At the same time, doing it yourself can be extremely painful.

A long comedy bill can be extremely painful to sit through.

In 1688 she took ill with some sort of extremely painful illness.

That would make it extremely painful to have gone short of sterling in the past few days.

It was an extremely painful decision to leave the house.

For many relatives of the dead, just seeing the building is extremely painful.

But on a personal level, that background remains extremely painful to her.

The bite of this species, while not serious, is extremely painful.

The cat was said to have died an "extremely painful death".

Low back pain is common and can be extremely painful.