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pain‧ful‧ly

1 very - used to emphasize a bad or harmful quality that someone or something has :
painfully thin arms
As a teenager, I was painfully shy.
The road to peace is a painfully slow process.
painfully thin arms
As a teenager, I was painfully shy.
The road to peace is a painfully slow process.2 with pain or causing pain :
Robyn swallowed painfully.
Robyn swallowed painfully.3 needing a lot of effort :
all the knowledge that he had so painfully acquired
all the knowledge that he had so painfully acquired