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Hands of physician, using Cognita Practice Optimization solution on tablet.

Cognita™ Practice Optimization

Identify, manage and maintain patients throughout the pain management journey.

Optimize your practice and help more patients

As a trusted partner in pain management, Boston Scientific created Cognita Practice Optimization to help you and your patients find success throughout the pain management journey. Our data-driven support solutions fuel customized insights to help you increase practice efficiency and set your patients up for success.

If you are a patient looking for effective pain solutions, visit

See how Cognita Practice Optimization supports you and your patients through the pain management journey.

Cognita Practice Optimization in a circle with sections reading identify, manage and maintain.

A comprehensive solution for you, your patients and your practice

Only 4 million out of 50 million pain patients will make it to a pain specialist1-2 and even fewer receive long-term durable pain relief. Why? The process is complex, and there are many challenges along the way. Cognita Practice Optimization supports physicians in a patient-centered approach to care. Using a combination of proprietary solutions, Cognita Practice Optimization delivers insights and tools that are tailored to each practice's unique needs. This allows you to identify more patients, effectively manage their care through your practice, and maintain success long-term.

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Centered around support

From pre-authorization to reimbursement assistance, our extensive support teams assist you and your patients in optimizing efficiencies and maximizing patient results.

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Powered by technology

Utilizing data-driven insights, our tools, technology, and support help you increase awareness, streamline patient management, and sustain long-term outcomes for your patients and your practice.

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Personalized with analytics

Cognita Practice Optimization is customized for your practice, utilizing local-market data and analytics to define solutions for your unique needs.

Cognita Practice Optimization in a circle with sections reading identify, manage and maintain.

Advancing success, maximizing patient outcomes

Your trusted partner in pain management

As a leader in pain management for over 20 years, Boston Scientific provides industry-leading solutions and support to physicians and patients worldwide.

Identify, with view of physician using tablet with Cognita Practice Optimization solution.

For your practice

Identify patients in your local market who have been diagnosed with chronic pain in the last 12 months. Educate new and existing patients on interventional pain therapies.

For your patients

With Boston Scientific's resources, patients can identify local pain management specialists, discover educational resources and explore pain relief options.

Featured solutions

Hands using mobile phone with website, with image of body with highlighted areas.

An educational website that educates patients on interventional pain therapy options and and includes a physician locator tool to find pain management physicians in their area.

Tablet with PatientFinder platform, including names and map.

A proprietary market data tool designed to understand local market trends, referral patterns, and patients still being treated for their pain in primary care.

Hands using mobile phone with mySCS, to prepare patient for spinal cord stimulation.
mySCS™ App

A multi-functional app that prepares patients for Spinal Cord Stimulation (SCS), and supports them throughout their pain management journey.

Manage, with smiling physician using Cognita Practice Optimization on mobile phone.

For your practice

Manage patients throughout their pain journey by utilizing online tools to track their progress, manage pre-authorizations and communicate with patients.

For your patients

Patients manage their success with monitoring solutions that chart progress over time. Patients can also access educational materials to elevate awareness and empower positive outcomes.

Featured solutions

Cognita QuickView on laptop computer.
Cognita QuickView

An easy-to-use dashboard helping your team manage SCS patients from identification to implantation, and monitor efficiency gains over time.

Cognita preauthorization portal on laptop computer.
Pre-authorization portal

An online portal to submit pre-authorization cases designed to reduce submission turnaround time and streamline the pre-authorization process.

Woman smiling and looking at tablet on table, in a tele-psych evaluation.
Tele-psych evaluations

A tele-health service that provides psychological evaluations within 3-5 days.

Maintain, with physician using Cognita Practice Optimization solution on laptop computer.

For your practice

Maintain long-term results with tools such as RemoteExpert—as well as tools designed to track progress post-procedure and view changes over time. Plus, get assistance setting up and negotiating commercial payor contracts and Medicare accreditation.

For your patients

Patients maintain therapy success with remote expert programming support that allows screen sharing of the clinician programmer and an audio and video connection. Additionally, patients won't have to compromise on future diagnostic imaging because Boston Scientific offers a robust online database of pre-screened MRI centers.

Featured solutions

Remote Expert speaking to colleague on desktop computer.

Expert support to assist with complex programming or reprogramming of devices.

Patient Review on tablet view of Cognita Practice Optimization solution.
Patient Review

Receive a customized report showing your patients long-term results utilizing our industry-leading solutions.

MRI Finder on laptop computer view of Cognita Practice Optimization solution.
MRI Finder

An online locator for patients and physicians to identify MRI centers in their area.

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Data drives our difference.

Customized insights make it meaningful.

You’ll receive a personalized consultation using our Market Business Insights tool (MBI) to understand your market and identify opportunities for your practice. An MBI reveals insights based on patient outreach, practice efficiency, and therapy outcomes. This information is used to develop your customized Cognita Practice Optimization plan, allowing you to leverage our extensive support structure and industry-leading solutions.

