Cart 0
Chronic pain can be life-altering, and medical cannabis offers a potential solution for many. Since its legalisation in the UK in 2018, cannabis-based medicinal products (CBMPs) have become an option for pain management. Choosing the right strain is essential, as effects vary based on cannabinoid profiles and strain types.
Here’s what you need to know:
- Indica strains: Relaxing and sedative; ideal for nighttime use and conditions like arthritis or fibromyalgia.
- Sativa strains: Energising and uplifting; better for daytime use and neuropathic pain or migraines.
- Hybrid strains: A mix of both, tailored for balanced effects depending on dominance.
- High-CBD options: Provide relief without intoxication, suitable for inflammation and nerve pain.
- THC-dominant strains: Stronger pain relief but with potential psychoactive effects.
Factors like THC-to-CBD ratios, terpenes, and consumption methods (e.g., vaping, oils, capsules) influence effectiveness. Personal tolerance and metabolism also play a role. Always consult a healthcare professional to find the most appropriate strain and dosage for your needs.
Quick Tip: Indica strains are great for evening relaxation, while sativa strains help you stay active during the day. Hybrids can provide a balanced approach for all-day relief.
Cannabis Strains for Chronic Pain
How Cannabis Strains and Cannabinoid Profiles Work
To understand how cannabis strains work, it’s essential to look at the distinctions between indica, sativa, and hybrid varieties, as well as their unique cannabinoid profiles. These differences play a key role in determining how effectively each strain manages specific types of chronic pain.
Indica strains are known for their high levels of myrcene, a terpene that promotes relaxation and sedation. These strains are particularly effective for managing deep, persistent pain, such as arthritis, fibromyalgia, or back pain. Their sedative effects make them especially helpful for people whose pain worsens at night or disrupts their sleep. Indica strains typically feature THC levels ranging from 15–25%, with varying amounts of CBD.
Sativa strains are higher in terpenes like limonene and pinene, which help maintain mental clarity while addressing pain. These strains are particularly suited for neuropathic pain, migraines, and inflammation. Sativa THC levels usually range between 12–20%, often accompanied by lower CBD concentrations compared to indica strains.
Hybrid strains combine characteristics from both indica and sativa plants. Indica-dominant hybrids lean towards relaxation and pain relief, while sativa-dominant hybrids provide more functional relief, making them ideal for daytime use.
The endocannabinoid system is the foundation of how cannabis alleviates pain. CB1 receptors, located in the brain, and CB2 receptors, found in the immune system, are key players. THC binds to CB1 receptors, delivering both pain relief and psychoactive effects by altering the way pain signals are processed. On the other hand, CBD interacts with the system differently, reducing inflammation and enhancing the body’s natural pain-management processes without directly binding to receptors.
Terpenes also play a role in how cannabis works, thanks to the "entourage effect", where terpenes and cannabinoids interact. For instance, myrcene enhances THC’s sedative effects, making it great for night-time pain relief. Limonene can lift mood and reduce inflammation, while pinene helps counteract some of THC’s memory-impairing effects. Beta-caryophyllene, which activates CB2 receptors, offers anti-inflammatory benefits without any psychoactive effects.
The THC-to-CBD ratio significantly influences a strain’s therapeutic potential. High-THC strains (20–30% THC with minimal CBD) provide strong pain relief but may trigger anxiety or cognitive issues in sensitive individuals. Balanced strains, with equal THC and CBD ratios, offer effective pain relief with fewer psychoactive effects, making them suitable for daytime use. High-CBD strains (15–20% CBD with minimal THC) are ideal for those seeking anti-inflammatory benefits without intoxication, allowing for clear-headed pain management.
