CBD Oil For Tendonitis

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Are you looking for tendonitis relief? Thanks to its many health benefits, CBD for tendonitis may be a great option. CBD is known for its anti-inflammatory benefits and pain-killing properties. This means you may use it for tendonitis pain relief and speed up your body’s recovery in a natural way — on top of helping it achieve more balance overall. Here are some of the best CBD products for Tendonitis, a common sports injury caused by either overusing or overloading the tendons during physical activities.

CBD for Tendonitis – Does It Work?

You may be wondering if CBD for tendonitis is a good treatment option. You’ve likely heard of the many benefits of CBD (cannabidiol) over the past couple of years as more and more research has been done on its effects. CBD has shown to help manage anxiety, promote better sleep, and even reduce pain. But can its pain-relieving benefits also apply to tendonitis?

If you’ve ever suffered from tendonitis, you know that the pain can be unbearable. While certain prescription medications and topical treatments can provide relief, you may be interested in trying out a more natural remedy in order to deal with the pain.

That’s where CBD comes in.

Thanks to its plethora of health benefits, and its ability to reduce inflammation in the body, CBD oil for tendonitis may be a great option. Keep reading to learn more about CBD, tendonitis, and what we consider the best CBD cream for tendonitis.

What is tendonitis?

Simply put, tendonitis is the irritation or inflammation of a tendon due to overuse or strain.

The tendons in your body are pieces of tissue that connect your muscles and bones. Tendons are found throughout your body. There are small tendons located in places like your hand, and larger rope-like ones in your legs. Your tendons react when your muscles contract, which then allows your bones to move. Healthy tendons are essential for easy and pain-free movement.

Tendons can easily suffer from tears or inflammation if too much stress is put on your joints. Although the tissue can heal itself quickly after slight or infrequent damage, if your tendons experience consistent or extreme strain, tendonitis can develop.

You’ve probably heard of at least a few of the following conditions: tennis elbow, golfer’s elbow, jumper’s knee, or pitcher’s shoulder. All of those are just clever names for the same thing – tendonitis. But you don’t need to be an athlete to suffer from the condition, even activities like gardening, cleaning, or painting can cause injury to the tendons.

Common Locations of Tendonitis

You can get tendonitis in basically any area of the body where a tendon is present. However, the most common places to experience this condition include:

  • Elbow
  • Shoulder
  • Hip
  • Knee
  • Thumb
  • Achilles tendon (where your calf muscles connect to your heel bone)

How serious is tendonitis?

Tendonitis can vary greatly in severity. It can start with mild pain but can easily transition into severe injury. In some cases, if the injury is not treated properly, tendon rupture can occur. This is when the tendon becomes so damaged and overused that it breaks. Surgical repair is often required in these extreme situations.

Because tendonitis can cause severe damage if it is left untreated and you continue to strain those tendons, it’s imperative that you seek medical treatment if your pain worsens. Make sure that you speak with your health care provider and get your injuries evaluated in order to see how severe the damage is, and to discuss potential treatment options.

While CBD will not cure your tendonitis, using CBD for tendonitis can help reduce the inflammation and can reduce the pain you experience caused by tendonitis.

What treatment is available for tendonitis?

Although rare, sometimes it requires surgery to treat tendonitis. Often, this is only when severe damage has been done to the tendon and only when all other treatment options are not effective. In order to avoid getting to that point, it’s crucial that you allow your body time to rest and recover, and that you utilize other forms of treatment.

Ultimately, taking a break from whatever activity is causing the damage is your priority. It is very important that you allow your tendons the time to heal so that the injury does not get worse.

A few options for treating tendonitis include using a splint or brace, taking certain medications, participating in physical therapy or massage, and more. Physical therapy for those with tendonitis focuses on stretching and strengthening the affected muscles and tendons. Some of the methods and treatments in physical therapy have been proven to be very effective.

If your case is more extreme, then surgical procedures are possible. Ultrasonic treatment is a procedure where the doctor will use ultrasonic sound waves to remove tendon scar tissue that is affected. Another option is dry needling, which has a goal of stimulating the factors involved in tendon healing by making small holes in the tendon with a thin needle. Lastly, if your situation is extreme and the tendon has torn away from the bone, then a surgical repair may be necessary.

If your case isn’t as extreme, then it’s even more important to address symptoms so that things don’t get worse. Anti-inflammatory drugs like ibuprofen or aspirin may be used to reduce swelling and minimize pain. However, those are not your only options.

CBD for tendonitis may be an effective option as well. Using CBD as an exercise recovery tool isn’t new. Quite a few athletes have been singing its praises, so much so that many have developed their own CBD brands or have become sponsors for already-established brands. Our blog on CBD For Exercise highlights the benefits of using CBD for muscle recovery.

Whether you want to avoid using medications altogether or you want to supplement your treatment with a more natural anti-inflammatory option, CBD is certainly something to consider.

Before we jump into how effective a CBD cream for tendonitis can be, let us briefly discuss what CBD is and how it works.

What is CBD?

CBD, short for cannabidiol, is a natural compound called a cannabinoid found in cannabis plants. It is extracted from hemp plants.

Unlike its cousin THC (tetrahydrocannabinol), CBD is completely non-psychoactive. It does not cause you to experience a “head high” and it is completely safe for almost everyone to use. Although both CBD and THC come from cannabis plants, they vary greatly in how they affect your body. CBD generally provides you with a relaxed and calm feeling and provides many health benefits, while certain forms of marijuana containing THC can induce psychoactive effects.

