The Evolution of Painful Treatments: When Medicine Meets Misery

The evolution of painful treatments is a tragic yet fascinating tale that reflects humanity’s ongoing struggle to understand and control the human body. Throughout history, medicine has been a means of healing and a source of immense suffering.
While many treatments from ancient times to the modern era have been groundbreaking and life-saving, others have inflicted unimaginable pain on patients. This evolution—from ancient practices to modern methodologies—illustrates the agony of ancient treatments and the constant push for improvement in medical science.
However, it also reveals a darker side, a story of abuse, torture, corruption, and murder, that reminds us how far we’ve come—and how far we still need to go.
The Agony of Ancient Treatments
Before modern medicine provided pain relief or a structured understanding of the human body, early humans used various historical therapeutic techniques to treat ailments. These methods were often rooted in superstition, trial and error, or a desire to control the body’s mysterious ailments. Many treatments were not only ineffective but also excruciating, and they often caused more harm than good.
One of the most brutal practices of early medicine was trepanation, the act of drilling or cutting a hole into a patient’s skull. This procedure, which dates back thousands of years, was believed to release evil spirits or relieve conditions like headaches and mental illness. The physical pain endured during trepanation was only compounded by the dangers of infection and blood loss, making it a hazardous and painful treatment.

Photo by National Library of Medicine on Unsplash
Some survived, but many did not, highlighting the evolution of painful treatments and the grave consequences of medieval medical practices.
Similarly, bloodletting became widespread during the Middle Ages as a method of curing nearly every ailment.
Based on the misguided belief that diseases were caused by an imbalance in the body’s humors, bloodletting involved draining blood from the patient, often with leeches or lancets.
The Torture of Surgical Procedures in the Pre-Anesthesia Era
As medical knowledge began to advance, surgery emerged as a more common form of treatment. However, until the 19th century, surgery was performed without anesthesia, making it one of the most painful medical practices in history.
The evolution of painful treatments during this period is marked by the shocking lack of pain management, which forced patients to endure unbearable agony during even the most straightforward procedures.
In the 16th century, when barber-surgeons performed operations like amputations and tooth extractions, they often used rudimentary tools and crude techniques. For example, amputations were common in wartime and usually performed in unsanitary conditions. Patients were held down while the surgeon cut through bone and tissue, sometimes without any form of numbing. The absence of anesthesia meant that patients had to endure excruciating pain that today is unimaginable.
Even after the advent of anesthesia in the mid-19th century, which revolutionized surgery and relieved countless patients, the legacy of these historical treatments that caused suffering remained. It took centuries of trial, error, and mistakes before medicine realized that pain relief was as significant as the treatment itself. Still, the history of medical procedures is deeply marked by the persistent evolution of painful treatments.
The Role of Corruption and Power in Medical History
The evolution of medicine and misery took a dark turn when medical practices became intertwined with corruption and the abuse of power. During specific periods, rulers, doctors, and even religious authorities used medicine and medical treatment to control, manipulate, or punish people. The story of abuse, torture, corruption, and murder is a disturbing but essential part of medical history that often goes unexamined.
The history of insane asylums is grim; they were initially meant to house individuals with mental illness. Grand buildings, overcrowding, untrained staff, and corrupt management initially led to neglect and squalor. As patient numbers grew, state funding couldn’t keep up, and by the 1980s, many hospitals closed.
Asylum Scandals explores the dark history of Minnesota’s oldest state hospitals, St. Peter (1866) and Rochester (1879), revealing inhumane treatments like straitjackets, hydrotherapy, shock therapy, and lobotomies. The book sheds light on the tragic lives of patients, many of whom were committed involuntarily and never released, with many darker secrets left untold.
The Evolution of Painful Treatments in Modern Times
Despite the long history of suffering caused by medical treatments, modern medicine has made significant strides in alleviating pain and improving the efficacy of treatments.
Today, many procedures that were once incredibly painful have been refined, with anesthesia, pain management techniques, and minimally invasive procedures making treatments more bearable.
However, while modern treatments have evolved significantly, certain aspects of the evolution of painful treatments are still with us. Chemotherapy, for example, is a cancer treatment that can cause intense discomfort, nausea, and fatigue.
While effective in fighting cancer, the side effects are a reminder of how modern treatments still often require patients to endure considerable pain and suffering in the pursuit of healing.
Yet, compared to the barbaric practices of the past, today’s treatments represent a significant advancement in medical care and pain management.
Moreover, the evolution of medicine and misery continues as medical research uncovers more about the human body, seeking better ways to treat disease without causing harm. While new treatments emerge, we must remain mindful of the lessons of history and ensure that ethical standards guide modern medicine.
A Painful Journey Toward Progress
The evolution of painful treatments is a journey marked by suffering and progress. From ancient practices like trepanation and bloodletting to painful surgeries before anesthesia, early medicine was fraught with agony.

Photo by JAFAR AHMED on Unsplash
However, these hardships led to new knowledge and medical advancements we now take for granted. While we now view these methods with horror, they paved the way for modern, more compassionate care.
As medicine continues to evolve, we must remain mindful of the past. We must ensure that future treatments prioritize compassion and minimize suffering, avoiding the costly mistakes of earlier practices.
If you want to learn some history about unethical and painful treatments, you can grab a copy of Patricia Lubeck’s Asylum Scandals today!

Patricia Lubeck
I'm Patricia Lubeck, a true crime author specializing in Minnesota's historical narratives. I uncover dark secrets with meticulous research, crafting captivating tales of murder and mystery. I fuel my passion through exploring national parks and historic sites.Follow me on Facebook , Twitter, YouTube
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