Pain and Hashimoto’s

Most people will experience pain on some level. Chronic conditions are illnesses that last a long time, like migraines or joint pain. Anxiety disorders are when someone feels worried or nervous most of the time. Sometimes people have tummy aches that come and go.

Pain disorders are complicated and have many different possible treatments because there can be many different root causes. There are various reasons why a person may be in pain. For example, they may have an injury, migraines, a structural abnormality, nerve damage, fibromyalgia, an autoimmune process, or be sensitive to their environment.

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The type of pain that is often associated with Hashimoto's is chronic pain which is often the result of inflammation. When inflammation arises, specific pathways are activated, releasing molecules such as histamine, prostaglandins, and/or eicosanoids, all of which create the sensation of pain. 


The body's immune system is responsible for protecting against foreign invaders, such as bacteria and viruses. Sometimes, the immune system can mistake healthy cells for foreign invaders. When this happens, it causes an autoimmune reaction, where the body attacks itself. Autoimmune diseases can be very serious and life-threatening.

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Treatments for Pain caused by Hashimoto’s

While pain may have various root causes, the most common approach to treating it is through surgery and pharmaceutical pain medications. Some types of pain may require physical rehabilitation and other helpful treatments, but these are common.


The use of opiate medications is a source of constant debate. On the one hand, they can be abused and lead to addiction and health problems. On the other hand, the terminally ill or seriously injured often require opiates which play an important role in the relief of severe pain.


Nonsteroidal anti-inflammatory drugs (NSAIDs) are often the first line of treatment for pain. They help reduce pain and inflammation by preventing an enzyme called cyclooxygenase (COX) from producing hormone-like chemicals called prostaglandins, one of the biggest causes of inflammation in the body.

Unfortunately, they are associated with many side effects, especially intestinal dysfunction that increases the risk of ulcers. Sometimes NSAIDs can be very helpful for short-term use, such as for headaches or acute injuries. The longer you use it, the more likely you are to experience side effects.

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Sometimes surgery is needed to relieve the pain. However, it is more likely to be used for acute pain (such as a broken bone) than chronic pain. It is often difficult to determine the cause of chronic pain. Surgeons cannot operate unless they know what they are doing. 


However, the cause of the pain can be identified and surgery is sometimes an option and is usually used as a last resort when other solutions have failed. An example of this is a herniated (ruptured) vertebral disc that compresses the sciatic nerve causing chronic sciatica. 

Surgery may be done to remove part of the damaged disc (called a discectomy) to reduce pressure and cause chronic pain. In some cases, surgery may be the best option, but there are many risks associated with surgery and invasive procedures. These include permanent physical damage, psychological distress, and loss of time, money, and productivity.


In some cases, steroids may be used to reduce pain. Many steroids are synthetic forms of cortisone (a hormone produced naturally by the adrenal glands) and include prednisone, methylprednisolone, prednisone, dexamethasone, and hydrocortisone. It comes in a variety of forms, including tablets, topical creams, and injectables. Steroids reduce inflammation by reducing the production of anti-inflammatory chemicals to reduce tissue damage. This can be particularly helpful in conditions such as rheumatoid arthritis, where chronic inflammation causes severe swelling of the tissues around the joint. However, like all drugs, steroids have negative side effects, and these side effects increase with increasing dosage. That being said, most of the negative effects of steroid use come from long-term use for chronic pain management.

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Root Cause of Pain

Let’s have a deeper look at the root cause of pain. Thyroid disease involves inflammation of the thyroid gland; inflammation is always a factor in Hashimoto's disease. When inflammation occurs, the body's white blood cells release chemicals into the damaged tissue to protect the body from being perceived as foreign. In autoimmune diseases, the body sees and attacks parts of its own body as foreign invaders, causing inflammation.

In Hashimoto's disease, in most cases, the body attacks its own thyroid cells, and the inflammation is not limited to the thyroid gland and can occur anywhere in the body. In Hashimoto's disease, inflammation is often the cause, and reducing inflammation in our body always helps reduce pain and healing. NSAIDs reduce the inflammation for a short period of time but do not eliminate the cause and the pain returns.

Instead, there are several natural approaches that have been proven to be effective without unwanted side effects. Most of these treatments target the cause of the inflammation and can completely eliminate the pain.


In some cases, nutritional deficiencies can be the cause of pain, and supplementation with key nutrients can be of great help in treating pain and reducing inflammation. Common nutrient deficiencies associated with pain include:



People with Hashimoto's disease are at risk for magnesium deficiency, which can cause a variety of symptoms such as headaches, joint pain, leg and arm cramps, and menstrual cramps.

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Omega-3 fatty acids

Omega-3 fatty acids are powerful allies for many conditions related to pain, intestinal permeability and inflammation. Omega-3 fatty acids also help manage the oxidative stress that accompanies the chronic inflammation often associated with Hashimoto's disease.

B vitamins

A variety of B vitamins can help with different types of pain. B12 can help with neuropathic pain in high doses of 40 mg per day. Vitamin B6 or its active form, P5P, relieves carpal tunnel syndrome in doses of 100-200 mg/day, and vitamin B1 (thiamine) in high doses of 600-1800 μm/day helps with fibromyalgia pain.

Supplements for Pain

Apart from it, here are a few supplements for pain:

  • Turmeric 
  • Boswellia
  • Betaine with pepsin
  • Wobenzym
  • Neurotransmitter support 

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For people with Hashimoto's disease, pain can have many causes, but identifying the cause and addressing the cause can help relieve the pain. For many people, this comes in the form of dietary changes that allow the body to heal itself. However, some natural supplements and treatment tactics can bring relief along the way.

You won't be trapped in a miserable life and you won't suffer from the side effects of addictive drugs. Many natural pain management solutions can help you feel better and live your life.




Suffering from a chronic disease like thyroid, gut problem, weight issues, autoimmune issues, etc... is not easy. Dr. Gupta is a certified Functional Medicine Physician and his personalized plans have helped thousands of people to reclaim their health back.

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