1. Unpleasantly
   "his ignorance was painfully obvious"
   - distressingly 
2. In or as if in pain
   "she moved painfully forward"
   - sorely

See also: painful

Antonym: painlessly

• board of appeals
• board of directors
• board of education
• board of regents
• board of selectmen
• Board of Trade unit
• board of trustees
• board rule
• board up
• boarder
• boarding
• boarding card
• boarding pass
• boarding school
• boardinghouse
• boardroom
• boards
• boardwalk
• boarfish
• boarhound
• boast
• boaster
• boastful
• boastfully
• boastfulness