10 Best CBD Oil for Nerve Pain & Neuropathy – Updated 2020

About 1 in 10 people in the United States [1]  live with neuropathy or nerve pain. According to Mayo Clinic[2], symptoms can range from numbness, tingling, and pain, to even more serious conditions like muscle weakness or difficulty moving.

In some people, the condition causes chronic pain or inflammation to more serious symptoms, which can negatively affect your day-to-day life. Painkillers and other medications used to treat nerve pain can become addictive in some people.

CBD oil is a natural alternative that can also be used. While CBD oil for neuropathy has not officially been approved, data from many studies have shown that using CBD and other hemp and cannabis-derived cannabinoids can be used to improve symptoms of neuropathy [Johal 2020][3].

Top 10 CBD Oils & Cream For Nerve Pain (in feet)

Use CBD Oil for Neuropathy 

Neuropathy is a condition in which your nerves have either been damaged or are no longer working properly. According to Mayo Clinic[4], symptoms of neuropathy can include numbness, tingling, or pins and needles sensation in your hands and feet and often leads to pain that is described as sharp, burning, or throbbing.

Studies have suggested[5] that cannabinoids such as CBD can be an effective supplement for managing your nerve pain. CBD has also demonstrated protective and healing properties in some laboratory models and animal testing.

Editor’s Choice

Take Spruce CBD

Spruce CBD

Why is it better?

  • High Potency
  • Reasonable Price
  • Novel Moonshine Extraction Method

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The Lineup At A Glance

Best Value

  • Organic and non-GMO
  • Quality tested by third party
  • Products for humans and pets

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Most Diverse Product Selection

  • THC-free products
  • Softgels made with nanoemulsion technology
  • Premium grade and high purity

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Best Product for Sustainability

  • Detailed independent testing and report
  • Ethical and sustainable sourcing
  • CO2 extraction method for purity

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Full-Spectrum CBD

  • Full-spectrum CBD product for synergistic benefi
  • Maximum potency and purity with CO2 extraction
  • GMO and pesticide-free

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Most Reviewed

  • U.S. Hemp Authority™ certified
  • Large product selection
  • THC-free and non-GMO

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Best Skin Care Products

  • Transparency and traceability into each batch
  • Whole plant extraction for broad spectrum product
  • Full panel analysis for potency and purity

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Best Flavor Variety

  • From beginner to advance user products
  • Source from multiple locations for best quality
  • Tested for sustainability

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Best Assistance Program (Veterans and Low-income)

  • U.S. Hemp Authority™ certified
  • Nanotechnology refinement process
  • Financial assistance program available

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Most Trusted

  • Available at over 10,000 retail locations
  • High-quality process
  • Trustworthy brand

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10 Best CBD Oil For Nerve Pain & Neuropathy

Spruce CBD

Take Spruce CBD

If you are looking for some of the maximum strength relief, Spruce CBD offers lab-grade CBD as oil and topical options.

  • Highly potent, lab-grade strength
  • Third-party testing reports available
  • Novel moonshine extraction method

  • On the expensive end due to potency
  • No expedited shipping
  • Limited product selection

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Spruce CBD is newer to the CBD industry but they broke onto the scene with some of the most potent products currently available. Their mission is to provide high-quality alternatives to pharmaceutical medicine that provides maximum relief.

Spruce CBD is an independently and family owned business. Their merchandise is sourced from two family owned farms out of Kentucky and North Carolina. The extraction method they use is a moonshine extraction method which yielded the optimal combination of CBD quality, low THC levels, and terpenes.

Their strongest oil is their 2,400 mg lab grade CBD oil which contains 80 mg of CBD in a single dose. Other options include a moderate strength CBD oil, and topical CBD options  in the form of a cream, salve, and lotion. They even offer a melatonin supplement to aid with sleep.

CBD Pure

CBDPure Hemp Oil_1

PureCBD prides itself on offering pure, all-natural products that are made from the highest quality ingredients.

  • Transparent labeling with QR codes to lab reports
  • Independent laboratory testing
  • Free shipping

  • Unflavored
  • Limited product selection

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Pure CBD is a company based out of Vancouver, Washington. Their goods are sourced from locally owned farms in Colorado and Washington that grow and harvest organic hemp. The company prides itself on quality products and customer satisfaction.

