Sharp Pain Research Articles

9. ASSESSMENT OF THE TREATMENT RESULTS OF NASAL BONE FRACTURES AT 103 MILITARY HOSPITAL

Objectives: Assessment of the results of reduction for patients with nasal bone fractures. 
 Subjects and methods: A prospective and case-by-case descriptive study with clinical intervention was undertaken. The study includes 51 patients with nasal bone fractures undergoing surgery at 103 Military Hospital from March 2022 to September 2023.
 Results: Male patients account for a higher proportion of 66.7% while female patients account for that of 33.3%, and most are at the age of 16–30 (at 54.9%). Traffic accidents are the major causes with 58.8%. Concerning clinical symptoms: 100% of patients with pain, bruising, and swelling in the nose area; 78.4% of patients with post-traumatic epistaxis; 88.2% of patients with nose deformity; 78.4% of patients with a sharp pain nose fracture score and signs of bone crunching in the nasal bone; 52.9% of patients with combined other injuries, in which type II nasal bone fractures accounting for the highest proportion at 54.9%. Results after treatment: the qualified proportion after 1 month is 88.2%, and after 3 months is 96.1%.
 Conclusion: Research results show that nasal bone fractures are common in males, mainly caused by traffic accidents. Common clinical symptoms are pain, epistaxis, and nasal pyramid deformity. Reduction of nasal bone fractures is a treatment method that allows the restoration of both aesthetic and physiological functions of the nose.

Pathogenesis, diagnosis, and management of dentin hypersensitivity

Dentin sensitivity is a problem characterized by brief sharp pain that occurs in response to things like changes in temperature, sweet or sour substances and mechanical factors. This condition significantly affects the lives of patients leading to restrictions and changes in oral hygiene routines. It is crucial for care to understand the causes, symptoms, diagnosis and management of dentin sensitivity. The development of dentin sensitivity is closely related to the structure of teeth which involves the exposure of tubes in the dentin that contain nerve endings sensitive to stimuli. Different theories, such as the theory and direct innervation theory provide insights into how this pain occurs. Diagnosis involves an evaluation of signs and symptoms along with patient history and specific tests to confirm sensitivity. Management options include adjusting behaviors using desensitizing toothpaste or fluoride applications utilizing bonding agents or even undergoing procedures like gingival grafts. These approaches aim to reduce pain and improve the quality of life for individuals affected by dentin sensitivity. Dental professionals play a role, in diagnosing, treating and educating patients about this condition to ensure results and better oral health.

Clinical success story of Paneeya Kshara in the management of Renal Calculi - A Case Report

Kidney stones the urological disorder, with higher incidence attributed to modern lifestyle. The sharp excruciating pain, burning micturition, hematuria are the symptoms that disturbs the normal routine of the individual. Radiological investigations such as USG, KUB findings are necessary for diagnosis and to decide the therapeutic intervention. Challenges encountered in management are multifactorial etiology, the agonizing symptoms, lack of satisfactory curative measures and recurrence. Many individuals reluctant to undergo surgery or other invasive techniques and they approach Ayurveda for the better results. In Ayurveda, renal stones are diagnosed as Mutra Ashmari and a wide range of medicine and detailed treatment principles are advocated. Usage of Kshara is widely recommended by many scholars and treatise. Here a young man having symptomatic pelvi-ureteric junction stone, was treated using these principles and appreciated reduction in stone size radiologically and become clinically asymptomatic.

A study to assess the effect of pretreatment with intravenous palonosetron in preventing pain on propofol injection

Background. Propofol is widely used for induction, maintenance of anaesthesia and possess many characteristics of an ideal intravenous anaesthetic agent. It is known to cause severe, sharp, stinging or burning pain on injection which is considered to be unacceptable as it can cause agitation and interfere with smooth induction of anaesthesia. In this study we are comparing Palonosetron and Normal Saline in decreasing pain on injection of propofol during intravenous induction of anaesthesia. Material and methods. One hundred adult patients belonging to ASA physical status I or II, scheduled for elective surgeries under general anaesthesia were selected and randomly allocated to two groups. Group P received Injection Palonosetron and Group S received Injection Normal Saline as pre-treatment before injection of propofol. Patients were assessed for pain on propofol injection. Haemodynamic parameters and electrocardiography were recorded at the following points of time: prior to induction, after pre-treatment,induction, and half hourly during the surgery. Results. Comparing pain during propofol injection, 32% in Palonosetron group and 4% in Normal Saline group did not have pain, 54 % in Palonosetron group and 20 % in Normal Saline group had mild pain, 12% in Palonosetron group and 48% in Normal Saline group had moderate pain, 2% in Palonosetron group and 28% in Normal Saline group had severe pain. Conclusions. Pretreatment with Palonosetron 0.075 mg reduced the incidence and severity of propofol induced pain on injection, with an added advantage of decreased post-operative nausea and vomiting without significant haemodynamic changes.

