I've tried everything — how is this different?

Nicole assesses the whole body to find compensations and root causes that single-area treatment misses.

Do you treat Ehlers-Danlos syndrome (EDS)?

Yes. Nicole works with clients who have Ehlers-Danlos syndrome (EDS) and joint hypermobility, using private one-on-one physical therapy and Pilates-based stabilization to improve joint control, reduce pain, and build safer movement patterns.

Can PT reduce my reliance on pain medication?

Many clients reduce pain and medication needs as function improves; discuss any medication changes with your physician.

How long before I notice change?

Many feel improvement within a few sessions; lasting change typically takes several weeks.

Do I need a referral?

No — Florida is direct-access.

Schedule Evaluation Call (904) 315-0667

Chronic Pain Physical Therapy in St. Augustine

Name: Premiere Pilates Rehabilitation and Fitness
Address: 4057 Seminole Point Court, St. Augustine, FL, 32086, US
Telephone: (904) 315-0667
Price range: $$
Rating: 5

Persistent pain, joint hypermobility, or Ehlers-Danlos syndrome (EDS)? A whole-body approach to find the source and restore function.

Schedule Evaluation Call (904) 315-0667

Why It Matters

Understanding your recovery

Chronic pain rarely has a single, obvious cause — it's usually a web of compensations, fascial restrictions, and movement patterns built up over time. For people with Ehlers-Danlos syndrome (EDS) and joint hypermobility, unstable joints and connective tissue differences need a careful, individualized approach. Treating symptoms alone brings only temporary relief. Nicole maps the whole picture and addresses the underlying drivers.

What Makes Our Approach Different

Private, one-on-one sessions — Nicole's full attention for the full hour.
Whole-body assessment to find the true root cause, not just the painful area.
Manual therapy techniques integrated with therapeutic movement.
Modalities: Alpha-Stim and Dolphin Neurostim for pain and inflammation.
Therapeutic Pilates on Reformer, Cadillac, Chair, Oov, and Konnector.
25+ years of experience with complex and post-surgical cases.

Conditions Treated

What we treat

Conditions we treat

•Ehlers-Danlos syndrome (EDS) and joint hypermobility
•Persistent back, hip, neck, and shoulder pain
•Sciatica and nerve-related pain
•Fascial restrictions and chronic muscle tension
•Post-injury pain that never fully resolved
•Pain tied to posture and repetitive strain

Nicole Tristram providing one-on-one physical therapy with a patient

Success Stories

What Our Clients Say

“For nearly three years I'd been on pain and anti-inflammatory medications. Nicole changed that.”
— Joshua S.

“She truly changed my life. Her knowledge of the body and how to help you is immeasurable.”
— Debi C.

“She gave me the tools I need to lead a more comfortable, happier life.”
— Susan

FAQ

Frequently Asked Questions

Take the next step

Schedule your chronic pain evaluation. Nicole will map what's really driving your pain and build a plan to restore comfort and function.

Schedule Evaluation Call (904) 315-0667

Premiere Pilates Rehabilitation and Fitness • 4057 Seminole Point Court, St. Augustine, FL 32086
Serving St. Augustine, Ponte Vedra, Jacksonville, St. Johns County, Palm Coast