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Discover Ludwig"with pain" is a correct and usable phrase in written English.
It is often used to indicate that something is difficult or uncomfortable to do or experience. For example, "The climb up the mountain was difficult, but he persevered with pain."
Exact(57)
My eyes watered with pain.
He plays with pain.
"Men shrieked with pain.
People lay under trees, groaning with pain.
[Barry] Goldwater looked on with pain.
Estrogen receptors are associated with pain processing.
Hopped around room, face contorted with pain.
A runner with pain in your heel.
The memories are filled with pain.
She is familiar with pain.
Giddy with pain, I exclaimed: "Oh, look.
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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