The Ultimate Guide to Ayurvedic Treatment for Muscle Pain ๐ฟ

Introduction: Unlocking Ancient Secrets to Soothe Modern Muscle Pain ๐โโ๏ธ
That persistent ache in your neck after a long day staring at a screen, the nagging lower back pain from your daily commute through city traffic, or the sharp muscle soreness that follows a weekend cricket matchโthese are familiar feelings for many of us in modern India. We often reach for a quick painkiller, treating the pain as a mere inconvenience to be silenced. But what if that pain isn’t just an annoyance? What if it’s a signal from your body, a message that something deeper is out of balance? ๐ค
For over 5,000 years, Ayurveda, the ancient Indian “science of life,” has viewed the body through this holistic lens. It teaches that to find lasting relief, we must look beyond the symptom and address the root cause of our discomfort. This is where ayurvedic treatment for muscle pain differs fundamentally from a temporary fix. It doesn’t just mask the pain; it seeks to understand why the pain is there in the first place and restore the body’s natural state of harmony.
This comprehensive guide will walk you through Ayurveda’s profound approach to ayurvedic treatment for muscle pain. You will discover a powerful toolkit of time-tested solutionsโfrom potent herbal remedies and healing therapeutic oils to nourishing foods and mindful lifestyle adjustments. Prepare to unlock a path to not just pain relief, but to a more balanced, vibrant, and pain-free life. โจ
Learn more about the foundations of Ayurvedic medicine at the National Ayurvedic Medical Association
The Ayurvedic Diagnosis: Understanding Why Your Muscles Really Ache ๐
In Ayurveda, the concept of health is simple yet profound: balance. The human body is governed by three fundamental bio-energies, or doshasโVata, Pitta, and Kapha. These doshas, formed from the five elements (Ether, Air, Fire, Water, and Earth), are responsible for all physiological and psychological functions in the body. When they are in equilibrium, we experience health. When they are imbalanced, we experience disease, or Vikriti. Ayurvedic treatment for muscle pain focuses on identifying and correcting these imbalances.
Meet the Culprit: Aggravated Vata Dosha โก
At the heart of most muscle pain lies an aggravation of Vata dosha. Composed of the elements Air and Ether, Vata is the principle of movement. It governs everything from the blinking of your eyes and the circulation of your blood to the firing of nerve impulses and the contraction of your muscles.
Vata’s inherent qualities are dry, light, cold, rough, and mobile. When Vata increases in the body due to factors like stress, an erratic routine, cold weather, or improper diet, these qualities begin to manifest physically. The tissues can become dry, circulation becomes impaired, and the nervous system goes into overdrive. When this aggravated Vata settles in the muscles (Mamsa Dhatu), ayurvedic treatment for muscle pain becomes essential to address the classic symptoms:
- Stiffness and Tightness ๐: Caused by the cold and dry qualities
- Spasms and Twitching โก: A result of Vata’s mobile and erratic nature
- Sharp, Radiating, or Shifting Pain ๐: The light and mobile qualities cause pain that is not fixed in one place
This specific condition is known in the classical texts as Mamsa Gata Vata, which literally translates to “Vata that has lodged in the muscles”.
Discover more about doshas and Ayurvedic principles at Ayurveda.com
The Accomplice: Ama (Metabolic Toxins) โ ๏ธ
While Vata is the primary driver, it often has a partner in crime: Ama. In ayurvedic treatment for muscle pain, understanding Ama is crucial. The strength of your digestion is paramount to your health. This digestive power is called Agni, or the digestive fire. A strong Agni efficiently metabolizes food into nourishment for the tissues. However, a weak Agniโoften compromised by stress, irregular meals, processed foods, or ice-cold drinksโleaves behind a sticky, undigested residue. This toxic substance is known as Ama.
This Ama is not inert; it circulates throughout the body and clogs the micro-channels (srotas). It eventually settles in weaker areas, such as the muscles and joints, where it causes inflammation, stiffness, swelling, and a distinct feeling of heaviness and fatigue.
The ayurvedic treatment for muscle pain recognizes two primary pathways through which Vata can cause muscular distress:
- Depletion of tissues (Dhatukshaya) ๐: Often caused by overexertion, stress, or poor nutrition
- Obstruction (Srotorodha) ๐ง: Where channels are blocked by Ama
This distinction is critical for effective ayurvedic treatment for muscle pain because it informs the treatment strategy.