CBD works by interacting with your body’s natural endocannabinoid system (ECS). This system is responsible for a lot of important tasks including regulating mood, managing appetite, promoting sleep, and more. When CBD enters the body, it links up with the ECS in a way that helps your body to naturally become more balanced. This may be through making you feel calmer and more relaxed, helping you to sleep better, and potentially improving your mood as well. You can read more on CBD and your endocannabinoid system here.

REGULATIONS OF CBD

Thanks to the 2018 Farm Bill, CBD is completely federally legal in the United States. The bill legalizes the regulated production of industrial hemp plants and the extraction and sale of CBD. However, only CBD products containing less than 0.3 percent of THC can legally be sold throughout the U.S. As long as the product contains less than 0.3 percent THC (and is from a reputable company that uses safe ingredients) it is non-psychoactive and completely safe for consumption and use.

The World Health Organization regards CBD as a safe compound without many side effects. In addition, the FDA has even approved CBD as a treatment option for epilepsy, as it is currently the main ingredient in the epilepsy medication Epidiolex.

While frequent use is in an oil form, CBD is also effective in capsules, creams, gummies, and more. When it comes to treating the pain caused by conditions like tendonitis, using a topical CBD cream for tendonitis is a great option, although CBD oil for tennis elbow and CBD capsules are great choices as well.

Can CBD for tendonitis help alleviate the pain?

In addition to helping your body achieve more balance overall, CBD is also known for its anti-inflammatory benefits. Inflammation is the primary cause of pain in conditions like tendonitis. This means that you can use CBD for tendonitis pain relief so you can rest your body while it works to recover naturally.

While more research must be done on the subject before anything can be proven, the studies that have been done on CBD’s effects on inflammation are very promising. This leads us to believe that CBD for tendonitis is effective in reducing the inflammation.

A study from the European Journal of Pain shows that when CBD applies directly to the skin it can help lower inflammation and therefore reduce the pain caused by arthritis. The study found that CBD may be a safe treatment for osteoarthritis (OA).

Another study completed in 2016 found that the topical use of CBD can help relieve the inflammation associated with arthritis as well.

CBD AND INFLAMMATION

To better understand how CBD helps with pain relief, you must first understand how inflammation affects the body.

Inflammation is your body’s natural response to protect itself from damage. The cause of this is from your immune system releasing white blood cells to protect the affected area. Although inflammation is essential in that it helps in the healing process, too much inflammation can cause a lot of pain. This is why many recommend anti-inflammatory drugs such as aspirin or ibuprofen when you have an injury or experience pain due to inflammation.

However, as mentioned above, those drugs are not your only option for dealing with inflammatory pain. CBD is also an effective agent in reducing inflammation and ultimately providing natural pain relief.

How do I use CBD for tendonitis pain relief?

You can use a CBD cream for tendonitis in order to reduce the pain you experience in that area. A tennis elbow cream that contains CBD may be a good option for managing your discomfort. Creams containing CBD are great options because they provide targeted relief. Apply the cream to your elbow or knee, wherever you’re experiencing the pain and receive direct relief.

One of the most powerful options for the best CBD cream for tendonitis is this Medterra Pain Cream. It has 1000mg of CBD in just a 1.7 ounce container and also contains other natural ingredients. Examples of natural ingredients include menthol, arnica, and aloe to provide a cooling sensation and ultimate pain relief. Simply pump the product onto your hand, and apply directly to the affected area. Fun Fact: this product won 2021 Product of the Year in the “CBD Personal Care” section.

Two other great choices are the Green Roads Muscle and Joint Roll-Ons, one with Cooling Relief and one with Heat Relief. Both of these have 750mg in a 3 ounce roll-on, so it’s a strong 250mg of CBD per ounce. This roll-on provides instant warmth or cooling to provide relief to your muscles and joints. To use, simply apply the product to your injury and rub it in. It is effective in not only relieving pain from tendonitis but general joint pain and sciatica pain as well.

Read our blog here for more CBD pain cream relief product comparisons. You can also do your own research to find out what works best for you. This article can help you find which CBD product, what dosage, and what strength can help reduce your tendonitis pain.

Here at The Green Dragon CBD, we want to support those suffering from tendonitis. Please use Coupon Code: TENDON20 for 20% off your entire order!

CBD is federally legal according to the 2018 Farm Bill.

You can use CBD products for tendonitis pain and inflammation, but consult a doctor for tendonitis treatment.

There are quite a few types of CBD products. The best for tendonitis will be topicals to control your pain and inflammation. Capsules and oils are also good options. To find the best product for you, consult with our team and we will be happy to help find what product you should try.

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CBD Oil for Tendonitis: Benefits & Usage

The reason why CBD has become so popular in recent years is due to its remarkable painkilling and anti-inflammatory properties. Anecdotal reports from CBD users as well as numerous scientific studies have mentioned these qualities, touting CBD for its effectiveness without the dangerous side effects associated with conventional painkillers, especially prescription ones.

The BD boom has given rise to a plethora of different products formulated to ease different types of physical discomfort. Even sports people and professional athletes use it to relieve pain, including tendonitis. This painful ailment manifests as inflammation in tendons, which control almost every movement in the human body — even blinking of your eyelids.

The exploitation of any muscles can lead to tendonitis, so the biggest risk factor here is intense physical activity such as professional sports or heavy-duty jobs such as construction works or mining. Tendonitis is more likely to happen when people get older and can also derive from pre-existing health conditions such as diabetes or arthritis.

