Musculoskeletal & Rheumatic Disorders
Best reviews
​
2022: A review of CBD for rheumatic disorders of the bones, muscles & joints
Cannabidiol (CBD) in Rheumatic Diseases (Musculoskeletal Pain)
https://pubmed.ncbi.nlm.nih.gov/35503198/
​
2022: This review about using cannabis for rheumatic diseases (joint pain & inflammation) says that the number of positive observational & survey studies points to the need for controlled clinical trials
Cannabis for Rheumatic Disease Pain: a Review of Current Literature
https://pubmed.ncbi.nlm.nih.gov/35486218/
​
2022: A practical guide to using the cannabinoids in rheumatology (joint pain & arthritis)
Cannabinoids in the rheumatic diseases
https://ouci.dntb.gov.ua/en/works/9jmEezpl/
​
2022: On treating bone diseases via the ECS
Components of the Endocannabinoid System and Effects of Cannabinoids Against Bone Diseases: A Mini-Review
https://pubmed.ncbi.nlm.nih.gov/35126132/
​
2022: A review of cannabinoids for bone health & orthopedic effects suggests that CBD is helpful for bone health
Marijuana in Orthopaedics: Effects on Bone Health, Wound-Healing, Surgical Complications, and Pain Management
https://pubmed.ncbi.nlm.nih.gov/35180183/
​
2021: This review looks at how the cannabinoid receptors help to control bone growth & remodeling
Association of cannabinoid receptor modulation with normal and abnormal skeletal remodelling: A systematic review and meta-analysis of in vitro, in vivo and human studies
https://pubmed.ncbi.nlm.nih.gov/34800625/
​
2021: In China, the study of an ancient cemetery found the likely earliest physical evidence for medical cannabis being used "for the treatment of metrorrhagia [abnormal bleeding from the uterus], severe lumbago [pain in the lower back], and/or arthralgia [joint pain]"
Archaeobotanical evidence of the use of medicinal cannabis in a secular context unearthed from south China
https://pubmed.ncbi.nlm.nih.gov/33848611/
​
2020: A review of CBD for rheumatic diseases
The Effectiveness of Cannabidiol in Rheumatic Disease Pain: A Systematic Review
https://cornerstone.lib.mnsu.edu/cgi/viewcontent.cgi?article=1972&context=etds
​
2020: This review looks at CBD and the other cannabinoids for musculoskeletal disorders
Cannabinoid Use in Musculoskeletal Illness: a Review of the Current Evidence
https://www.ncbi.nlm.nih.gov/pubmed/32383037
​
2020: A review of CBD for joint diseases
Cannabidiol: A Brief Review of Its Therapeutic and Pharmacologic Efficacy in the Management of Joint Disease
https://pubmed.ncbi.nlm.nih.gov/32328386/
​
2020: A review of using CBD in rheumatology (arthritis & other joint, muscle & ligament disorders)
A cautious hope for cannabidiol (CBD) in rheumatology care
https://www.ncbi.nlm.nih.gov/pubmed/32144889
​
2020: This review suggests that manipulating the ECS will be beneficial for orthopedic surgery and musculoskeletal medicine
Endocannabinoids in Orthopedic Surgery and Musculoskeletal Medicine: Is it Time for a Green Standard?