| Strain Type | Primary Effects | Best Pain Types | Typical THC:CBD Ratio | Optimal Usage Time |
|---|---|---|---|---|
| Indica | Sedating, muscle relaxation | Arthritis, fibromyalgia, back pain | High THC (15–25%), Variable CBD | Evening/Night |
| Sativa | Energising, mental clarity | Neuropathic pain, migraines, inflammation | Moderate THC (12–20%), Low CBD | Daytime |
| Indica-Dominant Hybrid | Balanced relaxation | General chronic pain, muscle spasms | Moderate THC (15–22%), Low-Moderate CBD | Afternoon/Evening |
| Sativa-Dominant Hybrid | Functional pain relief | Inflammatory conditions, mild pain | Moderate THC (14–20%), Low-Moderate CBD | Daytime |
| Balanced Hybrid | Equal relaxation/alertness | Multiple pain types, breakthrough pain | Equal THC:CBD (1:1 to 2:1) | Any time |
The bioavailability of cannabis – the amount of active compounds that enter the bloodstream – varies depending on how it’s consumed. For instance:
- Vaporising delivers relief in as little as 3–10 minutes, with effects lasting 2–4 hours.
- Sublingual oils take about 15–45 minutes to kick in and provide relief for 4–6 hours.
- Oral capsules, while slower to activate (30–120 minutes), offer sustained relief for 6–8 hours, making them ideal for chronic conditions that require consistent pain management.
These differences in absorption, along with individual tolerance and metabolism, play a big role in choosing the right strain and dosage.
Tolerance and individual variation also influence how cannabis works for each person. Regular users of high-THC strains may need higher doses over time, while CBD-dominant strains are less likely to lead to tolerance. Additionally, genetic differences in enzymes like cytochrome P450 affect how quickly someone processes THC and CBD. Starting with small doses and gradually increasing helps identify the right balance without unwanted side effects.
1. CBD Fix Automatic
Information about the CBD Fix Automatic strain is largely anecdotal, with no verified data available on its cannabinoid profile or clinical benefits. Like many emerging strains, its potential remains unconfirmed. Below is an overview of its reported characteristics, classification, and possible effects.
Cannabinoid Profile (THC/CBD)
There is no reliable data on the cannabinoid percentages for CBD Fix Automatic. Any descriptions of its THC or CBD content are based purely on anecdotal reports.
Strain Type (Indica/Sativa/Hybrid)
The specific classification of CBD Fix Automatic – whether it leans towards indica, sativa, or is a hybrid – has not been documented. Any claims about its effects tied to its genetic makeup should be approached cautiously.
Effectiveness for Pain Types
No studies have been published assessing CBD Fix Automatic’s effectiveness for managing inflammatory or neuropathic pain. If you’re considering this strain for pain relief, it’s essential to consult a healthcare provider for personalised advice.
Potential Side Effects
The potential side effects of CBD Fix Automatic remain unknown. Generally, CBD-dominant strains are associated with a lower likelihood of psychoactive effects compared to THC-heavy varieties, but individual reactions can vary. Always seek guidance from a healthcare professional before trying this strain.
2. ACDC
ACDC is a hybrid strain specifically crafted for therapeutic purposes, offering effective pain relief without interfering with daily routines. It’s become a go-to option for medical cannabis users who need consistent pain management while staying productive and active.
Cannabinoid Profile (THC/CBD)
ACDC boasts an impressive 20% CBD to 1% THC ratio, making it one of the most CBD-rich strains available for medicinal purposes. This unique balance provides significant therapeutic benefits without causing intoxication or psychoactive effects.
"ACDC (CBD: 20%, THC: 1%) – Ideal for all-day pain management without any noticeable intoxication – perfect for work days." – Naomi Baheneka, ETSC
Strain Type (Indica/Sativa/Hybrid)
As a hybrid strain, ACDC blends the features of both indica and sativa genetics. However, its breeding prioritises high CBD levels over the typical recreational effects associated with either parent strain. The result is a product tailored for therapeutic use rather than leisure.
Effectiveness for Pain Types
This carefully designed cannabinoid ratio offers targeted relief for specific conditions. ACDC is particularly effective in managing inflammatory conditions and neuropathic pain. Its high CBD content interacts with the body’s endocannabinoid system to reduce inflammation and regulate pain signals, all without the sedation often linked to conventional painkillers.