Today, we explain everything you need to know about tendonitis and whether or not CBD oil can help treat this ailment.

Let’s start with a brief overview of tendonitis and its types.

What Is Tendonitis?

Tendonitis is a physical condition that occurs when the tendons, which are the tissues connecting the bone with the muscle, suffer from inflammation. Tendonitis is a common sports injury, where a part of the body containing tendons is overloaded or overworked.

When it comes to overload, physicians usually mean a sudden increase in speed. For example, let’s say you start running at high speed immediately after walking steadily for a while. Repeated overload of tendons can lead to the Achilles tendon, where the tissue found at the back of the lower leg gets swollen.

Overwork means that the frequent repetition of certain movements, such as weight lifting, can have a negative impact on the tendons in general — especially those in arms or legs.

Other causes of tendonitis include infections, deformities, or other medical conditions, such as Haglund’s deformity, gonorrhea, and diabetes.

Types of Tendonitis

Tendonitis has several different forms depending on the parts of the body it affects. It can show up in the shoulder, elbow, wrist, knee, and heel.

Here are the most common types of tendonitis:

  • Tennis elbow – tennis elbow is caused by inflammation in the tendons on the outer side of the elbow. Pain may begin in the forearm and surge to the wrist and fingers. As the name suggests, this type of tendonitis is common among tennis players, but it can also affect plumbers, construction workers, painters, and artists who constantly move their arms.
  • Achilles tendonitis – this type of tendonitis occurs in the largest tendon in the body known as the Achilles tendon. When the tissue connecting the heel with the calf muscle gets exposed to overwork, it causes swelling and pain. Runners are the most exposed group to this condition, but Achilles tendonitis may also affect people who have a sudden increase in pace during running activities.
  • Rotator cuff tendonitis – also referred to as bicep tendonitis, this ailment involves shoulder pain caused by inflammation of the biceps tendon. People who have rotator cuff tendonitis often report pain running from the shoulder blades to the upper arm. This type of tendonitis may be triggered by frequent stretching of the arms or by heavy lifting. The condition may cause patients to experience problems falling asleep or reaching objects and surfaces located above the head and behind the back.
  • Golfer’s elbow – golfer’s elbow is caused by the inflammation of the forearm, where the swelling appears inside of the forearm and elbow. The condition can be triggered by a wide range of activities that use repetitive hand movements, such as throwing, gripping, swinging, and flexing.

Does CBD Help with Tendonitis?

Most people can successfully treat tendonitis with OTC painkillers, such as ibuprofen, naproxen, and aspirin — it rarely requires the intervention of prescription medications.

Despite being effective at treating minor pains, combining too many non-steroidal anti-inflammatory drugs (NSAIDs) can result in dangerous side effects, such as gastrointestinal bleeding or heart attack — not to mention that they lose effectiveness over time (1).

Severe cases of tendonitis are also treated with corticosteroid drugs. These painkillers are used for pain management; doctors apply them to athletes using injections for immediate relief from inflammation and pain.

Now, corticosteroids are stronger painkillers than NSAIDs. Unfortunately, their chronic use may weaken the tendons, impairing their functioning and causing even greater damage (2).

For the above reasons, people have started to seek out natural, safer alternative treatments for tendonitis.

Numerous studies have pointed to CBD as potent anti-inflammatory properties. For example, one study has found that CBD can effectively help people manage arthritis pain, which affects the connective tissues like ligaments and tendons (3).

Another study has concluded that CBD oil has anti-inflammatory and immunomodulatory properties for rheumatoid conditions (4). The study has also stressed the low efficacy of traditional prescription painkillers. Drugs like opioids can even lead to uncontrolled rheumatic pain and worsen inflammation, which is the underlying cause of arthritis.

Researchers have discovered that CBD produces more potent effects for inflammation and pain when taken in combination with THC, the second major cannabinoid in the cannabis plant.

CBD and THC are comparable to opioids in terms of the anti-inflammatory and painkilling benefits, but they don’t cause adverse side effects and can’t lead to a fatal overdose because they don’t target the brainstem area responsible for respiratory function.

In 2020, CBD was approved for athletes by the World Anti-Doping Agency (WADA). The organization applied those changes in its updated World anti-Doping Code.

Benefits of CBD Oil for Tendonitis

As said earlier, tendonitis involves swelling and pain in the tendons. Symptoms may last for anywhere between several days to a few weeks, depending on the severity of the injury. People usually recover from tendonitis within two days to six weeks.

Tendonitis can transform into tendinosis if left ignored; this condition involves severe tendon degeneration involving joint stiffness, chronic pain, and movement restrictions.

Tendinosis occurs when tendons lose too much collagen due to overwork while not being completely regenerated. Collagen is the most abundant protein in the human body; it’s responsible for the strength, structure, and elasticity of the skin and bones.

Tendinosis is more challenging to treat than tendonitis — usually taking around three to six months. Treatments include stretching, massaging, shockwave therapy, or surgery.

People with severe tendinosis may wear temporary slings, splints, or braces on affected areas. Sometimes, surgery is necessary to realign and repair tendons when the damage is too heavy.

Below we provide evidence supporting CBD’s ability to treat tendonitis and its symptoms.

CBD Reduces Inflammation

Plant-based cannabinoids such as CBD can regulate the immune system’s reaction to inflammation.

Inflammation is a natural process that occurs when the body gets injured or when a person ingests harmful substances.

