sciatica and other painkillers - Chat Forum				            </title>
            <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/</link>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10888679</link>
                        <pubDate>Wed, 30 Oct 2019 09:09:19 +0000</pubDate>
                        <description><![CDATA[If your physio/doctor has prescribed doing planks to help with sciatica I’d be seeing somebody else!

No, all physio had suggested was standard McKenzie type flexion and extension, which was...]]></description>
                        <content:encoded><![CDATA[<blockquote>If your physio/doctor has prescribed doing planks to help with sciatica I’d be seeing somebody else!</blockquote>

No, all physio had suggested was standard McKenzie type flexion and extension, which was getting me nowhere and was often more painful or sent pain further down leg or even into other leg!

Planks are just me trying to get a head start on core strength stuff. Actually discovered last night that I got some relief from standing with my back against the wall and pulling in belly button to flatten back against wall. Very similar to other exercises I've been doing but this particular version seems to bring some relief..]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>13thfloormonk</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887965</link>
                        <pubDate>Wed, 30 Oct 2019 08:05:12 +0000</pubDate>
                        <description><![CDATA[If your physio/doctor has prescribed doing planks to help with sciatica I&#039;d be seeing somebody else!]]></description>
                        <content:encoded><![CDATA[If your physio/doctor has prescribed doing planks to help with sciatica I'd be seeing somebody else!]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>isitafox</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887879</link>
                        <pubDate>Wed, 30 Oct 2019 06:42:59 +0000</pubDate>
                        <description><![CDATA[Thanks for all the responses folks.

I bought the CBD capsules partly out of desperation, partly out of curiosity and partly out of &#039;what have I got to lose?&#039;. Fairly convinced now that they...]]></description>
                        <content:encoded><![CDATA[Thanks for all the responses folks.

I bought the CBD capsules partly out of desperation, partly out of curiosity and partly out of 'what have I got to lose?'. Fairly convinced now that they were a waste of £20 but not embarassed, there was enough positive anecdotal stuff out there to give them a whirl. Perhaps they work better as a placebo for folk with chronic low level pain. Given that I was practically licking the inside of my bottle of morphine clean at 4am this morning I'm probably a bit beyond 'placebo'...


<blockquote>So perhaps it’s time to look within and try to find out the root cause of your dis-ease? </blockquote>

I am open to this sort of thinking, but I'm not sure what I would be looking for! e.g. my sleep is good (despite best efforts of our 2 yr old!) Stress levels are good after a difficult start to the year, activity levels are good, even with the current sciatica I'm doing as much exercise as pain allows.

I'm familiar with the theory that the nervous system can become sensitised and 'over-react' to certain stimuli, for instance perhaps my lower back is excessively guarded against bending and twisting. Am hoping a gentle and gradual introduction to yoga will perhaps 'teach' my body that I CAN bend and twist without needing to go into full muscular spasm lockdown!


<blockquote>op, have you visited a chiropractor</blockquote>

I haven't, and probably won't. I'm cursed with an over analytical nature (experiments with CBD not-withstanding!) and don't understand how chiropractic would actually do anything that proper strengthening and stretching couldn't. Also nervous of certain side effects (loosening of ligaments due to repeated 'manipulation' of joints etc.). I just don't feel it's a sustainable way forward (for me).]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>13thfloormonk</dc:creator>
                        <guid isPermaLink="true">https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887879</guid>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887860</link>
                        <pubDate>Wed, 30 Oct 2019 05:35:02 +0000</pubDate>
                        <description><![CDATA[My experience is in line with slackalice’s.

op, have you visited a chiropractor? I had pain in my legs and back for years. I hobbled into the chiropractor’s like an old man and walked out a...]]></description>
                        <content:encoded><![CDATA[My experience is in line with slackalice’s.

