Tendonitis is a common condition among athletes and physical workers as it is caused by overuse or overload of tendons, as well as by repetitive movement CBD is known for its anti-inflammatory benefits and pain-killing properties. This means you may use it for tendonitis pain relief and speed up your body’s recovery in a natural way — on top of helping it achieve more balance overall. Here are some of the best CBD products for Tendonitis, a common sports injury caused by either overusing or overloading the tendons during physical activities.
Move without limits. How to use CBD for tendonitis?
Tendonitis is a common condition among athletes and physical workers as it is caused by overuse or overload of tendons, as well as by repetitive movement. In the case of this condition, tendons become inflamed that lead to inflammation and pain. Without treatment, tendonitis can cause additional, more serious injury, such as a tendon rupture. Although this condition can be treated and doesn’t belong to diseases with serious consequences, it can still significantly affect the patient’s quality of life, carrying both psychological and financial burden. Over-the-counter drugs and physical therapy can cope with tendonitis symptoms in the early stages, while in the case when the condition is more severe, opioid drugs, corticosteroid injections or surgical intervention can be needed. These treatment methods are effective enough, although they can entail severe adverse effects on health, including even addiction and death in the case of opioids use. CBD is considered an effective and safe method to cope with the symptoms of this condition as it can significantly reduce inflammation and pain in tendons by interacting with the endocannabinoid system in our body. Global research has confirmed its anti-inflammatory and painkilling properties, while health experts suggest it may become a worthy alternative to opioids and other prescription drugs.
Tendonitis is an inflammation or irritation of tendons – pieces of connective tissue between our muscles and bones. This condition usually causes acute pain and tenderness and makes it difficult to move the affected joint. Tendonitis can also be called a tennis elbow, golfer’s elbow, jumper’s knee, pitcher’s shoulder, or swimmer’s shoulder. Besides this, the tendinopathy term is often used as well. Tendinopathy is an umbrella term for “tendonitis”, “tendinosis”, and “tenosynovitis”. What is the difference between all these conditions? “Tendonitis” is the original term to define pain and inflammation that occur within the tendon, while “tendinosis” is the preferential term to describe the degenerative changes observed. As for “tenosynovitis”, it refers to inflammation of the synovial sheath surrounding the tendon, and many health experts don’t consider this condition tendinopathy, in which degenerative changes are mainly observed in the tendon.
Anyone can get tendonitis, although this condition occurs more commonly in people who do repetitive activities. For example, the “risk group” for this condition includes people who are engaged in gardening or landscaping, shovelling, painting, scrubbing, woodworking, as well as those who often play tennis, golf, and baseball. Those whose job requires physical exertion or overhead lifting are also more likely to develop this condition. The risk of tendonitis also increases if people perform repetitive motions while working or playing sports incorrectly. In addition to this, tendonitis can also result from permanent poor posture at work or home and the presence of certain diseases that can weaken the muscles, such as, for example, rheumatoid arthritis, gout or pseudogout, and blood or kidney diseases. Age also belongs to factors that can increase the risk of developing this condition. Adults forty years of age and older belong to the risk group for tendonitis as their tendons are less elastic, tolerate less stress, and can tear more easily. Certain medications (antibiotics and statins, in particular) can also cause tendons to tear.
The disease burden of tendonitis and tendinopathy, in general, is primarily reflected by the number of patients with this condition, the effect on their quality of life, the cost-effectiveness of treatments, and the economic implications of work disability. As for the prevalence of this condition, it differs significantly depending on the population groups. Thus, in athletes, due to the high intensity and frequency of physical activities, permanent stress is exerted on the tendons. As a result of this, tendinopathy is within the top three most treated conditions in this population group. Among athletes, age can increase the risk of this condition as well. For example, in one of the studies investigating the rotator cuff tendinopathy risk in athletes, it was demonstrated that in elderly athletes, the prevalence of this condition was seen to be as high as 48.2%. However, health experts state sports-related tendinopathy is quite challenging to estimate and generalise due to the difference in anatomical sites affected and the degree of exposure. For example, dancers have a higher risk of developing Achilles’ tendinopathy, while rowers more frequently develop rotator cuff tendinopathy or epicondylitis. In addition to this, the degree of sport participation usually differs significantly between recreational athletes and professional athletes that make it difficult to fully evaluate the risk of tendinopathy development.
As for the category of workers, an increased risk of tendinopathy is usually associated with repetitive movements that are commonly observed in daily work tasks and with poor workplace ergonomics, which can significantly affect posture. Tendinopathy in workers is almost always present in the upper extremities, with lateral epicondylitis being the most common form. The prevalence of this condition in workers is 2-3%, although, in coal miners and spine surgeons, it can vary from 18% to 41%. Similarly to athletic exposures, the type of work can also significantly influence the prevalence of tendinopathy in workers. The risk of this condition often depends on the frequency of repetitive motion, ergonomic factors, and the length of exposure.
For the general population, the prevalence of rotator cuff tendinopathy in adults is reported to range from 2% to 3.8% , although in the elderly population, it may increase to 5-7%. However, currently, there is a gap in the available evidence on tendinopathy incidents rates, as most studies held for today were carried out on tendinopathic ruptures only. Thus, it is assumed that in the general population, the actual prevalence of this condition may be higher.
Types of tendonitis. Who is in the risk group?
In our body, tendons are tough strips of fibrous, stretchy tissue that connect muscles to bones and can withstand tension. Tendons are involved almost in every movement of our body, including even blinking eyelids. Tendonitis is a debilitating physical condition, which occurs when the tendons become painfully inflamed. There are over a thousand tendons in our body, but this condition more commonly develops in the larger tendons that are prone to overuse. Most often, it develops over a period of time due to a repeated motion that puts stress on the tendon. This condition is considered a common sports injury as it typically develops when a part of the body, which contains tendons, is overloaded or overworked. The word “overload” usually implies a sudden increase in speed. For example, when a person starts running at high speed immediately after walking steadily for a while, a significant overload on his tendons occurs. When being repeated, such overloads of tendons can result in the Achilles tendon – condition, when the tissue at the back of the lower leg gets swollen. At the same time, “overwork” means that the frequent repetition of certain movements can have a negative impact on the tendons in arms and legs in general. For example, frequently repeated weight lifting is highly likely to lead to tendonitis one day.
Besides these factors, causes of tendonitis may also include infections and certain medical conditions, such as gonorrhoea, diabetes, and Haglund’s deformity.
There are several different types of tendonitis, and all of them differ depending on the parts of the body this condition affects. For example, it may develop in the shoulder, knee, wrist, elbow or heel or occur in smaller tendons like the temporal tendon (but this is less common). Let’s take a look at what tendonitis types are most common to date.
Tennis elbow is the type of tendonitis, which appears when the tendons located on the outer side of the elbow become inflamed. In the case of the tennis elbow, the pain usually begins in the forearm and then surges to the wrist and fingers. As the name suggests, this type of tendonitis is the most common among tennis players due to the permanent overwork of the elbow tendons. However, besides them, tennis elbow can also affect painters, construction workers, plumbers, and artists.
Another common type of tendonitis is known as Achilles tendonitis . It occurs in the largest tendon in our body, which is known as the Achilles tendon. It occurs in the largest tendon in our body, which connects the heel with the calf muscle and is known as the Achilles tendon. When this tendon is overworked, Achilles tendonitis occurs, causing swelling and pain. Due to significant permanent overload on the Achilles tendon, runners are the most exposed group to this type of tendonitis, although it may also occur in people who have a sudden rapid increase in pace during running activities.
