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Chronic Pain and the Indian Way: Balancing Modern Medicine with Traditional Remedies

Introduction: Vijay’s Story—An Indian Approach to Pain Relief

In a bustling Indian town, Vijay, a retired postman, endured chronic back pain after years of carrying heavy mailbags. Painkillers gave him quick relief, but with side effects. When an Ayurvedic neighbour introduced him to a warm herbal oil massage using neem, menthol, and wintergreen, it changed everything.

Vijay now uses painkillers only during flare-ups and relies on daily oil massage for sustainable relief. “The pills fight the pain,” he said. “But the oil helps me live better with it.” This story mirrors countless Indian households that blend modern and traditional medicine to manage chronic pain.

What is Pain?

Modern Medical Definitions

  • IASP (International Association for the Study of Pain): “Pain is an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage.”
  • Harrison’s Principles of Internal Medicine: Pain is a subjective experience, influenced by emotions and culture. It acts as a protective mechanism.
  • Guyton and Hall (Textbook of Medical Physiology): Pain is a response to tissue damage, triggering an action to prevent further harm.

What They All Agree On

  • Pain is subjective
  • Pain involves emotions and sensations
  • Pain isn’t always linked to visible injury

Pain in Ayurveda

Ayurveda refers to pain as “Vedana” or “Shoola”, often caused by Dosha imbalance, especially Vata.

What the Ancient Texts Say

  • Charaka Samhita: Vata is the root cause of pain. Disturbed Dhatus lead to suffering.
  • Sushruta Samhita: Shoola (pain) is due to obstruction in bodily channels (Srotas).
  • Ashtanga Hridaya: Pain arises from aggravated Doshas interacting with organs and tissues.

Dosha-Based Pain Characteristics

  • Vata Pain: Sharp, radiating, throbbing
  • Pitta Pain: Burning, inflamed
  • Kapha Pain: Dull, heavy, aching

Ayurveda focuses on symptoms and restoring Dosha balance using herbs, oils, diet, and detox therapies.

 

Types of Pain

1. Based on Cause

  • Nociceptive (From tissue damage): a. Somatic: Skin, muscles (fractures, sprains); b. Visceral: Organs (menstrual cramps, appendicitis)
  • Neuropathic: Nerve-related (sciatica, diabetes)
  • Inflammatory: Immune response (arthritis)
  • Functional: No physical injury (fibromyalgia)

2. Based on Duration

  • Acute: Short-term, post-injury
  • Chronic: Long-lasting, more than 3–6 months

3. Based on the Mechanism

  • Referred Pain: Pain felt in another location (e.g., left arm in a heart attack)
  • Radiating Pain: Spreads from the source (e.g., lower back to leg)
  • Phantom Pain: In amputated limbs
  • Psychogenic Pain: Triggered or worsened by emotional factors

4. Based on Intensity

  • Mild: Tolerable
  • Moderate: Interferes with daily life
  • Severe: Debilitating

5. Based on Location

  • Localised: Specific joint or area
  • Generalised: Across body (e.g., fibromyalgia)

6. Ayurvedic Classification

  • Vatika Pain: Sharp, shooting
  • Pittaja Pain: Burning
  • Kaphaja Pain: Dull, heavy

Symptoms of Pain

1. General Symptoms

  • Physical: Throbbing, burning, pressure-like, cramping
  • Emotional: Irritability, anxiety, depression
  • Behavioural: Reduced activity, guarding movements

2. By Type

  • Acute: Sudden, sharp, visible signs (swelling, redness)
  • Chronic: Persistent fatigue, sleep trouble
  • Neuropathic: Tingling, burning, hypersensitivity
  • Referred: Pain felt away from the source
  • Inflammatory: Warmth, redness, joint stiffness

3. Dosha-Based Symptoms

  • Vata: Dry, sharp, insomnia
  • Pitta: Heat, burning, inflammation
  • Kapha: Heaviness, congestion, sluggishness

Modern Pain Relief: Analgesics

How Do Analgesics Work?

Block pain signal transmission between nerves and the brain

  • Paracetamol: Blocks the brain’s pain chemicals
  • NSAIDs (Ibuprofen): Reduce inflammation at the injury site
  • Opioids: Block brain/spinal cord pain signals

What Happens With Long-Term Use?

  • Paracetamol: Liver toxicity
  • NSAIDs: Stomach ulcers, kidney problems, heart risk
  • Opioids: Tolerance, dependence, addiction

Bottom line: Good for acute pain, risky for daily use.

Natural Pain Relief: Ayurvedic Oils

How Do Pain-Relieving Oils Work?

  • Penetrate the skin to soothe joints and muscles
  • Increase circulation, relax tissues, and reduce inflammation
  • Cooling or warming effect via menthol, camphor, neem, eucalyptus

Used consistently, oils:

  • Support natural healing
  • Are safe for long-term use
  • Double as stress-relievers through massage

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Which is Better: Pills or Oils?

Factor

Analgesics

Pain Relieving Oils

Speed of relief

Fast

Moderate

Suitable for

Severe internal pain

Mild to moderate, localized pain

Side effects

Common (GI, liver, etc.)

Minimal when natural

Long-term use

Risky

Safe with regular use

Additional benefits

None

Circulation, relaxation, skin health

Best approach? Use analgesics for acute attacks and oils for long-term relief.

Ayurvedic Management of Chronic Pain

Herbs and Oils

  • Wintergreen: Natural painkiller
  • Neem: Anti-inflammatory, detoxifier
  • Menthol/Camphor: Cooling relief
  • Ashwagandha: Reduces pain perception and stress
  • Shallaki (Boswellia): Joint pain and arthritis

Diet and Lifestyle

  • Eat warm, digestible foods: Moong dal, ghee, cooked veggies
  • Avoid: Excess cold, raw, fried, or sugary foods
  • Include: Turmeric, garlic, ajwain, ginger in meals

Yoga and Exercise

  • Light movement improves circulation
  • Poses like Bhujangasana, Balasana, Trikonasana for back and joint pain
  • Pranayama for pain-induced anxiety

FAQs

Q1: Can I use pain oils every day?

Yes, especially for chronic muscle or joint pain. They’re safe and supportive when used consistently.

Q2: Are Ayurvedic oils better than painkillers?

For long-term use, yes. They reduce reliance on drugs and help treat the root cause.

Q3: What’s the best Ayurvedic ingredient for pain?

Wintergreen, menthol, and camphor are excellent for external relief. Shallaki and Ashwagandha work well internally.

Q4: Can chronic pain be managed without pills?

Yes, through diet, exercise, herbs, oils, and stress management.

Conclusion: From Suffering to Soothing, the Indian Way

Pain—whether from old injuries, arthritis, or daily wear and tear—doesn’t always need to be numbed with pills. Indian wisdom shows us a different way: one of balance, routine, and gentle healing.

Like Vijay, you don’t have to choose between allopathy and Ayurveda. You can blend both—using painkillers when needed, and oils, herbs, and lifestyle shifts for sustainable comfort.

🪔 Rediscover relief the Indian way. Breathe. Stretch. Oil. Heal.

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