The phrase "twist knife" evokes a sense of pain and discomfort. However, there are various synonyms that can be used to describe this phrase. One of the most common synonyms is "stab in the back", which suggests a feeling of betrayal. Another synonym that can be used is "turn the screw", which suggests causing further pain or difficulty. Alternatives to using the word "twist" include "prodding", "jabbing", or "twiddling". Overall, there are many ways to describe the action of twisting a knife, depending on the context in which it is used. Whether used in a literal or figurative sense, the phrase can have a powerful impact on the listener or reader.