Golfer’s elbow also belongs to the most common tendonitis types. This condition is usually caused by the inflammation of the forearm. In this case, the swelling appears on the inside of the forearm and elbow. Golfer’s elbow can be triggered by a wide range of different activities that involve repetitive hand movements, such as, for example, flexing, swinging, throwing or gripping.
Rotator cuff tendonitis or, as it’s also often called, bicep tendonitis is also a common type of this condition. It involves shoulder pain, which is caused by inflammation of the biceps tendon and is usually triggered by heavy lifting or frequent stretching of the arms. In the case of rotator cuff tendonitis, people most often experience pain running from the shoulder blades to the upper arm. This condition may cause problems with reaching objects and surfaces located above the head and behind the back, as well as with falling asleep.
As for the effect of tendinopathy on patients’ quality of life, its socio-economic impact is lower if compared with other common musculoskeletal conditions, such as rheumatoid arthritis, osteoarthritis, and lower back pain. However, tendinopathy can still affect the patient’s life . For example, shoulder tendinopathy takes approximately ten months to heal , and, besides this, workers often take additional amounts of sick leave to recover as they are less productive at work. In fact, patients may return to work within six weeks following operative repair, although their recovery may take a few months . In addition to the negative impact of tendonitis on work productivity, this condition also affects the daily activities of people. Thus, according to one of the studies investigating pain, functional disability, and psychologic status in tennis elbow, about 25% of patients with this type of tendonitis reported difficulty in their daily activities, such as dressing, carrying objects, driving, and sleeping. In addition to this, 55% of patients with tennis elbow reported increased levels of anxiety, while 36% reported significantly elevated levels of depression. These results point out that tendonitis has not only a physical impact on health but psychological importance as well and requires a psychological assessment as well.
This 10% CBD Oil from Alphagreen is designed to be placed beneath the tongue for maximum absorption and maximum soothing results.
SPICE UP YOUR SEX LIFE – Foria’s Awaken Arousal Oil supports female sexual wellness by enhancing pleasure, easing discomfort and increasing sensitivity.
Brace yourself for a fantastic experience with this 40% CBD Oil from Naturecan. This product will allow you to enjoy your daily CBD dose in a fast and convenient way.
GREAT FLAVOUR, REAL EFFECTS: Zen Bear’s gummies offer a delicious way to consume CBD with no gimmicks. Pop a couple a day and see the effects in no time!
Arima’s High Strength Pure CBD Oil is a high-quality formula made by blending Cannabis Sativa L extract with organic olive oil to create a fantastic cannabidiol experience.
Spirited Euphoria by Edi is the world’s first non-alcoholic distilled spirit crafted from natural hemp and 280mg of THC-free CBD isolate.
CBD Brothers Blue Edition Oil Sativa is a high-quality CBD product containing full-spectrum CBD diluted in organic hemp seed oil.
Raw CBD Oil 30mg CBD/ml (medium) represents a full-spectrum formula with 300mg of CBD+CBDa per bottle.
Foria’s Intimacy Sex Oil is a lube that makes sex better, providing you and your partner with the all-natural moisture to soothe, arouse, and exhilarate your sex life.
10% CBD Oil from Purity Hemp Company is a mid-strength broad-spectrum CBD oil that can be used to restabilise your health and wellbeing.
This CBD Oil – 750mg by Green Roads is a health supplement that is a fantastic way to support your daily wellness routine.
What symptoms to watch for? Tendonitis diagnosing and treatment
Most often, tendonitis is caused by minor but repetitive impact on the affected area, but it can also develop from a sudden serious injury as well. Pain is the most common symptom of this condition. Typically, the pain from tendonitis is a dull ache, which is concentrated around the affected joint. This area is usually tender, and the pain often increases when you move the injured area, or someone touches it. Some people may also experience tightness, which makes it difficult to move the joint or swelling. Tendonitis-induced pain may be a gradual buildup or sudden and severe, especially in the case when calcium deposits are present.
In case if you develop tendonitis symptoms, specialists usually recommend trying to cope with the condition by applying ice and resting the affected area. If the pain increases or swelling doesn’t go away after a few days of rest, you should consult with the doctor to diagnose the condition and choose the most appropriate treatment for your case.
In order to diagnose tendonitis, a doctor always first asks about the patient’s medical history and performs a physical exam of the affected area. Besides this, tenderness and range of motion are examined as well. The most common questions for patients with tendonitis symptoms include the information about recent or past injuries to the area, where the pain is concentrated, any previously diagnosed medical conditions, all past and present sports and physical activities, and all the drugs a patient is currently taking, including prescription drugs, over-the-counter medications, and herbal supplements. In cases when a physical examination is not enough to make a definitive diagnosis, a doctor may order several additional tests, such as X-rays, magnetic resonance imaging (MRI), and ultrasounds.
Clinical diagnosis remains the main diagnostic technique for tendonitis, although MRI and ultrasound are still actively being used to support the final diagnosis. In addition to this, it was demonstrated in several studies that using radiological imaging revealed a higher incidence rate compared with the clinical evaluation only. It is believed that such a discrepancy can be caused by the inclusion of patients who had no tendonitis symptoms at the time of examination and who could be left unnoticed in tendinopathy diagnosis.
As for tendonitis treatment, its main goals include pain reduction, recurrence prevention, and the ability of patients to return to sports or preinjury functionality. Treatment options that are currently available for tendonitis patients help to reduce pain and inflammation on the affected tendon. The most common treatment approaches include:
- Oral non-steroidal anti-inflammatory drugs. Over-the-counter (OTC) medications are considered the first-line tendinopathy treatment and usually include such drugs as acetaminophen, aspirin, ibuprofen, and naproxen. These medications can help to reduce both inflammation and pain in the affected tendon in the case of early treatment.
- Corticosteroid injections. Corticosteroids, which are also often called simply “steroids”, are commonly used for tendinopathy treatment as they provide quick inflammation and pain relief. In some cases, a single corticosteroid injection can be enough to reduce pain and inflammation. Repeated injections are not recommended as they can cause the tendon to weaken and increase the chances of injury.
- Physical therapy. This method of tendinopathy treatment includes a range of stretches and motion exercises and the use of special orthopaedic devices, such as casts and splints, that are used to protect and support injured bones and joints. Casts and splints are made from fibreglass or plaster and are most often used for thumbs, forearms, and hands.
Besides this, some tendonitis therapies may also include injections of autologous blood or platelet-rich plasma.
Also, in some severe cases, failure of conservative treatments may lead to surgical intervention when a surgeon will excise the tendinopathic tissue and repair the ruptured tendon. This treatment approach is needed for tendinopathy cases that don’t respond well to other treatments and are often necessary for a tendon rupture.
When diagnosed and treated early, tendonitis usually resolves quickly. However, in some cases, this condition can recur and become long-term or even chronic. Also, if the inflammation in the tendon continues without treatment, it can cause additional, more serious injury, such as a tendon rupture. Although tendonitis can be treated and doesn’t belong to diseases with serious consequences, this condition can still significantly affect the patient’s quality of life, and its indirect costs can reach great amounts in terms of productivity loss and worker’s compensation. In addition to this, direct outpatient medical costs, along with repeated medical visits, are also a concern.