Nature’s Pharmacy: Potent Ayurvedic Herbs for Muscle Relief ๐ฟ๐
Ayurvedic treatment for muscle pain offers a rich repository of herbs that possess powerful anti-inflammatory (Shothahara) and pain-relieving (Shoolahara) properties. These herbs work holistically to not only reduce pain but also to pacify Vata, digest Ama, and strengthen the muscle tissues from within.
Ashwagandha (Withania somnifera) – The Muscle Strengthener ๐ช
Often called “Indian Ginseng,” Ashwagandha is a premier rejuvenating herb (Rasayana) in ayurvedic treatment for muscle pain. It is an adaptogen, meaning it helps the body build resilience to physical and mental stressโa primary cause of Vata aggravation. Its potent anti-inflammatory properties soothe aching muscles, while its nourishing nature helps rebuild tissue strength.
Modern research shows that Ashwagandha can lower levels of the stress hormone cortisol, which is known to break down muscle tissue, and it helps speed up muscle recovery by boosting the body’s antioxidant activity.
Best for: Muscle pain linked to stress, weakness, fatigue, and recovery after exercise. ๐๏ธโโ๏ธ
Learn more about Ashwagandha research at PubMed
Guggulu (Commiphora wightii) – The Deep Detoxifier ๐งน
Guggulu is a resin from the Mukul myrrh tree and is one of the most powerful detoxifying herbs in ayurvedic treatment for muscle pain. It is renowned for its unique scraping (Lekhana) quality, which allows it to clear deep-seated Ama and cholesterol from the tissues. It is a potent anti-inflammatory that is particularly effective for joint health, pacifying both Vata and Kapha doshas.
The active compound, guggulsterone, works by inhibiting inflammatory pathways in the body, purifying the blood, and scraping away the toxins that cause stiffness and pain.
Best for: Muscle and joint pain characterized by stiffness, swelling, and a feeling of heaviness. ๐ชจ
Shallaki (Boswellia serrata) – The Inflammation Soother ๐ง
Also known as Indian Frankincense, Shallaki is a powerful herbal resin celebrated in ayurvedic treatment for muscle pain for its ability to reduce inflammation and pain without the gastrointestinal side effects of many modern painkillers. It also functions as a muscle relaxant, easing tension and improving mobility.
The active compounds, boswellic acids, work by blocking the production of inflammation-causing enzymes in the body. Furthermore, Shallaki helps improve blood supply to the joints and muscles, aiding in the repair of tissues damaged by chronic inflammation.
Best for: Pain related to arthritis, chronic inflammation, and conditions involving stiff, swollen, and painful muscles. ๐ฆด
Nirgundi (Vitex negundo) – The Spasm Reliever โก
Nirgundi, or the Five-Leaved Chaste Tree, is a highly effective herb in ayurvedic treatment for muscle pain. Its potent anti-inflammatory, antioxidant, and analgesic (pain-relieving) properties make it a go-to remedy for muscle spasms, cramps, and stiffness. It is particularly effective when used in the form of a medicated oil.
Best for: Acute muscle spasms, cramps, nerve-related pain like sciatica, and general muscular stiffness. ๐
Turmeric (Curcuma longa) – The Golden Healer โจ
No discussion of ayurvedic treatment for muscle pain is complete without mentioning Turmeric, or Haldi. This golden spice is a cornerstone of both Indian kitchens and Ayurvedic medicine. Its primary active compound, curcumin, is a powerful anti-inflammatory and antioxidant.
Curcumin works by blocking inflammatory pathways and enzymes in the body, and studies have shown its efficacy to be comparable to that of ibuprofen for reducing pain and inflammation. It is also excellent for promoting muscle recovery after strenuous exercise.
