A spokesman for Silvio Berlusconi says the hospitalized Italian premier had more pain in the night but enjoyed receiving a phone call from President Barack Obama.
Paolo Bonaiuti said Wednesday that Berlusconi's pain had "sharpened" a bit, and that an old neck problem was also causing him pain.
The premier suffered a broken nose and two broken teeth Sunday when a man hit him in the face with a statuette after a pro-Berlusconi rally in Milan.
Officials at Milan's San Raffaele Hospital say Berlusconi is expected to be released later in the day.
Bonaiuti said Obama called Tuesday night to offer get-well wishes, according to the Associated Press' report.