Pediatric and adolescent persistent pain is a complex condition where pain lasts beyond the normal healing time and often occurs without an identifiable ongoing injury. It can show up in many forms, including musculoskeletal pain, headaches, abdominal pain, or widespread pain syndromes, and is influenced by biological, psychological, and social factors. Persistent pain not only impacts the body but also interferes with school attendance, sports, friendships, sleep, and emotional well-being. Because the nervous system becomes more sensitive over time, young people may experience heightened pain responses that make everyday activities feel overwhelming, creating a cycle that is difficult to break without comprehensive care.

At THRIVE, we specialize in helping children and teens with persistent pain regain function and hope through a whole-person care model. We provide tools to calm the nervous system and reduce pain flares. Families are guided in strategies such as pacing, healthy movement, sleep support, nutrition, stress management, and habit-building, all tailored to the child’s unique needs. With structured support and step-by-step guidance, we empower young people to take control of their pain, build resilience, and return to the activities and life they love.

Juvenile fibromyalgia is a chronic pain condition that affects children and adolescents, characterized by widespread musculoskeletal pain, tenderness, and heightened sensitivity to touch. It is often accompanied by fatigue, sleep disturbances, headaches, abdominal pain, and cognitive difficulties such as brain fog. As one of the most challenging chronic pain conditions in youth, juvenile fibromyalgia can significantly interfere with school participation, physical activity, and social engagement. Because symptoms are influenced by both the nervous system and lifestyle factors, the condition often persists without a comprehensive approach to management, leaving many young people struggling to keep up with daily life.

At THRIVE, we support teens with juvenile fibromyalgia through a whole-person care model designed to reduce symptoms and restore function. We help families create step-by-step strategies that include movement and pacing, sleep optimization, nutrition and hydration support, stress regulation, and habit-building tools. With ongoing guidance and encouragement, we empower young people to better manage their pain, increase energy and confidence, and return to the activities and life they love.

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a debilitating condition characterized by profound fatigue that is not improved by rest and worsens with physical or mental exertion, a symptom known as post-exertional malaise. Youth with ME/CFS often experience unrefreshing sleep, cognitive difficulties such as brain fog, headaches, dizziness, pain, and sensitivity to light or sound. The condition can also involve autonomic dysfunction, gastrointestinal issues, and immune disturbances. Because symptoms affect multiple body systems and flare unpredictably, ME/CFS can severely disrupt school, social life, and daily activities, leaving many young people feeling isolated and misunderstood.

At THRIVE, we provide compassionate, whole-person care to help youth with ME/CFS navigate their condition and reclaim their lives. Our coaching and care model helps to reduce flares and build resilience. We empower young people to better manage their symptoms, protect their energy, and gradually return to the activities and life they love.

Hypermobility spectrum disorders (HSD) are connective tissue disorders that are very similar to Hypermobile Ehlers-Danlos Syndrome and other types of Ehlers-Danlos Syndrome. It can cause joint hypermobility, instability, injury, and pain. Other problems such as fatigue, headaches, GI problems, and autonomic dysfunction are often seen as part of HSD,, making daily life challenging. Musculoskeletal issues often include fatigue, weakness, and persistent pain, while neurological symptoms like brain fog, anxiety, and dizziness are common, often linked to dysautonomia. Additional concerns may include soft or fragile skin, easy bruising, gastrointestinal problems, and chronic fatigue,  creating a wide-reaching impact on quality of life.

THRIVE's comprehensive coaching and care approach helps young people with HSD regain control over their symptoms and their future. With step-by-step guidance and ongoing support, young people can move past fear, better manage their condition, and get back to living the life they love.

Hypermobile Ehlers-Danlos Syndrome (hEDS) is the most common type of Ehlers-Danlos Syndrome, marked by joint hypermobility, chronic pain, and frequent dislocations or subluxations. Because there is no genetic marker for hEDS, diagnosis relies on clinical evaluation, family history, and hypermobility scoring. Symptoms can affect many body systems, making daily life challenging. Musculoskeletal issues often include fatigue, weakness, and persistent pain, while neurological symptoms like brain fog, anxiety, and dizziness are common, often linked to dysautonomia. Additional concerns may include soft or fragile skin, easy bruising, gastrointestinal problems, and chronic fatigue,  creating a wide-reaching impact on quality of life.

