I once did an unarmed combat course with an army commando unit. There is one certain way to disable a man and we became very good at blocking those kicks. Yet every once in a while a boot got through and you went DOWN. But no matter how hard that boot hit you were expected to be back on the mat in time to take your turn again.
It may not have been the worst pain I ever experienced, but fifty years later I can still remember it. :)