They follow cGMP manufacturing guidelines and undergo a stringent quality control process. Their CBD compounds are made from CBD that has undergone CO2 extraction and quality testing. All of their products are batch tested by an independent laboratory and the results are available on their website.

Pure CBD offers full-spectrum CBD products that contain a variety of terpenes and cannabinoids. Their product line includes oils, creams, and softgels. The full-spectrum CBD oils come in three different strengths, with additional items specifically for pet animals. To ensure customer satisfaction, they also back their merchandise with a 90-day money back guarantee.

Joy Organics

Joy Organics Tincture

Joy Organics aims to provide excellent, premium CBD products along with great customer service.

  • Certified non-GMO and organic
  • Nanoemulsion technology for softgels
  • Free shipping

  • Somewhat expensive
  • No international shipping

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Joy Organics was founded by the Smith family and continues to be a family run business. Their journey started from seeking natural alternatives to support their health and wellness and it ended up turning into a passion and business opportunity.

The company touts a 7-step process to produce some of the highest quality CBD products available. Their process includes supercritical CO2 extraction and THC removal at the cGMP-compliant facilities. Additionally, all their items undergo independent third-party testing which appears as a QR code on their labels for customer transparency.

Their CBD oil is broad spectrum to provide the benefits of many cannabinoids and terpenes. They also offer options not seen with other companies including an energy drink mix. Their softgel is developed using novel nanoemulsion technology that breaks oil droplets down to a smaller size. This improves bioavailability and absorption into your body for faster relief.

CBDfx Oil

CBDfx Tincture

A company that prioritizes both quantity and quality for their customers, CBDfx offers a large variety of product options without sacrificing industry standard quality and customer service.

  • Affordable bundles
  • Large variety of products
  • Reputable company

  • Minimal brand information
  • Limited information on hemp source

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CBDfx stands out as a competitor that offers one of the largest selections available on the market. From their expansive flavor selections to variety, their product line includes unique items such as bath bombs, liquid supplements, to their wheelhouse item, vape juices.

The company also emphasizes quality on top of quantity as their CBD is sustainably sourced and undergoes the same quality control processes as other companies such as independent laboratory testing reports. These reports are available on their website as well as on the actual levels as QR codes.

Despite providing minimal information on their websites, customer reviews praise the company for their transparency and customer service. Any information not available online can be quickly directed to a customer service representative by calling them directly.

Royal CBD

royal cbd oil

Royal CBD focuses on quality without hiding behind flashy marketing ploys.

  • No-nonsense straightforward product
  • Higher potency strengths and full-spectrum oils
  • Simple website

  • Unflavored
  • Test reports not readily available
  • Limited product selection

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Royal CBD is a growing company based out of California. Their emphasis is on transparency and claims that customers “can read us like a book” as they keep their website and product design simple and straightforward.

Despite a limited selection, the company focuses on quality and potency of their full-spectrum CBD oils and gummies. Their CBD is sourced from organic and GMO-free farms in Colorado. As part of their process, the CBD undergoes CO2 extraction and extensive testing. However, these reports were not available on their website at this time.

Sticking to their principles of simple packaging design and marketing, their product lines are all naturally flavored with no artificial additives to ensure purity.

Medterra CBD

Medterra CBD Oil

Medterra is a growing company that is driven by agricultural quality standards to deliver high quality products and customer satisfaction.

  • Independent third-party testing
  • Value and affordability
  • Contains no THC

  • No full-spectrum CBD oils
  • Limited reviews for newer company

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Medterra is a recent player in the CBD industry but relies on their experience in the agricultural industry to maintain high quality standards at a value to their consumers.

Kentucky is the source of their organic, GMO-free and pesticide free hemp. Their CBD items are listed as 99% pure CBD oil that contains no THC and all are tested by third-party laboratories.

Most companies list their CBD blend as less than 0.3% of tetrahydrocannabinol (THC) while Medterra’s does not yield any detachable levels of THC. In addition, they also offer oral supplements designed for morning and night as well as a cream aimed at pain relief for muscle and joints.

Koi CBD

Koi CBD-1

A company that strives for full transparency with their CBD products, which also boasts of some of the purest all-natural ingredients with 99% CBD purity.

  • High purity CBD products
  • High transparency
  • Contains no THC

  • No money back guarantee
  • Extraction method unclear

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Koi CBD states that their mission is “to create the standard of quality for CBD users everywhere”. They stand by this as their CBD are completely sourced in the United States and are extracted for 99% CBD purity which are full of terpenes and cannabinoids. 