"With a high CBD content, ACDC is a standout for pain relief without psychoactive effects. It’s particularly effective for inflammation and neuropathic aches, making it another top choice for daytime relief." – Lyphe Clinic
Patients dealing with conditions like arthritis, fibromyalgia, or nerve damage often report long-lasting relief that enables them to carry on with their daily responsibilities.
Potential Side Effects
Thanks to its low THC levels, ACDC carries minimal risk of psychoactive side effects. Users generally avoid issues like anxiety, euphoria, or cognitive impairment that are common with high-THC strains. However, mild side effects such as dry mouth, slight drowsiness, or an increased appetite may still occur.
This strain’s mild nature makes it a suitable option for those new to medical cannabis or individuals sensitive to THC. Starting with small doses and gradually increasing allows patients to find their ideal balance while monitoring for any personal reactions. As always, consult with a healthcare professional before beginning any cannabis-based treatment, especially if you’re taking other medications that could interact with cannabinoids.
3. Joanne’s CBD
Joanne’s CBD, developed by Royal Queen Seeds, is a hybrid strain with an even split of 50% indica and 50% sativa. It contains 15% CBD, offering a calming, clear-headed experience with minimal psychoactive effects. This balance makes it ideal for those seeking relief without compromising mental clarity.
Cannabinoid Profile (THC/CBD)
With 15% CBD and very low THC levels, Joanne’s CBD is tailored for those looking for the therapeutic benefits of cannabis without the typical "high." Its CBD-rich profile is known for its ability to ease pain and lift mood, making it a go-to for those prioritising relief over intoxication.
"Joanne’s CBD by Royal Queen Seeds is a 50% indica, 50% sativa hybrid that boasts a sizeable CBD content of 15%. Giving rise to some lucid and soothing effects".
Strain Type (Indica/Sativa/Hybrid)
As a perfectly balanced hybrid, Joanne’s CBD merges the calming effects of indica with the mental clarity associated with sativa. This blend makes it a versatile option for users who want therapeutic benefits without experiencing strong psychoactive sensations.
Effectiveness for Pain Relief
Although detailed studies on its specific applications for different types of pain are limited, the high CBD levels and balanced nature of Joanne’s CBD have made it a popular choice for general pain management. Many users report finding relief from discomfort while staying alert and functional.
Potential Side Effects
Joanne’s CBD is well-tolerated by most users. Thanks to its high CBD concentration and minimal THC, it avoids the intense psychoactive effects often associated with cannabis. Additionally, CBD may help counteract some of the less desirable effects linked to THC.
4. OG Kush
OG Kush, a strain that emerged from California in the 1990s, is often sought after for its potential to help manage chronic pain. Here’s a closer look at its characteristics and why it’s a popular choice.
Cannabinoid Profile (THC/CBD)
This strain is known for its high THC content and very low CBD levels, making it a strong option for pain relief. Its terpene mix – featuring myrcene, limonene, and caryophyllene – works synergistically to enhance its effects, a phenomenon often referred to as the entourage effect.
Strain Type (Indica/Sativa/Hybrid)
OG Kush falls into the category of an indica-dominant hybrid. Its effects are predominantly calming, which is why many prefer it in the evening. It’s known for easing discomfort and encouraging relaxation without necessarily leading to total sedation.
Effectiveness for Pain Types
Users often turn to OG Kush for help with a variety of pain issues. Its muscle-relaxing qualities are especially appreciated by those dealing with chronic back pain, while others report relief from joint discomfort. Additionally, its calming nature may be beneficial for individuals struggling with sleep disturbances linked to pain. Despite its potential, it’s important to be mindful of its side effects.
Potential Side Effects
The high THC levels in OG Kush can lead to dry mouth, dry eyes, dizziness, and even feelings of anxiety in some cases. Sedation and an increased appetite are also common, so it’s best to avoid tasks that require full concentration after use. Always approach with awareness of how it may affect you.
