Managing Visceral Pain with Medical Cannabis
Visceral pain is pain originating from the internal thoracic, pelvic, or abdominal organs, such as the stomach, bladder, or uterus. It is a complex and heterogenous condition that can range from mild discomfort to intense pain.
What are the symptoms?
Unlike somatic pain, visceral pain is usually vague and not localised. In most cases, it is not fully understood or clearly defined and so, can be complex to treat. It often feels like a pressure or ache.
Causes and Treatment
Visceral pain is thought to occur when there is damage or disruption to internal organs and/or tissues. Potential causes can include:
- Injury to internal organs
- Damage to core muscles or abdominal wall
- Spasms in core muscles
- Digestive problems such as constipation
- Infection of the digestive and renal systems
- Cancer of the internal organs
- Endometriosis
- Menstrual pain
- Prostate damage
Treatment of visceral pain is often more complex than other kinds of pain as it is usually more widely spread and more difficult to pinpoint than other forms of pain. However, painkillers and other medications (such as NSAIDs) are sometimes prescribed to help manage symptoms.
Cause and treatment
Visceral pain is thought to occur when there is damage or disruption to internal organs and/or tissues. Potential causes can include:
- Injury to internal organs
- Damage to core muscles or abdominal wall
- Spasms in core muscles
- Digestive problems such as constipation
- Infection of the digestive and renal systems
- Cancer of the internal organs
- Endometriosis
- Menstrual pain
- Prostate damage
Treatment of visceral pain is often more complex than other kinds of pain as it is usually more widely spread and more difficult to pinpoint than other forms of pain. However, painkillers and other medications (such as NSAIDs) are sometimes prescribed to help manage symptoms.
Medical Cannabis and Visceral Pain
Medical cannabis has long been considered a potential alternative to strong painkillers for the management of pain. There is growing evidence that the endocannabinoid system plays an
important role in pain signalling. This could make cannabinoids a useful therapy for pain management.
Our specialist clinicians are experienced in assessing individual cases and helping to determine whether medical cannabis could be an effective option.

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Conditions Specialists

Dr Anup Mathew
Lead Psychiatry Specialist

Dr Anup Mathew
Consultant Psychiatrist | Clinical Lecturer
M.D., MA, MSc, BSc (Hons), MRCPsych, FHEADCP, MDCH, DCBH, PGCDM, PGCCE, MAcadMEd
Dr Mathew is a Community Psychiatrist in the NHS responsible for providing medical psychiatric support to a multi-disciplinary Primary Care Mental Health Service across East and North Kent.
Dr Mathew has extensive knowledge of mental health legislation having completed an MA in Medical Ethics and Law. He was appointed by the Ministry of Justice as a Medical Member of the First-tier Tribunal in the Social Entitlement Chamber. Dr Mathew also has a special interest in PTSD and Military Psychiatry having completed an MSc in War and Psychiatry and trained with the Royal Marines Reserve.
Dr Mathew was awarded Membership of the Academy of Medical Educators and Fellowship of the Higher Education Academy following his involvement in medical education which included being a University Lecturer.
As a Member of the Royal College of Psychiatrists Addictions Faculty, Dr Mathew has qualifications and expertise in the management of alcohol and drug misuse, particularly with co-morbid mental health problems. Due to his expertise, Dr Mathew is a Medical Examiner and Health Examiner for the General Medical Council.
Dr Mathew holds a Postgraduate Diploma in Rational Emotive Behavioural Therapy and he is also a qualified Medical Hypnotherapist. He incorporates a holistic approach in treatment that considers how biological, psychological and social factors impact on a person’s life and recovery journey. His work ethic has always been focused on trying to improve the outcomes of people with mental illness.

Dr Gerard Sinovich
Lead Pain Specialist

Dr Gerard Sinovich
Acute and Chronic Pain Management Consultant
MBBS, FRCA, FFPMRCA
Specialisms: Musculoskeletal pain; neuropathic pain; fibromyalgia; headaches; migraines; chronic neck, upper & lower back, shoulder, hip, knee, ankle pain; myofascial pain; inflammatory and connective tissue disorders; abdominal pain; pelvic pain; post-surgical pain and cancer pain.
Dr Sinovich qualified in anaesthesia and is professionally trained to treat different pain problems, particularly musculoskeletal pain and neuropathic pain. He is well renowned in his field following completion of specialised training in Pain Management at Guy's and St Thomas' Hospital, a world leading hospital in pain research and management.
Dr Sinovich is a pioneer in medical cannabis prescribing to chronic pain patients in the UK. He has extensive experience in prescribing medicinal cannabis over the last 3 years with training undertaken in Canada. He has featured in cannabis health news, BBC news, and in the daily mirror on topics related to medicinal cannabis. He has presented various web-based seminars on medicinal cannabis to both patients and aspiring doctors wanting to enter the field of medicinal cannabis. He is involved in research trials to better understand the use of medicinal cannabis and making it more accessible to individuals with chronic pain.
Here are some interesting facts about Dr Sinovich:
- Granted Foundation Fellowship of the Faculty of Pain Medicine of the Royal College of Anaesthetists (FFPMRCA)
- Medical director of “Panacea Pain Relief Clinic” with consulting rooms at the Spire Clare Park Hospital, Frimley Park Hospital and Spire St Anthony Hospital
- Presented at numerous national anaesthesia and pain medicine conferences
- Member of the British Pain Society and of the European Society for Regional Anaesthesia & Pain Medicine
- Faculty member of the Royal College of Anaesthetists (RCA), the European Society of Anaesthesiology (ESA) and the Association of Anaesthetists (AAGBI)
- Local Pain Medicine Educational Supervisor responsible for teaching of undergraduate medical students in acute and chronic pain
Medical cannabis, legally prescribed
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FAQ’s
Answers to your most important medical cannabis questions.
Can medical cannabis help manage visceral pain?
Yes. Medical cannabismay help reduce deep internal pain linked to conditions such as IBS,endometriosis, or chronic pelvic pain. At Cantourage Clinic, we providetailored cannabis-based treatments to help manage visceral pain—particularlywhen conventional therapies have not delivered sufficient relief.
Is medical cannabis a legal option for treating visceral pain in the UK?
Yes. In the UK, medical cannabis can be legallyprescribed by a specialist doctor for chronic pain conditions like visceralpain when standard treatments are ineffective. Cantourage Clinic offers safe,compliant access to medical cannabis under full clinical supervision.
What symptoms related to visceral pain can medical cannabis help with?
Medical cannabis mayhelp relieve cramping, inflammation, abdominal pain, and gastrointestinaldiscomfort, while also improving sleep and mood. Our clinicians may recommendbalanced or CBD-led products in oral or inhaled formats to support symptomrelief and overall wellbeing.
How do I access medical cannabis treatment for visceral pain at Cantourage Clinic?
Start by booking a consultation with our specialistteam. We’ll assess your medical history, visceral pain symptoms, and pasttreatments. If appropriate, we’ll prescribe a customised cannabis treatmentplan and provide full support throughout your care.