Confusing words: pain, ache, hurt
Pain, ache, hurt: differences
Let’s take a look at these confusing words for English learners.
pain (as a noun)
Pain is a sensation that is often described as unpleasant or uncomfortable. It can be caused by various things, such as an injury or illness.
Pain can be acute, meaning it comes on suddenly and is more intense, or it can be chronic, meaning it persists over a longer period of time. When you experience pain, it is usually difficult to ignore.
We have a pain (in a part of the body) or are in pain.
ache (as a noun)
An ache is a type of pain that is usually persistent and dull. It is often caused by an internal issue, such as a toothache or a headache.
An ache is generally less intense than acute pain, but it can still be uncomfortable and interfere with your daily activities.
We can get toothache, back ache, headache, stomach ache and earache. The word heartache is used to describe a deep sadness.

hurt (as a verb)
Hurt is a verb that describes the feeling of pain, whether physical or emotional. It can also refer to causing pain or injury to someone or something. For example, if you fall and hurt your leg, you would feel physical pain as a result of the fall. On the other hand, if someone says something hurtful to you, it can cause emotional pain.
Example sentences
- I get a pain in my knee every time I play tennis.
- You can usually relieve a headache with a tablet.
- I fell on the stairs and hurt my foot. [past simple]
- I bumped my arm on the corner of the table and it hurts. [present simple]
- I have toothache. I need to go the dentist as soon as possible.
- I accidentally stepped on my cat’s tail and she yowled in pain.
No pain, no gain
A very common idiom is no pain, no gain. It means that there are greater rewards for hard work and even pain, i.e. if you don’t work hard or suffer in some way, you don’t get anything.