Koi CBD products are completely free of THC. You won’t experience any unwanted mind-altering effects. This is verified as KOI CBD uses an accredited, independent  laboratory that completes a full panel analysis to report potency and purity of each batch.

As the company grows, their merchandise lineup has expanded from oils and edibles to skincare and vape juices. Most of their items also come in many flavors and give customers options. Their online reviews verify that their flavors taste great without the artificialness seen with other CBD products.

Savage CBD

Savage CBD-1

A popular company that offers a wide selection of products

  • Great value and prices
  • Accessible lab reports
  • Free shipping on all US orders

  • Strict returns and refunds policy
  • Limited company information

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While information on Savage CBD as a company is limited, they are based out of Irvine, California. Their products contain CBD isolates which are labeled as non-GMO and pesticide free and confirmed by independent lab testing. 

One of the best qualities about Savage CBD is how easy it is to access their lab reports. Each shopping webpage contains a direct link to the lab results to ensure quality. The reviews are also readily available so you can read how other customers reviewed the item.

The company had their beginning as an e-liquid company, thus some of their most popular items are their CBD tinctures and vape juices. They also offer other CBD products including gummies, full-spectrum CBD tinctures, and softgels.

CBD American Shaman

CBD American Shaman Oil_1

American Shaman CBD is one of the companies that claims to use nanotechnology to improve absorption of CBD for faster relief.

  • Transparent labeling with QR codes to lab reports
  • Affordable prices
  • Veterans and chronic conditions discount

  • Lower CBD concentrations
  • Multiple websites
  • Some lab reports are self-tested

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American Shaman CBD is a company based out of Missouri. The company claims that their mission is “bringing wellness to the world through ultra-concentrated terpene rich CBD oil derived from all natural, high quality industrial hemp”.

Their CBD is derived and extracted from all-natural, high quality hemp to include concentrated terpenes and cannabinoids. They carry one of the largest selections on the markets from tinctures to vape liquids to other topical and CBD-infused edibles.

Using nanotechnology, their developed products contain water-soluble CBD that helps improve absorption rates of CBD. They claim that this process makes their CBD 9 times more bioavailable and helps provide relief faster. However, this claim has not been verified through lab testing or academic studies.

Green Road CBD

Green Road CBD-1

Green Roads is a trusted name that has years of experience to back their high quality products.

  • 100% certified organic hemp
  • Independent lab testing
  • Strong brand recognition

  • Shipping time
  • May contain artificial colors and flavors

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Green Roads CBD has been around since 2013 and was founded in Florida by Laura Fuentes, a compounding pharmacist. Their philosophy is that the company has a personal commitment to promoting a healthy community and helping their customers be the “healthiest version of themselves through the power of plants”.

They pride themselves on quality and transparency. Green Roads CBD labels each item clearly and guidance for using CBD. Additionally, their hemp sources are all within the USA that is tested by batch to ensure safety, purity, and potency. The labels contain a QR code that can be scanned to provide the lab report specific to that item.

Green Roads offers a large selection, including tinctures, edibles, topicals, coffee, and even bath bombs. In addition to their large selection, they also offer many flavors options. Overall, they have an excellent range of products.

Does CBD Oil For Nerve Pain Works?

What is neuropathy?

Neuropathy is a condition where your nerves have been damaged or don’t work properly. Your nervous system is divided into two parts:

  • Central nervous system: the brain and spinal cord
  • Peripheral nervous system: the nerves in your body that connects to the brain and spinal cord 

Normally, the nerves in your peripheral nervous system sends messages to the central nervous system to signal your sense of touch. This includes feeling temperature and pain. With neuropathy, your nerves may be sending signals too often which can lead to different symptoms such as numbness, tingling, or even constant pain. [Cleveland Clinic][6]

What causes neuropathy?

