This Chiropractor Tried CBD On His Patients For 6 Months, Here’s How It Worked

CBD offers a tremendous benefit to our patients who are suffering from a multitude of conditions that involve pain and inflammation, and at the same time decrease people’s dependency on drugs such as NSAIDs and opiates. The treatment of conditions in a natural way, to help give the body what it needs to heal itself.

That’s a basic chiropractic principle.


Dr. Mark DiRoma of MDR Chiropractic in Boynton Beach, FL has been practicing for over 30 years. He has a background and a degree in chemistry and has been working on athletes, the elderly and everywhere in between for decades. But, in his time as a chiropractor, he hasn’t seen anything like this.

“It’s the future” Dr. DiRoma said during our interview at his office.

He’s already on the cutting edge of Chiropractic care, using cold lasers, electric stim and including diet and wellness therapies along with his standard physical therapy practices.

And now, he’s using CBD with his patients.


Question 1: How Has CBD Fit Into Your Practice. Do You have Any Interesting Case Studies to Share?

[Dr. DiRoma] CBD has been a tremendous adjunct in our practice. I’ve used it in many different ways for many different situations. There are patients with all kinds of problems, but most of the problems that we deal with involve some sort of pain and inflammation.

A couple of patients I have, we’ve used CBD for shoulder problems.

I had a patient with a frozen shoulder, and that’s actually a pretty amazing case. They couldn’t move at all, sensitive to the touch, so there wasn’t much I could do since we need to have some mobility to start the rehabilitation of the arm. So I said let’s try the CBD cream. We applied it topically and did inner-muscular stimulation to the area and a vibratory stimulation to the area, and after applying the cream, it started to feel better. By the end of a 15-minute session, the patient had 50% movement of the shoulder.

We gave them the CBD roll on to take and to apply on their shoulder, and I showed them specific areas to apply it to, and the next day they came in with almost full range of motion.

By the end of the second visit, they had a full range of motion.

Now that’s a dramatic effect, but it has happened more than once  Another case I’ve used it on was a someone with a rotator cuff tear. That patient

Female doctor giving a consultation to a patient and explaining medical informations and diagnosisalso responded very, very well to the point we could get them to do physical therapy. They were not able to do anything, and we rehabilitated that. It took three months to bring that patient fully back to 100% range of motion with physical therapy, but CBD allowed us to get in there. They weren’t allowing any t

herapy because it hurt too much. That one we did some ultrasound with two adjustments that affect both the neck and the mid-back and the scapula, as well as the joints of the the shoulder itself.


Another example:

I had a patient who has tremendous abdominal pain came in, diaphragmatic spasm, intestinal spasm. They have an IBD (Intestinal Bowel Disorder) of some sort that cannot seem to be helped with medication. And it was just trial and error.

And we first, because she came in writhing in abdominal pain, we first applied it to the abdominal area topically and then sent her home with a sublingual dosage. And this patient is doing phenomenal today. The only thing we changed in her treatment plan was the CBD.

She was getting better sleep, and this could have also been a factor in her pain reduction as well.


With another case, a patient with terrible bursitis that kept coming and going, and she would basically have to get injections in the hip every three

render of a woman holding her knee with bursitis

I said “Let’s try CBD on this.”

months because we’d just get to that point. We would treat her here physical therapy wise. And since I can’t control what that patient is doing at home

or at work to affect their progress but something was affecting her progress at home (negatively). So we would treat her, and this went on for a couple

of years.

We started her with CBD topical, and she was very skeptical about it.

And I asked please give it a try. Nothing else seems to be getting it under control, so let’s try it.

She did. She called us up two days later. She immediately noticed, the roll-on really helps. I said well I’d like you to also take this sublingually so we can get to the deeper cause of this problem. And she started taking it sublingually. She’s doing great. It’s been probably about six months, and she still hasn’t had to go for another injection.


She, of course, I think is paying better attention to the physical therapy part, but part of the physical therapy she couldn’t do because she kept having pain. So it was a vicious cycle going back and forth. This seems to have broken the cycle, and it’s encouraging. And there’s many other patients with hip and knee problems that I’ve done this with. But again, it’s not going to heal a torn meniscus, if we have something like that going on. So it depends on what the diagnosis is, what the actual problem is.

Question 2: So how do you find topical CBD and Sublingual CBD works in conjunction?

dermatome pattern for cbd application


In my experience, if you do both, you’re going to get the best result because you’re ingesting the CBD oil sublingually as well as applying the cream directly, not haphazardly on an area. So we diagnose


their situation. Many people come here with shoulder problems, arm problems, elbow problems, etc. But as we diagnose we figure out is it a direct shoulder issue or elbow issue, or is it a neurological

component involving the neck caused by a disc problem? Is it subluxation (which are joints out of place causing some type of neurological interference) where it’s traveling down a certain pattern down into their shoulder, arm, or hand?

Once we figure out what the cause of the problem is, we know how to treat it with CBD. We will go the dermatomal pattern, depending on if that’s the issue we have neurologically, or we’re going directly for the origin, exertion of the muscles involved or the joint involved.


