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.
(..) It comes out of a... ...particularly painful part of our history. Yes. Yes. But it's been a way we've been able to heal. At first it was a (..)2012 The Hunger Games