End Stage Hoffa’s Disease Presented as a Giant Osteochondroma: Case Report and Literature Review

Introduction: Hoffa’s disease appears to be an under-recognized ailment according to an extensive comprehensive literature assessment. Predisposing factors in sports training include torsion and hyperextexion at the knee should be taken into consideration when evaluating patients with chronic knee pain. We present the case of a young soldier suffering from left knee pain as a result of Hoffa’s disease Case report: A 29-year-old male patient admitted to orthopedic department to assess an anterior mechanical pain on the left knee. He reported that he had a sport accident with notion of hyperextension and anterior direct trauma to the left knee. On physical examination we found a painful mass that seems located under the patellar tendon, passive flexion of the left knee triggered a sharp pain from 100°. On X ray we found bone-like mass located behind the silhouette of the patellar tendon without attachment to the bones of the leg. MRI identified a 4.2 osseous tumor with no attachment to the patellar tendon. A surgical excision was preformed Conclusion: Hoffa disease is relatively a rare illness, its physiopathology is not yet completely clear. But many cases have been reported in literature. Its clinical presentation is not very specific, and its surgical excision which remains unavoidable, guarantees satisfying clinical and functional results. However, it remains to be determined whether it is a definitive solution in the context of “Hoffa’s disease”.

Extraluminal migration of fish bone to the thyroid gland

Extraluminal migration of a foreign body in the oesophagus is rare. It can result in life-threatening complications as it can migrate anywhere causing injury to vital vessels and structures in the neck region. The patient’s outcome depends on prompt diagnosis and early intervention. We present a case of a 52-year-old female with a complaint of sharp pricking pain in her throat with a history of fish bone ingestion one-day prior. Direct laryngoscopy and oesophagoscopy failed to localise the foreign body and the symptoms persisted for 3 days. Computed tomography scan confirmed a foreign body located between the right carotid sheath and the right thyroid gland. We proceeded with neck exploration and successfully removed the foreign body. Multiple difficulties were encountered in localising the foreign body as its location differed from the one in the initial computed tomography scan.

Comparative effects of patient-specific 3-dimensional and 2-dimensional lumbar traction on pain and functional disability in patients with lumbar radiculopathy

BackgroundLow back pain (LBP) resides as a most common type of symptom pointing towards lumber radiculopathy. It is defined as burning sharp leg pain that originates from the back and goes all the way down your legs and extends into the toes and foot. Lumbosacral radiculopathy is caused by pathology of the intervertebral disk or associated structures. Different dimensional traction has been used to treat lumbar radiculopathy. This study aimed to compare the effects of 3-dimensional and 2-dimensional lumbar traction on pain and functional disability in patients with lumbar radiculopathy. The randomized clinical trial study of 4 weeks was carried out at the Lifeline Health Care Imaging and Pain Center and the Hamza Hospital Lahore. Twenty-six subjects were included in the clinical trial and divided into two groups after randomization. Group A received three-dimensional lumbar traction with traction force 50% of total body weight on Spine MT 3D traction machine, and group B received two-dimensional lumbar traction with traction force 50% of total body weight. Pre- and post-values of NPRS and ODI were noted.ResultsParametric tests were used during statistical analysis because data was normally distributed. NPRS pre- and posttreatment values showed significant results with p-value < 0.05. ODI pre- and post-values were also obvious with p-value < 0.05. Independent sample T-test was used to assess across the group comparison, suggesting that both groups showed significant improvements of NPRS and ODI post-treatment with p-value (< 0.001).ConclusionThe study concluded that 3D traction significantly reduced pain levels and improved functional impairment more effectively than 2D traction in patients with lumbar radiculopathy.Trial registrationTrial was registered with ClinicalTrials.gov: NCT05356689.

