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For severe pain: opiates ie. morphine, codeine, oxycodone, hydromorphone etc. Or plain old opium if going for a more old school/medieval type approach to medicine. Mild pain: Asprin, Ibuprophen. Asprin is a derivative from certain trees, people used cocaine leaves in the past. How severe is “your pain” and what medicinal method would you like to use?

I don’t see why not. He could use even fentanyl if he had to (it is used in medicine sometimes). Analgesics (pain meds) basically block the pain signals in the brain or nervous system. There are tons of pain meds so that seems perfectly fine to me. Just, uh, watch your guy for physical dependence and addiction cause a fellow with that much psychological trauma could start going for the high instead of the pain relief. Unless, your world has pain drugs that don’t cause that type of problem, then cool. But yeah, totally realistic in my books.