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Letter to the Editor regarding “Effects of vertical reality distraction on pain, stress, and heart rate during ingrown toenail surgery”

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Topic overview

This letter critiques a VR distraction study in pediatric ingrown toenail surgery, highlighting that unguided VR may paradoxically increase pain perception. The authors argue VR effectiveness depends on implementation approach and should not be viewed merely as passive distraction.

Key takeaways

  • Not all VR approaches are equally effective for pain management in pediatric surgery.
  • Unguided VR may paradoxically increase pain perception rather than reduce it.
  • VR should be understood as more than simple distraction—implementation strategy matters.
  • Felnhofer et al. trial highlights need for evidence-based VR protocols in pediatric procedures.
  • Effective VR interventions likely require structured guidance rather than passive immersion.

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How to cite: GlobalCastMD. Letter to the Editor regarding “Effects of vertical reality distraction on pain, stress, and heart rate during ingrown toenail surgery”. GlobalCastMD Medical Library. 2025-10-28. https://library.globalcastmd.com/article/11165

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