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J Hand Surg Am. 2021 Dec 7:S0363-5023(21)00691-2. doi: 10.1016/j.jhsa.2021.10.018. On-line forward of print.
BACKGROUND: With the more and more widespread availability of cannabidiol-derived merchandise, extra sufferers with hand and wrist ache are looking for proof to be used of those merchandise. We explored present utilization practices of medical hashish for therapy of ache in sufferers with a prognosis of thumb basal joint arthritis. Secondary goals had been to find out affected person and thumb arthritis illness traits of hashish customers and nonusers and to analyze affected person perceptions of the efficacy of medical hashish in numerous formulations for the therapy of thumb arthritis ache.
METHODS: Sufferers with thumb basal joint arthritis had been recognized utilizing Worldwide Classification of Ailments, Tenth Revision codes between Could and June 2020. All sufferers obtained an invite to finish a survey relating to perceptions of hashish and associated merchandise. Medical information had been retrospectively reviewed to collect demographic info and thumb basal joint arthritis components, together with laterality, date of preliminary prognosis, and prior therapy.
RESULTS: The survey was accomplished by 103 sufferers. Twenty-five p.c reported a historical past of oral medical hashish use, and 21% reported topical medical hashish use. Twelve of 25 oral customers and seven of 21 topical customers believed that the product was efficient in relieving ache and consequently definitely worth the monetary value. Of the sufferers surveyed, 69% could be inquisitive about trialing an oral formulation and 80% could be inquisitive about trialing a topical formulation for therapy of their thumb ache.
CONCLUSIONS: Sufferers with thumb basal joint arthritis use cannabis-related merchandise, with blended stories on efficacy. Giant numbers of those sufferers could be inquisitive about trialing both oral or topical formulations of medical hashish for therapy of their thumb basal joint ache.
CLINICAL RELEVANCE: It will be important for medical suppliers to know the present knowledge out there relating to analgesic properties of cannabidiol-related merchandise to reply to affected person inquiries about using cannabinoids in treating medical circumstances.