Thus, again, is painful (4)
I believe the answer is:
sore
'painful' is the definition.
(synonyms)
'thus again' is the wordplay.
'thus' becomes 'so' (synonyms).
'again' becomes 're'.
'so'+'re'='SORE'
'is' is the link.
(Other definitions for sore that I've seen before include "Painful spot" , "Aching; severe" , "Painful, or the source of pain" , "Hurting, painful" , "source of distress" .)