Post Laminectomy Syndrome: Cannabis

Post Laminectomy Syndrome (PLS), also known as failed back surgery syndrome (FBSS), is a condition where patients continue to experience chronic pain after undergoing back surgery, such as a laminectomy. For many individuals, the pain persists or even worsens after surgery, leading to long-term discomfort, limited mobility, and a reduced quality of life. Traditional treatments for PLS include medications such as opioids, antidepressants, and physical therapy, but many patients seek alternatives to manage their pain more effectively.

Medical cannabis has emerged as a potential treatment for chronic pain conditions like Post Laminectomy Syndrome. With cannabis now legally available in many states, including Oklahoma, individuals with chronic pain are exploring its use for relief. This article will discuss how cannabis may help manage PLS symptoms, the scientific research supporting its benefits, and how to access medical cannabis legally.

What is Post Laminectomy Syndrome?

Post Laminectomy Syndrome (PLS) refers to persistent or recurring pain following spinal surgery, such as a laminectomy (removal of part of the vertebra to relieve pressure on the spinal cord or nerves). It is also commonly referred to as failed back surgery syndrome (FBSS). The pain can be localized in the spine, or it may radiate to other areas of the body, such as the legs. PLS is often caused by scar tissue formation, nerve damage, or incomplete resolution of the spinal issue that necessitated the surgery.

Common symptoms of Post Laminectomy Syndrome include:

• Chronic pain in the lower back or neck
• Radiating pain in the legs or arms (sciatica)
• Muscle weakness or numbness
• Limited mobility and difficulty performing everyday tasks
• Difficulty sleeping due to pain

While many patients seek relief through medications like opioids or undergo additional surgeries, these options can have significant side effects and may not always be effective. As a result, some individuals with PLS have turned to alternative therapies such as medical cannabis to manage chronic pain and improve their quality of life.

How Cannabis Can Help Manage PLS Symptoms

Medical cannabis contains cannabinoids, such as THC (tetrahydrocannabinol) and CBD (cannabidiol), which interact with the body’s endocannabinoid system (ECS). The ECS plays a crucial role in regulating pain, inflammation, and other physiological processes. For patients with chronic pain conditions like Post Laminectomy Syndrome, cannabis may offer several potential benefits:

Chronic Pain Relief

Chronic pain is one of the most common symptoms of PLS, and it can be difficult to manage with traditional painkillers. Cannabis, particularly strains high in THC and CBD, has been shown to reduce the intensity of pain by interacting with cannabinoid receptors in the nervous system. A 2018 study published in European Journal of Pain found that cannabinoids can reduce chronic pain, including neuropathic pain, by modulating pain signals in the brain and spinal cord.

For patients with PLS, cannabis may help alleviate both localized back pain and radiating nerve pain, providing an alternative to opioids, which often come with the risk of dependency and side effects.

Reducing Inflammation

Inflammation is a key factor in the ongoing pain experienced by many PLS patients, particularly those dealing with nerve compression or scar tissue formation. CBD, a non-psychoactive compound found in cannabis, has been shown to have potent anti-inflammatory properties. By reducing inflammation in the affected area, cannabis may help relieve pain and improve mobility for patients with PLS.

A 2019 review in Journal of Pain Research highlighted the potential of cannabinoids to reduce inflammation and provide long-term relief for patients with chronic inflammatory conditions, including those affecting the spine.

Muscle Relaxation

Muscle spasms and tension are common in patients with Post Laminectomy Syndrome, particularly in the lower back. Cannabis, particularly strains high in THC, has muscle-relaxant properties that can help reduce muscle tightness and spasms. This can lead to improved mobility and reduced discomfort during everyday activities.

In a 2018 study published in Neurotherapeutics, researchers found that THC can significantly reduce muscle spasticity in patients with neurological disorders, which may also benefit individuals with PLS.

Improving Sleep

Chronic pain can severely disrupt sleep, making it difficult for PLS patients to get the rest they need to heal and function in daily life. Cannabis, particularly strains rich in THC, has been shown to improve sleep quality by promoting relaxation and reducing pain. A 2019 study in Sleep Medicine Reviews found that cannabis may help regulate the sleep-wake cycle and improve sleep in patients with chronic pain conditions.

By improving sleep quality, cannabis may help PLS patients feel more rested and better able to cope with their condition.