5. Cream Caramel
There isn’t much verified information available about Cream Caramel’s cannabinoid profile, genetic classification, or its potential for managing chronic pain. Details such as its THC/CBD ratios, terpene composition, or possible side effects are not well-documented, making it difficult to confirm claims about its use for conditions like arthritis, back pain, or inflammatory pain. If you’re considering this strain, it’s essential to consult a healthcare professional and review up-to-date research.
On the other hand, the next strain offers a clearer understanding of its cannabinoid composition and pain-relieving effects.
sbb-itb-24979b8
6. Blue Dream
Blue Dream is a sativa-dominant hybrid that provides relief from chronic pain during the day without causing excessive drowsiness. Unlike strains that might leave you stuck on the couch, Blue Dream offers a mix of uplifting euphoria and effective pain management, helping users stay active and productive while easing discomfort.
Strain Type (Indica/Sativa/Hybrid)
As a hybrid, Blue Dream combines the energising qualities of sativa with a touch of calming effects. This balance allows for pain relief without the heavy sedation typically linked to indica strains.
Cannabinoid Profile (THC/CBD)
Blue Dream usually features THC levels between 18% and 22%, making it moderately to highly potent. Its CBD content is low, meaning its pain-relieving properties are mainly driven by THC and its terpene composition. The strain is particularly high in beta-caryophyllene, a terpene known for its anti-inflammatory effects. This combination of THC and terpenes forms the backbone of its therapeutic benefits.
Effectiveness for Pain Types
Thanks to its unique cannabinoid and terpene profile, Blue Dream is well-suited for managing chronic pain during the day. Early studies suggest it’s effective for various pain conditions, offering relief while maintaining mental clarity and relaxation. Unlike indica-heavy strains, it won’t leave you feeling immobilised, making it a great choice for those who want to remain functional.
7. Northern Lights
Northern Lights stands out as a go-to option for nighttime pain relief. Known for its ability to promote deep relaxation and improve sleep quality, this pure indica strain is particularly helpful for managing chronic pain that tends to worsen at night.
Strain Type (Indica/Sativa/Hybrid)
Northern Lights is a pure indica strain, making it a top choice for those seeking relaxation and relief after a long day. Its effects are predominantly body-focused and sedative, which is why it’s best suited for evening use. Unlike energising sativa strains, Northern Lights is all about helping you unwind and prepare for a restful night.
Cannabinoid Profile (THC/CBD)
This strain features moderate to high levels of THC and very little CBD. Its powerful effects are largely driven by this cannabinoid combination, along with the presence of myrcene, a terpene known for its calming and muscle-relaxing properties.
Effectiveness for Pain Types
Northern Lights is particularly effective for chronic pain that interferes with sleep. By easing tension and encouraging deep rest, it helps break the cycle of pain and sleeplessness. Its lack of mental stimulation makes it ideal for winding down in the evening.
Potential Side Effects
Some users report dry mouth and dry eyes after using Northern Lights. Those new to THC or sensitive to its effects might experience dizziness or grogginess, so starting with a low dose is recommended. Its strong sedative properties can also affect daytime alertness, so it’s best reserved for nighttime use.
8. Painkiller XL
Painkiller XL stands out as a hybrid strain with a slight indica tilt, offering a unique combination of pain relief and mental clarity suitable for daytime use.
Strain Type (Indica/Sativa/Hybrid)
This hybrid leans towards indica, delivering soothing, body-focused effects. At the same time, its sativa qualities help maintain alertness, steering clear of heavy sedation.
Cannabinoid Profile (THC/CBD)
Painkiller XL boasts a balanced mix of THC and CBD, roughly in equal measure. This makes it an appealing choice for those seeking therapeutic benefits without strong psychoactive effects.
Effectiveness for Pain Types
This strain is often turned to for relief from inflammatory pain, such as muscle tension and joint discomfort. It’s also been noted for its potential to ease neuropathic pain. That said, pain relief experiences can differ from person to person.
