Certified pain management apps and devices
16 pain apps and devices, each checked against the FDA register, EUDAMED and the German DiGA directory. Last checked 18 October 2026.
Pain is an area where the FDA has authorised many new types of tools through the De Novo route: virtual reality for chronic back pain, an app for fibromyalgia, facial analysis to assess pain in people who cannot speak, and wearable nerve stimulators.
Below you find every pain and neuromodulation tool we track, grouped by what we could verify in the official registers.
In the US: FDA verified
Authorised by the FDA (510(k), De Novo or PMA), newest decisions first.
actiTENS - CognifiSense VRNT
Enso for Migraine
Sana Device - EaseVRx
PainChek - Smileyscope
Stanza - First Relief
Quell® Fibromyalgia
BioWaveGO® RX - ClearUP
Quell Relief
In Germany: DiGA
Listed in the German directory of reimbursed digital health applications.
Watchlist
These products are presented as certified, by their maker or in earlier directories, but we found no matching record in the official register, or they are no longer supported by their maker. Some are registered and listed with the FDA as exempt devices, which is legal but is not a clearance.
The trap to avoid
TENS devices are sold everywhere, but not all are cleared, and many apps that pair with them are not named in any record. Check the device and the app, and check the indication: acute pain, chronic pain and fibromyalgia are different clearances.
Questions
Is virtual reality FDA authorised for pain?
Yes. EaseVRx was authorised through the De Novo route for chronic low back pain. In our directory, CognifiSense VRNT (2026) and Smileyscope (2023) also hold clearances.
Is there an FDA-authorised app for fibromyalgia?
Stanza, a digital therapy app, was authorised through the De Novo route in 2023. Quell Fibromyalgia, a wearable stimulator, also holds a De Novo authorisation.
Can pain be assessed in people who cannot speak?
PainChek uses facial analysis on a smartphone and is authorised through the De Novo route in our directory.
Is a pain app reimbursed in Germany?
HelloBetter Chronische Schmerzen is listed as a DiGA.
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