with great effort (adverb) hard: with difficulty
Sinonime: agonizingly, arduously, awkwardly,
badly, burdensomely,
carefully, cumbersomely, cumbrously, distressingly, exhaustingly, gruelingly,
hardly, harshly, inconveniently, laboriously, painfully, ponderously,
roughly,
severely, strenuously, tiredly, toilsomely, unwieldily,
vigorously, with great effort
Antonime: easily, moderately