I had one of these when I was about 11 years old. I would crank it myself everynight. It wasn't painful so much as just a strange feeling of pressure. When I first got it in and when the Ortho would tighten it, then it would be a little painful, Advil did the trick.
Took a couple days to get used to talking with it in there!
Took a couple days to get used to talking with it in there!