painfully

adverb
1
extremely, and in a way that makes you feel annoyed, upset, etc.
به طور دردناک, به طور رنج‌آور, به طور ناخوشایند
2
in a way that causes you physical or emotional pain
به‌طور دردناک, با رنج, از روی درد
He banged his knee painfully against the desk.
3
with a lot of effort and difficulty
به سختی, با زحمت, با مشقت, با مشکل
painfully acquired experience