Best for: General inflammatory pain, muscle soreness from physical activity, and as a daily dietary supplement. ๐โโ๏ธ
Research more about turmeric’s benefits at National Center for Complementary and Integrative Health
๐ Your Quick Guide to Ayurvedic Pain-Relieving Herbs
Herb (Sanskrit & Common Name) | Primary Action | Best For (Type of Pain) | Common Forms of Use |
---|---|---|---|
Ashwagandha (Withania somnifera) | Muscle Strengthener, Adaptogen, Anti-inflammatory | Pain from stress, fatigue, weakness, post-exercise soreness | Powder (with warm milk or water), Capsules/Tablets |
Guggulu (Commiphora wightii) | Detoxifier, Anti-inflammatory, Vata & Kapha Pacifying | Pain with stiffness, swelling, and heaviness (Ama-related) | Tablets (Vati), Resin |
Shallaki (Boswellia serrata) | Potent Anti-inflammatory, Muscle Relaxant | Arthritis-related pain, chronic inflammation, stiffness | Capsules/Tablets, Resin |
Nirgundi (Vitex negundo) | Analgesic, Anti-spasmodic, Anti-inflammatory | Muscle spasms, cramps, nerve pain, acute stiffness | Medicated Oil (Tailam) for external massage, Leaf Poultice |
Turmeric (Curcuma longa) | Anti-inflammatory, Antioxidant, Digestive Aid | General inflammatory pain, exercise-induced soreness | Powder (in food, milk), Capsules/Tablets |
โ ๏ธ Disclaimer: Always consult a qualified Ayurvedic practitioner before starting any new herbal supplement to ensure it is appropriate for your specific condition and constitution (Prakriti).
The Healing Touch: Powerful External Therapies You Can Do at Home ๐ ๐โโ๏ธ
In ayurvedic treatment for muscle pain, external therapies (Bahya Chikitsa) are considered profound treatments. Applying medicated oils and pastes is not just a surface-level remedy; it is a primary method of delivering medicine directly into the deeper tissues (dhatus), pacifying the dry, cold qualities of Vata, and soothing the entire nervous system.
The Magic of Medicated Oils (Tailam) ๐งดโจ
Ayurvedic treatment for muscle pain relies heavily on medicated oils, which are complex formulations where herbs are slowly decocted into a base oil (usually sesame), infusing it with their medicinal properties. Two of the most celebrated oils are:
Mahanarayan Tailam ๐: This is a rich, warming, and deeply nourishing oil, often called the “great nourishing oil.” It is a complex blend of dozens of Vata-pacifying herbs like Ashwagandha, Turmeric, Bala, and Guggulu in a sesame oil base. It is exceptionally effective for relieving chronic joint and muscle stiffness, supporting recovery from fatigue, and strengthening the musculoskeletal system.
Dhanwantaram Thailam ๐จโโ๏ธ: Named after the celestial physician, Lord Dhanwantari, this oil is a versatile and potent Vata-pacifying remedy in ayurvedic treatment for muscle pain. It is excellent for treating a wide range of neuromuscular conditions, including muscular weakness, paralysis, and various pain disorders.
Mastering Abhyanga: The Ultimate Ayurvedic Self-Massage ๐
Abhyanga is the cornerstone of ayurvedic treatment for muscle pain and Ayurvedic self-care. The Sanskrit word for oil is Sneha, which also means “love.” Therefore, Abhyanga is not just a massage; it is a profound practice of anointing the body with oil, an act of self-love that calms the nervous system, nourishes the tissues, improves circulation, and helps mobilize Ama from the tissues to be eliminated.
How to Perform a Vata-Pacifying Self-Massage: ๐
- Warm the Oil ๐ฅ: Gently warm about 1/4 cup of Mahanarayan, Dhanwantaram, or plain organic sesame oil by placing the bottle in a cup of hot water. The oil should be comfortably warm, not hot.
- Prepare Your Space ๐: Sit or stand on an old towel in a warm, draft-free room, like a bathroom.
- Start with the Head ๐ง : Apply a small amount of oil to the crown of your head and massage in gentle, circular motions. The scalp has many nerve endings and is an important site for calming Vata.
- Move to the Body ๐ช: Use long, sweeping strokes on your limbs (arms and legs) and circular motions on your joints (shoulders, elbows, knees, ankles).
- Massage the Torso ๐ซ: Use large, clockwise circular motions over the abdomen to support healthy digestion. Use gentle circular strokes over the chest and heart area.
- Don’t Forget the Feet ๐ฆถ: Spend extra time massaging the soles of your feet, which contain vital energy points (marma points) that connect to the entire body.
- Rest and Absorb ๐งโโ๏ธ: Allow the oil to soak into your skin for at least 15-20 minutes. This is a perfect time for quiet meditation or deep breathing.
