The phrase "twisted knife in wound" can evoke strong emotions in anyone, as it brings to mind a painful and seemingly never-ending experience. To find synonyms for this phrase, we can look for words and phrases that convey similar feelings of hurt, betrayal, and anger. Some examples might include "a stab in the back," "a dagger to the heart," "a searing pain," "an open wound," or "a festering sore." Each of these phrases can help us to better understand and articulate the intense emotional turmoil that can come from being hurt or betrayed by someone we trusted.