They made it 'painfully' obvious/clear that we were not welcome. [=they made it very clear in a way that was rude or upsetting that we were not welcome]
His ankle is swollen and 'painful to the touch'. [=his ankle hurts if he touches it]
After the injury she was 'painfully' aware that her career in tennis would be over.
(..) Break his face here. Okay, now look at this. Better get moving. Look at this. This stuff is lethal. #It would be very painful. A beer. It was very good. #Brewing time. No thanks. #Bring it on. Are you a fag? (..)2014 Boyhood