Cannabis has been used to treat pain for thousands of years. However, since the early 20th century, laws restricting cannabis use have limited its study and evaluation through science. Over the last decade, the situation has begun to change due to the increased availability of cannabis in the United States for medical or recreational purposes, so it is important to provide the public with accurate information about the efficacy of cannabis for joint pain, muscle pain or anxiety among other indications.
The main psychotropic component of cannabis is tetrahydrocannabinol (THC), one of 120 naturally occurring phytocannabinoids. Cannabidiol (CBD) is another molecule found in herbal cannabis in large amounts. Although CBD does not produce psychotropic effects (THC does), it has been shown to produce a variety of pharmacological effects (Richard&Rachel Miller).
Currently, there is some evidence regarding the safety and efficacy of CBD for the treatment of psychiatric disorders such as chronic psychosis and anxiety (Bonaccorso et al 2019). There is also some evidence of improvement in chronic pain and anxiety, two key components in those we know as fibromyalgia. Still, more large-scale clinical studies are needed to better assess the efficacy of CBD in acute and chronic conditions, evaluate the therapeutic effects in relevant clinical populations, as well as to exclude any possible liability for abuse (Blessing et al 2015)
CBD supplementation is gaining momentum in recent years. Many people are asking about this compound and as is always the case, the marketing of supplementation is ahead of the science. Even so, it is true that this compound is shown as a substance with potential positive effects on anxiety, depression, psychosis, chronic pain, etc. Therefore, CBD is beginning to be used in disorders such as fibromyalgia, but does it work? is it effective? is there anything better than CBD?
Sometimes we forget that our own body is more than self-sufficient to regulate a multitude of processes that lead to homeostasis and proper functioning of the same, but we tend to resort to the external either by ignorance or by not assuming that for our body to regulate itself properly it is necessary to submit it to a lifestyle for which it has been designed and adapted for thousands of years. The clearest example is physical exercise.
Just as when we think of antioxidants, we think of fruits, vegetables or multivitamin supplements to provide these antioxidants, we do not realize that physical exercise substantially improves the expression of our endogenous antioxidants such as glutathione or superoxide dismutase (SOD), which are precisely the most “potent”. Just as we think of fasting or ketogenic diets to improve autophagy or increase BHB, we forget that exercise is the main inducer of both (which does not mean that two or more strategies can be combined).
So what does all this have to do with CBD, fibromyalgia and strength training?