Did you know that neuropathy doesn’t always have a cause? Sometimes, there is no clear cause for your nerve pain. However, here are some of the more common causes of nerve pain:

  • Diabetes: Diabetes, also known as high blood sugar, is the most common reason people develop neuropathy. It typically damages the nerves in your hands and feet and is called diabetic neuropathy.
  • Injury or trauma: Your nerves can be damaged directly by an injury. Injuries usually compress or cut into the nerve which leads to inflammation and pain. 
  • Inflammatory or infectious diseases: Some diseases which affect your autoimmune system can increase the inflammation in your body. Examples of autoimmune diseases include rheumatoid arthritis, lupus, or Guillain-Barre syndrome. Infections such as shingles, HIV, and hepatitis C can also cause nerve pain.
  • Diet and medications: A healthy diet is important to get the right nutrients to your body. Nerve function requires certain nutrients. Poor diet, certain medications, or even exposure to toxic substances like lead or mercury can affect your nerve function and cause pain. [Cleveland Clinic][7]

Does CBD help with nerve pain?

Studies have suggested that CBD can be an effective supplement for helping with nerve pain. It’s thought that CBD works by stopping or slowing pain signals from your nerves to your brain.

This happens when CBD stimulates cannabinoid receptors called CB1 and CB2 receptors. Stimulating these receptors lead to an analgesic effect, or pain relief, by decreasing the signals being sent from your nerves.

These cannabinoid receptors may also help limit your inflammation to your body[8]. Since nerve pain is often caused by autoimmune disorders, lowering your body’s inflammatory response can also help reduce nerve pain.

CBD oil contains the active ingredient cannabidiol which helps stimulat these cannabinoid receptors. Other products that contain cannabidiol such as gummies and sprays may have the same psychoactive effects.

CBD Oil Heals Nerve Damage

As we mentioned above, nerve damage and pain can be caused by many conditions. These conditions include inflammatory response, injury, or some other disorder. Typically, the nerves are under constant stress and can signal pain to the body constantly.  

Laboratory models and animal testing has shown[9] that CBD may protect and heal nerves. It’s suggested that the use of CBD may prevent cell death with antioxidants and boost anti-inflammation properties. This means that CBD could possibly protect nerves from further damage and allow them to heal. More studies are needed to understand whether CBD can actually heal nerve damage.

CBD oil for chronic pain

Chronic pain is when you have pain over a long period of time. The most common treatments for chronic pain include tylenol, non-steroidal anti-inflammatory drugs (NSAIDs), and opioids. Using CBD and cannabidiol products have often been considered a natural alternative to prescription medications to manage chronic pain and inflammation [Lynch 2015][10].

Cannabidiol has been studied for a variety of pain types, including chronic pain. A large review of studies reported[11] that people who used cannabinoids had reduction in their chronic pain by at least at 30% more than people who were given a placebo (a drug with active ingredient).

There has been evidence that suggests that using CBD products may reduce the need for prescription opioid treatment. Data shows that states with legalized cannabis use filled less prescriptions[12] for different conditions, including pain. One study also reported[13] that there were fewer opioid-related deaths in Colorado after legalization.

How to use CBD oil for neuropathy?

CBD comes in many different forms. It is up to you to choose what form of drug administration you prefer. CBD for ingestion includes oils, tinctures, supplemental pills, sprays and inhalers, gummies, and even powders.

Other options are CBD-infused edibles such honey or chocolates. There are also topical CBD that can be applied to your skin such as creams and lotions.

Each product may be taken differently and often comes in a range of dosages, so it’s important to read the instructions before using CBD products. You have flexibility in picking the product that suits your pain needs and treatment plan.

CBD Oil for Neuropathy Dosage

The dosage of CBD you should take for neuropathy or nerve pain can vary based on many factors, including:

  • What condition you are treating
  • Your body weight
  • Your experience and tolerance to CBD
  • How you are taking it (drops, gummies, etc.)

Epidiolex was the first prescription drug[14] approved by the Food and Drug Administration (FDA) with cannabidiol. Although the drug is used to treat seizures, it may help us understand a maximum tolerable dose range. For people taking Epidiolex, the recommended range is between 2.5 milligrams per kilogram (mg/kg) twice a day up to a maximum of 10 mg/kg twice a day.

You should talk with your doctor about taking CBD for your condition. They can help determine what dose is best for you. Usually, you should start at low doses of a few milligrams first to see how your body reacts to CBD. From there, you can slowly increase from low doses to higher doses until you achieve the desired effects.

What are some side effects of CBD?

Side effects caused by CBD can include feeling tired or sleepy, diarrhea and reduced appetite [VanDolah 2019][15].

Will CBD make me high?

