Chronic pain is one of the most common reasons for prescription of medical marijuana

To be able to participate, patients had to get certification from a certified practitioner and subsequently get the marijuana from licensed dispensaries spread throughout the state. Chronic pain was not initially one of the conditions recognized under the compassionate care act but after an outcry by the public, chronic pain was added as a qualifying condition for medical marijuana .Chronic pain was thus included in the list of the ten other qualifying conditions .The ten other qualifying conditions included Cancer, HIV infection, ALS,Parkinson’s disease, multiple sclerosis, damage to the nervous tissue of the spinal cord with objective neurological indication of intractable epilepsy, inflammatory bowel disease, neuropathies and Huntington’s disease. With the legalization of medical marijuana in most states and recreational marijuana in some states,more studies are needed to assess the efficacy of marijuana as a means of addressing chronic pain, cachexia/wasting syndrome, glaucoma among others .

As part of efforts to improve healthcare and improve the data we have on the use of medical marijuana, we conducted a study of the efficacy of medical marijuana for chronic pain in an outpatient chronic pain clinic setting. The study was carried out in an outpatient pain clinic setting in New York from October 2018 to May 2019.Selection criteria: All patients who were on medical marijuana and were returning for their follow up visits between the period October 2018 and May 2019 were offered the survey. Patients under the age of 18 were excluded from this survey. Survey answers were collected in the clinic, cannabis vertical farming via secure email and phone calls. We had a total of 21 participants who responded to the request.The study qualified for exempt status. As defined in the federal regulations :minimal risk standard was applied: ‘the probability and magnitude of harm or discomfort anticipated in the research are not greater in and of themselves than those ordinarily encountered in daily life or during the performance of routine physical or psychological examinations or tests.Even though clinical data supports the use of marijuana for pain,there is still not much known about the efficacy, dose, route of administration,or the adverse effects .

Medical marijuana offers numerous benefits such as better management of pain as demonstrated by the participants of this study. The responses in this study showed a 50% reduction in pain levels after use of medical marijuana .Other benefits that we observed include decreased levels of anxiety, increased appetite, decreased migraines, reduced swelling, improvement in mood as well as an increased quality of life as reported on the surveys. The improvement in sleep evidenced in this study is significant as poor sleep worsens overall pain scores and also interacts negatively on aspects of health including mental health. Marijuana is also relatively non-addicting, and few withdrawal effects have been reported with perhaps one of the most significant benefits of medical marijuana being the reduction in opioid overdose mortality rates .There are limitations to this study, the first being that the patients who responded were patients already on medical marijuana and returning for follow up visits and hence they already had benefit from the medical marijuana. This is also a survey as opposed to a case controlled study with an interventional study group. Marijuana remains a federal class 1 drug which limits such studies. There is therefore lack of longitudinal studies evaluating the effects of chronic marijuana use. These past few years have witnessed the speedy development of scientific techniques and an addition in the standard of living of human.

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