op, have you visited a chiropractor? I had pain in my legs and back for years. I hobbled into the chiropractor’s like an old man and walked out an hour later like the 19 year old that I was. That was after years of examinations and tests and dead ends. My GP at the time was close to scathing of the idea or chiropractic treatment.]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>LAT</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887855</link>
                        <pubDate>Wed, 30 Oct 2019 05:11:43 +0000</pubDate>
                        <description><![CDATA[Feel your pain OP and other chronic nerve pain sufferers. I’ve just recovered from 2 months of a trapped Femoral nerve and have a history of other back issues including sciatica, sacroiliac,...]]></description>
                        <content:encoded><![CDATA[Feel your pain OP and other chronic nerve pain sufferers. I’ve just recovered from 2 months of a trapped Femoral nerve and have a history of other back issues including sciatica, sacroiliac, prolapsed neck discs going back some 30 years.

The recent Femoral nerve issue has been my first episode for over 11 years and interestingly enough for me, has tied in with what’s going on for me in my life on an emotional level, as have my two previous crippling back issues. Both previous occurrences came at a time when my relationship with my SO had reached the end of its life cycle. This most recent Femoral nerve issue has highlighted to me that once again, I need to be honest with myself and those I share my life with.

Unsurprisingly, as soon as I admitted to myself the stark reality, my condition made a very slight improvement - I had already seen a Physiotherapist and doing my exercises - which are as if not more important for recovery IMHO than the metaphysical. Yes, I have been taking high strength co-codamol, amitriptlyne and naproxen and also some Pregabalin. Thankfully, yesterday I was painkiller free for the first day in nearly 3 months.

Generally, I endeavour to exercise daily on a fit ball to condition and strengthen my core. This was recommended to me by a physio nearly 20 years ago but we’re all human and whilst it would be better for me and my 6-pack to practice daily, I don’t and hence my internal dis-ease manifests itself once again with a back issue.

As for CBD... listen, I’ve been using cannabis for pretty much my whole adult life and quite frankly, the current whoosh of CBD is so people can make some money in a fairly ‘legitimate’ way. Yes, if you follow a chap called Rick Simpson and use oil that has been made with his or similar methodology, there are certainly benefits and lots of anecdotal evidence - which, let’s face it, never goes down all that well on here. As for the band wagon CBD, personally, you’re better off with paracetamol.

Lastly, because this is STW and everyone’s love affair with science and western medicine, the best performing drug ever, in all clinical trials is the placebo. So perhaps it’s time to look within and try to find out the root cause of your dis-ease? &#x1f917;]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>slackalice</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887849</link>
                        <pubDate>Wed, 30 Oct 2019 03:36:15 +0000</pubDate>
                        <description><![CDATA[TiRed

Member

OK, I assumed that as the other meds the OP mentioned were prescribed, we were also talking about prescribed a prescribed CBD, not Holland and Barrett holistic grade.]]></description>
                        <content:encoded><![CDATA[<blockquote>TiRed

Member</blockquote>

OK, I assumed that as the other meds the OP mentioned were prescribed, we were also talking about prescribed a prescribed CBD, not Holland and Barrett holistic grade.]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>aphex_2k</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887371</link>
                        <pubDate>Tue, 29 Oct 2019 19:30:17 +0000</pubDate>
                        <description><![CDATA[Wow, you have my sympathies! I&#039;m only 3 months at the moment, although a few spasms prior to this, no serious sciatica until now.

MRI tomorrow AM, just a shame it&#039;s a lobg drive through rus...]]></description>
                        <content:encoded><![CDATA[Wow, you have my sympathies! I'm only 3 months at the moment, although a few spasms prior to this, no serious sciatica until now.

MRI tomorrow AM, just a shame it's a lobg drive through rush-hour traffic to get there!]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>13thfloormonk</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10887339</link>
                        <pubDate>Tue, 29 Oct 2019 19:14:33 +0000</pubDate>
                        <description><![CDATA[My sciatic nerve was trapped for so long that it’s permanently damaged



I’m almost dreading the answer to this, but how long was yours trapped for?

