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  4. Cannabis shenanigans: advocating for the restoration of an effective treatment of pain following spinal cord injury

Cannabis shenanigans: advocating for the restoration of an effective treatment of pain following spinal cord injury

Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0096-1 · Published: June 7, 2018

Spinal Cord InjuryPharmacologyPain Management

Simple Explanation

Cannabis has been shown to be an effective treatment for pain, particularly for individuals with spinal cord injuries. Despite this, political and historical factors have limited its availability for both patients and researchers. The classification of cannabis as a Schedule I drug, indicating no medical value and high abuse risk, is based on politically driven international conventions rather than scientific evidence. There is a conflict between protecting society and allowing individuals with chronic pain the right to effective treatment, especially when current medications have limitations and risks.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Perspective

Key Findings

  • 1
    Patients with SCI and chronic pain report cannabis as the single most effective medication out of 26 pain treatments.
  • 2
    A large percentage of medical cannabis patients report pain relief and improved quality of life after other treatments have failed.
  • 3
    Cannabis is considered less addictive than caffeine, nicotine, and alcohol by drug researchers.

Research Summary

The author argues that cannabis is an effective pain reliever for individuals with spinal cord injuries and should be more accessible for both patients and researchers. The paper highlights the historical and political factors that have led to the criminalization and restricted research of cannabis, despite evidence of its medicinal properties. The author emphasizes the ethical considerations of withholding a potentially effective medication from patients, especially when current treatments have significant risks and limitations.

Practical Implications

Rescheduling Cannabis

Reclassifying cannabis to reflect its medicinal value and reduce restrictions on research and access.

Informed Physician-Patient Discussions

Encouraging open dialogue between patients and physicians regarding cannabis use for pain management, supported by accurate information.

Human Rights Framework

Considering access to cannabis for medical purposes as a human rights issue, ensuring patients' dignity and respect.

Study Limitations

  • 1
    Limited federally funded cannabis research.
  • 2
    Lack of standard dosing guidelines.
  • 3
    Social stigma associated with cannabis use.

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