- Warm Bath or Shower ๐ฟ: Take a warm bath or shower. Use a mild soap only on necessary areas, allowing a light layer of oil to remain on the skin.
Learn proper Abhyanga techniques from Maharishi Ayurveda
Simple At-Home Treatments for Targeted Relief ๐ฏ
Lepa (Herbal Paste Application) ๐ฅ: This is a simple yet highly effective ayurvedic treatment for muscle pain for localized pain and inflammation. A thick paste of herbs is applied to the affected area, drawing out heat and toxins.
DIY Ginger-Turmeric Lepa Recipe ๐จโ๐ณ:
- Mix 1 tablespoon of dry ginger powder and 1 tablespoon of turmeric powder
- Add enough warm water to form a thick, spreadable paste
- Apply over the sore muscle or joint
- Let it dry for 30-45 minutes, then gently wash off with warm water
Swedana (Herbal Steam Therapy) ๐จ: Swedana is the practice of inducing sweat to open the body’s channels, liquefy Ama, reduce stiffness, and help the medicinal oils from Abhyanga penetrate deeper into the tissues – a key component of ayurvedic treatment for muscle pain.
Simple Localized Swedana ๐ฅ:
- After applying oil to a painful area, fill a hot water bottle and wrap it in a thin towel
- Place it on the affected area for 10-15 minutes
- Alternatively, dip a towel in hot water infused with ginger powder, wring it out, and use as a hot compress
Eat to Heal: The Ultimate Vata-Pacifying Diet & Lifestyle ๐ฝ๏ธ
In ayurvedic treatment for muscle pain, there is no separation between food and medicine. To pacify the dry, cold, and light qualities of Vata, your diet must provide the opposing qualities: it should be warm, moist, oily, grounding, and deeply nourishing. The three tastes that bring Vata back into balance are sweet, sour, and salty.
A critical element often overlooked in modern dietary advice is the connection between digestion and pain. The entire Vata-pacifying diet used in ayurvedic treatment for muscle pain is designed not just to provide certain nutrients but to strengthen your digestive fire, Agni. A strong Agni prevents the formation of Ama, the metabolic toxin that is a primary contributor to inflammatory pain and stiffness.
๐ The Vata-Balancing Food Guide
Food Category | Foods to Favor (Vata-Pacifying) ๐ | Foods to Avoid or Limit (Vata-Aggravating) ๐ |
---|---|---|
Vegetables | Cooked, warm, and oily. Asparagus, beets, carrots, cucumber, green beans, okra, sweet potatoes, pumpkin, zucchini, cooked spinach | Raw, cold, or dry. Broccoli, Brussels sprouts, cabbage, cauliflower, leafy greens (raw), peppers, white potatoes, raw onions, corn |
Fruits | Sweet, ripe, and moist. Cooked apples, ripe bananas, berries, cherries, dates, figs, grapes, mangoes, oranges, peaches, plums | Dry, unripe, or astringent. Raw apples, cranberries, pears, pomegranates, dried fruits (unless soaked), watermelon |
Grains | Cooked, warm, and mushy. Basmati rice, brown rice, cooked oats, quinoa, wheat | Light, dry, or rough. Barley, buckwheat, corn, millet, dry oats, granola, crackers, rice cakes, yeasted bread |
Legumes | In moderation, well-cooked, and spiced. Mung beans, red lentils, toor dal, tofu (warm) | Gas-forming and hard to digest. Black beans, chickpeas, kidney beans, brown lentils, pinto beans |
Dairy | Warm and full-fat. Ghee, warm milk, buttermilk, fresh paneer, yogurt (fresh, not cold) | Cold or powdered. Ice cream, frozen yogurt, powdered milk |
Nuts & Seeds | In moderation, soaked or as butter. Almonds, cashews, walnuts, pecans, pumpkin seeds, sesame seeds, sunflower seeds | Popcorn |
Oils | Warming and nourishing. Sesame oil, ghee, olive oil, almond oil, coconut oil | Corn oil, soy oil, margarine |
Sweeteners | Natural and in moderation. Jaggery, raw honey (never cooked), maple syrup, date sugar | White sugar, artificial sweeteners |
Spices | Warming and digestive. Ginger, cumin, coriander, cardamom, cinnamon, fennel, turmeric, black pepper, asafoetida (hing) | Excessively pungent or drying spices like cayenne pepper or chili powder in large amounts |
Find more Ayurvedic dietary guidelines at The Ayurvedic Institute
Your Ayurvedic Daily Routine (Dinacharya): A Blueprint for a Pain-Free Life ๐
For effective ayurvedic treatment for muscle pain, routine is medicine. Vata thrives on predictability and is easily thrown off by erratic schedules. A consistent daily routine, or Dinacharya, is the single most effective way to ground Vata’s mobile energy and calm the nervous system.
