All through life she had made painful efforts to understand and follow out her duty.

Slowly, with painful effort, they were making their way to the rim.

It still took painful effort just to stay on my feet, but I didn't feel any need to hurry now.

Others were sitting up now, making the same painful effort to grasp the reality of what had happened to them.

A distinct and painful effort of will was required each time he lifted a foot.

After much painful effort he reached the house, and his cries soon brought assistance.

It is only by a painful effort that I can close them.

By a painful effort he rolled over on his side.

Several times they closed to be dragged open again only by painful effort.

He lifted his head and grinned with a painful effort.