[1] : The Collaborative International Dictionary of English v.0.48

painful \pain"ful\, a.
   1. full of pain; causing uneasiness or distress, either
      physical or mental; afflictive; disquieting; distressing.
      --addison.
      1913 webster

   2. requiring labor or toil; difficult; executed with
      laborious effort; as a painful service; a painful march.
      1913 webster

   3. painstaking; careful; industrious. obs. --fuller.
      1913 webster

            a very painful person, and a great clerk. --jer.
                                                  taylor.
      1913 webster

            nor must the painful husbandman be tired. --dryden.
      1913 webster

   syn: disquieting; troublesome; afflictive; distressing;
        grievous; laborious; toilsome; difficult; arduous.
        1913 webster -- pain"fully, adv. --
        pain"fulness, n.
        1913 webster
see also:
pain"fully pain"fulness 

[2] : WordNet (r) 2.0

painfully
     adv 1: unpleasantly; "his ignorance was painfully obvious" syn: distressingly
     2: in or as if in pain; "she moved painfully forward"; "sorely
        wounded" syn: sorely ant: painlessly
see also:
distressingly sorely painlessly 

[3] : Moby Thesaurus II by Grady Ward, 1.0

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

Painfully >> P Words
Painfully, definition of term: Painfully
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