in a lot of pain
Machuquei minha perna ontem e ainda estou com muita dor.
I hurt my leg yesterday and I'm still in a lot of pain.
O Tom parece estar com muita dor.
Tom seems to be in a lot of pain.
Parece que o Tom está com muita dor.
It looks like Tom is in a lot of pain.
Tom parecia estar com muita dor.
Tom seemed to be in a lot of pain.
Você ainda está com muita dor?
Are you still in a lot of pain?