Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2025; 13(16): 103372
Published online Jun 6, 2025. doi: 10.12998/wjcc.v13.i16.103372
Challenges in using virtual reality technology for pain relief
Takahiko Nagamine
Takahiko Nagamine, Psychiatric Internal Medicine, Sunlight Brain Research Center, Hofu 7470066, Yamaguchi, Japan
Author contributions: Nagamine T contributed to conceptualization, formal analysis, investigation, visualization, writing-review and editing.
Conflict-of-interest statement: The author(s) declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Takahiko Nagamine, MD, PhD, Psychiatric Internal Medicine, Sunlight Brain Research Center, 4-13-18 Jiyugaoka, Hofu 7470066, Yamaguchi, Japan. anagamine@yahoo.co.jp
Received: November 18, 2024
Revised: January 4, 2025
Accepted: January 14, 2025
Published online: June 6, 2025
Processing time: 85 Days and 6.1 Hours
Core Tip

Core Tip: Two issues were identified as requiring further investigation when using virtual reality (VR) to improve pain. The initial challenge pertains to methodology. It was hypothesized that the effect would be enhanced by incorporating relaxation and biofeedback techniques into the immersive approach. The second challenge pertains to the use of VR for the management of chronic pain. In individuals with chronic pain, there is a reduction in the functionality of the medial prefrontal cortex (mPFC) within the default mode network. The mPFC is closely associated with the reward system and the dopamine nervous system. In the context of chronic pain, it was hypothesized that a program designed to activate the reward system and the dopamine nervous system, utilizing VR, would prove to be an efficacious approach.