1 his tooth throbbed painfully la muela le producía un dolor punzante
his tooth had started to throb painfully he limped painfully up the stairs she heaved herself painfully out of her chair The metal bit painfully into her flesh
he felt the muzzle of the revolver dig painfully into his side sintió el dolor que le causaba el revólver clavándose en el costado; I hope he dies slowly and painfully espero que tenga una muerte lenta y dolorosa
glands in her neck were painfully swollen
2 Eleanor [thought] suddenly, painfully, of Eric intolerance can take subtle forms, as people in racially mixed partnerships [understand] all too painfully he learnt painfully how to overcome his disability we have learnt painfully that ... The words [echoed] painfully in Arnold's mind for the rest of the day The child, who has been badly let down in the past has to [learn], painfully, how to care and trust again You use painfully to emphasize a quality or situation that is upsetting or undesirable. (emphatic) (extremely) to be painfully aware of sth/that ... ser plenamente consciente de algo/de que ...
he is painfully aware of his mother's unhappiness he is painfully aware that...
it was painfully clear that ... estaba penosamente claro que ...
Lady Alethea's tangled emotions were painfully [evident] his physical frailty was almost painfully apparent a painfully [shy] young man
she was painfully shy/thin era tan tímida/delgada que daba pena; our economic recovery will be painfully slow nuestra recuperación económica va a ser un proceso lento y penoso doloroso;or
the child was painfully [thin] I was always painfully [aware] of my faults It was painfully [obvious] from my silence that I knew nothing about horses
3 (laboriously) con mucho trabajo esfuerzo;or ...a convict who could scarcely write but had painfully scrawled out a statement