CBD provides the health benefits of cannabis without the psychoactive effects, or “high”, associated with THC. While some CBD products may contain THC, products without THC are also available. [Bergamaschi 2011][16]

Can I use CBD oil for diabetic neuropathy or nerve?

Yes, diabetic neuropathy is a specific type of neuropathy or nerve pain that is caused by diabetes or high blood sugar. CBD oil works similar across all types of neuropathy by decreasing inflammation and pain signals at your nerves. [Vučković 208][17].

  1. DiBonaventura MD, Sadosky A, Concialdi K, et al. The prevalence of probable neuropathic pain in the US: results from a multimodal general-population health survey. Journal of Pain Research.;10:2525.
  2. Mayo Clinic Staff. Peripheral neuropathy. 2019 [Accessed October 5, 2020]. Available from: https://www.mayoclinic.org/diseases-conditions/peripheral-neuropathy/symptoms-causes/syc-20352061
  3. Kawai K, Kawai AT, Wollan P, Yawn BP. Adverse impacts of chronic pain on health-related quality of life, work productivity, depression and anxiety in a community-based study. Family Practice. 2017;34(6):656-61.
  4. Savage SR, Kirsh KL, Passik SD. Challenges in using opioids to treat pain in persons with substance use disorders. Addiction Science & Clinical Practice. 2008;4(2):4.
  5. Johal H, Devji T, Chang Y, Simone J, Vannabouathong C, Bhandari M. Cannabinoids in chronic non-cancer pain: a systematic review and meta-analysis. Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders. 2020;13:1179544120906461.
  6. Iskedjian M, Bereza B, Gordon A, Piwko C, Einarson TR. Meta-analysis of cannabis based treatments for neuropathic and multiple sclerosis-related pain. Current Medical Research And Opinion. 2007;23(1):17-24.
  7. Neuropathy (peripheral neuropathy). 2019 [Accessed October 5, 2020]. Available from: https://my.clevelandclinic.org/health/diseases/14737-neuropathy
  8. Vučković S, Srebro D, Vujović KS, Vučetić Č, Prostran M. Cannabinoids and pain: new insights from old molecules. Frontiers in Pharmacology. 2018;9:1259.
  9. Manzanares J, Julian MD, Carrascosa A. Role of the cannabinoid system in pain control and therapeutic implications for the management of acute and chronic pain episodes. Current Neuropharmacology. 2006;4(3):239-57.
  10. Campos AC, Fogaça MV, Sonego AB, Guimarães FS. Cannabidiol, neuroprotection and neuropsychiatric disorders. Pharmacological research. 2016;112:119-27.
  11. Mills S, Torrance N, Smith BH. Identification and management of chronic pain in primary care: a review. Current Psychiatry Reports. 2016;18(2):22.
  12. Lynch ME, Ware MA. Cannabinoids for the treatment of chronic non-cancer pain: an updated systematic review of randomized controlled trials. Journal of Neuroimmune Pharmacology. 2015;10(2):293-301.
  13. Whiting PF, Wolff RF, Deshpande S, Di Nisio M, Duffy S, et al. Cannabinoids for medical use: a systematic review and meta-analysis. JAMA. 2015;313(24):2456-73.
  14. Bradford AC, Bradford WD. Medical marijuana laws reduce prescription medication use in Medicare Part D. Health Affairs. 2016;35(7):1230-6.
  15. Livingston MD, Barnett TE, Delcher C, Wagenaar AC. Recreational cannabis legalization and opioid-related deaths in Colorado, 2000–2015. American Journal of Public Health. 2017;107(11):1827-9.
  16. VanDolah HJ, Bauer BA, Mauck KF. Clinicians’ guide to cannabidiol and hemp oils. In Mayo Clinic Proceedings. 2019;94(9):1840-1851.
  17. Machado Bergamaschi M, Helena Costa Queiroz R, Waldo Zuardi A, Crippa AS. Safety and side effects of cannabidiol, a cannabis sativa constituent. Current Drug Safety. 2011;6(4):237-49.
Victor Nguyen, PharmD
About Victor Nguyen, PharmD

Victor Nguyen is a licensed pharmacist, having completed his Doctor of Pharmacy at Wayne State. He freelances as a medical writer and reviewer specializing in healthcare articles and web content. His work has spanned from consumer health websites to peer-reviewed journals. In his personal time, he enjoys traveling, cooking, and exploring craft breweries and distilleries.