https://www.ecronicon.com/ecor/ECOR-11-00592.php
​
2020: A review of cannabinoids for rheumatic diseases
Cannabis and Cannabinoids in the Treatment of Rheumatic Diseases
https://pubmed.ncbi.nlm.nih.gov/32017684/
​
2019: A review of cannabis for rheumatic diseases
Cannabis-Based Medicines and Medical Cannabis in Rheumatic Diseases: A Treasure Chest or Pandora’s box
https://link.springer.com/article/10.1007/s40674-019-00130-0
​
2019: An excellent review that’s very knowledgeable on bone biochemistry
The Endocannabinoid/Endovanilloid System in Bone: From Osteoporosis to Osteosarcoma
https://www.ncbi.nlm.nih.gov/pubmed/31003519
​
2019: On the regeneration of bones & the cannabinoids
Cannabinoids and bone regeneration
https://www.ncbi.nlm.nih.gov/pubmed/30702341
​
2012: Cannabinoids in animal models of bone disease
The promise and dilemma of cannabinoid therapy: lessons from animal studies of bone disease
https://www.ncbi.nlm.nih.gov/pubmed/24363927
​
Timeline of Research
​
​2022: A survey of musculoskeletal patients with pain found that cannabis helped to reduce their pain & that “89% of the participants considered medical cannabis to be more effective than narcotics for adequate pain management”
Patient Experience and Perspective on Medical Cannabis as an Alternative for Musculoskeletal Pain Management
https://pubmed.ncbi.nlm.nih.gov/35796526
​
2022: In bone stem cells, activating the CB1 receptor reduced inflammation, enhanced calcium deposition & increased the bone growth phenotype (suggesting CBD as a novel therapeutic option for bone regeneration)
Influence of Medical Marijuana on Mesenchymal Stromal Cell Osteogenesis: An in Vitro Study
https://journals.sagepub.com/doi/full/10.1177/2473011421S00447
​
2022: This hydrogel loaded with CBD helps bones to repair
Development and Characterization of Cannabidiol-loaded Alginate Copper Hydrogel for Repairing Open Bone Defects in vitro
https://www.sciencedirect.com/science/article/abs/pii/S0927776522000224
​
2022: In a tissue model of periodontitis, activating the CB1 receptor improved bone growth & increased energy metabolism
The cannabinoid receptor I (CB1) enhanced the osteogenic differentiation of BMSCs by rescue impaired mitochondrial metabolism function under inflammatory condition
https://pubmed.ncbi.nlm.nih.gov/35063024/
​
2022: In mice, CBD helps to promote new bone growth via the lowering of inflammation & the activation of bone stem cells
Cannabidiol Promotes Osteogenic Differentiation of Bone Marrow Mesenchymal Stem Cells in the Inflammatory Microenvironment via the CB2-dependent p38 MAPK Signaling Pathway
https://pubmed.ncbi.nlm.nih.gov/35220282/
​
2021: In guinea pigs with osteoarthritis, this study of tissue pharmacokinetics found that orally administered CBD did end up in the cartilage tissue at clinically relevant doses
Plasma and joint tissue pharmacokinetics of two doses of oral cannabidiol oil in guinea pigs (Cavia porcellus)
https://pubmed.ncbi.nlm.nih.gov/34658021/
​
2021: In a rat model of sarcopenia (an age-related disease that causes an accelerated loss of muscle mass & function), they saw altered levels of the endocannabinoids & suggest targeting the endocannabinoid system
Alterations of the endocannabinoid system and circulating and peripheral tissue levels of endocannabinoids in sarcopenic rats
https://pubmed.ncbi.nlm.nih.gov/34854262/
​
2021: In skeletal muscle cells, the CB1 receptors help to control the signaling of the nuclear receptors that modulate genetic transcription
The Impact of CB1 Receptor on Nuclear Receptors in Skeletal Muscle Cells
https://www.mdpi.com/1873-149X/28/4/29
​
2021: In rats with bone damage from a loss of blood supply caused by stress hormones, activating the CB2 receptor strengthened new bone production & helped to maintain the blood supply
