CBD-integrated treatments for chiropractic patients

There’s been much attention about cannabidiol (CBD) and its potential therapeutic benefits in recent years. This includes discussions on how healthcare professionals can integrate the products into their practices and patient treatments. 

As stewards of the health of our patients, it’s important to educate our patients on the idea of adding CBD (or not) to their treatment plans, no matter what your opinion of these products. As doctors of chiropractic, we must provide our patients with informed guidance on CBD, ensuring they feel at ease and understand its potential benefits and limitations. We also must aid patients through the selection process and set realistic expectations. Approaching the topic and usage of CBD with caution and diligence is paramount. 

Understanding CBD

CBD is a non-intoxicating compound found in the cannabis plant. Unlike its counterpart, tetrahydrocannabinol (THC), CBD does not induce a “high” sensation. Instead, it interacts with the body’s endocannabinoid system, playing a role in regulating various physiological processes, including pain perception, mood and inflammation. Of course, it is available in a variety of forms, each with its own advantages and disadvantages. 

Pros and cons for patients

Pros

Inflammatory reduction: CBD has shown promising results in reducing inflammation, which can benefit patients dealing with chronic pain conditions. 

Pain management: Many patients report relief from pain symptoms, including musculoskeletal discomfort. 

Non-addictive: Unlike opioids and other pain medications, CBD is non-addictive and carries a lower risk of dependency. 

Versatility: CBD comes in various forms, including oils, creams, capsules and edibles, offering patients flexibility in choosing the most suitable administration method. 

Cons

Effect variability: Different strengths and products may produce varying levels of efficacy, making it crucial to choose reputable manufacturers. 

Aftereffects: While CBD is generally well-tolerated, some individuals may experience side effects, such as drowsiness, dry mouth or changes in appetite. 

Regulatory uncertainty: The CBD market lacks standardized regulations. And products can be purchased from a wide range of outlets. This may lead to inconsistencies in product quality, pricing and labeling. 

What to expect (and not expect)

Patients should understand that while CBD may provide relief for certain conditions, it is not a miracle cure. Be sure to manage expectations and encourage patients to incorporate CBD into a comprehensive treatment plan that also includes chiropractic care, exercise and lifestyle modifications. 

Choosing the right brand and product

Selecting a reputable CBD brand is important to ensure product safety and efficacy. Look for companies that provide third-party lab testing results, use organic hemp and employ CO2 extraction methods. Consider the product’s potency, ingredients and administration method when recommending CBD to patients. Choose manufacturers and vendors that offer full-disclosure labels displaying the milligrams of cannabinoids so you can be clear on the potency per serving. Each label on every lot should contain a QR code that links to an independent third-party testing site.  

CBD products available in the marketplace

Creams and lotions: Topical CBD products are applied directly to the skin, allowing for targeted relief of sore muscles and inflamed joints. CBD creams and lotions are often infused with other pain-relieving ingredients, such as menthol or arnica, for enhanced efficacy. 

Tinctures: CBD tinctures are taken orally by placing drops under the tongue for fast absorption. They provide systemic relief for general inflammation and can be easily incorporated into a daily wellness routine. Tinctures come in various strengths, allowing for personalized dosing based on individual needs. 

Capsules and softgels: CBD oral capsules and softgels offer another convenient way to consume CBD without measuring or dosing. These products provide long-lasting relief from inflammation and can be taken alongside other medications and supplements. Capsules are ideal for patients who prefer a standardized dosage and easy integration into their daily regimen. 

Transdermal patches: Transdermal CBD patches provide continuous relief from inflammation when placed over the skin for a steady dose of CBD. These generally work for an extended period, too. These patches are discreet and can be worn throughout the day, making them an excellent option for patients who require long-lasting pain management without frequent reapplication. 

Edibles: CBD-infused edibles, such as gummies, chocolates and beverages, offer a delicious way to consume CBD while relieving inflammation. These products are discreet as well and easy to incorporate into a post-workout recovery routine or even between physical therapy sessions. 

Massage oils: CBD massage oils combine the benefits of CBD with the therapeutic effects of massage therapy, promoting relaxation and reducing muscle tension. These oils can be used during manual therapy sessions to enhance the overall experience and provide targeted relief to inflamed areas. 

Roll-ons: Roll-ons are convenient topical products. They can be applied directly to the skin for relief from inflammation and soreness. Their especially compact size makes them ideal for travel or use during physical therapy sessions. Patients can target specific areas of discomfort, i.e. knees, shoulders and elbows, with great ease. 

Additional product forms

A range of complementary products fall out of the typical collection of CBD merchandise/goods. They offer alternative ways to incorporate the potential benefits of CBD while enhancing overall well-being.  

• CBD-infused beverages like teas and water are convenient for consuming CBD and staying hydrated. 
• CBD-infused cosmetics and skin care can offer topical anti-inflammatory and antioxidant properties and benefits. 
• CBD-scented soaps and candles provide aromatherapy benefits, including stress relief and promoting relaxation. 

Impact on your chiropractic practice

Incorporating CBD into your practice might be a journey of trial and error. Trying various options with your in-house team is a good way to get feedback on new products you may want to include. The final mix of quality CBD products you choose should align with your commitment to patient care. While some patients have experienced significant relief with CBD, others have found it less effective. Requesting continued feedback from patients can be instrumental in refining your specific offerings.   

Expand your CBD product offerings

In addition to traditional CBD oils and capsules, we’ve explored a range of CBD-infused products, including topicals, edibles and wellness items like soaps and candles. These complementary products provide patients alternative ways to experience the potential benefits of CBD while enhancing their overall well-being. 

Final thoughts

As doctors of chiropractic, we are responsible for educating and empowering our patients to make informed decisions about their health and wellness. We all want what is best for them. Navigating the world of CBD can sometimes be overwhelming. Taking the time and steps to build trust and communication about these products will surely help you and your patients. 

RUSSELL GREENSEID, DC, is a doctor of chiropractic, major shareholder and chief of staff at Metro Healthcare Partners in Brooklyn, N.Y. He is a recognized advocate and respected voice in the chiropractic field with a doctor of chiropractic degree from New York Chiropractic College in Seneca Falls, N.Y. He resides in Short Hills, N.J, with his wife and two sons. Visit metrohealthnyc.com for more information on Greenseid and his multidisciplinary team of professionals.