Pain is a cultural construction, having had many definitions throughout history. Until the constitution of actuel current sense, there were two defining moments: the assumption of a self feeling and the modern medical clinic, based on anatomy and gaze. From modern medicine and the creation of psychoanalysis, pain presented itself as a limit-phenomenon that explains the twist of the Cartesian conception carried out by psychoanalytic theory, insofar it was no longer possible to conceive a dichotomy between mind and body. Although Freud does not have a exclusive writing about the theme of pain, we can find in his work unique contributions that allow us not to situate it only within medical knowledge. In this research, about the place of pain in psychoanalytical clinic, we dedicate ourselves to the modalities of pain symptom, psychosomatic phenomenon, mourning and melancholy. Besides these, we investigate, from a psychoanalytical point of view, the pain originated from the physical injury, a modality that we consider private and different from the others. Its particularity would be the breaking of the notion of causality, since we defend that injury is the order of the trauma that, when incorporating erases a before and a after; in disorganizing, it organizes, at the same time, the psyche. From then on, we focus on the clinical incidence of pain, conceiving it as destinies of pain, petrification, silence and scream. In this trajectory, where pain is the object of study, we are faced with the challenge imposed on psychoanalytic clinic.