A secondary aortic graft-enteric fistula: A case report

Aortic graft-enteric fistula is an infrequent, severe, and late complication that sometimes follows aortic reconstructive surgery. In this case study, we describe the clinical course of a 62-year-old man with a previous leg amputation due to ischemia and gangrene, aortic bifemoral by-pass, and femoral thromboendarterectomy. In the past, the patient underwent a right inguinal hernia repair procedure and an appendectomy, which was complicated by peritonitis. He was taken to the emergency room in 2017 because of a sudden, sharp pain in the right inguinal region with paleness and sweating.

A Comprehensive Approach to Treating Acute Fissure-in-ano (Parikartika) with the AYUHEAL Suppository

&#x0D; Parikartika refers to a medical condition characterized by sharp pain in the anal region. Parikartika, in the context of Western medicine, can be understood as being similar to Fissure-in-ano. This condition is characterized by a combination of increased tension in the internal anal sphincter and reduced blood supply in the posterior midline area of the anal canal. This clinical study examines the effectiveness of the AYUHEAL suppository. This poly-herbal compound is designed to have both local and systemic effects in treating patients with Parikartika, explicitly focusing on acute Fissure-in-ano. A total of fifty patients were subjected to clinical examination and diagnosed with acute Fissure-in-ano based on symptoms including anal pain, per rectum bleeding, burning sensation during and after defecation and constipation. The AYUHEAL suppository was administered thrice daily for seven days. The therapeutic effects of the suppository were evaluated by assessing various parameters on days 1, 3, 5 and 7. The findings demonstrated a notable amelioration in the symptoms, encompassing anal pain, rectal bleeding, post-defecation burning sensation, and constipation throughout the treatment period. Subsequent evaluations on the 21st day showed no reappearance of Fissure-in-ano, indicating a consistently favorable result. This study shows that using AYUHEAL suppository as the cutting-edge treatment for seven days effectively reduced the symptoms of Parikartika, specifically acute Fissure-in-ano. The suppository's poly-herbal composition allows it to have an effect both at the local site and throughout the entire body, indicating its potential as a comprehensive approach to managing this condition. Additional research and extensive clinical trials are necessary to confirm these findings and investigate the long-term effectiveness of AYUHEAL suppositories in treating Parikartika.

Novel Multidimensional Pain Assessment Tool Is a Feasible, Valid, and Enjoyable Approach to Communication of Pain Symptoms in Pediatric Sickle Cell Disease

Background: Pain is the most common symptom of sickle cell disease (SCD) and is especially difficult to assess in the pediatric population. Children have varied developmental stages and cognitive abilities making the communication of this subjective experience hard to operationalize. Both the assessment of pain and validation of these assessments is challenging. No pediatric pain assessment tool has been deemed valid and reliable across all ages and types of pain. Commonly used pediatric tools include the Wong-Baker Faces scale, the numeric rating scale, and the visual analog scale (VAS), which combines the visuals of faces and numeric rating. These are unidimensional - only assessing the severity of pain, and in the case of faces, can cause confusion between pain severity and patient affect. In children with SCD, accurate pain assessment is crucial to current and lifelong management. “Painimation” is a technology-based pain assessment tool that incorporates conceptual animations, rather than numbers or words, to characterize pain. These animations are intended to help clinicians better understand pain from the patient's perspective. They are dynamic and transcend language. For example, animations are designed to communicate dull pulsating pain, sharp electric pain, or anything in between. “Painimation” does not rely on verbal communication skills, making it ideal for use in the pediatric population. “Painimation” has been validated in adults with SCD and is currently in implementation trials. Our study aims to determine the feasibility and validity of “Painimation” in pediatric SCD. Methods: This is a single site non-randomized cross-sectional feasibility and validity study. Participants were 10 - 21 years old with SCD who presented to clinic in baseline health. Participants completed the Painimation application, which consists of a numeric pain rating scale (1-10), a front and back 2-dimensional body image that can be shaded to indicate areas affected by pain, and eight abstract animations intended to represent different pain qualities (tingling, shooting, stabbing, throbbing, pounding, cramping, electrifying, and burning). The patient chose up to three animations and the intensity of each chosen animation was adjusted using a sliding bar without numeric labels. The animations were presented to the patient without labeling the intended quality. The patients then completed a survey consisting of questions regarding the usability of Painimation, clinical questions regarding their disease, Lansky Play-Performance Scale, and validated patient reported outcomes questions (PedsQL, Ped-PRO-CTCAE, PROMIS). Results: We enrolled 30 participants between April 1 and July 31, 2023, with recruitment ongoing. Five records were incomplete and were not analyzed at this time. The mean ratings when asked whether 1) Painimation was easy to use, 2) the patient enjoyed using Painimation, and 3) the patient would use Painimation to communicate pain with their provider were respectively 3.28±.74 (SD), 3.08±.95, and 3.12±1.17 (scale 0-4), indicating a generally favorable result for feasibility. The median VAS score was 5.10 (IQR = 0.25, 8.25). Pain was most reported in the back lower chest (60%), front stomach (48%), and front chest (44%). The stabbing animation was the most chosen at 56% followed by the cramping animation at 20%. Electrifying and Cramping animations had the highest agreement with their intended McGill descriptors at 40%. VAS scores and Painimation severity scores demonstrated excellent positive correlation (Pearson r=.74). Conclusion: Painimation is a feasible pain assessment tool in pediatric SCD with high user satisfaction. Severity scores on Painimation correlate strongly with VAS scores. The pain characteristic conveyed by each animation adds unique dimensions to this measure and will be further analyzed. Painimation is a novel pediatric pain assessment that holds the promise of greatly improving the communication of pain and transforming care in Pediatric SCD.

