Overview

Young people pose together smiling in the Pediatric Pain Rehabilitation Center.

The Mayo Clinic Pediatric Pain Rehabilitation Center (PPRC) helps youth with chronic pain and other chronic symptoms such as orthostatic intolerance, fatigue, dizziness and nausea return to a more active lifestyle.

These Rochester, Minnesota-based programs use a rehabilitation approach that incorporates physical, cognitive-behavioral and occupational therapies. These can help youth with high-impact chronic pain and symptoms return to valued activities such as school, extracurricular activities, family activities and hobbies.

Those over age 22 should seek appointments with Mayo Clinic's Pain Rehabilitation Center for adults, which operates on the Arizona, Florida and Minnesota campuses.

Why Youth with Chronic Pain Choose Mayo Clinic’s Pediatric Pain Rehab Ctr in Minnesota

[Dr. Rabatin] I think a lot of kids get told, "This is all in your head." You know, I'll tell them, "It is in your head 'cause that's where your brain is. That's where that pain signal's coming from."

[Laney] I played competitive hockey for about eight years. I remember falling and just not really being able to move. I got checked against the boards just hard enough to cause problems. Everything that I had to do, so schoolwork, studying, it was all in bed because it hurt so bad.

[Jesse] I'm an Eagle Scout, and I was really into school band. I started experiencing a lot of sleep issues and that led into me experiencing more depression and pain and things like that, and it just kept spiraling and it didn't really feel like there was an end point.

[Dr. Harbeck-Weber] I think when people come in, they've been part of the medical system for a while, and they've tried lots and lots of different interventions, whether that be surgeries or several medications or massage or physical therapy. They often have gotten the message that their pain is hard to understand, and maybe people don't always believe them.

[Jesse] When I was talking with doctors and I mentioned that I wanted to go to college, it seemed almost as they took it as a joke.

[Dr. Rabatin] Your symptoms are real, your pain is real, but it doesn't have to be your new normal. Many of our patients come to us saying, "I want my life back. I haven't been able to do the things that I enjoy, the things that bring me hope, the things that bring me meaning." I view it as a place to restore function, to get your life back. Changing all of those, like, "I can't, I can't, I can't, I can't," to, "I'm just not there yet." (spirited music)

[Laney] I had so many doubts, and all the doctors sat me down and I just said, "I don't get it," and they explained it to me step-by-step and why they do everything. I felt like they were talking to me as an adult and not just a subject or a patient.

[Dr. Harbeck-Weber] When people come in and they are willing to learn the science and then try to do things differently, they find that they're able to do more than they thought they could.

[Jesse] Mayo brings you in to teach you skills and strategies as a community to pull yourself out of whatever hole it feels like you're trapped in. It's just three weeks of my life, it's such a small thing on a grand scale, and so my biggest goal was just to be genuine with the program.

[Laney] It was really a working system that's like they're all working on different things, but they're all working kind of in unison.

[Dr. Harbeck-Weber] We have a big variety of professionals who all work together to support the patient. We have medical providers, we have psychologists, we have nurses, we have biofeedback providers, physical therapists, occupational therapists.

[Laney] It really amazed me because about a week into the program, my parents started to notice a difference. I didn't see it in myself, at least not at first, but I could see it in the other people I was with, and I was like, "Wow, like, this really is working!"

[Jesse] It reminded us that we're people, that we're kids, we're not just a medical problem that needs to be solved, and thanks to biofeedback, I'm able to just ground myself and breathe. I was able to see myself at peace for the first time in years. (gentle music)

[Dr. Rabatin] Success looks different for every patient. We could say, you know, a successful patient does this, this, this, and this and this. We'd be wrong. Success is whatever those goals were. Success is gonna be, "I have the tools to continue to grow, to continue my return to function, to continue developing and getting back to the things that bring me hope and meaning."

[Jesse] PRC helped me to transition straight from the program back home for three days to pack and immediately go to college.

[Laney] Hockey would be on the list if I were to describe who I was now, but it wouldn't be at the top. I still enjoy playing, I still love being active. I'm a social butterfly, I love pushing myself out there. I love trying new things. I'm a completely different person. (gentle music)

PPRC essentials

A young smiles up at her therapist while exercising with elastic bands.

