Usually, when the focal point of body awareness is set on a distraction, it tends to be detrimental to a WILD attempt (at least this is true for me). You won't fall asleep in this case, as you are in a mindset that prevents you from falling asleep - you are aware of something and are completely conscious of that.
I am not sure about the pain you describe, but usually when I itch, I shift awareness to something else, even if its nothingness. Beyond that, sometimes you might just have to actually move. Just because you move doesn't end the WILD attempt, and it does not mean you have to start over. Just like you can move around as you naturally fall asleep, so to can you move around until you WILD (which is still you falling asleep, but being aware when you start dreaming).
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