Question 3: Do you see CBD being more greatly accepted in the chiropractic community, or in medicine, or is it kind of slow to come around?

I think it’s being accepted throughout the medical community very well. I have a very large referral base in that, I have patients who’ve seen many, many medical doctors, and there’s no problem with communication back and forth, particularly with CBD.

It seems to be starting to pop up in everybody’s offices. Because we’re all looking for an alternative, not just for pain, though.

We’re starting to see CBD with psychiatry to help treat:

  • post-traumatic stress disorder
  • anxiety disorder
  • sleep disorders

The medical community is starting to realize that this is having a positive effect, to help people heal. With insomnia CBD seems to help one relax and get to sleep. It shuts their brain down a little bit because some people think too much and can’t fall asleep. If some people have pain that’s keeping them up, taking both sublingually and topically will show great improvement in their ability to fall asleep.

I see a tremendous future in neurology for CBD. I’d like to see it become an everyday household item, like a multivitamin. People, if they would take it consistently, would start to see some of these other disorders, I really believe, clear up. And it would be incredible to stop the dependency on Tylenol and Advil or other pain medications.

Question 4: Do you think that there is any kind of placebo effect with CBD?

Absolutely, there is some placebo effect, but it’s not just with CBD. It can be with anything.

Pain is subjective.

It’s different for everyone, people feel pain in different ways and there are different causes of pain. You can have a direct trauma. You can have emotional pain. You can have chemical toxicity, such as from drugs, pain that’s associated with that. And then everybody seems to have a different pain threshold. You can have people come in who are very stoic and can handle pain that they should be screaming at, and people who can’t be

A doctor sitting at a table talking to a patient

touched and it doesn’t seem to have a real reason why.

Many times, if just by trying to find an answer for a patient like that and encouraging the patient, we start to see the “placebo effect” if you want to classify it that way.

Can that happen with CBD? Yes, because patients are looking for something, anything, to help them anyone to listen to them, and understand, have some compassion and understanding that “Yes, I Am Suffering”. Let’s see what we can offer them. And the science and research behind CBD offers hope. Something that offers them hope can have a placebo effect.

There’s a new priority in medicine now to step away from opioids. And CBD offers a golden opportunity for people in general.

Having to figure out what dose they need of CBD that will stimulate them enough to step away from the opioid, that’s where we have to go now, and the medical field is trying and patiently listening.

Question 5: Have any of your patients reported CBD not working, or have you had any experience where you just don’t feel like CBD works in specific instances?

Yes, there are patients who have reported that their CBD had no effect on them, or was no help.

I try to investigate it a little deeper, and sometimes people are honest with me, and sometimes they’re not, so I don’t know for sure in some cases.

I really do feel that CBD can help everybody in some way, in some fashion, as your multivitamin would. Not that simplistic, but it’s a need. We do need these nutrients. Those patients I find when I can get them to talk about it basically have been somewhat misinformed from the internet, as well as too much information from the internet, so they don’t know how to put it together.

And that’s where I come in if they give us the chance to educate them. The other thing is they don’t stay consistent with the dosage that we discussed, or they don’t discuss with me that it’s not working and we need to step up or step down the dosage. The other thing is everything cost money, and they’re trying to get something cheaper. They find another product online, but how much they’re dosing is totally different from what I’ve given them, or the purity is different. And this becomes a major issue on how it affects them. And again, that’s why it don’t work. Or they’re just not consistent. They say they’re supposed to be taking it every day twice a day and they only take it twice a week. That matters.

Or they take it when they remember it. Or sometimes there’s mix-ups with, dosing. We tell them a dropper full is 25 milligrams, and they’re taking two drops instead.

[Me] So in those cases, have you tried to correct, have you been successful in kind of correcting them, or do they just shy away from it? Or after you’ve kind of given some education, has anybody just opened up?

[Dr. DiRoma] It’s like everything else. Some people open up. Some people have just a negative connotation to begin with because of the THC component and not understanding that there is no THC in this or very little, less than 0.3%. They go in negatively, and they don’t want it to work. But then I’ve had many patients who don’t want it to work and we’re totally skeptical, and they’re floored by the results.


Final Thoughts From The Doc:

This information is out there. Medical doctors rheumatologists, and neurologists are all starting to open their eyes to the benefits of CBD. And it’s another compound in our arsenal to treat different things. And that’s also good where we start opening up that conversation being the connection between the patient and their medical doctor, open this conversation up for something that will actually potentially help this patient tremendously.

The biggest thing that I want to see is a change for the youth in our country.

I’m tired of dealing with athletes that I get here, most with minor injuries, that can be helped easily, but they get hooked on an opiate because they needed to get them back in the game. This is mostly in college, but it’s happening in high school now, too.

And in the pros, of course, it’s happening a lot.

And you understand that they got to get back in to a certain extent, but they’ve become drug dependent. I’ve seen some real tragedies happen with some of our patients that have grown up and played college ball and things like that and gone on to even pro ball and tragedies occurred. And it has to do with the opioid epidemic. And I really think that the CBD is going to offer us something to get us away from this problem.


Special thanks to Dr. Mark DiRoma of MDR Chiropractic in Boynton Beach, FL

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