Morning (6 AM – 10 AM) ๐ :
- Wake up around the same time each day, preferably before sunrise
- Start with a glass of warm water to cleanse the system
- Perform cleansing rituals like tongue scraping and oil pulling
- Daily Abhyanga (self-massage), followed by a warm shower
- Engage in gentle exercise like yoga or a calm walk
- Eat a warm, grounding breakfast like porridge or cooked oats
Mid-Day (10 AM – 2 PM) โ๏ธ:
- This is when your digestive fire (Agni) is at its peak
- Make lunch your largest meal of the day
- Eat in a calm, settled environment without distractions
Evening (6 PM – 10 PM) ๐:
- Wind down your activities as the day ends
- Eat a light, warm, and easily digestible dinner
- Avoid screens and stimulating conversations before bed
- Gentle foot massage with warm sesame oil for better sleep
Mindful Movement: Yoga and Breathwork for Lasting Relief ๐งโโ๏ธ
In ayurvedic treatment for muscle pain, exercise is not about pushing your limits but about mindful movement that balances the doshas. For Vata-related muscle pain, the goal is to gently stretch, improve circulation, release tension, and calm the overactive nervous system. Yoga and Pranayama (breathwork) are perfect tools for this comprehensive approach to ayurvedic treatment for muscle pain.
Yoga Asanas to Release Muscle Tension ๐คธโโ๏ธ
Practice these poses slowly and mindfully, coordinating your movement with your breath as part of your ayurvedic treatment for muscle pain routine:
Child’s Pose (Balasana) ๐ง: This resting pose gently stretches the lower back, hips, and thighs while calming the brain and relieving stress. Kneel on the floor, sit back on your heels, and fold forward, resting your forehead on the floor.
Cat-Cow Pose (Marjaryasana-Bitilasana) ๐ฑ๐: An excellent dynamic movement for warming up and increasing the flexibility of the entire spine. Start on your hands and knees. As you inhale, drop your belly and look up (Cow). As you exhale, round your spine and tuck your chin to your chest (Cat).
Cobra Pose (Bhujangasana) ๐: A gentle backbend that strengthens the back muscles, increases spinal flexibility, and can relieve stiffness in the back and shoulders. Lie on your stomach, place your hands under your shoulders, and gently lift your head, chest, and shoulders off the floor.
Legs-Up-The-Wall Pose (Viparita Karani) ๐ฆต: This deeply restorative pose is wonderful for calming the nervous system and relieving tired, aching legs and feet. Lie on your back with your sitting bones as close to a wall as possible, and extend your legs straight up the wall.
Learn proper yoga techniques from qualified instructors at Yoga Alliance
Pranayama for Pain Management ๐ฌ๏ธ
Conscious breathing is a direct line of communication with your nervous system and an essential part of ayurvedic treatment for muscle pain. By controlling the breath, you can shift your body out of the stress-induced “fight-or-flight” state and into the healing “rest-and-digest” state.
Alternate Nostril Breathing (Nadi Shodhana) ๐: This is a simple yet profoundly balancing breathing technique that calms the mind and soothes the nervous system:
- Sit comfortably with your spine straight
- Rest your left hand on your left knee
- Bring your right hand up to your nose, folding index and middle fingers down
- Close your right nostril with your right thumb and exhale through your left nostril
- Inhale slowly through the left nostril
- Close your left nostril with your ring finger, release your thumb, and exhale through the right
- Continue for 5-10 rounds, keeping your breath smooth and even
Your Questions Answered: An Ayurvedic Pain Relief FAQ โ
Navigating ayurvedic treatment for muscle pain can bring up questions. Here are answers to some of the most common queries:
Q1: How long does ayurvedic treatment for muscle pain take to show results? โฐ
A: The timeline for ayurvedic treatment for muscle pain varies greatly from person to person. For acute pain, such as a muscle strain, you might feel significant relief after just a few applications of medicated oil or a Lepa. For chronic pain that has been present for months or years, a more sustained approach is needed. While you may notice improvements within a few weeks of consistent dietary changes and herbal support, the deeper goal of ayurvedic treatment for muscle pain is to address the root imbalance, which can take several months.