The risk of developing tendonitis can be reduced. Health experts recommend avoiding overuse and repetitive motions, don’t remain in the same position for too long, use proper posture when working or doing other tasks, warm-up before exercising and use proper equipment during athletic activities, as well as keep fit and build your muscle tone. For athletes, it is also recommended to cross-train. In case you feel sudden pain of tendonitis, you should immediately stop the activity, apply ice, and rest.
CBD for tendonitis treatment. How effective is the natural approach?
Most people with tendonitis cope with this condition by using OTC painkillers, such as ibuprofen, aspirin, and naproxen. However, despite being effective at treating minor pain, combining different non-steroidal anti-inflammatory drugs (NSAIDs) can entail a range of side effects for our health. It is estimated that these drugs are responsible for 30% of hospital admissions for adverse drug reactions , such as bleeding, stroke, heart attack, and renal damage. From the first day of use, all NSAID drugs increase the risk of gastrointestinal bleeding, stroke, and myocardial infarction . They also reduce prostaglandin synthesis. The risk of adverse effects from NSAIDs use is considerably higher in older people as many of them take medicines that can interact with NSAIDs in a negative way. In addition to this, these medications lose their effectiveness over time.
As for severe cases of tendonitis, here is when corticosteroid drugs come into play. These potent painkillers are used for immediate relief from pain and inflammation. Corticosteroids are stronger than NSAIDs and can also negatively affect the patient’s health. Chronic use of these drugs can weaken the tendons, impairing their functioning and causing even more significant damage. The primary concern regarding corticosteroids use is an increased risk of tendons rupture , which is associated with the direct injection of the drug into the tendon.
While being effective, both NSAIDs and corticosteroids are dangerous for our health as their adverse effects are very serious. This is probably, the main reason why people have started to seek out not only effective but also safe treatment for tendonitis symptoms. CBD or cannabidiol is considered a worthy natural alternative to prescription drugs for patients with tendonitis diagnosis. Let’s take a look at how CBD oil can help to alleviate tendonitis symptoms and whether it is really safe for our health.
One of the reasons CBD has become so popular in the world of medicine is its remarkable anti-inflammatory and painkilling properties. Numerous scientific studies, along with constantly rising anecdotal evidence from CBD oil users, have confirmed these health benefits. Moreover, CBD has demonstrated its effectiveness without the dangerous adverse effects for patients’ health in contrast to most prescription and OTC painkillers. Cannabidiol, together with numerous other cannabinoids, belong to the active components of the Cannabis Sativa plant and mediate its beneficial effects on health through activation of cannabinoid receptors of our endocannabinoid system known as CB1 and CB2 receptors.
Numerous studies have demonstrated the potent anti-inflammatory properties of cannabidiol , while some of them have found this cannabinoid can be effective for people with arthritis as it can help to alleviate pain, which affects the connective tissues like tendons and ligaments. Another study investigating the anti-inflammatory properties of CBD has found that cannabinoids could suppress inflammatory response and subsequently alleviate symptoms of numerous diseases. The anti-inflammatory effects of cannabinoids are mediated through multiple pathways , such as induction of apoptosis in activated immune cells, suppression of cytokines and chemokines at inflammatory sites, and upregulation of FoxP3+ regulatory T cells. The beneficial effects of cannabinoids and CBD, in particular, have been tested in different models of autoimmune disorders, such as rheumatoid arthritis, multiple sclerosis, colitis, and hepatitis and demonstrated the ability to reduce the symptoms of these conditions through induction of multiple anti-inflammatory pathways. It was also mentioned in the study that traditional prescription painkillers had comparably low effectiveness, while drugs like opioids can even worsen the inflammation and lead to uncontrolled rheumatic pain, which is one of the underlying causes of rheumatoid arthritis.
It was also discovered in a range of studies that CBD can provide more potent effects on inflammation and pain when taken in combination with another popular cannabis compound known as THC.
THC or tetrahydrocannabinol is the second major cannabinoid in the cannabis plant and is also being actively studied for its health benefits. In contrast to CBD, THC has psychoactive properties that significantly complicates its use from the legality point of view in many countries. Both CBD and THC can be compared to opioids in terms of their effectiveness in reducing inflammation and pain. Even while taking into account the intoxicating effects of THC, neither THC nor CBD has such serious adverse effects as opioid drugs. Moreover, they can’t lead to a fatal overdose as they don’t target the brainstem area, which is responsible for respiratory function.
In 2020, the World Anti-Doping Agency (WADA) approved CBD for athletes and applied those changes in its updated World anti-Doping Code. What are the main CBD benefits for tendonitis, and are there any restrictions for its use?
As it was already said in this review, tendonitis involves swelling and pain in the tendons. People usually recover from this condition within two days to six weeks, although it always depends on each particular case. Tendonitis symptoms can also vary depending on the severity of the injury and may last from several days to a few weeks. If this condition is left untreated and ignored, it can transform into tendinosis, which, in its turn, involves severe tendon degeneration, leading to joint stiffness, chronic pain, and movement restrictions.
The most promising benefit of CBD for tendonitis is its ability to regulate the reaction of the immune system to inflammation. Inflammation is a natural process, which always occurs when the body gets injured as a defensive reaction. A remarkable anti-inflammatory effect of CBD is due to its interaction with the receptors of our endocannabinoid system. When interacting with the ECS, cannabidiol causes the macrophages (white blood cells that react to infections) to inhibit the release of cytokines – proinflammatory proteins that play an important role in cell signalling.
One of the studies investigating the anti-inflammatory activity of cannabidiol on rats has revealed that cannabidiol administered orally with the dosage of 5-40 mg/kg once a day for 3 days after the onset of induced acute inflammation in rats helped to reduce inflammation on the rats’ paws. It was also demonstrated that cannabidiol had a time- and dose-dependent anti-hyperalgesic effect after a single injection. Thus, subsequent daily doses caused further time- and dose-related reductions. The authors of the study concluded that the oral form of CBD might have a beneficial action on two symptoms of established inflammation – oedema and hyperalgesia in rats. It was also stated human trials are necessary to investigate whether CBD can provide the same results on inflammation.
The endocannabinoid system of our body is the major regulatory network, which is involved in numerous processes, including pain modulation. The primary task of this system is to maintain homeostasis – a balance, which allows our body to function properly. In the case of any diseases and malfunctions in the body, homeostasis is disrupted. Due to interaction with CB1 and CB2 receptors of ECS, cannabidiol indirectly increases the concentrations of cannabinoids to help retrieve the balance lost and thus, is able to treat different conditions, including tendonitis.
One of the studies evaluated the effects of CBD extract on opioid use and quality of life in chronic pain patients. The study found that cannabidiol effectively reduces pain and can be an effective alternative to opioid drugs. Over half of the study participants (53%) reduced their opioid use within 8 weeks after including CBD-rich hemp extract in their treatment. In addition to this, almost all CBD users (94%) who participated in the study reported improvements in their quality of life. While based on the results of this and other studies investigating the possibility of CBD use for pain management, researchers concluded that cannabidiol could significantly reduce the use of opioid drugs, as well as relieve chronic pain and improve sleep quality in patients who take opioids as a part of their treatment programs. It is suggested that CBD oil may become an effective replacement for analgesic treatment.