Abstract 16644: Unusual Manifestation of Acute Pericarditis in the Setting of Primary Biliary Cirrhosis

Introduction: Primary biliary cirrhosis (PBC) is an immune-mediated liver disease leading to destruction of intrahepatic bile ducts and cirrhosis. However, its association with pericarditis has not been investigated. Here, we describe a case of a female with PBC who presented with severe pericardial disease. Clinical Case: A 57-year-old female with past medical history of primary biliary cirrhosis, thrombocytosis and type 2 diabetes who presented with sudden onset sharp chest pain, worse with movement or breathing. Workup was notable for elevated D-dimer, CT chest with no evidence of pulmonary embolism but did reveal a moderate pericardial effusion, further confirmed on echocardiogram. Nuclear stress test was unremarkable. CRP 13 mg/dL and ESR 82 mm/hr. Given concern for pericarditis, she was started on colchicine and ibuprofen. On further evaluation in clinic, cardiac MRI showed severe LGE and edema consistent with active pericarditis (figure 1) with mild constrictive physiology and worsening inflammatory markers (ESR 95 mm/hr, us-CRP 118mg/L). Therefore, decision was made to start triple therapy with the addition of prednisone. Repeat cardiac MRI 6 months later showed resolution of LGE and pericardial edema (figure 2). Given clinical improvement, patient was tapered off steroids, started anakinra and weaned off ibuprofen and colchicine. She remained on anakinra for two years after which she was transitioned to single therapy with colchicine with no episodes of recurrence. Discussion: PBC commonly exists with liver autoimmune disorders, but its association with pericardial disease has not been investigated. NSAIDs are often used as first-line therapy for pericarditis, but can be detrimental in advanced liver failure, often seen in patients with PBC. Steroid use is not only advantageous in pericardial disease but also in PBC. As a result, it is critical to identify the link between pericardial disease and PBC to determine appropriate therapeutic management.

Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature

The aim of this review was to provide dentists with comprehensive information regarding dentin hypersensitivity. This includes presenting its etiology, outlining the process of diagnosis, discussing clinical management strategies, and exploring technical approaches aimed at alleviating sensitivity. Dentin hypersensitivity is characterized by distinctive short, sharp pain arising from exposed cervical dentin in response to various external stimuli. The etiological factors cause two specific changes in teeth. First, the dentin surface must be exposed and denuded, which requires the loss of enamel or gingival recession combined with the loss of cementum. The second condition is the opening of the dentin tubules to allow the sensory mechanisms in the pulpal area following stimulation of the dentin surface. The accurate diagnosis of dentin hypersensitivity before receiving therapies is critical for successful treatment. The diagnosis of the disease starts through investigating the medical history of the patient and examination. In the examination, some techniques such as air stream and water rinsing are used in order to simulate the stimulating factors and to determine the degree of pain of the patient. Numerous materials and methods have been proposed to reduce or alleviate sensitivity. These materials typically exert their effects by either sealing dentin tubules or disrupting the transmission of nerve impulses. Generally, the primary approach in addressing dentin hypersensitivity involves the utilization of toothpaste containing potassium salts and fluoride. Newly introduced materials and in-office methods for treating dentin hypersensitivity include bioactive glasses, iontophoresis, CPP-ACP, and lasers.

