Joint Pain

Traumatic injuries to joints may involve a sprain or tear of the ligaments or tendons or a muscle strain. Inflammatory problems include bursitis, synovitis , arthritis or ankylosing spondylitis.

 

Shoulder Pain

Shoulder injury occurs when the shoulder muscles are weak or overused. Overuse or overhead repetitive motion can cause injury. The most common pain in the shoulder is soreness of the tendons in the rotator cuff. The rotator cuff is the part of the shoulder that helps the arm do circular motion. Partial thickness tears of the rotator cuff results in tendonitis. Frozen shoulder (adhesive capsulitis) can be a later stage result of overuse injury. This involves pain and stiffness with movement.  The painful achy stiff stage may last up to 8 months; the adhesive stage of lack of movement may last 4-6 months; the recovery stage takes several more months, but pain may persist. Shoulder joints can also be loose, causing dislocation, or have arthritis.

 

Hip Pain

Most cases of hip pain are a result of trauma or inflammation. Bursitis often occurs as part of an overuse syndrome such as climbing, or from a fall or a direct blow to the hip. Arthritis of the hip is common in the elderly. The end result of this degenerative disease is joint enlargement induced by growth of cartilage, bone, ligament tendon, capsules and chronic joint inflammation. Range of motion is limited and painful, there are flexion contractures, and loss of mobility. Hip fracture may occur after a fall or a motor vehicle accident.  Stress fractures in the elderly are a result of osteoporosis.

 

Knee Pain

Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Medical conditions — including arthritis, gout and infections — also can cause knee pain. Tendonitis around the joint is most commonly of the patellar tendon, the large tendon over the front of the knee. Chondromalacia causes knee pain under the kneecap and is due to softening of the cartilage. It is most common in younger patients.  Osgood-Schlatter disease is a condition seen in adolescents and is due to irritation of the growth plate just at the front of the joint.

 

Standard medical treatments:

Physical therapy

Ice

NSAIDs (anti-inflammatory drugs)

Exercises

Steroid injections

Surgery

 

Supportive and alternative treatments:

Nutritional –

Magnesium – muscle relaxant

Bromelain – enzymatic anti-inflammatory

Glucosamine sulfate – well researched anti-inflammatory

Homeopathy –

Traumeel – combination remedy for inflammation and would healing

Hypericum – for nerve pain

Zeel – combination remedy for arthritic joint pain

Symphytum – for bone and periosteum healing

Hydrotherapy – hot epsom salt soaks, herbal warm packs

Analgesic packs – castor oil, hemp oil, Chinese herbal liniment

Acupuncture

Chiropractic

Massage therapy

Rolfing – deep tissue massage

 

 Joint Pain and Cannabis

The use of cannabis as a treatment for musculo-skeletal and joint pain both internally and topically has been handed down as a folk-remedy and used by clinicians for centuries. Evidence now exists to support the anti-inflammatory and analgesic properties of both cannabis and its main cannabinoids, CBD and THC.  The ability of cannabis to combat chronic pain makes it useful for that aspect, both on its own and as an adjunct therapy that enhances the efficacy of opiates.  Research has also shown that patients are able to reduce their usage of potentially harmful Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) when using cannabis as an adjunct therapy. Topical applications of cannabis can be applied to the affected joint without causing psychoactive effects, and provide a safe, potent method of delivery with few side effects.