To date, CBD comes in various forms and thus, can be chosen to suit different consumers needs. In the case of tendonitis, CBD oil can be taken orally or topically. People with symptoms of this condition can take CBD sublingual drops that are infused into olive oil, coconut oil or hemp seed oil to get the desired effect. Those users who don’t like the specific earthy taste of natural CBD oil can choose between CBD-infused capsules or edibles, such as, for example, CBD-infused honey sticks. Besides this, CBD can also provide relief for tendonitis symptoms through vaporisation. Usually, vaporised CBD takes 5-10 minutes to provide the effect and has the highest availability among all possible forms that can be used for tendonitis treatment. Bioavailability is one of the major terms for CBD users. It describes the amount of CBD oil, which enters the bloodstream after ingestion. The higher the bioavailability index, the better the effect of the drug.
In addition to these methods, CBD can also be used topically to reduce inflammation and pain in inflamed tendons and swollen muscles. CBD – infused creams and gels are also popular among people with tendonitis symptoms as they provide comparably quick relief by interacting with the cannabinoid receptors into the epidermis layer of the skin. CBD-infused topical products come in different textures and consistencies. For example, CBD salves always use oils, CBD lotions use water as a base, while creams usually combine these two ingredients. In the case of tendonitis symptoms treatment, topical CBD products should be applied to the affected area.
As for the most effective and at the same time safe CBD dosage, it usually differs from one particular case to another. Finding the right dosage for all patients with tendonitis symptoms is a challenging task as they all differ in gender, age, weight, metabolism rate, health conditions, and a wide variety of other factors that can affect CBD’s effectiveness. Currently, there is no one-size-fits-all dosage, which could be recommended for everyone. The best way to define the best dosage for your condition is to start with a low dose of CBD and then gradually increase it if there is no desired relief of tendonitis symptoms. According to researchers, an effective dose of CBD for pain relief range from 1 to 50 mg per day, while lower doses are always used for mild discomfort and higher doses for severe, chronic pain. Anyway, it is highly recommended to visit a doctor before starting taking CBD products in order to determine the optimal dose and avoid negative interactions with other medications.
Tendonitis is a curable but debilitating condition, which can significantly affect the quality of patients’ life and entail great amounts of both direct and indirect costs. This condition usually occurs in tendons when they become inflamed due to overload or repetitive motions. Tendonitis is a common disease among sportspeople, and physical workers as their activities often involve overuse or overload of tendons and repetitive movements. Prescription painkillers can reduce inflammation and pain – the most common symptoms of this condition, although these drugs may have serious side effects on health, while drugs like opioids are addictive and can lead to opioid-related death. Physical therapy and OTC drugs can be effective but only in the early stages of tendonitis. If the condition is more severe, corticosteroid injections or surgery may be needed. CBD oil is considered the most effective and safe natural option that can be used for alleviation of tendonitis symptoms as it can significantly reduce inflammation and pain without causing serious adverse effects on patients’ health. CBD can be applied topically on the affected area if localised relief is needed, as well as can also be used orally in the oil form or through vaporisation. Numerous studies have already demonstrated the anti-inflammatory and painkilling properties of cannabidiol, although research is still ongoing to find out the most effective way of CBD oil use for tendonitis symptoms.
Verified by a health professional
Anastasiia Myronenko is a Medical Physicist actively practicing in one of the leading cancer centers in Kyiv, Ukraine. She received her master’s degree in Medical Physics at Karazin Kharkiv National University and completed Biological Physics internship at GSI Helmholtz Centre for Heavy Ion Research, Germany. Anastasiia Myronenko specializes in radiation therapy and is a fellow of Ukrainian Association of Medical Physicists.
CBD Oil for Tendonitis: Benefits & Usage
The reason why CBD has become so popular in recent years is due to its remarkable painkilling and anti-inflammatory properties. Anecdotal reports from CBD users as well as numerous scientific studies have mentioned these qualities, touting CBD for its effectiveness without the dangerous side effects associated with conventional painkillers, especially prescription ones.
The BD boom has given rise to a plethora of different products formulated to ease different types of physical discomfort. Even sports people and professional athletes use it to relieve pain, including tendonitis. This painful ailment manifests as inflammation in tendons, which control almost every movement in the human body — even blinking of your eyelids.
The exploitation of any muscles can lead to tendonitis, so the biggest risk factor here is intense physical activity such as professional sports or heavy-duty jobs such as construction works or mining. Tendonitis is more likely to happen when people get older and can also derive from pre-existing health conditions such as diabetes or arthritis.
Today, we explain everything you need to know about tendonitis and whether or not CBD oil can help treat this ailment.
Let’s start with a brief overview of tendonitis and its types.
What Is Tendonitis?
Tendonitis is a physical condition that occurs when the tendons, which are the tissues connecting the bone with the muscle, suffer from inflammation. Tendonitis is a common sports injury, where a part of the body containing tendons is overloaded or overworked.
When it comes to overload, physicians usually mean a sudden increase in speed. For example, let’s say you start running at high speed immediately after walking steadily for a while. Repeated overload of tendons can lead to the Achilles tendon, where the tissue found at the back of the lower leg gets swollen.
Overwork means that the frequent repetition of certain movements, such as weight lifting, can have a negative impact on the tendons in general — especially those in arms or legs.
Other causes of tendonitis include infections, deformities, or other medical conditions, such as Haglund’s deformity, gonorrhea, and diabetes.
Types of Tendonitis
Tendonitis has several different forms depending on the parts of the body it affects. It can show up in the shoulder, elbow, wrist, knee, and heel.
Here are the most common types of tendonitis:
- Tennis elbow – tennis elbow is caused by inflammation in the tendons on the outer side of the elbow. Pain may begin in the forearm and surge to the wrist and fingers. As the name suggests, this type of tendonitis is common among tennis players, but it can also affect plumbers, construction workers, painters, and artists who constantly move their arms.
- Achilles tendonitis – this type of tendonitis occurs in the largest tendon in the body known as the Achilles tendon. When the tissue connecting the heel with the calf muscle gets exposed to overwork, it causes swelling and pain. Runners are the most exposed group to this condition, but Achilles tendonitis may also affect people who have a sudden increase in pace during running activities.
- Rotator cuff tendonitis – also referred to as bicep tendonitis, this ailment involves shoulder pain caused by inflammation of the biceps tendon. People who have rotator cuff tendonitis often report pain running from the shoulder blades to the upper arm. This type of tendonitis may be triggered by frequent stretching of the arms or by heavy lifting. The condition may cause patients to experience problems falling asleep or reaching objects and surfaces located above the head and behind the back.
- Golfer’s elbow – golfer’s elbow is caused by the inflammation of the forearm, where the swelling appears inside of the forearm and elbow. The condition can be triggered by a wide range of activities that use repetitive hand movements, such as throwing, gripping, swinging, and flexing.
Does CBD Help with Tendonitis?
Most people can successfully treat tendonitis with OTC painkillers, such as ibuprofen, naproxen, and aspirin — it rarely requires the intervention of prescription medications.
Despite being effective at treating minor pains, combining too many non-steroidal anti-inflammatory drugs (NSAIDs) can result in dangerous side effects, such as gastrointestinal bleeding or heart attack — not to mention that they lose effectiveness over time (1).
