CRPS Care for Children, Teens & Adults

Understanding CRPS and Finding a Path Forward

At the Pascal Health Institute in Cary, NC

If you or a loved one is living with pain that doesn’t add up, pain that hasn’t faded the way it should, you are not alone, and there is help. At Pascal Health Institute, we care for children, teens, and adults living with Complex Regional Pain Syndrome (CRPS). Whether you’re seeking answers for your child or for yourself, we’ll work with you to understand what’s happening, explain it in plain terms, and build a plan focused on easing pain and restoring function.

What Is CRPS?

Complex Regional Pain Syndrome is intense, lasting pain that’s more severe and goes on far longer than the original injury would explain. It often comes with swelling and changes in skin color or temperature in the painful area. In children and teens, CRPS often shows up in the legs and feet, frequently after a fracture, sprain, or surgery, sometimes a minor one. It can affect adults the same way (often beginning after a wrist fracture or surgery). Because it isn’t always recognized quickly in young people, many families spend a long time searching for answers.

How We Can Help You and Your Family

A clear evaluation — we take time to understand your history and symptoms, and explain what we find in words that make sense to you.
A plan built around you — care tailored to you as an individual, focused on easing pain and helping you move again.
Support for the whole family — guidance on what to expect and how you can help your loved one at home.
Honest communication — clear explanations at every step, and realistic expectations about recovery.

Could This Be What You or Your Child Is Dealing With?

Pain that's lasted longer than the original injury should explain

A limb that's become extremely sensitive to touch, cold, or movement

Skin changes — color, temperature, or swelling — in the painful area

Guarding a limb, won't use it, or won't let anyone near it

Has been told it's "growing pains," stress, or anxiety, but isn't getting better

About Dr. Pascal

When you bring your child to Pascal Health Institute, their care is led by Dr. David Pascal. Dr. Pascal earned his Doctor of Chiropractic degree from Palmer College of Chiropractic-West and his bachelor’s degree from UCLA. Over a career spanning more than 30 years, he has worked across neurology, functional medicine, and sports medicine — serving as a treating chiropractor at four Olympic Games and twelve World Championships, lecturing internationally, and being featured in three documentaries. He founded the Pascal Health Institute in Cary, NC, where he offers a holistic and effective approach to care.

Dr. Pascal's Approach to CRPS

Dr. Pascal’s care combines chiropractic and neurologic techniques with a range of non-invasive modalities. Depending on what’s right for you or your child, these may include pulsed electromagnetic field therapy, frequency-specific microcurrent, low-level laser therapy, intermittent hypoxic therapy and he provides a full immune system reset program within the CRPS program. Every plan — for a child, a teen, or an adult — starts with an evaluation and is built around the individual.

Get In Touch

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Caring for the Whole Family

CRPS doesn’t just affect one limb; it can impact sleep, school, work, daily activities, emotional well-being, and family life. We aim to care for the whole person, not just the symptoms, taking time to understand how CRPS is affecting their quality of life. Whether we’re caring for a child, teen, or adult, our goal is to support recovery, restore function, and help patients get back to the activities that matter most to them.

What patients tell us after the series

My life changed here. I came in with constant, overwhelming pain, and I am leaving with relief I had forgotten was possible. This team did not just treat symptoms—they helped my body heal.

I am deeply grateful to Dr. Pascal and every member of the care team for their personal touch, their persistent care, and their responsiveness to how I felt each day. I was never treated as a case, but as a person—and that made all the difference.

— John O’Malley

I have had CRPS for 11 years. When I came to doctor Pascal, everything hurt to lay on the table, I had so much inflammation and pain. I had noise sensitivity, autoimmune rash, dizziness, pain, extreme fatigue, allodinia. In 11 weeks of treatment, dizziness is gone, rash is gone, fatigue is gone, noise sensitivity is gone. Pain is next to none and I have joy and a smile for the first time in years! Very very grateful to Dr Pascal and his amazing team. You’re truly bringing miracles every day.

— Kandi Gordy

Questions, answered

What causes CRPS in children?

CRPS is thought to begin with damage to injured sensory nerves, which then affects the spinal cord and brain. In young people it often follows a fracture, sprain, or surgery — sometimes a minor one. Adults can develop it the same way, with wrist fractures an especially common trigger.

How is CRPS treated?

Care is usually multidisciplinary. For young patients, active rehabilitation — physical and occupational therapy — is widely considered central, often alongside pain management and emotional support. At Pascal Health Institute, Dr. Pascal’s approach uses chiropractic and neurologic techniques along with the non-invasive modalities described above, and we’re glad to talk through how this fits with your child’s overall care.

How many visits will my child need?

That depends on your child — we’ll talk it through with you after the first evaluation, based on their specific situation.

Is there reason to be hopeful?

Yes. Children and teens with CRPS often respond well to treatment, and many regain full use of the affected limb — young people generally have a more favorable outlook than adults. Adults can improve with treatment too. Every recovery looks different, so we won’t promise a specific result, but we’ll be honest with you at every step.

What should we do first?

Reach out for an evaluation. The sooner you understand what’s happening, the sooner your child can start the right plan.