Case report: acute isolated cilioretinal artery occlusion secondary to percutaneous coronary intervention

IntroductionThis case report aims to describe in detail the acute isolated cilioretinal artery occlusion (CLRAO) secondary to complicated therapeutic percutaneous coronary intervention (PCI).Case descriptionA 68-year-old Chinese man with coronary artery disease (CAD) complained of sudden, sharp chest pain. Coronary angiography revealed severe stenoses of the coronary arteries. The patient was then treated with PCI. One hour after the procedure, the patient presented with a sudden reduction in vision in the right eye. The patient was diagnosed with acute isolated CLRAO and treated with Salvia miltiorrhiza injections.ConclusionsThis is the report to provide a detailed description of acute isolated CLRAO secondary to therapeutic PCI treated with Salvia miltiorrhiza. The visual prognosis of the untreated patients is poor. Suitable management and prevention are essential for interventional cardiologists to prevent these complications.

OA01 Tennis shoulder? A rare case of brachial neuritis

OA01 Tennis shoulder? A rare case of brachial neuritis

Dental management of a 3-year-old uncooperative child under general anaesthesia: a case report

Dental care is medically necessary for the purpose of eliminating and preventing orofacial disease, infection and pain, restoring the form and function of the dentition, and correcting facial disfiguration or dysfunction – American Academy of Pediatric Dentistry (AAPD). Lack of cooperation in young paediatric patients can be a confounding factor for dental rehabilitation procedures and even examination or radiographs. To complete necessary dental radiographs and/or treatment in young, uncooperative children general anaesthesia or deep sedation is often required. This article presents the case of a 3-year-old girl child with a complaint of sharp shooting pain in upper and lower left back tooth region and was extremely uncooperative. She was diagnosed with early childhood caries; full mouth rehabilitation was done under general anaesthesia. Clinical examination, classification and treatment plan are discussed based on the review of current literature available.

Similarities and Differences in the Management of Patients with Osteoporotic Vertebral Fractures and Those with Rebound-Associated Vertebral Fractures Following Discontinuation of Denosumab.

Rebound-associated vertebral fractures (RVFx) following denosumab discontinuation are typically multiple, are commonly associated with acute sharp pain, increase the risk of imminent fractures, and are pathogenetically different from common osteoporotic vertebral fractures (VFx). A clinically relevant question is whether patients with RVFx should be managed differently from patients with osteoporotic VFx. To address this question, we performed a systematic search of the PubMed database, and we reviewed current evidence on the optimal management of patients with RVFx. For pain relief of patients with RVFx, potent analgesics, often opioids, are essential. Information on the effectiveness of braces in these patients is scarce. Vertebroplasty and kyphoplasty are strongly contraindicated as they confer a substantial risk for new VFx. Exercise may be helpful, but again evidence is lacking. In contrast to patients with osteoporotic VFx, in whom initial treatment with bone-forming agents is recommended, patients with RVFx should initiate treatment with potent antiresorptives. To summarize, patients who have sustained RVFx following denosumab discontinuation are at a very high risk for new fractures, especially VFx. The management of such patients requires a multidisciplinary approach that should not be restricted to pain relief and administration of antiosteoporotic medication, but should also include back protection, early mobilization, and appropriate exercise.

Little League Elbow

Patient Education| 2021 Little League Elbow (Care of the Young Athlete) Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Share Icon Share Facebook Twitter LinkedIn Tools Icon Tools Get Permissions Cite Icon Cite Search Site Citation Little League Elbow (Care of the Young Athlete). Pediatric Patient Education 2021; 10.1542/peo_document297 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search nav search search input Search input auto suggest search filter All AAP SitesAll PublicationsPediatric Patient Education Search Advanced Search Subjects: Care of the Young Athlete Topics: athlete, little league elbow, pain, epiphysial cartilage, baseball, elbow region Little League elbow is a common overuse injury associated with throwing. This injury is most common in pitchers but also occurs in catchers, infielders, and outfielders. Little League elbow is the result of repetitive stress to the growth plate on the inside of the elbow. The greatest stress occurs during the acceleration phase of throwing a baseball. Growing bones are easily injured because the growth plate is much weaker than the ligaments and muscles that attach to it. Once the growth plates fuse, athletes are more likely to injure ligaments and tendons instead. Little League elbow usually begins gradually without a specific injury, but a distinct painful pop may occasionally be felt. Young athletes often try to minimize their symptoms so they can continue playing the sport. Athletes may experience aching, sharp pain, and swelling on the inside of the elbow. These... Copyright © 20112011American Academy of Pediatrics You do not currently have access to this content.