Severe cases of tendonitis are also treated with corticosteroid drugs. These painkillers are used for pain management; doctors apply them to athletes using injections for immediate relief from inflammation and pain.
Now, corticosteroids are stronger painkillers than NSAIDs. Unfortunately, their chronic use may weaken the tendons, impairing their functioning and causing even greater damage (2).
For the above reasons, people have started to seek out natural, safer alternative treatments for tendonitis.
Numerous studies have pointed to CBD as potent anti-inflammatory properties. For example, one study has found that CBD can effectively help people manage arthritis pain, which affects the connective tissues like ligaments and tendons (3).
Another study has concluded that CBD oil has anti-inflammatory and immunomodulatory properties for rheumatoid conditions (4). The study has also stressed the low efficacy of traditional prescription painkillers. Drugs like opioids can even lead to uncontrolled rheumatic pain and worsen inflammation, which is the underlying cause of arthritis.
Researchers have discovered that CBD produces more potent effects for inflammation and pain when taken in combination with THC, the second major cannabinoid in the cannabis plant.
CBD and THC are comparable to opioids in terms of the anti-inflammatory and painkilling benefits, but they don’t cause adverse side effects and can’t lead to a fatal overdose because they don’t target the brainstem area responsible for respiratory function.
In 2020, CBD was approved for athletes by the World Anti-Doping Agency (WADA). The organization applied those changes in its updated World anti-Doping Code.
Benefits of CBD Oil for Tendonitis
As said earlier, tendonitis involves swelling and pain in the tendons. Symptoms may last for anywhere between several days to a few weeks, depending on the severity of the injury. People usually recover from tendonitis within two days to six weeks.
Tendonitis can transform into tendinosis if left ignored; this condition involves severe tendon degeneration involving joint stiffness, chronic pain, and movement restrictions.
Tendinosis occurs when tendons lose too much collagen due to overwork while not being completely regenerated. Collagen is the most abundant protein in the human body; it’s responsible for the strength, structure, and elasticity of the skin and bones.
Tendinosis is more challenging to treat than tendonitis — usually taking around three to six months. Treatments include stretching, massaging, shockwave therapy, or surgery.
People with severe tendinosis may wear temporary slings, splints, or braces on affected areas. Sometimes, surgery is necessary to realign and repair tendons when the damage is too heavy.
Below we provide evidence supporting CBD’s ability to treat tendonitis and its symptoms.
CBD Reduces Inflammation
Plant-based cannabinoids such as CBD can regulate the immune system’s reaction to inflammation.
Inflammation is a natural process that occurs when the body gets injured or when a person ingests harmful substances.
CBD has a remarkable anti-inflammatory effect. When CBD starts interacting with the endocannabinoid system, it causes the macrophages to inhibit the release of cytokines.
Cytokines are pro-inflammatory proteins, while macrophages are white blood cells that react to infections.
A study performed on rats showed that oral forms of CBD taken in subsequently higher doses has helped reduce inflammation on the subjects’ paws. The paws were also less swollen after a few hours of administering CBD for the first time (5).
The authors of the study underlined the need for human clinical trials to confirm if CBD would provide the same results.
CBD Mitigates Pain Signals
As mentioned, CBD interacts with the human endocannabinoid system (ECS) — the major regulatory network involved in pain modulation on top of many other processes. The ECS has two types of receptors: CB1 and CB2. These receptors occur throughout the body and respond to molecules known as endocannabinoids.
The term ‘endo’ means ‘from within’ in Greek, which refers to the cannabinoids your body produces naturally. They have a very similar structure to phytocannabinoids, the ones produced by cannabis plants.
Endocannabinoids and phytocannabinoids regulate the body’s biological processes to keep it in the state of balance known as homeostasis. Homeostasis means that the body is able to self-regulate these processes in order for us to function properly.
When taken sublingually or orally, CBD indirectly increases the ECS concentrations of cannabinoids to help retrieve the lost balance — and thus treat different types of discomfort, including tendonitis. Unlike its cousin THC, CBD won’t get you high because it doesn’t have intoxicating properties.
One study that examined the use of CBD in pain management has found that CBD oil can be an effective alternative to opioid-based prescription drugs. The authors of the study have found that patients with chronic pain reduced their dose of opioids after using CBD. The study also suggested that CBD may be an effective replacement for conventional analgesic treatment (6).
Another study, conducted on rats, has found that topical use of CBD may reduce pain caused by rheumatoid arthritis. Although the results came from animal models, they may be relevant when replicated in humans, as all animals except for insects have the same ECS (7).
How to Choose the Right CBD Product for Tendonitis
CBD products fall into three classes: full-spectrum CBD, broad-spectrum CBD, and CBD isolates.
Full-spectrum CBD is made from the whole hemp plant and contains the complete cannabinoid profile, including minor cannabinoids, terpenes, and flavonoids. These molecules help your body to process CBD more efficiently, allowing lower doses to remain effective. Studies have found that full-spectrum extracts are superior to isolates when it comes to reducing inflammation and pain. This phenomenon is known as the entourage effect.
Broad-spectrum CBD extracts contain all of the above but without THC. The intoxicating cannabinoid is usually removed after initial extraction. They aren’t as complete as their full-spectrum counterparts, but they still evoke some of the entourage effects.
CBD isolates are pure, isolated CBD. All other compounds are removed through a series of chemical processes. They have no odor and flavor, which makes them more versatile than the above forms, but they lack the entourage effect, which makes them a less preferred option among consumers. However, if you take high doses of CBD oil and are tested at work for THC, isolates are the safest bet.
Follow These Steps to Ensure You’re Getting a High-Quality CBD Oil
- Choose CO2-extracted CBD oil. CO2 extraction is by far the best technology to obtain CBD oil with. This method doesn’t use extra heat or toxic solvents, so it produces consistently potent and pure products while preserving the original plant’s profile.
- Look for CBD oil made from organic, non-GMO hemp. Hemp plants are dynamic bio accumulators, so they will absorb every substance from the soil they grow in — both the good and the bad. This quality is prized when it comes to cleaning soil, but using such plants as source material for CBD oil is a big no-no. That’s why you should choose products made from organically grown hemp that was cultivated in a clean environment.
- Only purchase from reputable companies that provide third-party lab reports for their products. A Certificate of Analysis from an independent laboratory is the only proof that your product is legitimate. Third-party labs analyze the potency of CBD and look for common contaminants in the product sample, including pesticides, heavy metals, mycotoxins, and solvent residue.
- Read user reviews and niche blogs about CBD before purchasing any CBD oil online.
- Make an appointment with a doctor experienced in cannabis use to determine the right dosage for your situation and learn about complementary therapies for tendonitis.
How to Use CBD for Tendonitis
CBD comes in various forms to suit different types of consumers. Aside from picking the right potency for your tendonitis symptoms, and the preferred spectrum of your product, the route of administration is another important consideration.
CBD oil can be taken orally or topically. Below we explain how to use both forms for the greatest benefit.
CBD Oil for Tendonitis
The name “CBD oil” refers to sublingual drops that are infused into food-grade oils like hemp seed oil, coconut oil, or olive oil. Tinctures are a variety of CBD oil that is extracted with alcohol instead of carbon dioxide.
If you dislike the earthy taste of natural CBD oil, there are other formats you can choose from. CBD-infused capsules and edibles such as CBD-infused honey sticks are becoming increasingly popular nowadays — thanks to their convenience and ease of use. These products come with a predetermined amount of CBD per serving, so they work better for busy people and those who travel a lot.
