painfully
adverb
[ ˈpeɪnfəli ]
• in a painful manner or to a painful degree.
• "she coughed painfully"
Similar:
distressingly,
worryingly,
upsettingly,
disturbingly,
sadly,
pitifully,
unfortunately,
agonizingly,
harrowingly,
excruciatingly,
chillingly,
alarmingly,
insufferably,
unendurably,
unbearably,
torturously,
cruelly,
uncomfortably,
embarrassingly,
disconcertingly,
unenviably,
unpleasantly,
woefully,
dreadfully,
terribly,
awfully,
horribly,
frightfully,