His hand bothers him badly, and the whip wounds on top of only half-healed injuries made it so much worse than the first whipping. And as well as that, he seems to have suffered a concussion from her blow to the head that has caused near-constant headaches and nausea, and the burn to his leg has gotten infected. So there has been pain. So, so much pain. Hermione has spent hours sitting and gnawing the inside of her cheek raw as she holds Malfoy's uninjured hand and soothes him, guilt sliding under her skin like needles and blood metallic in her mouth.