'Itchy' seems able to mean both 'having an itch' and 'causing an itch'. 'Painful' seems only to mean 'causing pain':
'It feels a bit itchy.' (Of a new wool sweater, worn next to the skin.) 'It feels quite painful.' (Of a tooth after the dentist's drill.) 'I've got itchy feet.' (I am restless.) 'I've got painful feet.' (They hurt.) 'It's a ver
A: It's painful / it's itchy / it's sore / ? it's achy A: I feel pain (there) / ? I feel an itch (there) / *I feel soreness (there) / ? I feel an ache (there) A: ? It pains me / it itches / ?? it hurts (* it sores) / it aches.
But it's all right to say "it pains me to see you like this", isn't it? And when you're itchy, can it also mean sort of nervous, like in the 7 year itch?
Yes, you can say 'it pains me to have to say this', 'it pains me to see you...', etc. It always has to be 'mental' pain, though. And I suspect it's always used insincerely (i.e. without real mental distress).
Itchy in the Seven Year Itch means 'restless': or more appropriately, 'restive'. 'Nervous' in English now usually means 'fearful', 'apprehensive'; 'nervy' h