Potential Side Effects
The balanced cannabinoid ratio keeps side effects mild. Commonly reported ones include dry mouth, dry eyes, and a slight feeling of drowsiness initially. Anxiety or paranoia seems rare, though individual reactions may vary.
9. Cannatonic
Cannatonic is a therapeutic cannabis strain known for its high CBD content, offering pain relief without strong psychoactive effects.
Strain Type (Indica/Sativa/Hybrid)
Cannatonic is a balanced hybrid, featuring a near-equal mix of indica and sativa genetics. This blend delivers physical relief while keeping the mind clear, steering away from the heavy sedation often linked to indica-dominant strains.
Cannabinoid Profile (THC/CBD)
What sets Cannatonic apart is its high CBD content, typically ranging between 12% and 18%, alongside low THC levels of about 3% to 7%. This ratio makes it a go-to option for therapeutic use, providing noticeable medical benefits without significant intoxication.
Effectiveness for Pain Types
Cannatonic is highly regarded for its ability to ease chronic inflammatory conditions like arthritis and fibromyalgia. Users frequently report relief from nerve pain, muscle spasms, and other inflammation-related discomforts.
It’s also recognised for its effectiveness against headaches and migraines, with many finding it reduces both the severity and frequency of episodes when used consistently as part of their regimen.
Potential Side Effects
Given its low THC levels, Cannatonic has minimal psychoactive effects. The most common side effects include mild dry mouth and, in some cases, drowsiness – particularly with larger doses. Unlike strains with higher THC content, it rarely causes anxiety or paranoia, making it a solid choice for those sensitive to cannabis’s psychoactive elements.
Some individuals may experience slight dizziness when starting to use Cannatonic, though this usually fades within a few days as the body adjusts.
These qualities make Cannatonic a reliable option for those seeking relief without the intense effects often associated with cannabis.
Benefits and Drawbacks
Cannabis strains vary widely in how they address pain management, with each type offering its own mix of benefits and challenges. Understanding these differences helps tailor choices to individual needs.
High-CBD strains like CBD Fix Automatic, ACDC, Joanne’s CBD, and Cannatonic are well-known for their therapeutic properties without causing significant psychoactive effects. These strains are rich in CBD but contain very little THC, making them effective for easing inflammatory and nerve pain while maintaining mental clarity. However, they may fall short for those dealing with severe pain, where stronger relief is needed.
Balanced hybrid strains, such as Blue Dream and Cream Caramel, strike a middle ground by combining moderate THC and CBD levels. This balance allows them to manage both physical pain and the stress or anxiety that often accompanies it. The downside? Their effects can vary significantly from person to person, making it harder to predict how they’ll work for any given individual.
THC-dominant strains like OG Kush, Northern Lights, and Painkiller XL are highly effective for severe or chronic pain. Their high THC content delivers powerful relief, making them ideal for intense pain episodes. On the flip side, these strains can cause strong psychoactive effects, which may impair daily activities. Side effects such as anxiety, paranoia, or mental fog are also possible.
| Strain Category | Primary Benefits | Main Drawbacks | Best Suited For |
|---|---|---|---|
| High-CBD Strains | Clear-headed relief, minimal side effects | Limited strength for severe pain | Inflammatory conditions, daily use |
| Balanced Hybrids | Versatile effects, moderate relief | Unpredictable individual responses | General chronic pain, first-time users |
| THC-Dominant | Strong pain relief, effective for severe cases | Pronounced psychoactive effects, potential impairment | Severe chronic pain, breakthrough episodes |
Timing also plays a role in choosing the right strain. For example, sativa-leaning options like ACDC are energising and better suited for daytime use, while indica-heavy strains such as Northern Lights are more sedative, making them ideal for evening relief.
Individual tolerance levels are another key factor. Beginners often find high-CBD strains more manageable, as they offer pain relief without overwhelming effects. Meanwhile, more experienced users or those with a higher tolerance may require THC-dominant strains to achieve adequate relief.
