After bariatric surgery, it’s common to experience a range of physical discomforts. Many patients report incision-related soreness, abdominal cramping, and gas pain, especially in the first few weeks post-op. These symptoms tend to ease with time, but can be frustrating during recovery.
Traditional pain management usually includes prescription medications, such as acetaminophen or opioids, as well as physical therapy, guided movement, and breathing exercises. For some patients, non-opioid options are preferred to reduce side effects or the risk of dependency.
As a result, there’s growing interest in complementary therapies to support recovery. One area being explored is the potential role of plant-derived compounds, such as terpenes found in cannabis, which may offer pain-relieving benefits.
Cannabis Terpenes for Pain Management
Terpenes are natural aromatic compounds found in many plants, including cannabis. They contribute to the scent and flavor of herbs like lavender, thyme, and hops. In addition to their fragrance, some terpenes are being studied for their potential therapeutic properties, including pain modulation and anti-inflammatory effects.
Three terpenes are of particular interest for pain management:
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Myrcene: Often associated with earthy or musky scents, myrcene may have muscle-relaxing and mild sedative effects. Some early research suggests it might support pain relief through its influence on neurotransmitter systems.
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Linalool, found in lavender, is commonly used in aromatherapy. It may offer anti-inflammatory and calming benefits, which could help reduce tension-related discomfort or anxiety-related pain.
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Beta-caryophyllene: This terpene has a spicy, peppery aroma and is notable for its ability to interact with cannabinoid receptors in the body. It may have anti-inflammatory and analgesic properties; however, further research is needed to fully understand its long-term safety and effectiveness fully.
Delivery methods vary, and bariatric patients should consider gentler options. Terpenes can be applied topically in creams or oils, used in aromatherapy via diffusers, or incorporated in limited oral formats. However, oral consumption is less common after bariatric surgery due to concerns about absorption.
Special Considerations for Bariatric Patients
After bariatric surgery, the body’s ability to absorb nutrients and compounds changes significantly. These changes can affect how medications and supplements, including terpene-based products, are processed. For example, some terpenes might not be absorbed as effectively through the gut, or their effects might be altered due to the speed of digestion.
There are also safety considerations. Terpenes may interact with other medications or supplements, especially if a patient is already taking drugs for pain, anxiety, or inflammation. It's essential to monitor for any unexpected side effects, such as drowsiness or gastrointestinal discomfort.
Due to these factors, topical applications or aromatherapy may be safer starting points for bariatric patients considering the use of terpenes. These methods bypass the digestive system, potentially reducing the risk of unwanted interactions or absorption issues.
Patient Guidelines and Medical Supervision
Anyone considering terpene use after bariatric surgery should begin by speaking with their bariatric surgeon or healthcare provider. A brief consultation can help determine whether these products are suitable for the patient based on their medical history, current medications, and stage of recovery.
If approved, patients should start with low concentrations and use terpene products under close observation. Journaling any changes in pain levels, sleep patterns, or mood can help track effectiveness and flag any side effects.
Importantly, terpene use should be seen as complementary, not a replacement for medically recommended pain management plans. While they may offer mild support, terpenes are not a substitute for clinical care, physical therapy, or prescribed medication where needed.
Final Thoughts
For some post-bariatric surgery patients, integrating terpene-based approaches, especially topicals and aromatherapy, may offer an additional layer of support in managing pain. But as with any new supplement or wellness strategy, guidance from a qualified healthcare team remains essential. Further research is needed to understand how terpenes can be effectively utilized in this unique medical context.