Crossword Genius

I start to grimace a lot — a nasty sort of pain (7)


I believe the answer is:


'sort of pain' is the definition.

'i start to grimace a lot a nasty' is the wordplay.
'start to' suggests taking the first letters.
'nasty' indicates anagramming the letters.
The initial letter of 'grimace' is 'g'.
'igalota' anagrammed gives 'OTALGIA'.

(Other definitions for otalgia that I've seen before include "pain!" , "Earache" , "painful condition" , "Problem with ears" , "Ear ache" .)

I've seen this clue in The Times.
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