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A pain in the arse 

A term to use when you find something hard to do.
"That coursework was a pain in the arse for me"

a pain in the proverbial 

A pain in the ass
He was being a pain in the proverbial

A pain in the bitch 

Explaining to someone that you are a pain in someone else's ass while simultaneously calling that same person a bitch.
My girl to me: You're such a pain in the ass ...
Me to my mate: I'm such a pain in the bitch.
My girl: Baka

I don't mean to be a pain 

Sorry, I don't mean to be a pain. I guess I'm not really in the mood for a show tonight

Yep I will be a pain killer! 

JUST DO IT!

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pain-a-back 

A Jamaican term for back pain, in this case caused by good lovin'. It's also the title of a song by Reggae/Hiphop group Worl-A-Girl.
I mean dat, I give the bwoy pain-a-back (Worl-A-Girl)
pain-a-back by SyntaxE July 10, 2006