If inhalation is your preferred consumption method, CBD can provide fast relief from tendonitis pain through vaporization. Vaporized CBD usually needs around 5–10 minutes to kick in and offers the highest bioavailability of all available formats out there. Bioavailability refers to the amount of CBD oil that makes it to the bloodstream after ingestion.
CBD Cream for Tendonitis
For inflamed tendons and swollen muscles, we recommend a CBD-infused topical such as cream or gel. Topical products are absorbed into the epidermis layer of the skin, where the CBD interacts with the cannabinoid receptors that regulate inflammation and pain perception.
CBD topicals come in different consistencies and textures. CBD lotions use water as the base; CBD salves use oil; creams usually combine these two ingredients.
A CBD cream should be applied to the affected area for quick but short-lived relief. You may need to rub another dose into the skin after a few hours.
How Much CBD Should I Take for Tendonitis?
Finding the right dosage for your tendonitis pain can be challenging. Dosing CBD requires an individual approach because everybody is different; we’re not of the same age, gender, and weight; we don’t have the same metabolism rate, so expecting a one-size-fits-all dosage from a health supplement — even such a versatile one — is wishful thinking.
The Food and Drug Administration doesn’t regulate CBD products, nor has it ruled out official dosage recommendations for CBD oils.
The best way to minimize the error part in your trial and error is to start low and gradually increase the dose if there are no considerable signs of relief. Studies suggest that an effective dose of CBD for pain relief may range from 1 to 50 mg per day, with lower doses for mild discomfort, and higher doses for severe, chronic pain.
Again, we encourage you to visit a doctor experienced in using CBD to determine the optimal dose for your case of tendonitis and avoid potential interactions with other medications.
Final Verdict: Does CBD Oil work for Tendonitis?
Tendonitis occurs when the tendons, which are tissues binding the bones and muscles, become inflamed. It’s a common condition among sportspeople and physical workers whose activity involves repetitive movement that can either cause the overuse or overload of tendons.
CBD oil is one of the natural and safe remedies that can be used to treat tendonitis. However, no medication or supplement will make up for the time you devote to giving your tendons the much-needed break. If your tendonitis doesn’t heal after a few months, you may need to undergo surgery and rehabilitation.
Although no study has yet investigated the efficacy of CBD oil specifically for tendonitis, research shows that CBD has strong inflammatory and painkilling properties, both of which are useful in the management of tendonitis pain.
You may use CBD oil in the tincture form or apply a topical if you need localized relief, but you should always take into consideration such factors as your weight, metabolism, and severity of symptoms if you want to figure out the best form and dosage of CBD for your condition.
- Davis, Abigail, and John Robson. “The dangers of NSAIDs: look both ways.” The British journal of general practice: the journal of the Royal College of General Practitioners vol. 66,645 (2016): 172-3. doi:10.3399/bjgp16X684433
- Nepple, Jeffrey J, and Matthew J Matava. “Soft tissue injections in the athlete.” Sports health vol. 1,5 (2009): 396-404. doi:10.1177/1941738109343159
- Burstein, Sumner. “Cannabidiol (CBD) and its analogs: a review of their effects on inflammation.” Bioorganic & medicinal chemistry vol. 23,7 (2015): 1377-85. doi:10.1016/j.bmc.2015.01.059
- Nagarkatti, Prakash et al. “Cannabinoids as novel anti-inflammatory drugs.” Future medicinal chemistry vol. 1,7 (2009): 1333-49. doi:10.4155/fmc.09.93
- Costa, Barbara et al. “Oral anti-inflammatory activity of cannabidiol, a non-psychoactive constituent of cannabis, in acute carrageenan-induced inflammation in the rat paw.” Naunyn-Schmiedeberg’s archives of pharmacology vol. 369,3 (2004): 294-9. doi:10.1007/s00210-004-0871-3
- Capano, Alex et al. “Evaluation of the effects of CBD hemp extract on opioid use and quality of life indicators in chronic pain patients: a prospective cohort study.” Postgraduate medicine vol. 132,1 (2020): 56-61. doi:10.1080/00325481.2019.1685298
- Hammell, D C et al. “Transdermal cannabidiol reduces inflammation and pain-related behaviors in a rat model of arthritis.” European journal of pain (London, England) vol. 20,6 (2016): 936-48. doi:10.1002/ejp.818
Livvy is a registered nurse (RN) and board-certified nurse midwife (CNM) in the state of New Jersey. After giving birth to her newborn daughter, Livvy stepped down from her full-time position at the Children’s Hospital of New Jersey. This gave her the opportunity to spend more time writing articles on all topics related to pregnancy and prenatal care.
Best CBD for Tendonitis – August 2022
Tendonitis (also called tendinitis) is a common sports injury caused by either overusing or overloading the tendons during physical activities. Its symptoms include pain and inflammation of tendons.
In a recent study, CBD oil has shown anti-inflammatory, immunomodulating, and pain reduction properties for rheumatic diseases (1) .
CBD is the only cannabinoid that is allowed to be used by athletes, according to the updated World Anti-Doping Code of the World Anti-Doping Agency (WADA) (2) .
Some traces of CBD or THC may show up on drug tests (3) , especially if products are improperly labeled (4) .
Further clinical trials and medical research are needed for CBD to be considered useful in treating tendonitis.
Why People Are Using CBD for Tendonitis
Tendonitis is often treated with over-the-counter (OTC) and prescribed oral painkillers called NSAIDs, like aspirin, ibuprofen, and naproxen.
Although the said drugs are used to treat minor pains, taking them together may cause one drug to be ineffective (5) . Taking two similar medications may increase the risk of severe side effects , such as gastrointestinal bleeding and heart attack (6) .
People who have tendonitis also resort to corticosteroid injections for pain management (7) . Athletes use this method for immediate pain and inflammation relief (8) .
Based on a study, corticosteroid injections provided more improvement in patients’ shoulder pain than oral NSAIDs (9) . However, repeated corticosteroid injections may cause the tendons to weaken and eventually rapture (10) .
The side effects caused by these pain and anti-inflammatory drugs may cause people to look for other alternative treatments for tendonitis.
According to studies, cannabidiol ( CBD ) has anti-inflammatory properties that may help relieve inflammation in certain medical conditions (11) .
One medical condition included in the study is arthritis. This condition can affect the connective tissues, such as tendons and ligaments (12) .
In a recent study, CBD oil has shown anti-inflammatory, immunomodulating, and pain reduction properties for rheumatic diseases (13) .
The study also stated that traditional prescription drugs showed inefficacious results, leading to uncontrolled rheumatic pain. Thus, some people are inclined to seek new and safe treatments for pain.
Rheumatic diseases are inflammation of the body’s connecting structures, such as joints, tendons, ligaments, muscles, and bones.
However, according to the study previously mentioned, there is still a need for further research on the effective dosage and formulation of CBD products (14) .
In another study, CBD and tetrahydrocannabinol ( THC) showed great potential in combating chronic pain caused by rheumatic diseases.
The compounds are comparab le to other drugs, like opioids and antidepressants. Unfortunately, opioids and antidepressants can have adverse side effects (15) .
Meanwhile, CBD is generally safe to use (16) , as opposed to THC, its counterpart that elicits psychoactive effects.