CBD has a remarkable anti-inflammatory effect. When CBD starts interacting with the endocannabinoid system, it causes the macrophages to inhibit the release of cytokines.

Cytokines are pro-inflammatory proteins, while macrophages are white blood cells that react to infections.

A study performed on rats showed that oral forms of CBD taken in subsequently higher doses has helped reduce inflammation on the subjects’ paws. The paws were also less swollen after a few hours of administering CBD for the first time (5).

The authors of the study underlined the need for human clinical trials to confirm if CBD would provide the same results.

CBD Mitigates Pain Signals

As mentioned, CBD interacts with the human endocannabinoid system (ECS) — the major regulatory network involved in pain modulation on top of many other processes. The ECS has two types of receptors: CB1 and CB2. These receptors occur throughout the body and respond to molecules known as endocannabinoids.

The term ‘endo’ means ‘from within’ in Greek, which refers to the cannabinoids your body produces naturally. They have a very similar structure to phytocannabinoids, the ones produced by cannabis plants.

Endocannabinoids and phytocannabinoids regulate the body’s biological processes to keep it in the state of balance known as homeostasis. Homeostasis means that the body is able to self-regulate these processes in order for us to function properly.

When taken sublingually or orally, CBD indirectly increases the ECS concentrations of cannabinoids to help retrieve the lost balance — and thus treat different types of discomfort, including tendonitis. Unlike its cousin THC, CBD won’t get you high because it doesn’t have intoxicating properties.

One study that examined the use of CBD in pain management has found that CBD oil can be an effective alternative to opioid-based prescription drugs. The authors of the study have found that patients with chronic pain reduced their dose of opioids after using CBD. The study also suggested that CBD may be an effective replacement for conventional analgesic treatment (6).

Another study, conducted on rats, has found that topical use of CBD may reduce pain caused by rheumatoid arthritis. Although the results came from animal models, they may be relevant when replicated in humans, as all animals except for insects have the same ECS (7).

How to Choose the Right CBD Product for Tendonitis

CBD products fall into three classes: full-spectrum CBD, broad-spectrum CBD, and CBD isolates.

Full-spectrum CBD is made from the whole hemp plant and contains the complete cannabinoid profile, including minor cannabinoids, terpenes, and flavonoids. These molecules help your body to process CBD more efficiently, allowing lower doses to remain effective. Studies have found that full-spectrum extracts are superior to isolates when it comes to reducing inflammation and pain. This phenomenon is known as the entourage effect.

Broad-spectrum CBD extracts contain all of the above but without THC. The intoxicating cannabinoid is usually removed after initial extraction. They aren’t as complete as their full-spectrum counterparts, but they still evoke some of the entourage effects.

CBD isolates are pure, isolated CBD. All other compounds are removed through a series of chemical processes. They have no odor and flavor, which makes them more versatile than the above forms, but they lack the entourage effect, which makes them a less preferred option among consumers. However, if you take high doses of CBD oil and are tested at work for THC, isolates are the safest bet.

Follow These Steps to Ensure You’re Getting a High-Quality CBD Oil

  • Choose CO2-extracted CBD oil. CO2 extraction is by far the best technology to obtain CBD oil with. This method doesn’t use extra heat or toxic solvents, so it produces consistently potent and pure products while preserving the original plant’s profile.
  • Look for CBD oil made from organic, non-GMO hemp. Hemp plants are dynamic bio accumulators, so they will absorb every substance from the soil they grow in — both the good and the bad. This quality is prized when it comes to cleaning soil, but using such plants as source material for CBD oil is a big no-no. That’s why you should choose products made from organically grown hemp that was cultivated in a clean environment.
  • Only purchase from reputable companies that provide third-party lab reports for their products. A Certificate of Analysis from an independent laboratory is the only proof that your product is legitimate. Third-party labs analyze the potency of CBD and look for common contaminants in the product sample, including pesticides, heavy metals, mycotoxins, and solvent residue.
  • Read user reviews and niche blogs about CBD before purchasing any CBD oil online.
  • Make an appointment with a doctor experienced in cannabis use to determine the right dosage for your situation and learn about complementary therapies for tendonitis.

How to Use CBD for Tendonitis

CBD comes in various forms to suit different types of consumers. Aside from picking the right potency for your tendonitis symptoms, and the preferred spectrum of your product, the route of administration is another important consideration.

CBD oil can be taken orally or topically. Below we explain how to use both forms for the greatest benefit.

CBD Oil for Tendonitis

The name “CBD oil” refers to sublingual drops that are infused into food-grade oils like hemp seed oil, coconut oil, or olive oil. Tinctures are a variety of CBD oil that is extracted with alcohol instead of carbon dioxide.

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If you dislike the earthy taste of natural CBD oil, there are other formats you can choose from. CBD-infused capsules and edibles such as CBD-infused honey sticks are becoming increasingly popular nowadays — thanks to their convenience and ease of use. These products come with a predetermined amount of CBD per serving, so they work better for busy people and those who travel a lot.

If inhalation is your preferred consumption method, CBD can provide fast relief from tendonitis pain through vaporization. Vaporized CBD usually needs around 5–10 minutes to kick in and offers the highest bioavailability of all available formats out there. Bioavailability refers to the amount of CBD oil that makes it to the bloodstream after ingestion.

CBD Cream for Tendonitis

For inflamed tendons and swollen muscles, we recommend a CBD-infused topical such as cream or gel. Topical products are absorbed into the epidermis layer of the skin, where the CBD interacts with the cannabinoid receptors that regulate inflammation and pain perception.

