Spruce: Medical Communication

Spruce App Update 4.5.7: UI Tweaks and a Nudge for Reviews

Spruce Health has pushed a new version of its medical communication app, and based on the store listings, it's a modest one. Version 4.5.7 is rolling out now on both iOS and Android, though the changelog is short.

The update text points to "UI and stability improvements" as the headline change. That's the kind of vague phrasing that could mean anything from a subtle color shift to a meaningful navigation fix. Without digging into the binary, we're left to guess. But given Spruce's track record of iterative polish, I'd bet on the latter.

More interesting is what the release notes actually say to providers. The update text includes a direct thank-you: "thanks for sharing feedback, feature requests, and ideas in the Spruce Support channel." That's a small but telling gesture. It suggests the team has been listening to user input and is signaling that this release addresses some of those requests. Whether that means better bulk messaging tools, conversation filing improvements (both mentioned in Spruce's own blog about a broader redesign last year), or something else entirely isn't clear from the notes alone.

The other notable addition is a plea for ratings. The update asks users who "love Spruce" to leave a review in the App Store or Play Store, noting it "helps others discover Spruce." This is standard app-store hygiene, but it's worth flagging because Spruce's public review counts are substantial — 40.5k five-star ratings on the App Store and 9.43k on Google Play, according to their own site. The ask suggests they're still hungry for visibility, which makes sense in a crowded telehealth market.

One thing that gives me pause: a Software Advice review from April 2026 describes a recent update as making the app "utterly unusable" for a private practice user who couldn't text multiple clients simultaneously or let multiple clinicians see the same thread. That's a sharp contrast to the polish the 4.5.7 notes imply. It's possible this release addresses those exact pain points, but the changelog doesn't confirm it. I'd take that review with a grain of salt — one user's nightmare is another's non-issue — but it's worth watching.

There's also a Reddit thread from a therapist's assistant asking about forwarding messages during vacation, which hints at ongoing workflow gaps. Again, no evidence this update solves that.

Bottom line: 4.5.7 appears to be a maintenance release with a friendly nod to user feedback and a push for more ratings. If you're a provider hoping for major new features, this probably isn't it. But if Spruce has been quietly fixing the rough edges that users have been complaining about, that's still worth something.