Activation of cannabinoid receptor 2 alleviates glucocorticoid-induced osteonecrosis of femoral head with osteogenesis and maintenance of blood supply
https://pubmed.ncbi.nlm.nih.gov/34718335/
​
2021: In muscle spasms caused by a cell's voltage-gated sodium channels, CBD lowers their overexcitation by both blocking the channel & also changing the elasticity of the cell's membrane
Cannabidiol inhibits the skeletal muscle Nav1.4 by blocking its pore and by altering membrane elasticity
https://pubmed.ncbi.nlm.nih.gov/33836525/
​
2021: A survey of orthopedic doctors focused on trauma about their thoughts on cannabis & CBD for postoperative pain
Knowledge and Opinion on Cannabinoids Among Orthopaedic Traumatologists
https://pubmed.ncbi.nlm.nih.gov/33872227/
​
2021: In humans with nerve pain from rheumatic diseases, PEA combined well with acetyl-l-carnitine (ALC) to lower inflammation & to increase clinical scores
Efficacy of a fixed combination of Palmitoylethanolamide and acetyl-l-carnitine (PEA + ALC FC) in the treatment of Neuropathies secondary to Rheumatic Diseases
https://pubmed.ncbi.nlm.nih.gov/34056884/
​
2021: This study suggests that activating the CB2 receptor helps to preserve joint cartilage during osteoarthritis
HU308-mediated cannabinoid signaling mitigates age and trauma-related osteoarthritis
https://www.oarsijournal.com/article/S1063-4584(21)00594-X/fulltext
​
2021: In bone tissue, CB1 may be a promising target for inflammation of skeletal muscle tissue
The Impact of CB1 Receptor on Inflammation in Skeletal Muscle Cells
​
2021: In rats with spinal cord injuries, activating the CB2 receptor helped mitigate their osteoporosis
Delayed Systemic Treatment with Cannabinoid Receptor 2 Agonist Mitigates Spinal Cord Injury-Induced Osteoporosis More Than Acute Treatment Directly after Injury
https://pubmed.ncbi.nlm.nih.gov/34223557/
​
2021: In mice, CB2 regulates the bone marrow stem cells that form new bone cells & is suggested as a target for treating osteoporosis
Involvement of CB2 signalling pathway in the development of osteoporosis by regulating the proliferation and differentiation of hBMSCs
https://pubmed.ncbi.nlm.nih.gov/33512770/
​
2021: In mice, a connection between kidney cells & the remodeling of bones is regulated by CB1
Renal Proximal Tubule Cell Cannabinoid-1 Receptor Regulates Bone Remodeling and Mass via a Kidney-to-Bone Axis
https://www.mdpi.com/2073-4409/10/2/414
​
2020: In humans, CBD helps to delay the onset of muscle soreness
The influence cannabidiol on delayed onset of muscle soreness
http://www.kheljournal.com/archives/2020/vol7issue2/PartB/7-2-4-412.pdf
​
2020: Cultures of muscle cells grew faster when CBD was added
THE EFFECTS OF CANNABIDIOL AND CANNABINOL ON C2C12 MYOBLAST PROLIFERATION AND DIFFERENTIATION
https://macsphere.mcmaster.ca/handle/11375/25206
​
2020: In rats, CBD helped slightly with Achilles tendon repair
Biomechanical Effects of Δ9-Tetrahydrocannabinol (THC) and Cannabidiol (CBD), the Major Constituents of Cannabis, on Tendon to Tendon Healing in a Sprague Dawley Rat Achilles Tendon Surgical Repair Model
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7401174/
​
2020: In mice, the CB2 receptor manipulates skeletal muscle regeneration after an injury
Cannabinoid type 2 receptor manipulates skeletal muscle regeneration partly by regulating macrophage M1/M2 polarization in IR injury in mice
https://pubmed.ncbi.nlm.nih.gov/32565250/
​
2020: In smooth muscle cells, anandamide caused the downregulation of 21 genes related to inflammation, especially CCL2
The endocannabinoid anandamide has an anti-inflammatory effect on CCL2 expression in vascular smooth muscle cells
https://www.ncbi.nlm.nih.gov/pubmed/32323032
​
2020: In children with Celiac disease, a variant of CB2 is associated with bone loss. Suggests CB2 as a target to help with bone metabolism
