Everyday first line
Paracetamol
The starting point for most aches, headaches and fever. Safe when you respect the daily limit, and that limit is real.
Read the guide →Pain & recovery
Pain relief
Most men treat pain with whatever the pharmacy counter hands over. Here's how to match the drug to the pain, and when to stop masking it and get it looked at.
1 in 5
Adults, chronic pain
3 months
When pain turns chronic
45 min
Private consult
TH·EN·ZH
Spoken here
Medically reviewed by Dr. Noppon Arunkajohnsak (Win)
MOPH-licensed clinic
4.6 from 158 Google reviews
92% five-star ratings
Private & confidential
Signs
Pain that lingers after an injury has healed
Morning stiffness in the back or joints
Burning, tingling or shooting pain
Pain that wakes you at night
Reaching for painkillers most days
Common causes
Muscle and joint strain from training or desk work
Back and neck problems
Arthritis and gout flares
Nerve irritation or compression
Old injuries that never fully settled
When to see a doctor
Pain has lasted more than a few weeks
Pharmacy painkillers aren't working anymore
You're taking them daily just to function
Pain comes with numbness, weakness or fever
You want the right drug, not just a stronger one
Understanding the condition
The right painkiller for the job
Pain isn't one thing. A pulled muscle, an inflamed joint and an irritated nerve are different problems, and they respond to different drugs. In Thailand almost everything sits within reach at a pharmacy counter, so most men treat themselves by trial and error.
That's where it goes wrong. Anti-inflammatories taken daily for weeks wear on the stomach and kidneys. Paracetamol has a hard daily ceiling. Nerve pain barely responds to either. Matching the drug to the mechanism matters far more than the brand on the box.
A short consult sorts the pain by type, rules out anything that shouldn't be masked, and ends with a plan: the right drug, the right dose, and a clear point where you stop taking it.
Most men come in asking for something stronger. Usually what they need is something different.
Our solutions for pain relief
Matched to the type of pain
We work out what's driving the pain first, then pick the right tool for it. Each links to the full guide.
Inflammation
Ibuprofen
An anti-inflammatory for sprains, strains and inflamed joints. Best in short courses, taken with food.
Read the guide →Prescription NSAID
Etoricoxib
A once-daily anti-inflammatory that's easier on the stomach. Often used for gout flares, arthritis and back pain.
Read the guide →Nerve pain
Gabapentin
For burning, shooting nerve pain that ordinary painkillers barely touch. Doses build up gradually under supervision.
Read the guide →Swelling & bruising
Escin (Reparil)
A plant-derived tablet and gel for post-injury swelling and bruising, used alongside rest and ice.
Read the guide →Your journey
What happens when you come in
1. Private consult
45 minutes, one to one. Bring everything you've been taking, prescribed or pharmacy-bought, and the history of how the pain started.
2. Find the cause
Examination, and bloods or an imaging referral where needed, so we treat what's driving the pain rather than just the signal.
3. Your plan
The right drug at the right dose, with honest talk about side effects and a clear stop point. You decide, never pressured.
4. Same doctor follow up
A scheduled review with the doctor who saw you, so the plan gets adjusted or stopped, not repeated on autopilot.
Meet the doctors
Who you'll see
Young, specialized and highly experienced, trained internationally. The same doctor from consult to follow-up.
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What our patients say
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Book your consultation today.
Medication guidance
“In Thailand you can buy almost anything over the counter but that does not mean you should. Having Dr. Win properly prescribe and dose my medication gives me confidence it is both safe and effective.”
Pierre L. · Verified patient review
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Frequently asked questions
Which painkiller should I take for back pain?
It depends on what's driving it. Muscular back pain usually settles with a short anti-inflammatory course and movement; pain shooting down the leg points to a nerve, which needs a different approach entirely. One consult sorts out which you have.
Is it safe to take ibuprofen every day?
Not for long stretches without supervision. Daily NSAID use wears on the stomach lining, kidneys and blood pressure. If you're reaching for it most days, that's the signal to get the pain assessed rather than keep covering it.
The pharmacy tablets stopped working. Do I just need something stronger?
Usually not. Pain that stops responding is often the wrong drug class for the job, not an underdosed one. Nerve pain, for example, barely responds to standard painkillers at any dose. The fix is matching the mechanism, and sometimes treating the cause instead.
How is nerve pain different from normal pain?
Nerve pain burns, tingles or shoots like electricity, often into an arm or leg, and it largely ignores paracetamol and anti-inflammatories. It's treated with a different class of medication, started low and built up gradually with a doctor watching.
When is pain a red flag I shouldn't mask?
Pain with fever, numbness or weakness, unexplained weight loss, pain that wakes you every night, or pain after significant trauma all need a doctor promptly. Painkillers can hide a problem that's getting worse, which is exactly when you want it found.
Get the right painkiller for the job
Get the right
painkiller for the job
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