I'm not very knowledgeable about OCD, but I'd think that lucid dreaming would decrease it's effects, at least while lucid. I find that whenever I become lucid, I get this incredible feeling of safety, almost invincibility, and I worry about nothing. This is because, in the dream world, it is possible to exert complete control when you realize you're dreaming. Nn-lucid dream, however, could feed of your worries, making things seem even worse.
As for feeling pain in dreams, it doesn't happen often to me, though I've felt pain twice within the past week, which is unusual. I've never felt pain as if the situation were real; the intensity has always been reduced, though it does vary considerably, from barely more than an itch to "Ow! That hurts!" pain. When you wake up and the pain lingers, I think it could actually be stemming from something in the real world, like muscle cramps, which come through to the dream world, and are interpreted into our dreams. For example, my chest will occasionally cramp up, and it is very painful to stretch it out; if that were to happen while I was dreaming, it could be interpreted as a gunshot wound, and I might wake up and still think, if only for a moment, that I'd been shot.
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