Chronic Pain The Main Reason For Medical Marijuana In Minnesota

October 12, 2023 / Thomas Cohn, MD

Recreational marijuana became legal in Minnesota on August 1, but many patients with chronic pain were legally seeking out marijuana well before this year. That’s because Minnesota is one of many states that allows for the production, purchase and use of medicinal marijuana.

Medicinal marijuana has been recommended as a way to relieve symptoms in patients with a variety of conditions. From easing the symptoms of terminal cancer to providing relief for much less serious issues, medicinal marijuana is currently being pursued by tens of thousands of Minnesotans for their health condition. Recently, we learned that the most common reason why a person sought out medicinal marijuana in Minnesota was due to chronic pain.

“By far, chronic pain is what drives our program,” said David Rak, research manager for the Minnesota Department of Health’s Office of Medical Cannabis.

Medicinal Marijuana For Chronic Pain

According to Rak, nearly 60 percent of patients in Minnesota’s medicinal marijuana program cite chronic pain as their reason for enrollment. Currently, 24,270 of the program’s 41,183 participants are seeking treatment for chronic pain.

Researchers are still working to understand exactly why medical marijuana can help relieve symptoms in patients with chronic pain. However, because chronic pain is so unique to the individual, and because there are so many different types of marijuana, it’s not easy to pinpoint why some patients experience relief why others do not. Some researchers believe medicinal marijuana works by triggering the release of certain natural chemicals in the brain that can provide pain relief, while others suggest that medicinal marijuana can help to reduce inflammation and associated discomfort.

Others swear by the benefits of medicinal marijuana for another reason. As we’ve talked about on the blog in the past, healthy sleep is critical for working to overcome a pain condition, and many patients find that medicinal marijuana helps them fall asleep faster and achieve a more restful sleep.

“Sleep is really an important factor, actually,” said Rak. “If you’re sleeping better and you wake up rested, you’re more ready to start the day. You feel stronger.”

Others love that it has helped them transition away from potentially dangerous opioids. A study by the Department of Health found that 38 percent of patients with intractable pain who had been using marijuana for five months were able to reduce the amount of opioids they were taking as a result of their marijuana use. That same study also found that 42 percent reported a significant reduction in pain intensity after using medicinal marijuana.

So if you have chronic pain, should you consider enrolling in the state’s medical marijuana program, or should you just buy recreational weed and see if it offers the same benefits? For starters, you’ll want to talk with your pain management specialist before beginning either regimen. Odds are they will have some recommendations and additional treatments they’ll propose in conjunction with the medical marijuana program, like exercise or physical therapy.

If you do decide to move forward with marijuana, it’s probably best to go through the state’s medicinal marijuana program. Being enrolled allows your doctor to work with a dispensary pharmacist and decide on a type that will work well for your symptoms and not interfere with any other medications you’re taking. Medicinal marijuana products are also highly regulated and tested to ensure they have a specific amount of THC and CBD, something you may not get if you buy elsewhere. The program used to carry a $200 enrollment fee, but now it is free, although you’ll have to have your chronic pain condition certified by a professional like Dr. Cohn.

For more information about whether or not chronic pain could be a viable complimentary treatment for your chronic pain condition, reach out to Dr. Cohn and his team today at (952) 738-4580.

New Report Examines Benefits and Drawbacks Of Medicinal Marijuana

January 13, 2017January 25, 2017 / Thomas Cohn, MD

We’re still in the early stages of managing how medicinal marijuana is used to treat certain health conditions. However, since the door has been opened, millions of dollars in funding has been given to explore the benefits and drawbacks of medical marijuana for treating specific health ailments. A new report from the National Academic of Sciences, Engineering and Medicine reveals some areas of potential and some points of concern when it comes to medicinal marijuana. We explore what the report found in today’s blog.

Medical Marijuana For Ailments

One of the major points the review found was that medicinal marijuana has beneficial effects for the treatment of chronic pain. The review committee found evidence that patients who were treated with marijuana for their chronic pain were more likely to experience a significant reduction in pain symptoms. A similar finding was made for individuals suffering from muscle spasms, and for patients suffering from chemotherapy-induced nausea and vomiting.

Furthermore, researchers found no evidence that smoking marijuana was related in an increased risk of cancer development, but they stated that more research was needed to see if there was a correlation between marijuana use and an increased risk of heart attack, stroke or diabetes.

Drawbacks of Medicinal Marijuana

So while medicinal marijuana can be helpful for some patients with chronic pain, it is not without its drawbacks. According to the review, there was evidence that cannabis slightly increased a person’s risk of developing schizophrenia, social anxiety disorders, and to a lesser extent, depression. Heavy marijuana users are also more likely to report thoughts of suicide compared to non-users, and cannabis use increased a person’s risk of being involved in a motor vehicle accident. There were also increases in the number of marijuana overdoses among children who accidentally ingested the drug compared to states where recreational marijuana use was not legal.