Neuropathic Pain Relief

Many PLS patients experience neuropathic pain, which is caused by nerve damage or irritation. Cannabinoids, particularly THC, have been shown to modulate neuropathic pain by interacting with the brain’s pain signaling pathways. A 2020 study published in Frontiers in Pharmacology found that cannabinoids can reduce the intensity of neuropathic pain by affecting how pain signals are transmitted to the brain.

For patients with PLS who experience radiating nerve pain in the legs or arms, cannabis may offer relief when other pain medications fail.

Scientific Research on Cannabis for Chronic Pain

Although research specifically focused on Post Laminectomy Syndrome and cannabis is limited, there have been numerous studies on the efficacy of cannabis in managing chronic pain conditions, particularly neuropathic and inflammatory pain:

• A 2018 review published in Journal of Pain found that cannabis-based medicines significantly reduced chronic neuropathic pain in adults.
• A 2019 study in Journal of Clinical Medicine showed that both THC and CBD can reduce the severity of chronic pain in patients who are resistant to other treatments.
• A 2020 review in Frontiers in Pharmacology highlighted the role of cannabinoids in modulating pain signals and reducing inflammation in patients with chronic pain disorders.

These studies suggest that cannabis may be a valuable tool in managing chronic pain associated with conditions like Post Laminectomy Syndrome, particularly when traditional treatments are insufficient or cause undesirable side effects.

How to Access Medical Cannabis for PLS

If you are suffering from Post Laminectomy Syndrome and are interested in trying medical cannabis as a treatment option, you may be eligible to apply for a medical marijuana card in states like Oklahoma, where cannabis is legal for medical use.

Steps to Get a Medical Marijuana Card

1. Complete an online application: Start by visiting a telemedicine clinic like Oklahoma Cannabis Card and filling out an online form with your medical history and symptoms.
2. Consult with a certified cannabis doctor: You’ll have a virtual consultation with a licensed doctor in Oklahoma, who will assess whether medical cannabis is an appropriate treatment for your PLS symptoms.
3. Receive your certification: If approved, you’ll receive a recommendation for medical cannabis, which allows you to apply for a medical marijuana card through Oklahoma’s Medical Marijuana Authority (OMMA).
4. Submit your application to OMMA: After receiving your doctor’s recommendation, submit your application to OMMA. Once approved, you’ll receive your medical marijuana card, typically within 14-30 days.

Oklahoma residents can apply for a medical marijuana card through Oklahoma Cannabis Card for $129. Renewals are required every two years and cost $99.

Legal Considerations for Medical Cannabis in Oklahoma

Oklahoma allows patients with a valid medical marijuana card to legally purchase cannabis from licensed dispensaries. The state has over 2,000 dispensaries, offering a wide variety of products, including oils, tinctures, edibles, and flower.

It’s important to follow Oklahoma’s medical marijuana laws, which prohibit the use of cannabis in public places and while driving. Registered patients are also allowed to grow up to six mature cannabis plants and six seedlings at home, provided they are not visible to the public.

Conclusion

Post Laminectomy Syndrome (PLS) can cause severe, long-lasting pain that may not respond well to traditional treatments. Medical cannabis offers a promising alternative for patients seeking relief from chronic pain, muscle spasms, and sleep disturbances associated with PLS. By interacting with the body’s endocannabinoid system, cannabis may help reduce the severity of PLS symptoms and improve overall quality of life.

If you are considering medical cannabis for your PLS symptoms, it’s important to consult with a certified cannabis doctor. They can guide you through the process and help determine the best approach for your symptoms. To begin your journey, visit Oklahoma Cannabis Card and apply for your medical marijuana card for $129.

Frequently Asked Questions (FAQs)

1. Can I qualify for a medical marijuana card if I have Post Laminectomy Syndrome?

Oklahoma does not have a specific list of qualifying conditions for medical marijuana. The decision is left to the discretion of a certified cannabis doctor, who will evaluate whether your PLS symptoms can be managed with cannabis.

2. How long is the medical marijuana card valid in Oklahoma?

Medical marijuana cards in Oklahoma are valid for two years. You can renew your card through clinics like Oklahoma Cannabis Card for $99.

3. Can I grow my own cannabis in Oklahoma?

Yes, registered medical marijuana patients in Oklahoma are allowed to grow up to six mature cannabis plants and six seedlings at home, as long as they are not visible to the public.

4. How much does it cost to get a medical marijuana card in Oklahoma?

The standard fee for obtaining a medical marijuana card in Oklahoma is $129. Renewals cost $99 every two years.

5. Can I use cannabis in public places in Oklahoma?

No, it is illegal to consume cannabis in public places in Oklahoma. Patients should only use cannabis in private settings.