Pain"ful*ly

Painful \Pain"ful\, a.
   1. Full of pain; causing uneasiness or distress, either
      physical or mental; afflictive; disquieting; distressing.
      --Addison.
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   2. Requiring labor or toil; difficult; executed with
      laborious effort; as a painful service; a painful march.
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   3. Painstaking; careful; industrious. [Obs.] --Fuller.
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            A very painful person, and a great clerk. --Jer.
                                                  Taylor.
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            Nor must the painful husbandman be tired. --Dryden.
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   Syn: Disquieting; troublesome; afflictive; distressing;
        grievous; laborious; toilsome; difficult; arduous.
        [1913 Webster] -- {Pain"ful*ly}, adv. --
        {Pain"ful*ness}, n.
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76 Moby Thesaurus words for "painfully":
      abominably, agonizingly, arduously, awfully, badly, baldly,
      balefully, bitterly, blatantly, brashly, confoundedly, cruelly,
      damnably, deadly, deathly, deplorably, deucedly, difficultly,
      disagreeably, distressfully, distressingly, dolorously, dreadfully,
      egregiously, excessively, excruciatingly, exorbitantly,
      extravagantly, flagrantly, frightfully, grievously, hardly,
      harrowingly, harshly, heartbreakingly, hellishly, horribly,
      improperly, inexcusably, infernally, inordinately, intolerably,
      laboriously, lamentably, miserably, nakedly, openly, pathetically,
      piteously, pitiably, rigorously, roughly, ruefully, sadly,
      severely, shatteringly, shockingly, something awful,
      something fierce, sorely, staggeringly, strenuously, terribly,
      the hard way, toilsomely, torturously, unashamedly, unbearably,
      unconscionably, unduly, unfortunately, unhappily, unpardonably,
      with difficulty, with much ado, woefully