Cost is another consideration. High-CBD strains often need consistent dosing to maintain their therapeutic effect, which could lead to higher long-term costs. On the other hand, THC-dominant strains may provide relief with smaller, less frequent doses, though their availability and pricing can vary depending on legal and market factors.
Interactions with other medications are also important to keep in mind. High-CBD strains may affect drugs metabolised by the liver, while THC-rich options can amplify the effects of sedatives, painkillers, or psychiatric medications. Patients on multiple medications should approach THC-dominant strains with caution.
Ultimately, selecting the right strain is a personal decision. By weighing these benefits and limitations, individuals can make choices that align with their specific pain management needs, lifestyle, and circumstances.
Conclusion
The discussion above sheds light on how different cannabis strains cater to various pain management needs. Selecting the right strain for pain relief is a highly personal decision. It requires understanding how the unique cannabinoid profiles of each strain align with specific pain types and individual lifestyles.
Strains high in CBD offer relief without intoxication, balanced hybrids address both pain and stress, and THC-dominant options, while powerful, may impact daily functioning. Factors like pain severity, daily responsibilities, and personal tolerance levels mean that what works for one person may not be suitable for another.
At Elios Clinics, patients benefit from tailored assessments, consultations with GMC-approved doctors, and ongoing follow-ups. This patient-centred approach ensures that treatment plans are customised to each individual’s needs and circumstances.
For effective pain management, it’s essential to consult knowledgeable healthcare professionals. With a carefully designed treatment plan, the right strain and dosage can bring meaningful relief and significantly enhance the quality of life for those managing chronic pain.
FAQs
How can I choose the right medical cannabis strain for managing my chronic pain?
Choosing the right medical cannabis strain for chronic pain means understanding how different types and their components interact with your body. Indica strains are often favoured for evening use, as they tend to promote relaxation and may ease pain linked to muscle tension or insomnia. In contrast, Sativa strains are typically better suited for daytime use, offering an uplifting effect that could help with fatigue-related pain. Then there are Hybrid strains, which combine traits from both Indica and Sativa, providing a more tailored balance depending on your individual needs.
Pay attention to the THC and CBD content in a strain, as these cannabinoids play a major role in its effects. Strains with high THC levels may be effective for intense pain, while those rich in CBD are often better for managing inflammation or more localised discomfort. Another factor to consider is terpenes, the natural compounds in cannabis that can enhance its pain-relieving properties. For instance, myrcene is associated with relaxation, while caryophyllene may help address inflammation.
Since everyone’s body reacts differently to cannabis, it’s wise to start with a low dose and gradually adjust until you find the right balance for your symptoms. Speaking with a medical professional who specialises in cannabis-based treatments can also provide valuable guidance tailored to your situation.
What side effects can THC-dominant cannabis strains have, and how might they affect daily life?
THC-heavy cannabis strains are well-known for their mind-altering effects, but they can sometimes come with drawbacks like anxiety, paranoia, or difficulty concentrating. These effects can interfere with tasks that demand focus, such as driving or performing work-related activities.
Some people are particularly sensitive to THC, and taking larger doses can heighten the chances of experiencing these unwanted effects. If you’re new to medical cannabis or feeling unsure about how it might affect you, it’s wise to begin with a low dose and observe how your body reacts.
Are high-CBD cannabis strains effective for pain relief without causing a ‘high’, and can they help with severe pain?
High-CBD cannabis strains offer a way to manage pain without the psychoactive effects linked to THC. Known for its anti-inflammatory and calming qualities, CBD can help ease discomfort and encourage relaxation, making these strains ideal for individuals looking to avoid the ‘high’ commonly associated with cannabis use.
For mild to moderate pain, high-CBD strains might be enough to provide relief. However, in cases of severe pain, a combination of CBD and THC could be more effective. It’s always a good idea to consult a medical professional to find the right strain and dosage tailored to your specific needs.
Related Blog Posts
About author