THRIVE's comprehensive coaching and care approach helps young people with hEDS regain control over their symptoms and their future. With step-by-step guidance and ongoing support, young people can move past fear, better manage their condition, and get back to living the life they love.

Postural Orthostatic Tachycardia Syndrome (POTS) is a form of dysautonomia, a disorder of the autonomic nervous system that disrupts the body’s ability to regulate key functions such as heart rate, blood pressure, and digestion. POTS is characterized by an excessive increase in heart rate upon standing, often accompanied by dizziness, lightheadedness, palpitations, and near-fainting episodes. Beyond cardiovascular symptoms, young people may experience chronic fatigue, brain fog, headaches, nausea, temperature regulation issues, and exercise intolerance. Because dysautonomia affects multiple systems in the body, POTS can make even simple daily activities feel overwhelming and unpredictable, greatly impacting school, social life, and overall quality of life.

At THRIVE, we partner with teens and families to create individualized strategies that help manage symptoms and rebuild function. Our coaching and care model is designed to address both the physical and nervous system challenges of POTS and related dysautonomia. We provide guidance in pacing, movement strategies to improve circulation, hydration and nutrition support, stress regulation, and habit-building tools to strengthen resilience. With ongoing support and a step-by-step plan, young people learn how to reduce symptom flares, regain energy and confidence, and return to the activities and life they love.

Mast Cell Activation Syndrome (MCAS) is a condition caused by abnormal mast cell activity, leading to the release of chemicals that trigger widespread symptoms across multiple body systems. MCAS can be difficult to identify, and many people struggle for years before receiving effective care. Symptoms may include anxiety, brain fog, or mood swings; gastrointestinal issues like cramping, nausea, or diarrhea; dermatological signs such as hives, flushing, or itching; and cardiovascular symptoms like palpitations, dizziness, or fainting. Respiratory problems, headaches, joint pain, sound or light sensitivity, and even severe reactions such as anaphylaxis may occur, making MCAS a complex and disruptive condition that significantly impacts quality of life.

At THRIVE, we help young people with MCAS take control of their health by addressing both immediate symptoms and underlying triggers. Our coaching and care model combines lifestyle modifications, functional strategies, and personalized coaching to build a long-term plan for recovery. We guide teens and families in identifying symptom triggers, building resilience through nutrition and movement strategies, regulating the nervous system, and developing daily habits that reduce flare-ups. With step-by-step support and tools to manage both the physical and emotional challenges of MCAS, we empower young people to move beyond the limitations of their condition and return to the activities and life they love.

Complex Regional Pain Syndrome (CRPS) is a chronic pain condition that usually develops after an injury or surgery but persists far beyond normal healing. It is characterized by severe, burning or throbbing pain, often in an arm or leg, that can spread and intensify over time. Young people with CRPS may also experience swelling, changes in skin color or temperature, altered sweating, sensitivity to touch, stiffness, and muscle weakness. Because CRPS involves abnormal nervous system signaling, even light contact or movement can trigger significant pain, making daily activities, school participation, and social life difficult. Without appropriate management, CRPS can become increasingly disabling and emotionally overwhelming.

At THRIVE, we support youth with CRPS using a whole-person approach that addresses both the physical and nervous system components of pain. We guide families in techniques such as graded movement and pacing, nervous system regulation, stress and pain management strategies, nutrition and sleep support, and habit-building tools that foster resilience. With step-by-step guidance and ongoing encouragement, we empower young people to calm their nervous system, regain independence, and return to the activities and life they love.

Functional neurologic disorders (FND) are conditions where the brain and nervous system have difficulty sending and receiving signals correctly, leading to neurological symptoms without structural damage. In children and adolescents, FND may present as seizures that are not epileptic, weakness or paralysis, tremors, abnormal movements, gait difficulties, or sensory changes like numbness and vision problems. These symptoms are very real and can be frightening, often worsening with stress or fatigue, and they frequently interfere with school, friendships, and daily activities. Because FND affects both the body and brain, it can be confusing and overwhelming for families, leading to delays in diagnosis and care.

At THRIVE, we support youth with FND through a compassionate, whole-person approach in coordination with their medical team to assist in retraining the brain and body to work together again. Our coaching and care model can guide families in pacing, stress management, sleep and nutrition support, and gradual skill-building to reduce symptoms and restore function. With step-by-step strategies and ongoing encouragement, we empower young people to rebuild confidence, improve daily functioning, and return to the activities and life they love.