I have chronic pain due to Arthritis and work injuries. OTC meds do not help. I take a very serious pain med. It is worse when I am super stressed or have a lot of anxiety going on...for those occasions, I do not add pain meds, I do meditations, walking, distractions... things to calm the anxiety... I know the difference, thank goodness, so am not prone to keep taking RX drugs that could cause serious problems with my over all health....
Since paying attention to my body is not usually priority, this has taught me to pay more attention to symptoms of anxiety....
Some topical analgesics help also... but I have not had a day pain free in many years... have just learned to live with it.