Marijuana could also make certain ailments worse. Researchers stated that regular cannabis use was related to an increase in episodes of chronic bronchitis and other respiratory ailments, like chronic coughing and phlegm production. They did note that is unclear if marijuana use worsens symptoms from respiratory conditions like COPD or asthma.

Potential Abuse & Other Drug Problems

Finally, researchers suggested that marijuana could lead to abuse or other drug problems. Evidence suggests that with greater frequency of use, there is an increased likelihood of developing problem cannabis use, and there was moderate evidence to suggest that there was a link between marijuana use and the development of substance dependence of marijuana or other substances like alcohol, tobacco or illicit drugs.

So while medical marijuana is certainly an interesting avenue for controlling pain, it is not without its drawbacks. Identifying these potential pitfalls is the first step. Now we need to learn how to mitigate these risks so chronic pain sufferers aren’t exposed to danger when pursuing medicinal marijuana for their pain.

Chronic Pain Patients May Soon Be Eligible For Medical Marijuana in Minnesota

September 11, 2015September 11, 2015 / Thomas Cohn, MD

Minnesota officials are considering adding chronic pain to the list of approved conditions for the state’s medical marijuana program.

Meetings about adding intractable pain to the list of approved conditions for medical marijuana began two weeks ago, but so far officials aren’t any closer to a decision. Should state officials add chronic pain to the approved list, chronic pain sufferers would be able to begin purchasing medical marijuana next summer.

Officials are a little leery about adding the chronic condition to the list for a few reasons:

How many would apply? – State officials say they are unsure how many chronic pain sufferers would apply for medical marijuana, and they don’t know if their suppliers would be able to meet the increased demand. Early estimates said it could eventually triple or quadruple the 5,000 patients they currently expect to apply.

Defining chronic pain – Many people deal with pain, but how would chronic pain be defined under the program? One insider suggested that chronic pain would be defined as pain for which “no relief or cure of the cause of the pain is possible,” though the definition could be open to interpretation.

How will doctors respond? – According to the advisory panel tasked with deciding on whether or not chronic pain will be added to the list of approved conditions, some doctors and clinics are leery about sending their patients to buy medical marijuana. There are so many compounds in marijuana, and we don’t have extensive knowledge of how all those compounds will interact with different types of chronic pain.

Decision Time

According to reports, the decision to add chronic pain to the list of approved conditions falls with Department of Health Commissioner Ed Ehlinger and his advisory panel. The panel is comprised of medical professionals and health experts who will help Ehlinger make a decision by the end of the year.

Additionally, the Minnesota legislature can expand Ehlinger’s decision should they feel it’s too strict, or they can place more restrictions on the program should they feel it’s too interpretive.

Related source: Star-Tribune

Medical Marijuana in Minnesota: Chronic Pain Tabled ‘Til 2016

February 18, 2015 / Thomas Cohn, MD

Minnesotans will have to wait until 2016 to learn if the state will add chronic pain to a list of conditions approved to apply for medical marijuana.

The state has been dragging their feet in regards to adding chronic pain to the list of approved conditions for medical marijuana, and now they’ve decided to table the idea until next year. State officials said they feared approving the condition could overextend medical marijuana manufacturers who are already in high gear prepping for the program’s launch this summer. The state said potentially adding tens of thousands more medical marijuana patients could be troublesome for Minnesota’s two marijuana manufacturers.

Manny Munson-Regala, assistant commissioner of the medical marijuana program’s launch, said he “didn’t see a way to do this in a thoughtful, structured way,” in terms of having the medicine available for 2015. I do think more testing is needed, as chronic pain can be caused by a myriad of internal issues, but citing supply and demand issues seems like a weak excuse. Under the current timetable, the earliest a chronic pain sufferer could get medical marijuana would be August 2016, if the condition get’s added to the list.

Senator Branden Peterson, R-Andover, was disappointed by the decision. Peterson had a bill that would have made chronic pain an eligible condition starting July 1, 2015. He wasn’t the biggest fan of the state’s supply and demand excuse either.

“I don’t see why we need to wait that long,” said Peterson. “If we acted this session, we could do something that would serve the interests of those patients a lot sooner.”

Although about 88,000 Minnesotans are currently being treated for chronic pain, the state estimates that only about 5,000 would apply for medical marijuana if it were approved.

New Timeline

Here are the important dates now that the state has updated their timeline regarding chronic pain and medical marijuana.

Spring 2015 – A new panel will examine the pros and cons of adding chronic pain to the approved conditions list.

December 2015 – The panel will submit their final recommendation to Health Commissioner Ed Ehlinger.

January 15, 2016 – Ehlinger would have to add chronic pain to the list of qualifying conditions by this date to give lawmakers the opportunity to block the condition if they see fit. If it is not added by January 15, patients would likely have to wait until 2017 at the earliest.