Foot pain is an all-too-common ailment many individuals cope with daily. The discomfort can be debilitating, whether due to a long day on one's feet, an underlying medical condition, or simply the wear and tear of everyday life. Studies have shown that foot pain is especially prevalent among women and tends to increase with age. Moreover, obesity is a significant factor, with those classified as obese experiencing foot pain more frequently. Foot pain may affect up to 30% of the U.S. population.1
While store shelves overflow with treatments and remedies, the search for effective and natural solutions often points to the potential benefits of cannabidiol (CBD). CBD, a compound derived from the cannabis plant, is noted for its therapeutic properties, especially in pain management. As the interest in CBD grows, so does the variety of products available in the market, including CBD creams formulated explicitly for foot pain. Is this a safe and effective choice?
What Causes Foot Pain?
Foot pain occurs for many reasons and no wonder! With 26 bones and 33 joints, a lot of activity is going on. The foot’s bones, ligaments, tendons, and muscles bear the body's weight and facilitate movement. This mechanical structure, plus the foot's many nerve endings and circulatory paths, carry us through the almost 200 million steps we’ll take in a lifetime. However, feet can become a source of discomfort or pain when injured or afflicted by certain illnesses.
Pain can arise from any part of the foot, from the toes to the Achilles tendon at the back of the heel. Some causes, like a bone fracture or arthritis, are apparent with x-rays. Others may need a medical diagnosis, such as two common conditions: peripheral neuropathy and plantar fasciitis.
Stabbing, burning, or tingling pain in the feet (or hands) is called peripheral neuropathy. Peripheral neuropathy occurs when traumatic injury, infections, metabolic issues, or other factors damage nerves located outside the brain and spinal cord. Diabetes is one of the most prevalent causes of peripheral neuropathy.
The brain and spinal cord are the backbone of our central nervous system and the origin of peripheral neuropathy. The nerves branching out from this area are our peripheral or surrounding nerves, which control sensory, motor, and autonomic messages to our body. Patients report foot weakness, numbness, and pain when these sensory and motor nerves are damaged. Cases that affect the autonomic nerves create difficulty with temperature regulation, digestive issues, or drops in blood pressure.
Another common foot condition is plantar fasciitis. It involves the inflammation of the plantar fascia, a thick band of tissue running along the foot’s bottom connecting the heel bone to the toes. Pain is often concentrated near the heel of the foot and worsens with the first few steps taken in the morning. Researchers don’t know what causes plantar fasciitis exactly, but it seems more common in runners and overweight individuals.
CBD Foot Cream: How Can it Help?
Medical science approaches foot pain with physical therapy and rest, light exercise, and pain relievers – both over-the-counter and prescription. Are you looking for fast and natural pain relief? A topical CBD foot cream, formulated from (CBD) cannabidiol from cannabis, is a non-intoxicating way to approach the discomfort.
CBD has anti-inflammatory and antioxidant properties, and studies show it is effective against even moderate pain.2 In the case of peripheral neuropathy, researchers find significant improvement in pain, cold, itching, and other disturbing skin sensations through the transdermal application of CBD.3 In fact, applied cannabis products have provided comparable pain relief to gabapentin, an anticonvulsant commonly prescribed for nerve pain.4
How does this work? When nerves are damaged or inflamed, as in the case of peripheral neuropathy or plantar fascia, the nerve cells become more sensitive and triggered by pain.
Cannabinoids, like CBD, may help reduce this inflammation and with it the pain. They work by changing how these cells react. Pain signals are blocked from moving up the spine.
When CBD is consumed by smoking, vaping, or in edibles like gummies, a systemic effect goes into action. CBD is released throughout the body to interact with the body's natural endocannabinoid system. Cannabinoids activate CB1 receptors throughout the nervous system to block pain signals. In the case of CBD and how it may relieve pain, it may do so in a number of ways. First, when inhaled or ingested, CB1 receptors are indirectly activated by CBD due to its ability to block the breakdown of anandamide.
However, by rubbing CBD cream directly on the affected areas, CBD may also aid in pain reduction by interacting with the PPA receptors and TRP channel in the skin.5 It is also reported that pain relief may be improved when THC is added, but it may cause an intoxicating effect.2 Using CBD via ingestion may also slow relief, with edibles taking 30 minutes or more to be digested and released.
What to Look for in a CBD Foot Cream
There are so many choices and options in CBD creams it’s a challenge for foot pain sufferers to find the best product for optimal effectiveness. What should you look for in a CBD cream?
The primary consideration when selecting CBD cream is the concentration of cannabinoids. A product’s potency, often measured in milligrams of CBD per container, can influence its effectiveness. Most topical CBD products provide between 200mg and 1000mg of CBD. Additionally, the presence of terpenes – aromatic compounds found in many plants, including cannabis – may enhance the therapeutic effects of CBD through what's known as the entourage effect.
