sometimes it don't but if they're really in there, especially this one where it's been in for at LEAST a couple days, they can hurt like the blazes. Not like a super hurty pain but the "annoying and I want it gone" pain
You wonder why people find them behind their ears or in their armpits? It’s because ticks crawl up. They try to find a crevice to hide in and feed on. They might be on the outside of your clothes, but they’re going somewhere else.