His eyes squeeze shut and his teeth clench as the sharp pain laces up his arm and through his body. It punches the air from his lungs and when the ability to breathe comes back, he hisses through his teeth, but was otherwise silent.

If his pain tolerance was any less, he probably would have made more noise.

After a moment, he nods as he breathes heavy. "Well, I'm awake," it's a weak response, but who could blame him.