PainTrail vs Headache Log
Price, ratings, monetisation and update history for both apps, side by side β with what reviewers say about each.
PainTrail
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Living with chronic pain means remembering details your doctor needs β right when you're least able to. PainTrail is a private, calm way to log pain, symptoms, and medications as life happens, so you walk into every appointment with the full picture instead of scattered notes and guesswork. PainTrail is a calm, structured place to record pain as life happens. Log where you feel pain, rate the intensity, add context, and include a note only when it helps. Review a dated history by day, week, month, or all time so the details do not have to live in scattered notesβor in memory alone. WHAT YOU CAN RECORD β’ Pain location and 0β10 intensity β’ Context such as sleep, stress, activity, weather, and medication taken β’ Optional notes β’ Medication name, dose as entered, time, and notes β’ Questions for an upcoming visit REVIEW YOUR OWN HISTORY See daily entries, simple trends, common locations, and descriptive observations based only on what you entered. PainTrail may flag a logged day whose average pain is at least two points above the selected period's average. This is a descriptive comparison, not a medical assessment. PainTrail does not diagnose causes or recommend care. PREPARE A USER-ENTERED SUMMARY Create a PDF with pain averages and peaks, locations, context, and medication records for the selected date range. Questions saved for an upcoming visit remain in the app and are not included in the PDF. PRIVATE, WITHOUT AN ACCOUNT Your records are stored in local app storage. PainTrail has no product account, backend server, advertising, or analytics integration. Files leave local app storage only when you choose to share a PDF or manually export a JSON backup. FREE β’ Unlimited pain and medication logging β’ Day, week, month, and all-time history and summary views β’ PDF exports up to 30 days β’ Manual JSON backup and restore for pain check-ins and medication records PAINTRAIL PRO β ONE-TIME PURCHASE β’ PDF ranges longer than 30 days β’ Optional free-text notes in PDF exports β’ Descriptive tag comparisons PainTrail is intended for personal tracking and informational purposes. It is not a medical device and does not provide medical advice, diagnosis, treatment recommendations, medication guidance, or emergency support. Consult a qualified healthcare professional about medical decisions.
Headache Log
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When a migraine starts, the last thing you want is a form to fill in. This diary records an attack in three taps: open it, set the intensity, save. Everything else is optional and can wait until you feel better. Built for the moment it matters β’ Dark, low-glare screens, because light sensitivity is part of the problem β’ Large one-handed controls you can hit with your eyes half closed β’ Nothing optional ever blocks a save. An attack with a time and an intensity is a complete record β’ Widgets and a Live Activity, so logging and ending an attack never needs the app open A diary your doctor can actually use Create a PDF covering the last 90 days: headache days per month, attack count, average and worst intensity, how long attacks lasted, medication days by class, and the triggers you logged most often. Hand it over at your appointment or send it ahead by email. The daily check-in Once a day the app asks whether you had a headache. One tap answers it. Headache-free days are recorded too, and they matter: without them there is no honest headache-days-per-month figure, which is the number neurologists actually ask for. See what your days have in common Mark ordinary days as well as bad ones: workout, alcohol, poor sleep, high stress, skipped meal, travel. Because these are logged whether or not a headache follows, the comparisons mean something. Tagging triggers only after an attack tells you what you already suspected. Cycle tracking, if you want it Turn it on to mark period start dates and see how many of your attacks began in the window from two days before to three days after. Start dates only. No forecasts, no fertility features, and nothing leaves your device. Keep an eye on medication days The app counts the days you took acute medication over the last 30 and shows you the number. Frequent use of painkillers and triptans can itself contribute to headaches, and that is worth raising with your doctor. Daily preventives are never counted here, because taking those every day is the point. What you can record β’ Intensity from 1 to 10 β’ Start and end time, with duration worked out for you β’ Where it hurts: one side, both, forehead, back of the head, behind the eye, neck β’ Symptoms: nausea, vomiting, aura, sensitivity to light, sound or smell, dizziness, neck stiffness β’ Triggers, including your own free-text ones β’ Medication taken, and what brought relief Private by design No account, no sign-up, no cloud. Your diary lives on your device and is never uploaded. That is also why there is nothing to leak. Free and Premium Logging, the daily check-in, day factors and the medication-day counter are free. Premium unlocks your full history beyond 60 days, the PDF doctor report, and CSV export. This app is a diary and a record. It is not a medical device, and it does not diagnose, treat or prevent any condition. Always talk to a doctor about your symptoms and your medication. Payment will be charged to your Apple ID account at confirmation of purchase. Subscriptions renew automatically unless cancelled at least 24 hours before the end of the current period. Manage your subscriptions in Account Settings after purchase. Privacy Policy: https://trifoiltrailblazer.com/privacy-policy Terms of Use: https://trifoiltrailblazer.com/terms-of-service
Screenshots
Verdict
PainTrail and Headache Log are too close to call on the numbers: across 6 compared parameters β price, update cadence, ads and in-app purchases among them β neither pulls far enough ahead to decide it. What separates them is feature set and interface, not measurable difference.
Scored on Price Β· Rating Β· Positive reviews Β· Number of ratings Β· Update frequency Β· Ads Β· In-app purchases Β· Monetization Β· Best chart rank Β· Devices Β· Requires iOS
Both are free to download. PainTrail sells 1 one-off in-app purchase and Headache Log sells 4 in-app purchases, starting at $3.99 per 7 days. Whichever you choose, the download price is not the number that matters.
PainTrail ships an update every 3 weeks, Headache Log fortnightly. The most recent releases landed on November 5, 2026 and November 6, 2026 respectively.
| Parameter | PainTrail | Headache Log |
|---|---|---|
| Price | Free | Free |
| Update frequency | Every 3 weeks | Fortnightly β better |
| Ads | No | No |
| In-app purchases | Yes | Yes |
| Devices | iPhone, iPad β better | iPhone |
| Requires iOS | 16.4 | 16.4 |
| Further details β not scored | ||
| Size | 21 MB | 54 MB |
| Age rating | 4+ | 4+ |
| Developer | Jonathan Brito | Ivan Terekhin |
In-app purchases
PainTrail
- Pro Unlock$9.99
Headache Log
- Weekly$3.997 Days
- Monthly$6.991 Month
- Yearly3 Days trial$19.991 Year
- Lifetime$29.99