My back problem started in 1997, tore t...]]></description>
                        <content:encoded><![CDATA[<blockquote>

<blockquote>My sciatic nerve was trapped for so long that it’s permanently damaged</blockquote>



I’m almost dreading the answer to this, but how long was yours trapped for?</blockquote>

My back problem started in 1997, tore the erector spinae on the right side, which gave me a very slight twist in my spine. The muscle wasn't holding my spine up straight. Numerous spasms over the next 10 years then saw my first real bout of sciatica in the winter of 2006/7. I then had a caudal epidural in the summer of 2008, which then had me pain free and full range of movement. Change of job and driving around the country day in day out in 2010 started to play havoc with bouts of sciatica until May 2014. I had another caudal epidural in May 2014 followed by a root nerve block and facet joint injections in July 2014. They did nothing, but that was followed by a physio tearing the disc in L5/S6 trying to elevate the trapped nerve in September 2014. Change of specialist in November 2014 saw more facet joint injections, again which did nothing. Surgery was in March 2015. Post surgery infection delayed recovery but I was more or less pain free and full strength by August 2015. I've been on amitriptyline since November 2014 at 25mg per day. Any less and the numbness and tingling gets to be bothersome. 

TLDR: Trapped sciatica nerve for about 12 years in various intensities.]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>bigblackshed</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10886973</link>
                        <pubDate>Tue, 29 Oct 2019 14:48:30 +0000</pubDate>
                        <description><![CDATA[CBD has a license for relief of spasm in Multiple Sclerosis#. It does not have any label for relief of pain. Use in Germany for pain was based on opinion rather than data (the paper I linked...]]></description>
                        <content:encoded><![CDATA[CBD has a license for relief of spasm in Multiple Sclerosis#. It does not have any label for relief of pain. Use in Germany for pain was based on opinion rather than data (the paper I linked to). So use for pain would be off-label and promotion for this use by the authorisation holder (GW PHarmaceuticals) would be illegal and subject to prosecution. A doctor may prescribe any approved medicine off-label (e.g. for pain) once it is licensed, but assumes any risk associated with ensuing adverse events.

NICE have weighed the evidence on CBD use, I suspect due to public pressure (as in Germany) and possible off-label use. They have not reviewed any Marketting Authorisation Application (in fact NICE review the cost-effectiveness of  approved madicines) - as there is no data to support an EMA review for a pain indication, because the data has yet to be provided. That data will be two well-controlled randomized double blind clincial trials in pain tested against standard of care.

Hope that is clear.

#Exact label is "...indicated as treatment for symptoms improvement in adult patients with moderate to severe spasticity due to multiple sclerosis (MS) who have not responded adequately to other anti-spasticity medication and who demonstrate clinically significant improvement in spasticity related symptoms during an initial trial of therapy."

MHRA review and approval <a href="http://www.mhra.gov.uk/home/groups/par/documents/websiteresources/con084961.pdf">here</a>]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>TiRed</dc:creator>
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                        <title>Re: CBD oil, Sciatica and other painkillers</title>
                        <link>https://singletrackworld.com/forum/off-topic/cbd-oil-sciatica-and-other-painkillers/#post-10886914</link>
                        <pubDate>Tue, 29 Oct 2019 14:06:56 +0000</pubDate>
                        <description><![CDATA[NICE have concluded that more studies are needed, as one would expect for an EMA-licensed product for prescription


Why would one expect NICE to conclude this? 

Because of this specific pr...]]></description>
                        <content:encoded><![CDATA[<blockquote>NICE have concluded that more studies are needed, as one would expect for an EMA-licensed product for prescription</blockquote>


Why would one expect NICE to conclude this? 

Because of this specific products clinical data or because of the Regulatory approval process (i.e. centralised by EMA rather than a National review by MHRA)?]]></content:encoded>
						                            <category domain="https://singletrackworld.com/forum/off-topic/">Chat Forum</category>                        <dc:creator>Tallpaul</dc:creator>
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