Beyond the cannabinoid profile, the ingredient list of a CBD foot cream may include other additions to improve its potential efficacy. Carrier oils like jojoba or almond oil smooth the application and allow for better skin absorption. Often, essential oils, like peppermint, eucalyptus, or clove, add terpenes like alpha-pinene, limonene, or menthol that may enhance the skin penetration potential of the product.6,7 Ingredients such as menthol, camphor, or capsaicin may also add additional therapeutic benefits, including cooling or warming sensations or supplemental pain relief.8 Be aware of any ingredients that might cause allergies or skin reactions — as with any product, conducting a patch test before the full application is advisable.
Just because CBD creams are available almost everywhere doesn’t mean all products are equal. According to the FDA (Food and Drug Administration), some CBD products are being marketed with medical claims and are of unknown quality. Quality assurance is relevant when choosing a CBD foot cream.
Reputable brands provide Certificates of Analysis (COA) conducted by third-party labs. These certificates verify the cannabinoid concentrations claimed on the label and ensure the absence of harmful levels of contaminants like heavy metals, pesticides, or solvents. The FDA, while not fully regulating CBD products, has issued warnings to companies making unfounded health claims about their CBD products. Products that adhere to FDA guidelines and avoid making therapeutic or medical claims are generally more trustworthy.
How to Apply CBD for Foot Pain
Following the manufacturer’s instructions is best to get the most from your CBD foot cream. Clean the affected areas first, so dirt or sweat won’t interfere with the foot cream’s absorption. Once the foot is clean and dry, take a small amount of the cream and massage it gently but thoroughly into the painful area for the most absorption.
Use the product as needed based on the severity of the pain and the specific product’s recommendations. Most users find relief by applying the cream 1-2 times daily, especially during flare-ups or activities that worsen the pain.
For those with conditions like plantar fasciitis, using CBD cream before bed is reported by many to help alleviate morning pain, a common symptom.
Additionally, many consider applying the cream before engaging in strenuous activities that might strain the feet, such as long walks or runs. This pre-application might provide a protective effect, reducing the severity of post-activity pain.
Ask a Budtender: What is the Best Cream for Foot Pain?
A recent survey by our team at NuggMD suggested that medical cannabis, including CBD, was as effective as opiates for neuropathic pain for many patients. This finding underscores the potential of CBD creams as a viable option for those grappling with foot pain. But with the market saturated with numerous CBD products, how does one discern the best from the rest?
The best cream for foot pain is the one that works for you. The choices are plentiful for those seeking CBD cream for foot pain, but not all are created equal. With the options available, it's essential to identify top-tier products from reputable brands.
The CBD market's rapid expansion has made it easier for consumers to find products that cater to their needs and preferences. However, with this growth comes the responsibility of making informed choices. Before purchasing any CBD product, it's essential to do the following:
Check for Third-Party Lab Testing: This ensures the product's potency and purity, confirming that it contains the stated amount of CBD and is free from harmful contaminants.
Check the listed Ingredients: If you have sensitive skin, it is advisable to check the product ingredients to ensure you don’t have any adverse reactions.
Read Reviews: Customer reviews can provide insights into the product's effectiveness and potential side effects or issues.
Consult with a Healthcare Professional: If you're taking other medications or have underlying health conditions, discussing any new treatments with a healthcare provider is always a good idea.
Here are some of the top-ranking CBD for foot pain products based on customer reviews. While we will try to keep this list updated, please check product availability and pricing near you as both are subject to change.
Overall use/Federally Legal: Papa & Barkley's CBD Releaf Balm
Potency: 600 mg CBD
Does it contain THC? Yes (has less than 0.3% THC)
Price: $29.99
Product Description: Papa & Barkley products use a solvent-free process to extract all the best from the cannabis plant. This balm is boosted with a blend of eucalyptus, tea tree, peppermint, and lavender oils, reported to relieve daily discomfort. With a THC level below 0.3%, this product is federally legal.
Best Reviews for Plantar fasciitis: Mary’s Medicinal Muscle Freeze
Potency: 300mg CBD
Does it contain THC? No
Price: $38.50
Product Description: Mary’s Medicinal Muscle Freeze gives a mentholated deep-cooling effect, reported by patients as great for plantar fasciitis inflammation relief and perfect for general muscle aches.
Best reviews for Sensitive Skin: Papa & Barkley 3:1 CBD Releaf Balm
Potency: 50ml Balm: 600mg (450mg CBD, 150mg THC)
Does it contain THC? Yes
Price: $60.00
Product Description: A favorite product among reviewers. This balm includes eucalyptus, tea tree, peppermint, and lavender blended with CBD for a solvent- and chemical-free application for reported long-term relief from pain.