CBD topicals come in different consistencies and textures. CBD lotions use water as the base; CBD salves use oil; creams usually combine these two ingredients.

A CBD cream should be applied to the affected area for quick but short-lived relief. You may need to rub another dose into the skin after a few hours.

How Much CBD Should I Take for Tendonitis?

Finding the right dosage for your tendonitis pain can be challenging. Dosing CBD requires an individual approach because everybody is different; we’re not of the same age, gender, and weight; we don’t have the same metabolism rate, so expecting a one-size-fits-all dosage from a health supplement — even such a versatile one — is wishful thinking.

The Food and Drug Administration doesn’t regulate CBD products, nor has it ruled out official dosage recommendations for CBD oils.

The best way to minimize the error part in your trial and error is to start low and gradually increase the dose if there are no considerable signs of relief. Studies suggest that an effective dose of CBD for pain relief may range from 1 to 50 mg per day, with lower doses for mild discomfort, and higher doses for severe, chronic pain.

Again, we encourage you to visit a doctor experienced in using CBD to determine the optimal dose for your case of tendonitis and avoid potential interactions with other medications.

Final Verdict: Does CBD Oil work for Tendonitis?

Tendonitis occurs when the tendons, which are tissues binding the bones and muscles, become inflamed. It’s a common condition among sportspeople and physical workers whose activity involves repetitive movement that can either cause the overuse or overload of tendons.

CBD oil is one of the natural and safe remedies that can be used to treat tendonitis. However, no medication or supplement will make up for the time you devote to giving your tendons the much-needed break. If your tendonitis doesn’t heal after a few months, you may need to undergo surgery and rehabilitation.

Although no study has yet investigated the efficacy of CBD oil specifically for tendonitis, research shows that CBD has strong inflammatory and painkilling properties, both of which are useful in the management of tendonitis pain.

You may use CBD oil in the tincture form or apply a topical if you need localized relief, but you should always take into consideration such factors as your weight, metabolism, and severity of symptoms if you want to figure out the best form and dosage of CBD for your condition.

References:

  1. Davis, Abigail, and John Robson. “The dangers of NSAIDs: look both ways.” The British journal of general practice: the journal of the Royal College of General Practitioners vol. 66,645 (2016): 172-3. doi:10.3399/bjgp16X684433
  2. Nepple, Jeffrey J, and Matthew J Matava. “Soft tissue injections in the athlete.” Sports health vol. 1,5 (2009): 396-404. doi:10.1177/1941738109343159
  3. Burstein, Sumner. “Cannabidiol (CBD) and its analogs: a review of their effects on inflammation.” Bioorganic & medicinal chemistry vol. 23,7 (2015): 1377-85. doi:10.1016/j.bmc.2015.01.059
  4. Nagarkatti, Prakash et al. “Cannabinoids as novel anti-inflammatory drugs.” Future medicinal chemistry vol. 1,7 (2009): 1333-49. doi:10.4155/fmc.09.93
  5. Costa, Barbara et al. “Oral anti-inflammatory activity of cannabidiol, a non-psychoactive constituent of cannabis, in acute carrageenan-induced inflammation in the rat paw.” Naunyn-Schmiedeberg’s archives of pharmacology vol. 369,3 (2004): 294-9. doi:10.1007/s00210-004-0871-3
  6. Capano, Alex et al. “Evaluation of the effects of CBD hemp extract on opioid use and quality of life indicators in chronic pain patients: a prospective cohort study.” Postgraduate medicine vol. 132,1 (2020): 56-61. doi:10.1080/00325481.2019.1685298
  7. Hammell, D C et al. “Transdermal cannabidiol reduces inflammation and pain-related behaviors in a rat model of arthritis.” European journal of pain (London, England) vol. 20,6 (2016): 936-48. doi:10.1002/ejp.818
Livvy Ashton

Livvy is a registered nurse (RN) and board-certified nurse midwife (CNM) in the state of New Jersey. After giving birth to her newborn daughter, Livvy stepped down from her full-time position at the Children’s Hospital of New Jersey. This gave her the opportunity to spend more time writing articles on all topics related to pregnancy and prenatal care.

Best CBD for Tendonitis – August 2022

Tendonitis (also called tendinitis) is a common sports injury caused by either overusing or overloading the tendons during physical activities. Its symptoms include pain and inflammation of tendons.

In a recent study, CBD oil has shown anti-inflammatory, immunomodulating, and pain reduction properties for rheumatic diseases (1) .

CBD is the only cannabinoid that is allowed to be used by athletes, according to the updated World Anti-Doping Code of the World Anti-Doping Agency (WADA) (2) .

Some traces of CBD or THC may show up on drug tests (3) , especially if products are improperly labeled (4) .

Further clinical trials and medical research are needed for CBD to be considered useful in treating tendonitis.

Why People Are Using CBD for Tendonitis

Tendonitis is often treated with over-the-counter (OTC) and prescribed oral painkillers called NSAIDs, like aspirin, ibuprofen, and naproxen.

Although the said drugs are used to treat minor pains, taking them together may cause one drug to be ineffective (5) . Taking two similar medications may increase the risk of severe side effects , such as gastrointestinal bleeding and heart attack (6) .

People who have tendonitis also resort to corticosteroid injections for pain management (7) . Athletes use this method for immediate pain and inflammation relief (8) .

