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The phrase "a pained expression" is correct and usable in written English.
It can be used to describe someone's facial expression that indicates discomfort, distress, or emotional pain.
Example: "When she heard the news, her face contorted into a pained expression that spoke volumes about her feelings."
Alternatives: "a distressed look" or "an anguished face."
Exact(56)
He wore a pained expression.
His face assumed a pained expression.
Johnson looks up with a pained expression.
Little wonder Tony Pulis is wearing such a pained expression".
There was no reply but a pained expression.
In an interview later, Mr. Crichton said with a pained expression: "Comfortable with this?
But as your audience nod their heads enthusiastically, you adopt a pained expression and shake yours.
'I come to talk to you obligated,' the retired officer said with a pained expression.
J. R. Tozer: Rich man's a pained expression about uncertain fate with God here?
"Let's really look for fair play," he pleaded, fixing his audience with a pained expression.
Rist emerged from the exhibition room with her arms crossed, a pained expression on her face.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com