Evidence map›Paper›PMID 26517407›Full record

ArticleEuropean journal of pain (London, England)2016

Transdermal cannabidiol reduces inflammation and pain-related behaviours in a rat model of arthritis.

D C Hammell, L P Zhang, F Ma, S M Abshire, S L McIlwrath, A L Stinchcomb, K N Westlund

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in European journal of pain (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 130 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
130citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04412837 phase2withdrawnnot on this mapstarted 2022, after this paper: background citation

The Use of Cannabinoid Patch for Knee Osteoarthritis

TypeinterventionalSponsorNorthwell HealthRan2022 to 2024Enrolled0ConditionsKnee Osteoarthritis, CBD, OsteoarthritisArmsTopical CBD Patch, Placebo Patch
NCT05044936 early_phase1withdrawnnot on this mapstarted 2023, after this paper: background citation

The Effects of Topical Cannabidiol Cream on Post-exercise Recovery

TypeinterventionalSponsorUniversity of New MexicoRan2023 to 2023Enrolled0ConditionsMuscle DamageArmsCannabidiol Oil, Resistance Exercise
NCT07638189 phase2not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Pilot Study Using Topical Cannabidiol (CBD) to Manage Osteoarthritic Knee Pain

TypeinterventionalSponsorUniversity of TennesseeRan2026 to 2028Enrolled30ConditionsOsteoarthitisArmsCannabidiol (CBD), Castor Oil (Placebo)
3 · Its place in the literature

Who cites it

130 citing papers in PubMed, 1 synthesis or guideline pooled it, 294 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Cannabidiol-DominantNutrients · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Cannabidiol: Pharmaceutical formulations and biomedical applications.Iranian journal of basic medical sciences · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Nav1.8, an analgesic target for nonpsychotomimetic phytocannabinoids.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  19. Natural Products Derived from Cannabis sativa for Pain Management.Handbook of experimental pharmacology · 2025
    Review
  20. Review

70 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

D C HammellDepartment of Pharmaceutical Sciences, University of Kentucky College of Pharmacy, Lexington, KY, 40536-0082, USA.
L P ZhangDepartment of Physiology, University of Kentucky College of Medicine, Lexington, KY, 40536-0298, USA.
F MaDepartment of Physiology, University of Kentucky College of Medicine, Lexington, KY, 40536-0298, USA.
S M AbshireDepartment of Physiology, University of Kentucky College of Medicine, Lexington, KY, 40536-0298, USA.
S L McIlwrathDepartment of Physiology, University of Kentucky College of Medicine, Lexington, KY, 40536-0298, USA.
A L StinchcombDepartment of Pharmaceutical Sciences, University of Kentucky College of Pharmacy, Lexington, KY, 40536-0082, USA.
K N WestlundDepartment of Physiology, University of Kentucky College of Medicine, Lexington, KY, 40536-0298, USA.
University of Kentucky · US

Funding

VISCERAL PAINP01NS011255 · NINDS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI HULSEBOSCH, CLAIRE E · 1985 to 2012
$13.6M
NINDS NIH HHS P01 NS011255
6 · The paper itself

Abstract

backgroundCurrent arthritis treatments often have side-effects attributable to active compounds as well as route of administration. Cannabidiol (CBD) attenuates inflammation and pain without side-effects, but CBD is hydrophobic and has poor oral bioavailability. Topical drug application avoids gastrointestinal administration, first pass metabolism, providing more constant plasma levels.

methodsThis study examined efficacy of transdermal CBD for reduction in inflammation and pain, assessing any adverse effects in a rat complete Freund's adjuvant-induced monoarthritic knee joint model. CBD gels (0.6, 3.1, 6.2 or 62.3 mg/day) were applied for 4 consecutive days after arthritis induction. Joint circumference and immune cell invasion in histological sections were measured to indicate level of inflammation. Paw withdrawal latency (PWL) in response to noxious heat stimulation determined nociceptive sensitization, and exploratory behaviour ascertained animal's activity level.

resultsMeasurement of plasma CBD concentration provided by transdermal absorption revealed linearity with 0.6-6.2 mg/day doses. Transdermal CBD gel significantly reduced joint swelling, limb posture scores as a rating of spontaneous pain, immune cell infiltration and thickening of the synovial membrane in a dose-dependent manner. PWL recovered to near baseline level. Immunohistochemical analysis of spinal cord (CGRP, OX42) and dorsal root ganglia (TNFα) revealed dose-dependent reductions of pro-inflammatory biomarkers. Results showed 6.2 and 62 mg/day were effective doses. Exploratory behaviour was not altered by CBD indicating limited effect on higher brain function.

conclusionsThese data indicate that topical CBD application has therapeutic potential for relief of arthritis pain-related behaviours and inflammation without evident side-effects.

Indexed as

Administration, CutaneousAnimalsArthritisBehavior, AnimalCannabidiolDisease Models, AnimalFreund's AdjuvantMalePainRatsRats, Sprague-DawleyCannabidiolFreund's Adjuvant

Identifiers

PMID26517407
PMCPMC4851925
OpenAlexW1872022504

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.