Based on a study, corticosteroid injections provided more improvement in patients’ shoulder pain than oral NSAIDs (9) . However, repeated corticosteroid injections may cause the tendons to weaken and eventually rapture (10) .

The side effects caused by these pain and anti-inflammatory drugs may cause people to look for other alternative treatments for tendonitis.

According to studies, cannabidiol ( CBD ) has anti-inflammatory properties that may help relieve inflammation in certain medical conditions (11) .

One medical condition included in the study is arthritis. This condition can affect the connective tissues, such as tendons and ligaments (12) .

In a recent study, CBD oil has shown anti-inflammatory, immunomodulating, and pain reduction properties for rheumatic diseases (13) .

The study also stated that traditional prescription drugs showed inefficacious results, leading to uncontrolled rheumatic pain. Thus, some people are inclined to seek new and safe treatments for pain.

Rheumatic diseases are inflammation of the body’s connecting structures, such as joints, tendons, ligaments, muscles, and bones.

However, according to the study previously mentioned, there is still a need for further research on the effective dosage and formulation of CBD products (14) .

In another study, CBD and tetrahydrocannabinol ( THC) showed great potential in combating chronic pain caused by rheumatic diseases.

The compounds are comparab le to other drugs, like opioids and antidepressants. Unfortunately, opioids and antidepressants can have adverse side effects (15) .

Meanwhile, CBD is generally safe to use (16) , as opposed to THC, its counterpart that elicits psychoactive effects.

In the 2020 updated World Anti-Doping Code of the World Anti-Doping Agency (WADA), CBD is the only cannabinoid that is allowed to be used by athletes (17) .

The code is a comprehensive list of prohibited substances and methods for competing and non-competing athletes. WADA is a foundation that monitors drug use and abuse in sports worldwide.

How CBD Oil Works to Help Alleviate Symptoms of Tendonitis

Tendonitis is characterized by swelling and pain in the area where tendons are located. Symptoms may last from days to weeks, depending on the severity of the injury. Recovery time for this condition varies from two days to six weeks.

Chronic pain, joint stiffness, and movement restriction are symptoms of a more serious case of tendon degeneration called tendinosis.

The condition happens when the tendon’s collagen starts to break down due to overuse while the tendons are not fully healed (18) .

Collagen is the most abundant protein in the human body. This protein is responsible for elasticity, strength, and structure of the skin and bones.

Tendonitis takes longer to heal, around three to six months. Treatments for this condition include stretching, massaging, surgery, and shockwave therapy (19) .

People with severe tendinitis conditions may wear temporary splints, braces, or slings on affected areas . In some severe cases where the tendons rapture, surgery is done to realign and repair them.

CBD for Pain Relief

CBD works in the body through the endocannabinoid system (ECS), the system involved in pain modulation (20) .

The ECS has two primary receptors , called CB1 and CB2 , that are found throughout the body. These cannabinoid receptors work closely with the molecules called endocannabinoids.

The molecules regulate the body’s physiological functions, such as inhibiting pain and maintaining homeostasis (21) .

When administered, CBD works as a cannabinoid that activates the receptors that help treat various pain felt throughout the body (22) . CBD is a non-psychoactive phytocannabinoid found in cannabis plants .

In a study about pain management, patients with chronic pain reduced their opioid intake upon taking CBD. They also improved their quality of life within eight weeks of constant CBD use (23) . Based on the study, CBD may be an alternative for people taking opioids.

On the other hand, an animal study conducted on rats has found that the transdermal application of CBD may provide pain relief for arthritis (24) . Although the study was conducted on animals, the results may be useful in further studies to be conducted on humans.

CBD for Inflammation

Another physiological function of the cannabinoids present in the ECS is to regulate the immune system’s response to inflammation (25) .

Inflammation is the body’s natural response when injuries or harmful substances enter the body.

CBD is also known for its inflammatory response of macrophages (26) . When CBD activates the cannabinoid receptors, the macrophages inhibit the release of cytokines.

Cytokines are proteins that signal inflammation (27) , while macrophages are white blood cells that respond to infections.

In a study conducted on rats, an increase in CBD’s daily oral dosage further reduced edema or inflammation on the test subjects’ paws (28) .

There was also a significant decrease in the swelling a few hours after the first CBD administration.

The results suggested that further clinical trials on CBD should be conducted on humans to test if similar results would occur.

The Pros and Cons of CBD Oil for Tendonitis

Pros
  • According to the World Health Organization (WHO), CBD has a good safety profile (29) .
  • CBD may have the potential to alleviate symptoms of tendonitis. It may be safer than prescription drugs mentioned because it has no severe side effects.
  • Studies presented showed the effects of CBD on other rheumatic diseases. The results of the studies may spark further interest in conducting studies on CBD’s effect on tendonitis.
Cons
  • People who take CBD may experience side effects, like diarrhea and constipation, that may affect their lifestyle (30) .
  • Traces of THC in full-spectrum CBD oils may show up on drug tests (31) , especially if products are improperly labelled (32) .
  • CBD may interact with other medications and may cause potential adverse side effects (33) .

How CBD Oil Compares to Alternative Treatments for Tendonitis

Tendonitis is a condition that usually requires rest. RICE ( rest, ice, compression, and elevation) treatment is a common home remedy for tendonitis.

Other than that, some physicians may require the patient to undergo occupational and physical therapy.

The goal of the former is to improve the person’s motor and cognitive skills for daily living. Some examples of the tasks and skills an occupational therapist might focus on are getting dressed, writing, or cooking.