A straight line to results


1. Request a demo

Fill out the form to request your personalized Cognita Practice Optimization demo.


2. Explore insights

Our team creates a detailed insights report based on the needs of your market, your practice, and your patients.


3. Get customized solutions

Our team identifies the needs of your practice and utilizes our Market and Business Insights (MBI) tool to create a personalized plan to implement Cognita and other industry-leading support and solutions into your practice.

Experience Cognita Practice Optimization for your practice today.

Cognita Care: Personalized support for lasting pain relief

From cutting-edge digital tools to personalized support services, Cognita Care from Boston Scientific provides a unique range of resources to help your patients learn, connect, and thrive.

A comprehensive pain portfolio

Four WaveWriter Alpha SCS System models with mySCS app on Mobile phone.

Discover WaveWriter Alpha™ SCS System

Designed to deliver paresthesia-free pain relief in minutes. It’s about time.

Use FAST™* Therapy


Vertiflex Procedure indirect decompression system spacers.

Learn about the Vertiflex™ Procedure: Superion™ Indirect Decompression System

Setting the standard of care for Lumbar Spinal Stenosis (LSS).

Learn more


Radiofrequency ablation G4 generator.

Access radiofrequency ablation for pain management education

Our RF Advanced Education Series is now on demand.

View on demand content



1. CDC Prevalence of Chronic Pain and High Impact Chronic Pain Among Adults – United States, 2016

2. 2018 Patient Finder local market data utilizing 154 pain-related diagnosis codes

*FAST MOA computational modeling by Dr. Warren Grill’s lab at Duke University. Gilbert et al., Computational modeling predicts dorsal columns are involved in fast-acting sub-perception spinal cord stimulation (SCS). SFN 2021.

†Superion™ Indirect Decompression System

SCS Indications for Use. The Boston Scientific Spinal Cord Stimulator Systems are indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs including unilateral or bilateral pain associated with the following: failed back surgery syndrome, Complex Regional Pain Syndrome (CRPS) Types I and II, intractable low back pain and leg pain. Associated conditions and etiologies may be: radicular pain syndrome, radiculopathies resulting in pain secondary to failed back syndrome or herniated disc, epidural fibrosis, degenerative disc disease (herniated disc pain refractory to conservative and surgical interventions),arachnoiditis, multiple back surgeries. Contraindications, warnings, precautions, side effects. The SCS Systems are contraindicated for patients who: are unable to operate the SCS System, have failed trial stimulation by failing to receive effective pain relief, are poor surgical candidates, or are pregnant. Refer to the Instructions for Use provided with the SCS System or for potential adverse effects, warnings, and precautions prior to using this product.

Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.

IDS Indications for Use. The Superion™ Indirect Decompression System (IDS) is indicated to treat skeletally mature patients suffering from pain, numbness, and/or cramping in the legs (neurogenic intermittent claudication) secondary to a diagnosis of moderate degenerative  lumbar spinal stenosis, with or without Grade 1 spondylolisthesis, having radiographic evidence of thickened ligamentum flavum, narrowed lateral recess, and/or central canal or foraminal narrowing. The Superion™ Interspinous Spacer is indicated for those patients with impaired physical function who experience relief in flexion from symptoms of leg/buttock/groin pain, with or without back pain, who have undergone at least 6 months of non-operative treatment.  The Superion Interspinous Spacer may be implanted at one or two adjacent lumbar levels in patients in whom treatment is indicated at no more than two levels, from L1 to L5. Contraindications, warnings, precautions, side effects. The Superion Indirect Decompression System (IDS) is contraindicated for patients who: have spinal anatomy that prevent implantation of the device or cause the device to be unstable in situ (i.e., degenerative spondylolisthesis greater than grade 1), Cauda equina syndrome, or prior decompression or fusion at the index level. Refer to the Instructions for Use provided on for additional Indications for Use, contraindications information and potential adverse effects, warnings, and precautions prior to using this product.

Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.

RF Indications for Use: The Boston Scientific Radiofrequency Generators, associated Radiofrequency Lesion Probes and RF Cannula are indicated for use in procedures to create radiofrequency lesions for the treatment of pain or for lesioning only peripheral nerve tissue for functional neurosurgical procedures. The Boston Scientific RF Injection Electrodes are used for percutaneous nerve blocks with local anesthetic solution for radiofrequency lesioning of peripheral nerve tissue only. The Boston Scientific LCED and Stereotactic TCD Electrodes are indicated for use in radiofrequency (RF) heat lesioning of nervous tissue including the Central Nervous System.

Warnings: The Boston Scientific RF devices may cause interference with active devices such as neurostimulators, cardiac pacemakers, and defibrillators. Interference may affect the action of these active devices or may damage them. For appropriate guidance, consult the instructions for use for these active devices.

Caution: U.S. Federal law restricts this device to sale by or on the order of a physician