With each twist it hurts (4)

I believe the answer is:

ache

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'it hurts' is the definition.
(I've seen this in another clue)

'with each twist' is the wordplay.
'each' anagrams to 'ACHE'.
But, I am not sure how the anagram is indicated.

Can you help me to learn more?

(Other definitions for ache that I've seen before include "Dull throbbing pain" , "burn" , "Play up" , "Long ? pain" , "painful" .)

I've seen this clue in The Irish News and The Globe and Mail.

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