Chronic Pain: One Jewish Perspective


Image: Woman walking through a cactus greenhouse. Photo by Unsplash on

Jewish tradition has a lot to say about suffering. The discussion begins with the book of Deuteronomy, in which Moses tells the people again and again that if they keep the commandments, all will be well, and if they sin, they will suffer for it.

As a person with chronic pain, my reaction to those texts ranges from annoyance to rage. If suffering is a punishment for sin, why didn’t [insert name of Bad Person here] live in agony? What did I do that was bad enough that I feel like this?

The ancient rabbis recognized the ridiculousness of a claim that all pain is deserved by the sufferer. Their answer to this puzzle came in the form of narrative:

Rabbi Chiya bar Abba had fallen sick. Rabbi Yochanan went to visit him, and asked, “Are these afflictions dear to you?” Rabbi Chiya replied, “Neither they nor their reward!” Rabbi Yochanan said, “Give me your hand.” Rabbi Chiya gave him his hand, and Rabbi Yochanan revived him. Later, Rabbi Yochanan was ill, and Rabbi Chanina went to see him. He asked the same question. Events proceeded exactly as in the first story: Rabbi Chanina asked, Rabbi Yochanan replied, “Neither they nor their reward,” Rabbi Chanina asked for his hand, and Rabbi Yochanan was revived. [The text then asks why Rabbi Yochanan needed help, since he had been able to revive Rabbi Chiya. The answer:] “A captive cannot release himself from prison.” – a paraphrase of Berakhot 5a

The rabbis have a problem. Their theology assumes an omnipotent personal God, a God who assents to every person’s suffering, since it is in the power of God to fix anything that is undeserved. The rabbis knew good, decent people who had terrible suffering – hence, a problem.

Someone among them cooked up the idea of yisurin shel ahavah, “sufferings of love,” the idea that God loves some people so much that He (they thought of God in masculine terms) gave them suffering, perhaps as a vehicle for self-improvement. I can hear, between the lines, that many of the other rabbis thought this idea was just plain stupid: who enjoys suffering? But instead of the Talmud text saying so (thereby shaming the rabbi who came up with this plan) we get little stories that point out that not everyone welcomes this so-called gift.

In this series of stories, there is no discussion of whether there had been sin to provoke the affliction; rather, the rabbis assume that these are yisurin shel ahavah, “sufferings of love,” a gift from God. In other words, they assume the best about the patient. The suffering rabbis reject the proffered “gift” of pain: if the affliction is a gift from God, they don’t want it or any presumed benefit from it. Then the visiting rabbi asks for the hand of the sick rabbi, and revives him.

At the end of the second story, we get the punch line: what relieves the suffering of the rabbis is not something from God but the touch of a human hand.  They are saying to us, “Maybe there are (a few) people who can grow from suffering. Maybe there are others who receive miracles from God. But for most people the only relief that will come is from other human beings.”

What do I get from this passage as a person who has chronic pain?

  • I feel understood by my forebears: they get it that I do not deserve this.
  • I feel permission to say, “If this is a gift from God, no thanks.”
  • They offer a model for something that can sometimes help: human contact.

Their model is a visitor who:

  • accepts that the pain is real
  • asks sincere questions about the sufferer’s state of body and mind
  • listens to what the sufferer says
  • does not offer advice
  • does not offer diagnoses
  • does not talk about themselves
  • touches only after asking

I have not yet been miraculously healed by a visitor, nor do I expect to be. I am fortunate to have people in my life who treat me with respect, who listen without advice-giving and who ask before they touch. This text reminds me to value those people as the sages they are.

I also know people who tell me that it is in my head, that if I went to their doctor / lost weight / took their snake oil / had more surgery / etc. it would all go away (so it is actually my own fault that I have the pain.)  This text reminds me that those people are NOT sages, they don’t talk or act like sages. In other words, feel free to ignore them.

This is only one of many Jewish perspectives on suffering. I am grateful to Rabbi Dr. Rachel Adler, who introduced me to this text. I hope to write about more texts on the subject in future posts.

May each of us find relief, temporary if not permanent, small if not large, partial if not full today and tomorrow. May each of us eventually reach a refuah shleimah, a complete healing. Amen.


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Rabbi Ruth Adar is a teaching rabbi based in San Leandro, CA. She has many hats: rabbi, mom, poodle groomer, and ham radio operator K6RAV. She blogs at as the Coffee Shop Rabbi.

4 thoughts on “Chronic Pain: One Jewish Perspective”

  1. Thanks for the timely blog. My daughter is a CRPS endurer and has had a particularly tough semester. Your model visitor and blessing are spot on. May you also find comfort from your dis-ease.


  2. Thank you for posting this Jewish perspective on CPRS. I found it very helpful and I hope you will continue with this issue.
    May you find the support you are in need of.


  3. As someone who grew up with a disability, I know of families burdened with shame and guilt because a family member had a disability, often thought of in the same context as chronic pain. So many times I’ve heard words, “God doesn’t give you more than you can handle,” and similar sentiments. One of the reasons there’s been a struggle to gain civil right for people with disabilities is because of that burden and stigma. Thank You so much, Rabbi Adar, for addressing this issue.


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