Na Wolfeymole could be right. You'll only ever hear a grinding noise if the head of the disk is actually touching the platter, but INACCESIBLE_BOOT_DEVICE can also mean a number of different things also. The only other thing I can think of, without having to install the OS. From the recovery console, is to try and recover your config settings from the latest backup. Use the following commands.
cd\windows\system32\config
ren system system.old
ren software software.old
ren SAM SAM.old
ren security security.old
ren default default.old
copy c:\windows\repair\system
copy c:\windows\repair\software
copy c:\windows\repair\SAM
copy c:\windows\repair\security
copy c:\windows\repair\default
If there are any major problems with the disk, you shouldn't be able to do any of this.
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