Evidence supporting the use of: Cannabis
For the health condition: Headache (tension)

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Synopsis

Source of validity: Scientific
Rating (out of 5): 2

Cannabis has a long history of use for various types of pain, including headaches, but its application for tension-type headaches specifically is supported by limited scientific evidence. Some historical sources and anecdotal reports suggest that cannabis was used for headaches in the 19th and early 20th centuries. However, the bulk of modern clinical research on cannabis for headache has focused on migraine rather than tension-type headaches. A few small studies and surveys suggest that some patients report relief from headache symptoms, including those with tension-type headache, after using cannabis or cannabinoids. For example, a 2017 review in Current Neurology and Neuroscience Reports notes that while patients anecdotally report benefit, controlled studies are lacking, and most evidence is low-quality or indirect. Proposed mechanisms include the modulation of pain pathways and reduced muscle tension via the endocannabinoid system. However, systematic reviews and guidelines, such as the 2021 American Headache Society position statement, generally conclude that there is insufficient high-quality clinical evidence to support the use of cannabis for tension-type headaches. Thus, while there is some scientific rationale and anecdotal support, rigorous scientific validation is limited, and more controlled studies are needed.

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