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topical cbd oil for pain

This high–dose balm seems to be a crowd favorite, certainly in my household. The jar itself contains two ounces of product. It doesn’t seem like much—But because the consistency of the cream is particularly smooth and spreadable, it glides easily onto the skin and covers more real estate. In terms of relief, you can expect gradual relaxation of the muscles—especially if you’re prone to spasms or simply incredibly tight.

I’m no spring chicken and the occasional bout of soreness is now a fact of life.

One thing to note, though: Only buy from established brands from licensed dispensaries—not random bodegas, sketchy websites, so-called health food stores, or even Amazon. Always ask for COAs (Certificates of Analysis) to ensure that the topical actually contains the cannabinoids it claims to have. And have an open mind about using CBD topicals incorporated with THC—because those two cannabinoids combined are more effective when addressing inflammation, which is the primary cause of soreness and pain.

BASKIN GLOW (50MG THC + 500MG CBD; $80)

I’ve long been a fan of edibles and tinctures, but for those who are skeptical of ingesting it, I’m also a big believer in topicals. From lotions and creams to balms and bath bombs, I have experimented with many different kinds—and I’ve come to rely on them for localized pain and reducing inflammation.

In my early thirties I dabbled in SoulCycle, swimming at the 14th Street Y, and three disastrous attempts at SLT. These days it’s running loops in Central Park, Y7 yoga, and contact combat. And let me tell you, hitting a weekly fitness goal isn’t always easy—especially when you’re rapidly approaching your 40s with a few minor injuries under your belt.

But as with any CBD product, there’s no skeleton key that unlocks relief for everyone—you have to find what works for your body. And you certainly have to experiment with different products, brands, and dosages—it’s the only way for you to see which ones really work.

Baskin has a lower–dose formula that clocks in at 150mg CBD that costs $20 less. But I say, Go big or go home. Invest in the higher dose if you want real relief all over: It’s meant to be used all over the body versus its cousin, which was specifically created for smaller targeted areas. Beyond that, you can always use the 400mg cream the way you see fit: Nobody is going to stop you if you want to use it only in specific pain points.

The only thing that comes close is a Phase 2 clinical trial using a proprietary CBD transdermal gel (meaning it’s meant to go through the skin into the bloodstream) in 320 patients with knee osteoarthritis over 12 weeks, which has not been peer-reviewed to date. Unfortunately, in almost all of the study’s measures of pain, those who received CBD didn’t have statistically different scores from those who got placebo. But “they found some reductions in pain and improvements in physical function,” Boehnke says.

Then the researchers measured the inflammation in each rat’s knee joint, the level of CBD that made it into their bloodstream, and their pain-related behaviors. They found that the rats that were given the two highest doses of CBD showed significantly lower levels of inflammation and lower pain behavior scores compared to those that got the control. The two lower doses didn’t show much of an effect.

The most common medical reason for which people report using CBD is to manage chronic pain, followed closely by managing arthritis or joint pain. But does it actually work?

Here’s what the research says about using CBD for pain.

It’s also important to remember that, although generally benign, side effects have been reported with some forms of CBD. For instance, oral CBD taken in the large amounts that have shown some limited promise in helping with anxiety issues may come with side effects, such as diarrhea, reduced appetite, fatigue, and interactions with other drugs you might be taking, specifically blood thinners, Cooper says.

But some studies have found essentially zero side effects of high-dose CBD (900mg) and those that researchers do see—like drug interactions—aren’t considered to be issues when CBD is used topically.

When the National Academies of Sciences, Medicine, and Engineering evaluated decades of cannabis research, they concluded that "in adults with chronic pain, patients who were treated with cannabis or cannabinoids are more likely to experience a clinically significant reduction in pain symptoms."

But at this point, we have no idea how deep the commercially available creams are penetrating. And even if they’re getting to that sweet spot in your skin, we don’t know how much CBD is getting there or how much is necessary to provide an effect.

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