The Role of Cannabinoid Receptor Type 2 in the Bone Loss Associated with pediatric Celiac Disease
https://pubmed.ncbi.nlm.nih.gov/32796429/
​
2020: In cells that secrete bone, CBD caused differentiation & increased bone deposition
Cannabidiol induces osteoblast differentiation via angiopoietin1 and p38 MAPK
https://pubmed.ncbi.nlm.nih.gov/32656944/
​
2019: In humans with conditions involving clenched muscles, CBD patches helped to relax the muscles
Myorelaxant Effect of Transdermal Cannabidiol Application in Patients with TMD: A Randomized, Double-Blind Trial
https://pubmed.ncbi.nlm.nih.gov/31698733/
​
2020: Over one-third of patients diagnosed with Ehlers-Danlos syndrome (EDS) acknowledge having used cannabis for symptom management
Use of complementary therapies for chronic pain management in patients with reported Ehlers-Danlos syndrome or hypermobility spectrum disorders
https://pubmed.ncbi.nlm.nih.gov/32909698/
​
2019: In rats with bone problems, this group created CBD microspheres that enhanced healing via recruitment of mesenchymal stem cells
Cannabidiol-loaded microspheres incorporated into osteoconductive scaffold enhance mesenchymal stem cell recruitment and regeneration of critical-sized bone defects
https://www.ncbi.nlm.nih.gov/pubmed/31029357
​
2019: In human bone cells, CBD elevated calcium levels & apoptosis
Dose-Dependent Cannabidiol-Induced Elevation of Intracellular Calcium and Apoptosis in Human Articular Chondrocytes
https://pubmed.ncbi.nlm.nih.gov/31378964/
​
2019: In humans, cannabis may be helpful in patients with myotonia (neuromuscular disorders) according to case series
A role for cannabinoids in the treatment of myotonia? Report of compassionate use in a small cohort of patients
https://www.ncbi.nlm.nih.gov/pubmed/31655890
​
2017: In rats with severe spinal cord injuries, CBD enhanced bone volume & a number of other positive measures
Cannabidiol administration reduces sublesional cancellous bone loss in rats with severe spinal cord injury
https://www.ncbi.nlm.nih.gov/pubmed/28479140
​
2016: In tissue culture, CBD protected the nucleus pulposus cells (jelly-like substance at the center of a spinal disc) via the suppression of anti‑apoptosis, anti‑inflammation and anti‑oxidative activities
Protective effect of cannabidiol on hydrogen peroxide‑induced apoptosis, inflammation and oxidative stress in nucleus pulposus cells
https://www.ncbi.nlm.nih.gov/pubmed/27430346
​
2015: In rats, CBD enhanced fracture healing
Cannabidiol, a Major Non-Psychotropic Cannabis Constituent Enhances Fracture Healing and Stimulates Lysyl Hydroxylase Activity in Osteoblasts
https://www.ncbi.nlm.nih.gov/pubmed/25801536
​
2014: In rats with intervertebral disc degeneration, CBD protected from the effects of the disc injury
Protective effects of cannabidiol on lesion-induced intervertebral disc degeneration
https://www.ncbi.nlm.nih.gov/pubmed/25517414
​
2014: in tissue culture, anandamide – alone or with TNF-α – appears to be a destructive agent of cartilage
Endogenous cannabinoid anandamide impairs cell growth and induces apoptosis in chondrocytes.
http://www.ncbi.nlm.nih.gov/pubmed/24902823
​
2012: In rats with periodontitis (inflammatory bacterial disease of the mouth), AEA reduced inflammatory response & lowered stress
Anti-inflammatory effect of the endocannabinoid anandamide in experimental periodontitis and stress in the rat
https://www.ncbi.nlm.nih.gov/pubmed/22777139
​
2009: in mice with periodontitis (inflammatory bacterial disease of the mouth), animals with CBD exhibited less bone loss via inhibition of RANK/RANKL
Cannabidiol decreases bone resorption by inhibiting RANK/RANKL expression and pro-inflammatory cytokines during experimental periodontitis in rats
https://www.ncbi.nlm.nih.gov/pubmed/19070683
​