- Hard labour - Laborious toil - Labour pains - Pain of childbirth - Painful exertion - Trail outside Virginia is hard work - Labor with pain; severe toil or exertion.
- Excruciating - Extremely bad - Harrowing - Irritating - Sore - Full of pain; causing uneasiness or distress, either
physical or mental; afflictive; disquieting; distressing. - Requiring labor or toil; difficult; executed with
laborious effort; as a painful service; a painful march.