Use ear drops. Like waxrid removax which will soften the wax atleast 4 times daily before going for cleaning. The doctor can use local xylocaine drops or spray to numb that area

Using wax softeners can help prevent hard wax formation. A narrow ear canal is the reason you are prone for keratosis obturans. Wax is sweat and sebum accumulation in the ear canal and wax naturally egresses out from a wide normal ear canal. A narrow ear canal is prone to formation of impacted wax/ keratosis obturans and hence the need for regular canal cleaning. A permanent solution to this would be a canalplasty procedure— where a hand drill is used to widen the ear canal

Cleaning is the option . Otherwise widening of External auditory Canal can be done . After which ear cleaning will be easy.

cleaning is necessary. You can go for surgery for widening of ear canal to avoid excessive pain.