In the 2020 updated World Anti-Doping Code of the World Anti-Doping Agency (WADA), CBD is the only cannabinoid that is allowed to be used by athletes (17) .
The code is a comprehensive list of prohibited substances and methods for competing and non-competing athletes. WADA is a foundation that monitors drug use and abuse in sports worldwide.
How CBD Oil Works to Help Alleviate Symptoms of Tendonitis
Tendonitis is characterized by swelling and pain in the area where tendons are located. Symptoms may last from days to weeks, depending on the severity of the injury. Recovery time for this condition varies from two days to six weeks.
Chronic pain, joint stiffness, and movement restriction are symptoms of a more serious case of tendon degeneration called tendinosis.
The condition happens when the tendon’s collagen starts to break down due to overuse while the tendons are not fully healed (18) .
Collagen is the most abundant protein in the human body. This protein is responsible for elasticity, strength, and structure of the skin and bones.
Tendonitis takes longer to heal, around three to six months. Treatments for this condition include stretching, massaging, surgery, and shockwave therapy (19) .
People with severe tendinitis conditions may wear temporary splints, braces, or slings on affected areas . In some severe cases where the tendons rapture, surgery is done to realign and repair them.
CBD for Pain Relief
CBD works in the body through the endocannabinoid system (ECS), the system involved in pain modulation (20) .
The ECS has two primary receptors , called CB1 and CB2 , that are found throughout the body. These cannabinoid receptors work closely with the molecules called endocannabinoids.
The molecules regulate the body’s physiological functions, such as inhibiting pain and maintaining homeostasis (21) .
When administered, CBD works as a cannabinoid that activates the receptors that help treat various pain felt throughout the body (22) . CBD is a non-psychoactive phytocannabinoid found in cannabis plants .
In a study about pain management, patients with chronic pain reduced their opioid intake upon taking CBD. They also improved their quality of life within eight weeks of constant CBD use (23) . Based on the study, CBD may be an alternative for people taking opioids.
On the other hand, an animal study conducted on rats has found that the transdermal application of CBD may provide pain relief for arthritis (24) . Although the study was conducted on animals, the results may be useful in further studies to be conducted on humans.
CBD for Inflammation
Another physiological function of the cannabinoids present in the ECS is to regulate the immune system’s response to inflammation (25) .
Inflammation is the body’s natural response when injuries or harmful substances enter the body.
CBD is also known for its inflammatory response of macrophages (26) . When CBD activates the cannabinoid receptors, the macrophages inhibit the release of cytokines.
Cytokines are proteins that signal inflammation (27) , while macrophages are white blood cells that respond to infections.
In a study conducted on rats, an increase in CBD’s daily oral dosage further reduced edema or inflammation on the test subjects’ paws (28) .
There was also a significant decrease in the swelling a few hours after the first CBD administration.
The results suggested that further clinical trials on CBD should be conducted on humans to test if similar results would occur.
The Pros and Cons of CBD Oil for Tendonitis
- According to the World Health Organization (WHO), CBD has a good safety profile (29) .
- CBD may have the potential to alleviate symptoms of tendonitis. It may be safer than prescription drugs mentioned because it has no severe side effects.
- Studies presented showed the effects of CBD on other rheumatic diseases. The results of the studies may spark further interest in conducting studies on CBD’s effect on tendonitis.
- People who take CBD may experience side effects, like diarrhea and constipation, that may affect their lifestyle (30) .
- Traces of THC in full-spectrum CBD oils may show up on drug tests (31) , especially if products are improperly labelled (32) .
- CBD may interact with other medications and may cause potential adverse side effects (33) .
How CBD Oil Compares to Alternative Treatments for Tendonitis
Tendonitis is a condition that usually requires rest. RICE ( rest, ice, compression, and elevation) treatment is a common home remedy for tendonitis.
Other than that, some physicians may require the patient to undergo occupational and physical therapy.
The goal of the former is to improve the person’s motor and cognitive skills for daily living. Some examples of the tasks and skills an occupational therapist might focus on are getting dressed, writing, or cooking.
The latter helps people recover from injuries by either aligning the bones and joints or increasing mobility by easing pain. This therapy involves handling conditions from diagnosis to full recovery.
Some topical creams may also work as temporary pain relievers for swollen muscles that come with tendinitis. These ointments may contain essential oils that may quickly relieve pain and soreness .
Essential oils can be used in diffusers or by massaging directly on the target area. In rare cases, gargling helps if the inflammation is inside the mouth.
Conventional essential oils used to lessen inflammation and pain are the following (34) :
- Peppermint oil contains menthol and is practical for soothing sore, achy muscles and joints.
- Marjoram oil is typically used for coughs and headaches but can also be used to ease pain and inflammation.
- Lavender oil is known for its fragrant smell. This oil can calm and relax tense muscles.
- Eucalyptus oil has the same cooling effect as peppermint oil. This oil can reduce pain and inflammation in target areas.
- Chamomile oil can be used in various conditions other than inflammation and pain. It can be used in wound healing, digestion, and sleep problems (35) .
All the treatments mentioned may be used as supplementary treatments for oral medications.
CBD also comes in products that may help relieve pain caused by tendonitis. Topical products, such as CBD creams , salves, and lotions, may contain essential oils combined with CBD’s pain-relieving benefits.
Other CBD products, like tinctures and oils, may be taken orally in small doses. CBD oils may act as topical pain relievers . These may be applied to swollen areas, such as the Achilles tendon and knees.
However, taking oral CBD alongside other drugs may elicit adverse side effects (36) . It is better to consult a doctor before taking any CBD product for the first time.
How to Choose the Right CBD Oil for Tendonitis
CBD oil is classified into three types: CBD isolates, broad-spectrum, and full-spectrum CBD.
CBD isolates are pure CBD. All other cannabinoids and plant impurities are eliminated through a series of extraction processes. CBD isolates are non-intoxicating and contain 99% CBD.
Broad-spectrum CBD oil contains all the cannabinoids, flavonoids, fatty acids, and terpenes, except THC.
Flavonoids are plant chemicals that are widely found in fruits and vegetables. They are responsible for giving vivid colors to plants. They also provide health benefits because of their antioxidant, anti-inflammatory, and anti-carcinogenic effects (37) .
Terpenes are the compounds that produce the natural odor and flavor of the plants. CBD is derived from the hemp plant, which contains the essential fatty acids omega-3 and omega-6.
Full-spectrum CBD oil is the most complete among the three types since it contains the full profile of compounds, including the psychoactive cannabinoid THC.
As a legal requirement, full-spectrum CBD products should adhere to the Farm Bill, which states that hemp-derived products are allowed to contain 0.3% THC or less (38) .
Using broad- and full-spectrum CBD oil may evoke the entourage effect. This effect is described as the synergy of all the compounds, providing benefits to a person’s well-being.
Although a full-spectrum CBD oil may have maximum benefits attached to it, athletes may opt for a broad-spectrum CBD oil. Even if the full-spectrum has relatively low THC levels, traces of it may still be detected in drug tests.
There are other factors to consider when choosing the right CBD oil, and some of those are the following:
- Choose a reputable supplier that manufactures high-quality CBD products that are safe for human consumption.
- Look for the certificate of analysis from a third-party lab . This document ensures that the products are lab-tested and do not contain any harmful substances. The lab results should match the information indicated on the product label.