Glomus Tumor of Rare Localization in the Thigh; Case Report and Literature Review

Glomus tumors are rare tumors primarily found on the nail bed of the fingers and rarely occur in other parts of the body. We present a case of a 71-year-old male who came in with a 5-year history of glomus tumor (GT) of the right lateral thigh associated with progressively increasing intermittent sharp pain. He denied any numbness or paresthesias of the extremity. Physical examination revealed a tender mass on the lateral side of the right upper leg associated with edema and erythema. Surgical excision and immunohistochemistry were performed. A histopathological diagnosis of glomus tumor was made. The postoperative recovery was successful and the patient reported resolution of the pain. We performed a literature review of reported cases of GTs of the thigh. The review showed that all patients had a long period of symptomatic disease before an accurate diagnosis could be made and were easily treated with surgical excision. No evidence of recurrence was noted after surgical removal. GTs of the thigh rarely recur due to their solid and encapsulated structure. This also makes them easy to recognize and surgically remove. This study highlights the unusual location of the GT, its impact on our patient, and reviews relevant academic literature. Tumors in these areas are frequently misdiagnosed due to vague symptoms. GTs should be included in the differential diagnosis of patients who experience pain with nonspecific symptoms that are not limited to specific body locations

Pharyngeal Fish Hook Impaction: Case Report and Literature Review.

Foreign bodies, particularly fish bones, in the hypopharynx and cervical esophagus are a common complaint. A swallowed foreign body can be embedded in the tonsil, the base of the tongue, the pyriform fossae, or any region of the upper esophagus. A 70-year-old woman presented with persistent left-sided pharyngeal pain with the sensation of a foreign body for 10 days. She felt a sudden sharp pain in her pharynx while eating a fish head 10 days before the presentation. On examination, an elderly woman was found in painful distress. Flexible fiberoptic laryngoscopy revealed a pool of saliva in the pyriform fossae and a diagnosis of a foreign body in the esophagus was suspected. She was planned for direct laryngoscopy, left (lateral/external) pharyngotomy, and removal of foreign bodies under fluoroscopic guidance of the C-arm. A metallic fish hook that hung over the greater left horn, buried in the neck muscles, was found during the surgery and was extracted. The patient did well postoperatively and was discharged from the clinic. Foreign bodies, particularly fish bones, in the hypopharynx and cervical esophagus are a common complaint, particularly in the African setting.

Real World Characterization of Chronic Pain, Success Rates and Implant Rates: Evidence from a Digital Health Platform of Patients Undergoing Spinal Cord Stimulation Evaluations

Spinal cord stimulation is an effective treatment for those experiencing chronic back and leg pain but requires a temporary evaluation period (SCSeval) before permanent implantation. We present real-world data from 7,000 patients who underwent SCSeval while utilizing a mobile digital health platform for education, feedback, and outcomes collection during their surgical journey. We analyzed preoperative patient demographics, characterized patient pain profiles using the patient-reported outcomes measurement information system-29 surveys, and calculated the rates of conversion from temporary to permanent spinal cord stimulation (SCS) implantation. Between August 1, 2021, and March 2, 2023, 7,000 patients (mean age 59.1, 59.6% female) underwent SCSeval procedures while utilizing a mobile application. Patients commonly experienced aching, sharp, stabbing, tingling, numb, and burning pain. Patients had tried multiple prior therapies and wanted to reduce their use of opioids and pain medications. Overall, 90.1% of the patients had a successful SCSeval, and 80.4% of those converted to permanent implant, with the highest rates among those who underwent SCSeval in a hospital setting. There was a significant improvement in all domains of pain as evaluated by pre and postoperative patient-reported outcomes measurement information system-29 surveys. This study supports the use of digital health technology as part of the SCS journey to improve the patient experience and allow for robust patient-reported outcomes collection. The overall rate of SCSeval to permanent SCS in our study of 72.4% was higher than national rates of 64%, suggesting that an app may allow clinicians to better quantify changes in chronic pain and provide more insight into choosing to implant SCS permanently. PerspectiveThis article presents real-world evidence from a digital health platform for therapy education and outcomes collection from patients undergoing spinal cord stimulation evaluation procedures. Such tools could allow for better pain characterization and allow for more nuanced tracking of patient outcomes among those with chronic pain.