The ugly truth: she cries. The pain is at once too much and in too many places and familiar in the worst way, and tears just burst from her eyes. They stain his hand, with her grip on his arm so solid, her teeth on her lower lip to keep herself from shouting.

Internally she's shouting. Externally, there's whimpers and full-bodied trembles, but at least she doesn't embarrass herself further than that.