Best Reviews for Long-Acting Relief: Dr. May's Focus 20:1 Topical Balm
Potency: 200mg CBD, 10mg THC.
Does it contain THC? Yes
Price: $44.00
Product Description: Dr. May’s Focus 20:1 has a light scent of mint and lavender, but don’t let the scent fool you. Consumers recommend it for all-day relief of localized pain.
For Extra Strength Relief: Dr. May’s Balance 1:1 Pro Balm
Potency: 1000mg (500mg THC, 500mg CBD)
Does it contain THC? Yes
Price: $82.50
Product Description: Award-winning Balance Pro is ideal for those seeking a higher CBD concentration, ensuring targeted relief. It is recommended by athletes and those with an active lifestyle.
Vegan/Cruelty-Free: Sun God Medicinals' Aja All-Purpose Hemp Salve
Potency: 400mg CBD
Does this have THC? Yes (has less than 0.3% THC)
Price: $49.99
Product Description: The demand for vegan and cruelty-free products has led many CBD brands to ensure their offerings align with these values. Sun God Medicinals' Aja All-Purpose Hemp Salve is a notable vegan and cruelty-free option made with jojoba oil for extra skin penetration. Made with whole hemp flower, this balm contains up to 400mg of natural cannabinoids in the plant. This balm also includes a blend of potentially beneficial herbs like calendula, chamomile, and lavender.
For Perfume Free, Unscented: Dr. May - Topical Balance 1:1 | Twist Up Topical Balm | 50mg
Potency: 1.5oz, 100mg (50 CBD : 50 THC)
Does this have THC? Yes
Price: $30.00
Product Description: A balanced ratio of CBD and THC in an unscented, easy-to-apply twist-up balm offers consumers a simple formula when you're seeking localized relief.
Certified Kosher: Kosher Gold Intensive CBD Creme
Potency: N/A
Does this have THC? No
Price: $60.00
Product Description: This certified Kosher product packs CBD into a smooth cream for body aches and pains. It's great for use before and after activity.
Certified Halal: Halal CBD Lotion 1000 mg
Potency: N/A
Price: $34.99
Product Description: Achieve deep moisturizing and pain relief, all in a Halal-certified cream. This formula offers a spearmint and eucalyptus fragrance with high-quality ingredients.
References
- Gates LS, Arden NK, Hannan MT, et al. Prevalence of Foot Pain Across an International Consortium of Population‐Based Cohorts. Arthritis Care & Research. 2019;71(5):661-670. doi:https://doi.org/10.1002/acr.23829
↩︎ - Mlost J, Bryk M, Starowicz K. Cannabidiol for Pain Treatment: Focus on Pharmacology and Mechanism of Action. Int J Mol Sci. 2020;21(22):8870. Published 2020 Nov 23. doi:10.3390/ijms21228870
↩︎ - Xu DH, Cullen BD, Tang M, Fang Y. The Effectiveness of Topical Cannabidiol Oil in Symptomatic Relief of Peripheral Neuropathy of the Lower Extremities. Curr Pharm Biotechnol. 2020;21(5):390-402. doi:10.2174/1389201020666191202111534
↩︎ - Modesto-Lowe V, Bojka R, Alvarado C. Cannabis for peripheral neuropathy: The good, the bad, and the unknown. Cleve Clin J Med. 2018;85(12):943-949. doi:10.3949/ccjm.85a.17115
↩︎ - Filipiuc S-I, Neagu A-N, Uritu CM, Tamba B-I, Filipiuc L-E, Tudorancea IM, Boca AN, Hâncu MF, Porumb V, Bild W. The Skin and Natural Cannabinoids–Topical and Transdermal Applications. Pharmaceuticals. 2023; 16(7):1049. https://doi.org/10.3390/ph16071049
↩︎ - Alhasso B, Ghori MU, Conway BR. Systematic Review on the Effectiveness of Essential and Carrier Oils as Skin Penetration Enhancers in Pharmaceutical Formulations. Scientia Pharmaceutica. 2022; 90(1):14. https://doi.org/10.3390/scipharm90010014
↩︎ - Chen J, Jiang QD, Chai YP, Zhang H, Peng P, Yang XX. Natural Terpenes as Penetration Enhancers for Transdermal Drug Delivery. Molecules. 2016;21(12):1709. Published 2016 Dec 11. doi:10.3390/molecules21121709
↩︎ - Barkin RL. The pharmacology of topical analgesics. Postgrad Med. 2013;125(4 Suppl 1):7-18. doi:10.1080/00325481.2013.1110566911
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The information in this article and any included images or charts are for educational purposes only. This information is neither a substitute for, nor does it replace, professional legal advice or medical advice, diagnosis, or treatment. If you have any concerns or questions about laws, regulations, or your health, you should always consult with an attorney, physician or other licensed professional.