The PPRC is located at Mayo Clinic's Rochester, Minnesota, campus and includes three programs. The 17-day program is focused on functional restoration from chronic pain, autonomic disorders, functional disorders, and other symptoms such as fatigue, dizziness, nausea and vomiting. The two-day program teaches the core concepts of chronic pain rehabilitation. The Child and Adolescent Meal Program (ChAMP) is a seven-day program that's focused on increasing eating and nutrition.

  • The age range is 13 to 22 for the pain and chronic symptom programs and 12 to 19 for the ChAMP program.
  • A parent is required to attend the program with their youth.

We treat much more than pain

Young people come to Mayo Clinic's Pediatric Pain Rehabilitation Center with many different types of chronic pain and conditions. Examples include:

  • Abdominal pain.
  • Central sensitivity syndromes.
  • Chronic fatigue.
  • Chronic nausea and vomiting.
  • Complex regional pain syndrome.
  • Functional symptoms.
  • Generalized pain or pain in multiple areas.
  • Headaches, including migraines.
  • Musculoskeletal pain.
  • Nerve (neuropathic) pain.
  • Nonepileptic spells.
  • Postural orthostatic tachycardia syndrome (POTS) and other autonomic disorders.
  • Weight loss or low weight due to avoidant/restrictive food intake disorder (ARFID).

Our three separate PPRC programs share several features in common:

  • Young people may be referred to a program by their provider, or they may make appointments directly (sometimes known as self-referring).
  • During an evaluation before any program, PPRC staff recommend the specific program that is most likely to meet the young person's goals.
  • Patients sometimes complete two programs (for example, the three-week PPRC program and ChAMP).
  • Note that at least one parent is required to accompany their child to any PPRC program.

Top rankings regionally and nationally

A young man and his therapist smile at one another as he exercises with elastic bands.
  • Top regional ranking. Mayo Clinic Children's in Rochester is ranked the No. 1 hospital in Minnesota and the five-state region of Iowa, Minnesota, North Dakota, South Dakota and Wisconsin, according to U.S. News & World Report's 2025-2026 "Best Children's Hospitals" rankings.
  • National excellence. Mayo Clinic Children's is nationally ranked by U.S. News in most pediatric specialties that are evaluated. This means that our center provides excellent care for the sickest and most complex patients.
  • ANCC Magnet Recognition. The American Nurses Credentialing Center (ANCC) awards Magnet recognition for excellence in nursing. Magnet status is considered the gold standard that demonstrates a commitment to quality, safety and improvement, teamwork, evidence-based practice and research, and formal nursing education. The ANCC Magnet Recognition Program awards this status to healthcare organizations that show transformational leadership, structural empowerment, exemplary professional practice, and innovations and improvements in nursing practice.
A young man and his therapist chat with one another at a table.

PPRC featured programs

PPRC three-week pain rehabilitation program

Adolescents and young adults learn to address challenges caused by any type of chronic pain or symptom that interferes with daily life and results in significant declines in health, physical and emotional functioning.

The three-week program includes an integrated team of healthcare professionals including pediatric medicine, rehabilitation medicine, physical therapy, psychology, occupational therapy, biofeedback and nursing. It features eight core components.

Learn more about the three-week program.

PPRC two-day pediatric pain rehabilitation program

The two-day pediatric pain rehabilitation program at Mayo Clinic's campus in Minnesota provides education for adolescents and young adults about chronic pain and symptoms. The program includes an overview of self-management skills necessary for improving pain and symptoms.

Medication management and physical reconditioning are not included in this brief intervention.

Candidates for the two-day program typically have significant chronic pain but are still attending school most days. Because this program focuses on chronic pain, fatigue and autonomic symptoms, young people with functional symptoms (physical symptoms without an obvious physical cause) are not recommended for this program. Instead, we should discuss whether the 17-day program would be beneficial.

PPRC Child Adolescent Meal Program (ChAMP)

The Child Adolescent Meal Program (ChAMP) is a seven-day, intensive program for adolescents with avoidant restrictive food intake disorder (ARFID) or youth who are unable to eat enough volume or variety due to low appetite, pain, nausea or sensory sensitivities.

The program is designed to give youth and their parents the skills to help expand the volume and variety of food children and adolescents are eating.

Learn more about the ChAMP program.

Dec. 12, 2025