My heart was pumping so hard that I felt actual physical pain.

She's uncomfortable, maybe cold, but not in actual physical pain.

There were times when Janvert felt his love for her as an actual physical pain.

He writhed, but did not seem to be in actual pain.

When he saw Ford, an expression that was close to actual pain passed over his face.

He couldn't even remember the last time he'd experienced actual pain.

Heart pain can feel more like a pressure rather than actual pain.

This time my interrogators weren't causing me any actual physical pain, true.

And I'm not talking about the very few with actual physical pain.

The actual pain of the stitches was unpleasant, all right, but nothing I couldn't stand.