The latter helps people recover from injuries by either aligning the bones and joints or increasing mobility by easing pain. This therapy involves handling conditions from diagnosis to full recovery.

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Some topical creams may also work as temporary pain relievers for swollen muscles that come with tendinitis. These ointments may contain essential oils that may quickly relieve pain and soreness .

Essential oils can be used in diffusers or by massaging directly on the target area. In rare cases, gargling helps if the inflammation is inside the mouth.

Conventional essential oils used to lessen inflammation and pain are the following (34) :

  • Peppermint oil contains menthol and is practical for soothing sore, achy muscles and joints.
  • Marjoram oil is typically used for coughs and headaches but can also be used to ease pain and inflammation.
  • Lavender oil is known for its fragrant smell. This oil can calm and relax tense muscles.
  • Eucalyptus oil has the same cooling effect as peppermint oil. This oil can reduce pain and inflammation in target areas.
  • Chamomile oil can be used in various conditions other than inflammation and pain. It can be used in wound healing, digestion, and sleep problems (35) .

All the treatments mentioned may be used as supplementary treatments for oral medications.

CBD also comes in products that may help relieve pain caused by tendonitis. Topical products, such as CBD creams , salves, and lotions, may contain essential oils combined with CBD’s pain-relieving benefits.

Other CBD products, like tinctures and oils, may be taken orally in small doses. CBD oils may act as topical pain relievers . These may be applied to swollen areas, such as the Achilles tendon and knees.

However, taking oral CBD alongside other drugs may elicit adverse side effects (36) . It is better to consult a doctor before taking any CBD product for the first time.

How to Choose the Right CBD Oil for Tendonitis

CBD oil is classified into three types: CBD isolates, broad-spectrum, and full-spectrum CBD.

CBD isolates are pure CBD. All other cannabinoids and plant impurities are eliminated through a series of extraction processes. CBD isolates are non-intoxicating and contain 99% CBD.

Broad-spectrum CBD oil contains all the cannabinoids, flavonoids, fatty acids, and terpenes, except THC.

Flavonoids are plant chemicals that are widely found in fruits and vegetables. They are responsible for giving vivid colors to plants. They also provide health benefits because of their antioxidant, anti-inflammatory, and anti-carcinogenic effects (37) .

Terpenes are the compounds that produce the natural odor and flavor of the plants. CBD is derived from the hemp plant, which contains the essential fatty acids omega-3 and omega-6.

Full-spectrum CBD oil is the most complete among the three types since it contains the full profile of compounds, including the psychoactive cannabinoid THC.

As a legal requirement, full-spectrum CBD products should adhere to the Farm Bill, which states that hemp-derived products are allowed to contain 0.3% THC or less (38) .

Using broad- and full-spectrum CBD oil may evoke the entourage effect. This effect is described as the synergy of all the compounds, providing benefits to a person’s well-being.

Although a full-spectrum CBD oil may have maximum benefits attached to it, athletes may opt for a broad-spectrum CBD oil. Even if the full-spectrum has relatively low THC levels, traces of it may still be detected in drug tests.

There are other factors to consider when choosing the right CBD oil, and some of those are the following:

  • Choose a reputable supplier that manufactures high-quality CBD products that are safe for human consumption.
  • Look for the certificate of analysis from a third-party lab . This document ensures that the products are lab-tested and do not contain any harmful substances. The lab results should match the information indicated on the product label.
  • Research about the extraction methods used by CBD companies . The methods used have a vital impact on the quality of the end product.
  • Research on other practices that the company may have been employing, such as organic farming and purification processes. These may be crucial to the consumer’s decision-making process.
  • Read online reviews before purchasing any CBD products online or in-store.
  • Get the opinion of a trusted physician on the best CBD products and formulas for tendonitis.

CBD Dosage for Tendonitis

There are no standard dosages for CBD products. The US Food and Drug Administration ( FDA) has no approved CBD dosage for any medical condition (39) .

Several factors , such as body weight, the severity of the condition, existing medical conditions, body sensitivity, allergic reaction to substances, and body chemistry may influence the CBD dosage.

Initial doses may start on low amounts and may gradually increase if there are no significant changes in the condition.

According to research, dosages may range from 1 to 50 mg of CBD per day, with lower doses for anxiety relief and higher doses for more severe conditions, such as epilepsy and seizures (40) .

The best way to determine the right dosage is to consult a medical professional that can give sound advice on the amount of CBD needed to treat tendonitis symptoms.

How to Take CBD Oil for Tendonitis

CBD comes in various products and forms suitable for every person’s lifestyle and condition.

For swollen muscles, CBD topicals , like salves , lotions , and creams, may alleviate the pain and inflammation.

These topical products differ in texture and consistency. CBD salves are oil-based, lotions are water-based, and creams are typically equal mixtures of oil and water.

Topical CBD products may be applied to target areas for a quick but short-term effect. Product reapplication may be needed after a few hours.

CBD oil and tinctures are taken orally or sublingually using a dropper . The difference between the two is their base carriers.

CBD oil may be infused with oils like olive oil, coconut oil , and grapeseed oil. CBD tinctures are alcohol-based concentrates that are often added to food or beverages.

CBD oil may also be applied directly to the skin. It may feel more greasy than lotions or creams.

Another edible form of CBD is gummies . It is suitable for first-time CBD users who want an easy and discreet way to take CBD for their condition.

