diff --git a/care/facility/migrations/0429_double_pain_scale.py b/care/facility/migrations/0429_double_pain_scale.py
new file mode 100644
index 0000000000..d008c75b85
--- /dev/null
+++ b/care/facility/migrations/0429_double_pain_scale.py
@@ -0,0 +1,92 @@
+# Generated by Django 4.2.10 on 2024-03-12 17:48
+
+from math import ceil
+
+from django.core.paginator import Paginator
+from django.db import migrations, models
+
+import care.utils.models.validators
+
+
+def double_pain_scale(apps, schema_editor):
+    DailyRound = apps.get_model("facility", "DailyRound")
+
+    page = Paginator(
+        DailyRound.objects.only("id", "pain_scale_enhanced")
+        .exclude(pain_scale_enhanced__exact=[])
+        .order_by("id"),
+        2000,
+    )
+
+    for page_num in page.page_range:
+        records_to_update = []
+        for daily_round in page.page(page_num):
+            for obj in daily_round.pain_scale_enhanced:
+                try:
+                    obj["scale"] *= 2
+                except KeyError:
+                    pass
+            records_to_update.append(daily_round)
+        DailyRound.objects.bulk_update(records_to_update, ["pain_scale_enhanced"])
+
+
+def halve_pain_scale(apps, schema_editor):
+    DailyRound = apps.get_model("facility", "DailyRound")
+    page = Paginator(
+        DailyRound.objects.only("id", "pain_scale_enhanced")
+        .exclude(pain_scale_enhanced__exact=[])
+        .order_by("id"),
+        2000,
+    )
+
+    for page_num in page.page_range:
+        records_to_update = []
+        for daily_round in page.page(page_num):
+            for obj in daily_round.pain_scale_enhanced:
+                try:
+                    obj["scale"] = ceil(obj["scale"] / 2)
+                except KeyError:
+                    pass
+            records_to_update.append(daily_round)
+        DailyRound.objects.bulk_update(records_to_update, ["pain_scale_enhanced"])
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0428_alter_patientmetainfo_occupation"),
+    ]
+
+    operations = [
+        migrations.AlterField(
+            model_name="dailyround",
+            name="pain_scale_enhanced",
+            field=models.JSONField(
+                default=list,
+                validators=[
+                    care.utils.models.validators.JSONFieldSchemaValidator(
+                        {
+                            "$schema": "http://json-schema.org/draft-07/schema#",
+                            "items": [
+                                {
+                                    "additionalProperties": False,
+                                    "properties": {
+                                        "description": {"type": "string"},
+                                        "region": {"type": "string"},
+                                        "scale": {
+                                            "maximum": 10,
+                                            "minimum": 1,
+                                            "type": "number",
+                                        },
+                                    },
+                                    "required": ["region", "scale"],
+                                    "type": "object",
+                                }
+                            ],
+                            "type": "array",
+                        }
+                    )
+                ],
+            ),
+        ),
+        migrations.RunPython(double_pain_scale, reverse_code=halve_pain_scale),
+    ]
diff --git a/care/facility/models/json_schema/daily_round.py b/care/facility/models/json_schema/daily_round.py
index 633e9e7bf5..2ae76ff9a4 100644
--- a/care/facility/models/json_schema/daily_round.py
+++ b/care/facility/models/json_schema/daily_round.py
@@ -115,7 +115,7 @@
             "type": "object",
             "properties": {
                 "region": {"type": "string"},
-                "scale": {"type": "number", "minimum": 1, "maximum": 5},
+                "scale": {"type": "number", "minimum": 1, "maximum": 10},
                 "description": {"type": "string"},
             },
             "additionalProperties": False,