Q2: Are Ayurvedic medicines for pain safe? Do they have side effects? ๐ก๏ธ
A: When prescribed by a qualified Ayurvedic practitioner (Vaidya), ayurvedic treatment for muscle pain is generally considered very safe and well-tolerated. However, this safety relies on a proper diagnosis of your unique constitution (Prakriti) and current imbalance (Vikriti). Self-prescribing herbs can be risky, as a remedy that is balancing for one person could be aggravating for another.
Q3: Can I use ayurvedic treatment for muscle pain alongside my regular medication? ๐
A: Yes, ayurvedic treatment for muscle pain can serve as an excellent complementary therapy to conventional medicine. Many people find that incorporating Ayurvedic practices like Abhyanga, diet, and yoga helps manage their pain more effectively and may even reduce their reliance on painkillers over time. Always keep both your allopathic doctor and Ayurvedic practitioner informed about all treatments you are taking.
Q4: Is ayurvedic treatment for muscle pain only for chronic conditions? ๐ฅ
A: Ayurvedic treatment for muscle pain is highly effective for both acute and chronic conditions. For acute injuries like a muscle pull or sprain, specific therapies can provide rapid relief. Applying cooling pastes (Lepa) and using specialized oils like Murivenna can quickly reduce pain, swelling, and inflammation. For chronic pain, ayurvedic treatment for muscle pain excels at correcting long-standing doshic imbalances.
Q5: Do I have to become vegetarian for ayurvedic treatment for muscle pain? ๐ฅ
A: This is a common myth about ayurvedic treatment for muscle pain. While a plant-based diet is often recommended for its ease of digestion, it is not a strict requirement for everyone. The primary goal is to eat foods that balance your specific dosha. For pacifying Vata in ayurvedic treatment for muscle pain, the emphasis is on warm, cooked, moist, and nourishing foods, which can include well-cooked, high-quality animal proteins in moderation.
Find qualified Ayurvedic practitioners through National Association of Ayurvedic Medicine
Conclusion: Your Journey to a Pain-Free Life Starts Now ๐
The ayurvedic treatment for muscle pain is a journey back to balance. It teaches us that true healing comes not from a single pill, but from harmonizing our entire system. The core strategy of ayurvedic treatment for muscle pain is clear: pacify the erratic energy of Vata and gently cleanse the body of metabolic toxins, or Ama. This is achieved through a beautiful symphony of supportive herbs, the loving touch of oil massage, nourishing and grounding foods, the stability of a daily routine, and the calming influence of mindful movement and breath. ๐ต
This comprehensive approach to ayurvedic treatment for muscle pain may seem overwhelming, but it doesn’t have to be. You don’t need to implement every suggestion overnight. Your journey with ayurvedic treatment for muscle pain can begin today with a single, simple step. Perhaps it’s swapping your cold morning drink for a warm cup of ginger tea โ. Maybe it’s taking five minutes before bed to massage your tired feet with warm sesame oil ๐ฆถ. Or perhaps it’s simply practicing a few rounds of deep, calming breaths when you feel stress and tension rising ๐ฌ๏ธ.
Each small, conscious choice in your ayurvedic treatment for muscle pain journey is a step toward restoring your body’s innate intelligence and reclaiming your natural state of health and vitality. โจ
Additional Resources for Ayurvedic Treatment for Muscle Pain ๐
- Ministry of AYUSH, Government of India – Official government resource for Ayurvedic information
- Central Council for Research in Ayurvedic Sciences (CCRAS) – Research and development in Ayurveda
- World Health Organization – Traditional Medicine – Global perspective on traditional medicine
- PubMed Central – Scientific research on Ayurvedic treatments
- American Association of Ayurvedic Medicine – Professional Ayurvedic practitioners in North America
This guide on ayurvedic treatment for muscle pain is for educational purposes only and should not replace professional medical advice. Always consult with qualified healthcare providers before starting any new treatment regimen for ayurvedic treatment for muscle pain. โ ๏ธ