As a medical cannabis physician, I see many patients with arthritis who are searching for real relief—something that works without the harsh side effects of long-term pain pills. If that sounds like you, you’re not alone. Arthritis is one of the most common reasons people turn to medical marijuana, and for good reason.
Cannabis has powerful anti-inflammatory and pain-relieving properties that can help reduce joint pain, stiffness, and swelling. But with so many strains available, how do you know which one is best for arthritis?
Let’s break it down.
First, What Is Arthritis?
Arthritis is a broad term that refers to inflammation of the joints. There are over 100 different types, but the most common are:
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Osteoarthritis (OA): Caused by wear and tear on the joints over time.
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Rheumatoid Arthritis (RA): An autoimmune condition where the body attacks its own joints.
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Psoriatic Arthritis: Related to psoriasis and inflammation of the skin and joints.
Symptoms often include:
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Joint pain and stiffness
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Swelling and inflammation
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Reduced mobility
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Sleep disruption due to pain
These symptoms can range from mild to debilitating. That’s where cannabis may help.
How Cannabis Helps Arthritis
Cannabis works by interacting with your endocannabinoid system (ECS)—a network of receptors in your body that help regulate pain, inflammation, and immune response.
The two main cannabinoids you’ll hear about are:
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THC (Tetrahydrocannabinol): Offers strong pain relief and helps with muscle relaxation and sleep.
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CBD (Cannabidiol): Known for its anti-inflammatory and immune-modulating effects, without the high.
Both can be helpful for arthritis, especially when used together in balanced ratios.
What Makes a Strain Good for Arthritis?
When choosing a cannabis strain for arthritis, we look for strains that offer:
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Strong anti-inflammatory effects
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Pain relief
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Muscle relaxation
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Minimal mental fog (especially for daytime use)
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Improved sleep (for nighttime relief)
That often means choosing strains high in CBD, or balanced THC:CBD ratios, along with helpful terpenes like myrcene, linalool, and beta-caryophyllene, which have their own anti-inflammatory benefits.
Now let’s look at some of the best strains for arthritis relief.
1. ACDC (High-CBD, Low-THC)
CBD: ~15% | THC: <1%
ACDC is one of the most popular medical cannabis strains for arthritis because it delivers powerful relief without the high. It’s rich in CBD, which reduces inflammation and eases nerve pain, while the tiny amount of THC enhances the effect without making you feel impaired.
Best for: Daytime use, staying clear-headed, reducing swelling
2. Harlequin (CBD-Dominant Hybrid)
CBD: 4–10% | THC: 4–7%
Harlequin is a well-balanced strain with a 1:1 or 2:1 CBD to THC ratio, offering both anti-inflammatory and mild pain-relieving effects. Many arthritis patients find it provides daytime relief with a light, relaxing sensation.
Best for: Joint stiffness, daytime pain, inflammation
3. Cannatonic (Balanced THC:CBD Hybrid)
CBD: 6–10% | THC: 5–8%
Cannatonic is a go-to strain for medical users who want a calming body effect without heavy intoxication. It’s known for soothing chronic pain and relaxing tight muscles—perfect for arthritis flare-ups.
Best for: General arthritis pain, muscle tension, light activity
4. Blue Dream (THC-Dominant Hybrid)
THC: 18–24% | CBD: Low
Though high in THC, Blue Dream has a reputation for being gentle and uplifting. It’s often used to reduce chronic pain and improve mood without causing couch-lock or grogginess. Many patients with arthritis prefer it during the day when they still want to be productive.
Best for: Chronic pain, mood support, mild inflammation
5. Girl Scout Cookies (GSC) (THC-Dominant Indica Hybrid)
THC: 17–25% | CBD: Low
GSC is a heavier strain that’s excellent for nighttime pain relief and deep relaxation. It can help with falling asleep and staying asleep when joint pain keeps you tossing and turning.
Best for: Severe arthritis pain, sleep issues, evening use
6. CBD Critical Mass (CBD-Dominant Indica)
CBD: ~8–12% | THC: ~5%
This strain is calming, soothing, and designed for pain relief without strong psychoactive effects. It provides a gentle body high, making it ideal for older patients or those new to cannabis.
Best for: Older adults, evening use, gentle relaxation
7. Purple Kush (Indica)
THC: ~18–22% | CBD: Low
Purple Kush is a classic strain known for its strong body sedation. If arthritis keeps you from sleeping or relaxing, this strain can help calm the nervous system and numb pain.
Best for: Nighttime, sleep, deep muscle pain
8. Charlotte’s Web (CBD-Dominant)
CBD: ~15–20% | THC: <1%
Originally bred for pediatric epilepsy, Charlotte’s Web is now widely used for a variety of medical conditions, including arthritis. It’s especially good for daytime use when inflammation or joint stiffness is flaring up.
Best for: Inflammation, daytime focus, older patients
Helpful Terpenes for Arthritis Relief
When choosing a strain, check the terpene profile if available. These naturally occurring plant compounds boost the healing power of cannabis.
Here are the best terpenes for arthritis:
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Beta-Caryophyllene: A spicy terpene that binds to cannabinoid receptors and reduces inflammation.
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Myrcene: Offers muscle relaxation and sedation—great for pain and sleep.
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Linalool: Found in lavender, it has calming effects and helps ease stress and discomfort.
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Humulene: Anti-inflammatory and helpful for managing swelling.
Should You Choose Indica, Sativa, or Hybrid?
Here’s a quick guide:
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Indica strains tend to be more relaxing and sedating—great for nighttime or severe joint pain.
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Sativa strains are more energizing—good for daytime use when you need to stay active.
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Hybrids combine both effects and are often ideal for arthritis, especially when balanced with CBD.
Read more about strains of cannabis HERE.
Consumption Methods That Work Best for Arthritis
Not all cannabis products are created equal—and how you use them matters too. Here are some common options:
1. Inhalation (Vaping or Smoking)
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Fast-acting (within minutes)
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Good for breakthrough pain
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Effects last 2–4 hours
2. Tinctures or Oils
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Sublingual use (under the tongue)
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Takes effect in 15–45 minutes
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Lasts 4–6 hours
3. Edibles (Gummies, Capsules, etc.)
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Longer onset (30–90 minutes)
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Effects last 6–8 hours
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Great for overnight relief
4. Topicals (Creams, Balms, Patches)
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Applied directly to painful joints
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No high
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Great for targeted relief and stiffness
Start Low and Go Slow
If you’re new to cannabis or trying a new strain, start with a low dose, especially if it contains THC. Try:
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2.5–5mg of THC
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10–25mg of CBD
Wait and see how you feel before increasing. Everyone reacts differently.
Final Thoughts: Relief Is Possible
If arthritis has been limiting your mobility, sleep, or quality of life, medical marijuana could be a safe, natural option to help you reclaim your comfort. Many patients, even those in the silver generation for whom arthritis pain can be a daily challenge, find relief from pain and inflammation.
Finding the right strain takes some trial and error, but with the right information—and maybe a little guidance from your doctor—you can discover a product that works for your body and lifestyle.

Dr. Nicholas Marsh has been a respected board-certified anesthesiologist in Northern Virginia for over 35 years. Recognized as a top doctor by FindaTopDoc.com, his vision for providing top-quality medical services is driven by his passion for patient comfort and dignity.