As many of you have found out, there are MANY pain relief creams, “snake oils” and CBD products on the market. I previously introduced our EFAC and 1-TDC creams and want to reintroduce them as well as our top choice for a CDB cream for joint pain.

The CBD industry is now a multi-billion dollar industry. This is all because there are a lot of people struggling with chronic pain as well as many athletes and fit-minded individuals who want an edge or just don’t want to feel those nagging, age-related pains.

We have done a lot of research to find a few of the best pain relief creams and CBD products. We offer two in our clinic and I will provide links to the evidence behind their usage.

A topical counterirritant is a cream that essentially takes your mind off of the pain. Creams such as BenGay and IcyHot simply activate nerve endings in your skin that “fool” your brain temporarily. These products do not cross the skin barrier to get to the root of the problem. What if I told you that we recommend a product at OrthoWell that is:



*95% absorbed thru the skin

*Fast acting

*Research proven

We use a cream from two different companies that contains esterified fatty acids. One of the companies is EFAC at Hope Science and the other one is 1-TDC at Elite Science.  The inventor of the EFAC-brand formula researched the effects of esterified fatty acids and came up with a combination that beats the effects of chondroitin and glucosamine…hands down!

It has been shown that esterified fatty acids reduce joint and muscular discomfort within 30 minutes of topical application and within 14 days of oral consumption. The effects of the esterified fatty acids include:

*Pain reduction

*Tissue regeneration

*Improved function and range of motion

*Reduction of inflammation

*Lubrication of your joints and tissues.

What kind of research has been done on 1TDC™?”

Journal of Rheumatology

Research has been published on the effects of esterified fatty acids in the Journal of Rheumatology (2002 & 2004) and the Journal of Strength and Conditioning (2005 & 2006).


Read what Robin said about the EFAC:

“After only 3 days I noticed a huge improvement in my feet. I also applied the EFAC to my knuckles and thumb joint, when arthritis is bad! Pain gone after application! I want to take a bath in this cream!”   Robin Graves 1/31/17

You can read more at each of the links to the respective websites above and get more links from my previous post if you click HERE.


So what about CBD??

A recent article in the New York times presented a very in-depth look at the evidence behind CDB. It is entitle “Can CBD Really Do All That?”. Here is the link to that article. CLICK HERE. It is a really good read but here is a little summary.

These days the consumer is bombarded by endless options for CBD products as well as cannabis products that are available in a retail setting…depending on the state of course. Options range from CBD oils, edibles such as gummy bears and chocolate as well as creams and just plain old joints.

CVS and Walgreens each recently announced plans to sell CBD products in certain states.

Promises on the curative effects of CBD abound on the internet. Numerous articles and testimonials referenced in the NY Times article suggest that CBD can effectively treat anxiety, pain, sleeplessness, Crohn’s disease, arthritis, epilepsy, schizophrenia, autism, opioid addiction and even anger.

Plenty of legitimate, if still inconclusive, research is being done on CBD and many scientists are truly excited about it. The laws governing cannabis and its chemical components have loosened up to allow more research.

Until more research comes out, consumer beware!

In 2015, the F.D.A. found that many CBD-labeled products actually contained very little CBD

Two years later, a study published in JAMA documented that, in 84 products sold online, 26 percent had less CBD than advertised and 43 percent had more.

So how does CBD and THC work?

First of all. CBD is the non-psychoactive portion of THC. THC gets you high. CBD does not. Both CBD and THC are non-addictive unlike the highly addictive nicotine and opioids.

We have something in our bodies called the endocannabinoid system. It is a unique communications system in the brain and body that affects many important functions, including how a person feels, moves, and reacts. The natural chemicals produced by the body that interact within the EC system are called cannabinoids, and like THC, they interact with receptors to regulate these important body functions. The EC system is central to homeostatic regulation which is how the body maintains and returns itself to a  baseline state after being disturbed. If a person is injured, for example, native cannabinoid production increases in order to resolve the inflammation and mitigate chemical reactions associated with injury. Cannabinoids also increase after strenuous exercise and some scientists argue that cannabinoids, not endorphins, are responsible for the posexercise feeling known as runner’s high.

When a person smokes marijuana, THC overwhelms the EC system, quickly attaching to cannabinoid receptors throughout the brain and body. This interferes with the ability of natural cannabinoids to do their job of fine-tuning communication between neurons, which can throw the entire system off balance. The big question is what is the right balance of natural endogenous cannabinoids and cannabinoid products taken externally i.e. CBD or THC that will achieve homeostatic balance?

So what do you do next? You just have to experiment…just not the peer pressure way!

There is SO much information on the web and so many choices. We have made it easy for you to try a high quality salve to treat joiint pain. It is a combination of some topical analgesics and CBD from a very respected company called Charlotte’s Web. Our product is ProSport Pain Stick from the CBD Clinic. Read more HERE and get some at your next PT appointment.