CBD vape pens are for those who want a fast-acting agent with prolonged effectiveness. Vaping CBD maximizes the bioavailability of the cannabinoid as it instantly circulates throughout the bloodstream.

Bioavailability refers to the rate of activation of a drug as it enters through the body circulation. Based on studies, CBD’s oral bioavailability is around 13-19%, which is relatively low compared to smoking or inhaling CBD, which provides 31% bioavailability (41) .

What is Tendonitis

Tendonitis or tendinitis is the inflammation of the tendons, the tissue that connects the muscle to the bone. This condition is a common sports injury, where a part of the body that contains tendons is either overused or overloaded.

Overuse is the frequent repetition of movement. Weight lifting is an exercise where tendons are overused because of the repeated movements of the arms or legs for strength training.

Overload is movement with a sudden increase in speed. An example of tendon overload is running at high speed immediately after running at a moderate pace. This action may cause the Achilles tendon, the tissue located at the back of the lower leg, to swell.

Tendonitis can also occur as a result of infections, deformities, or other medical conditions, like gonorrhea, Haglund’s deformity, and diabetes.

Types of Tendonitis

Tendonitis may happen in any part of the body where tendons are located. The most common types of tendonitis can happen in the shoulder, elbow, knee, wrist, and heel.

Rotator Cuff Tendonitis

Rotator cuff tendonitis or bicep tendonitis is a type of shoulder pain caused by an inflammation of the biceps tendon. Pain may be felt from the shoulder blades to the upper arm.

This condition may be caused by heavy lifting or frequent stretching of the arms overhead, like throwing and swimming.

A person with rotator cuff tendonitis may have difficulty sleeping and reaching any object or surface above the head or behind the back.

Tennis Elbow

Tennis elbow is an inflammation caused by irritation of the tendons on the outside of the elbow. Pain may crawl from the forearm to the wrist and fingers.

This condition is common among tennis players, plumbers, construction workers, and painters whose jobs and lifestyles involve constant arm movements.

Golfer’s Elbow

Golfer’s elbow is the condition where the tendons of the forearm swell, affecting the inside of the elbow and forearm.

Activities with repetitive hand movements, such as gripping, flexing, throwing, and swinging, can cause inflammation of the tendons. Bowling, baseball, and wall climbing may also cause golfer’s elbow.

Jumper’s Knee

Jumper’s knee or patellar tendonitis is the swelling of the tendons on the knee. The tissue connects the kneecap to the tibia, the large bone in front of the leg.

This condition usually affects athletes and people who do exercises or sports that require frequent jumping or knee movements, such as volleyball, gymnastics, running, and soccer.

Achilles Tendonitis

Achilles tendonitis is the inflammation of the largest tendon in the body called Achilles tendon. This tissue connects the heel to the calf muscles.

It is a sports injury for runners who suddenly increase in speed or duration of their runs. It may also happen to a person who has an abrupt intensity increase during any physical activity.

Differences and Similarities Between Tendonitis and Arthritis

Tendonitis is sometimes mistaken as arthritis because of the tendon’s proximity to the joints. While both conditions involve inflammation, the difference between the two is the source of inflammation.

Arthritis is the inflammation of the bony aspect of joints and is characterized by joint pain . Meanwhile, tendonitis is the inflammation of the tendons characterized by difficulty in tendon movement.

Tendonitis can be easily identified if a person has engaged in any physical activity that might cause injuries. Meanwhile, arthritis may be caused by old age, cartilage deterioration, or a misdirected immune system .

The best way to determine what condition a person is experiencing is by consulting a doctor. The correct diagnosis of a condition can help identify what treatments may be done for rapid rehabilitation.

The Legality of CBD

Medical CBD is allowed in 18 states in the United States (42) . Most states have legalized CBD use for neurological conditions, like epilepsy and seizures.

Three states, namely Florida, Iowa, and Georgia, allow CBD use for muscle spasms, chronic pain, and intractable pain, respectively. Intractable pain is a more severe condition than chronic pain, which cannot be relieved or treated easily.

Three other states have authorized the use of CBD for any clinically-diagnosed condition as prescribed by a doctor. These states are Virginia, Wisconsin, and Kansas.

Specific state laws in Virginia and Wisconsin permit patients to use any product formulation of CBD. Other states have only legalized the use of CBD in oil form.

A patient can obtain CBD oil for medicinal purposes that contain 5 to 15% of CBD and no more than 0.3 to 0.5% of THC.

Florida is the only state that allows a patient to acquire a higher THC dose as long as a physician prescribes it. The product must be obtained from a state-licensed dispensary.

Patients that are part of any state-supported clinical research are authorized to use CBD. They are also protected by the laws to obtain CBD outside of the research facility.

Conclusion

Tendonitis is the inflammation of tendons, which are tissues that connects the muscles to the bones. It is a common condition among athletes, physically active individuals, and professionals that engage in repetitive movements.

Although home remedies can cure tendonitis, not giving the tendons enough time to heal may lead to a more severe condition called tendinosis. It may require constant therapy and surgery.

No direct studies have stated that CBD is a cure for tendonitis. However, CBD can help alleviate the symptoms of the condition, such as inflammation and pain.

Various CBD products may be used to address the symptoms of tendonitis. The products’ effectiveness may depend on a person’s body weight, and body chemistry.

Consulting a physician with a background in CBD studies may give a person more insight and guidance. A trusted medical practitioner may help a person decide if CBD is the best treatment for the condition.

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