mada itami ga arimasu.

In this sentence, まだ means still.

So まだ 痛みがあります means there is still pain or I still have pain.

A useful contrast:

• まだ + affirmative = still
• まだ + negative = not yet

For example:

• まだあります = it still exists / there is still...
• まだありません = there isn’t any yet / not yet

が marks 痛み as the thing that exists.

The pattern is:

[thing] が あります
= there is [thing]

So:

• 痛みがある = there is pain
• 問題がある = there is a problem
• 時間がある = there is time

Here, 痛み is the noun being talked about, and が marks it as the subject of あります.

あります is the polite form of ある, which is used for:

• the existence of things
• something someone has, in many cases

Since 痛み is treated as a thing/state that exists, Japanese uses ある rather than a verb meaning to hurt in this structure.

So 痛みがあります literally means something like:

• pain exists
• there is pain

In natural English, that becomes:

• I have pain
• There is pain
• It still hurts depending on context

Because います is used for living things such as people and animals.

• 犬がいます = There is a dog
• 人がいます = There is a person

But 痛み is not a living thing, so Japanese uses あります.

• 痛みがあります = correct
• 痛みがいます = incorrect

痛み is a noun, meaning pain.

痛い is an i-adjective, meaning painful or it hurts.

Compare:

• 痛みがあります = There is pain / I have pain
• 痛いです = It hurts / It is painful

So the sentence you were given uses the noun form:

• 痛み = pain

This style can sound a bit more clinical, descriptive, or formal than simply saying 痛いです.

Yes. まだ痛いです is a very natural alternative.

Difference in nuance:

• まだ痛いです = It still hurts
  
  • more direct and conversational
• まだ痛みがあります = There is still pain / I still have pain
  
  • slightly more formal, medical, or matter-of-fact

So in everyday conversation, a person might often say:

• まだ痛いです。

At a clinic or when describing symptoms more carefully, you may hear:

• まだ痛みがあります。

The word order is:

• まだ = still
• 痛み = pain
• が = subject marker
• あります = exists / there is

So a very literal breakdown is:

Still, pain exists.

That sounds unnatural in English, so we usually translate it as:

• There is still pain.
• I still have pain.

Japanese often leaves out the subject when it is obvious from context.

If someone is talking about their own symptoms, まだ痛みがあります naturally means:

• I still have pain

But depending on the situation, it could also mean:

• There is still pain
• The patient still has pain
• He/She still has pain

Japanese relies heavily on context, so pronouns like I, you, or he/she are often omitted.

Yes. あります is polite.

Compare:

• まだ痛みがあります。 = polite
• まだ痛みがある。 = plain/casual

The polite version is appropriate when:

• speaking to a doctor
• speaking politely to someone
• making a formal statement

The plain version may be used in casual conversation or informal writing.

Yes, it is very natural, especially in medical or semi-formal contexts.

Common symptom expressions include:

• 痛みがあります = I have pain
• 熱があります = I have a fever
• せきが出ます = I have a cough / I cough
• 吐き気があります = I feel nauseous / I have nausea

So まだ痛みがあります is a very useful sentence for describing an ongoing symptom.

痛み is pronounced いたみ (itami).

Breakdown:

• い = i
• た = ta
• み = mi

So it sounds like ee-tah-mee, though it is best to keep the Japanese vowels short and clean rather than stretching them too much.

Yes, but まだ痛みがあります is the most natural and straightforward order.

You may also hear:

• 痛みがまだあります

This can sound a bit more focused on pain as the topic of discussion, but the meaning is basically the same.

For learners, the safest pattern is:

まだ + noun + が + あります

So:

• まだ痛みがあります is an excellent standard form to remember.