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Understanding the Reports

Chronic pain is incredibly complex. Those who successfully manage it do so by taking control of the health decisions in their life. The pain won’t go away on it’s own, but you can get better if you own your care. The best way to do this is to understand your pain and help others understand it too.

Imagine going to your doctor or care team with a visual record that shows exactly where you hurt, how much, over time. Add to it symptoms, triggers, and treatments and your journey becomes a powerful tool for making decisions.

Progress Reports

It's easy to lose sight of progress. These reports are designed for sharing your pain journey with others and capture the basic information about your pain for the region and dates selected inside the app. The report itself is a self-contained HTML file that can be opened with any web browser, printed, embedded in existing medical systems, or shared through email.

NOTE

GMail's aggressive optimization prevents previewing these reports in their email clients. To view a report shared by email, first download it to your computer/device and then open the HTML file in any web browser.

To get the most out of these reports, it's recommended that you zoom into the area that best captures your pain and choose a date range that communicates any changes you may have experienced.

overview of body heatmaps

At the top of the report are 3 images. Note that the model's orientation matches the view inside the app prior to creating the report. These images represent pain for:

Start
the very first entry for the "start" date.
End
the very last entry for the selected "end" date.
Average
a visual averaging of all entries between the start and end dates.
changes to pain

Below the images is a high-level view of your progress since the selected START entry. Each section is colored based on the change (Green = Positive Change, Red = Negative Change, Grey = No Change). This can serve as a quick indicator for clinicians on whether a treatment is working or not.

detailed stats on pain

This sections shows pain statistics for the selected dates and region. This is great for getting a better idea of how your pain has changed and what exactly changed. Numbers are accurate to +/- 0.005. "Average Intensity" represents a range of [0,10]. While "Area" and "P.A.I.N.S." are percentages. The change represents the difference between start & end values. Averages take into account every pain entry within the selected date range.

NOTE

These numbers (intensity, area, PAINS) are dependent on the region selected when creating the report. If you would like to emphasize an specific area of the body (ex. you only have lower back pain) then you should zoom into that region and adjust the view prior to creating your report.
Average Intensity
This is the average pain intensity for all cells you painted for the selected region. (head, trunk, etc.) It is similar to the scale of 0-10 just represented as a percentage. So, 20% is similar to 2 on the traditional scale. Since we capture multiple intensity values over the body this allows you to see generally what level your pain is at.
Area Covered
This is how much of the selected region is covered by painted pain cells. This number is represented as a percentage with 100% being the same as the entire region covered by pain.
P.A.I.N.S.
This is a new measure we created that combines both the pain area and intensity to get to a new number. The cool thing about this is that the number has been shown to correlate with brain activity related to pain. (i.e. the higher the PAINS score the more your brain is trying to create opioids to combat the pain) So, it serves as a good general measure of your pain level. An increase in the number means the severity of the pain has increased. A score of 100% is equal to an entire region completely covered with the highest severity of pain. (i.e. a 10 over the whole area)
PAINS comparison
For example, take the above three images (real data from a study). Looking at this one would assume the one on the right represents more severe pain than the other two.
When these subjects reported on the traditional 0-10 scale (VAS) they were all fairly close in value (around 6) and the last one actually had the lowest score (5.7). However, the generated PAINS score shows a clear separation between subjects.
Some of our recent findings also show that the VAS has no connection to the brain’s activity and is tied directly to mood. So, PAINS is as close as we can get right now to having a measure of pain without using MRI, fNIRS type scanners. The only downside is that it’s very new and so some doctors aren’t familiar with it yet, but the research is quite exciting.

Science of GeoPain ►

pain triggers example
Recorded Triggers for pain are visualized using a heatmap. Each red block represents a pain entry where that trigger was included, white where it was not recorded. Triggers are sorted from highest to lowest frequency.
The heatmap lines up with the graph above and can be used to figure out relationships between pain intensity/area and specific triggers. The first entry is on the left and the last entry is on the right.
pain symptoms example
Next are Symptoms, which includes things like "nausea", "fatigue", or "weakness". This section is structured the same as Triggers above, but captures the severity as well.
White
No effect or not recorded
Pink
Mild
Red
Moderate
Dark Red
Severe
pain functional impact example
Below that is the Functional Impact of pain. This includes how much pain is interfering with a patient's function. Does it disrupt their sleep? Does it prevent them from exercising?
This is structured the same as Symptoms above.
detailed pain entries
The last section of the report is a listing of every entry and their details. Here you will find diary entries, statistics for each entry, and related metadata. This is like multiple visits to the doctor and can be used to deeply understand a patient's pain, but also the impact it is having on their life.
This details section of the report can be turned off by pressing the little gear icon when creating a report.
Treatments are also included in this section as light blue bars. This signals when a treatment took place and details about it. (e.g. dosage, duration, etc.) It is often used as a marker when looking for pain patterns specific to a treatment.

Tracking Treatments ►