- Research about the extraction methods used by CBD companies . The methods used have a vital impact on the quality of the end product.
- Research on other practices that the company may have been employing, such as organic farming and purification processes. These may be crucial to the consumer’s decision-making process.
- Read online reviews before purchasing any CBD products online or in-store.
- Get the opinion of a trusted physician on the best CBD products and formulas for tendonitis.
CBD Dosage for Tendonitis
There are no standard dosages for CBD products. The US Food and Drug Administration ( FDA) has no approved CBD dosage for any medical condition (39) .
Several factors , such as body weight, the severity of the condition, existing medical conditions, body sensitivity, allergic reaction to substances, and body chemistry may influence the CBD dosage.
Initial doses may start on low amounts and may gradually increase if there are no significant changes in the condition.
According to research, dosages may range from 1 to 50 mg of CBD per day, with lower doses for anxiety relief and higher doses for more severe conditions, such as epilepsy and seizures (40) .
The best way to determine the right dosage is to consult a medical professional that can give sound advice on the amount of CBD needed to treat tendonitis symptoms.
How to Take CBD Oil for Tendonitis
CBD comes in various products and forms suitable for every person’s lifestyle and condition.
For swollen muscles, CBD topicals , like salves , lotions , and creams, may alleviate the pain and inflammation.
These topical products differ in texture and consistency. CBD salves are oil-based, lotions are water-based, and creams are typically equal mixtures of oil and water.
Topical CBD products may be applied to target areas for a quick but short-term effect. Product reapplication may be needed after a few hours.
CBD oil and tinctures are taken orally or sublingually using a dropper . The difference between the two is their base carriers.
CBD oil may be infused with oils like olive oil, coconut oil , and grapeseed oil. CBD tinctures are alcohol-based concentrates that are often added to food or beverages.
CBD oil may also be applied directly to the skin. It may feel more greasy than lotions or creams.
Another edible form of CBD is gummies . It is suitable for first-time CBD users who want an easy and discreet way to take CBD for their condition.
CBD vape pens are for those who want a fast-acting agent with prolonged effectiveness. Vaping CBD maximizes the bioavailability of the cannabinoid as it instantly circulates throughout the bloodstream.
Bioavailability refers to the rate of activation of a drug as it enters through the body circulation. Based on studies, CBD’s oral bioavailability is around 13-19%, which is relatively low compared to smoking or inhaling CBD, which provides 31% bioavailability (41) .
What is Tendonitis
Tendonitis or tendinitis is the inflammation of the tendons, the tissue that connects the muscle to the bone. This condition is a common sports injury, where a part of the body that contains tendons is either overused or overloaded.
Overuse is the frequent repetition of movement. Weight lifting is an exercise where tendons are overused because of the repeated movements of the arms or legs for strength training.
Overload is movement with a sudden increase in speed. An example of tendon overload is running at high speed immediately after running at a moderate pace. This action may cause the Achilles tendon, the tissue located at the back of the lower leg, to swell.
Tendonitis can also occur as a result of infections, deformities, or other medical conditions, like gonorrhea, Haglund’s deformity, and diabetes.
Types of Tendonitis
Tendonitis may happen in any part of the body where tendons are located. The most common types of tendonitis can happen in the shoulder, elbow, knee, wrist, and heel.
Rotator Cuff Tendonitis
Rotator cuff tendonitis or bicep tendonitis is a type of shoulder pain caused by an inflammation of the biceps tendon. Pain may be felt from the shoulder blades to the upper arm.
This condition may be caused by heavy lifting or frequent stretching of the arms overhead, like throwing and swimming.
A person with rotator cuff tendonitis may have difficulty sleeping and reaching any object or surface above the head or behind the back.
Tennis elbow is an inflammation caused by irritation of the tendons on the outside of the elbow. Pain may crawl from the forearm to the wrist and fingers.
This condition is common among tennis players, plumbers, construction workers, and painters whose jobs and lifestyles involve constant arm movements.
Golfer’s elbow is the condition where the tendons of the forearm swell, affecting the inside of the elbow and forearm.
Activities with repetitive hand movements, such as gripping, flexing, throwing, and swinging, can cause inflammation of the tendons. Bowling, baseball, and wall climbing may also cause golfer’s elbow.
Jumper’s knee or patellar tendonitis is the swelling of the tendons on the knee. The tissue connects the kneecap to the tibia, the large bone in front of the leg.
This condition usually affects athletes and people who do exercises or sports that require frequent jumping or knee movements, such as volleyball, gymnastics, running, and soccer.
Achilles tendonitis is the inflammation of the largest tendon in the body called Achilles tendon. This tissue connects the heel to the calf muscles.
It is a sports injury for runners who suddenly increase in speed or duration of their runs. It may also happen to a person who has an abrupt intensity increase during any physical activity.
Differences and Similarities Between Tendonitis and Arthritis
Tendonitis is sometimes mistaken as arthritis because of the tendon’s proximity to the joints. While both conditions involve inflammation, the difference between the two is the source of inflammation.
Arthritis is the inflammation of the bony aspect of joints and is characterized by joint pain . Meanwhile, tendonitis is the inflammation of the tendons characterized by difficulty in tendon movement.
Tendonitis can be easily identified if a person has engaged in any physical activity that might cause injuries. Meanwhile, arthritis may be caused by old age, cartilage deterioration, or a misdirected immune system .
The best way to determine what condition a person is experiencing is by consulting a doctor. The correct diagnosis of a condition can help identify what treatments may be done for rapid rehabilitation.
The Legality of CBD
Medical CBD is allowed in 18 states in the United States (42) . Most states have legalized CBD use for neurological conditions, like epilepsy and seizures.
Three states, namely Florida, Iowa, and Georgia, allow CBD use for muscle spasms, chronic pain, and intractable pain, respectively. Intractable pain is a more severe condition than chronic pain, which cannot be relieved or treated easily.
Three other states have authorized the use of CBD for any clinically-diagnosed condition as prescribed by a doctor. These states are Virginia, Wisconsin, and Kansas.
Specific state laws in Virginia and Wisconsin permit patients to use any product formulation of CBD. Other states have only legalized the use of CBD in oil form.
A patient can obtain CBD oil for medicinal purposes that contain 5 to 15% of CBD and no more than 0.3 to 0.5% of THC.
Florida is the only state that allows a patient to acquire a higher THC dose as long as a physician prescribes it. The product must be obtained from a state-licensed dispensary.
Patients that are part of any state-supported clinical research are authorized to use CBD. They are also protected by the laws to obtain CBD outside of the research facility.
Tendonitis is the inflammation of tendons, which are tissues that connects the muscles to the bones. It is a common condition among athletes, physically active individuals, and professionals that engage in repetitive movements.
Although home remedies can cure tendonitis, not giving the tendons enough time to heal may lead to a more severe condition called tendinosis. It may require constant therapy and surgery.
No direct studies have stated that CBD is a cure for tendonitis. However, CBD can help alleviate the symptoms of the condition, such as inflammation and pain.
Various CBD products may be used to address the symptoms of tendonitis. The products’ effectiveness may depend on a person’s body weight, and body chemistry.
Consulting a physician with a background in CBD studies may give a person more insight and guidance. A trusted medical practitioner may help a person decide if CBD is the best treatment for the condition.