There's been some misinformation and misconceptions happening lately on Twitter (and other platforms) about FND. These views aren't helpful and keeps up the tradition of poor treatment and medical gaslighting that people living with FND are all too familiar with.
Functional neurological disorder (FND) is a condition where the nervous system does not function properly, resulting in symptoms such as weakness, tremors, seizures, pain, sensory disturbances and movement disorders. FND is not caused by structural damage to the brain or spinal cord, but rather by a problem in how the brain processes and sends signals to the body. FND can affect anyone, regardless of age, gender or background, and can have a significant impact on the quality of life and functioning of those affected.
The exact causes of FND are not fully understood, but it is believed that a combination of biological, psychological and social factors may contribute to its development. Some of the possible triggers or risk factors for FND include:
- Physical or emotional trauma
- Stressful life events
- Medical conditions or procedures
- Infections or injuries
- Genetic predisposition
- Personality traits or coping styles
FND is diagnosed by a neurologist, who will rule out other neurological conditions that may cause similar symptoms. The diagnosis is based on the presence of positive signs and features that indicate a functional origin of the symptoms, such as:
- Inconsistency or variability of the symptoms
- Presence of internal or external cues that trigger or worsen the symptoms
- Dissociation or lack of awareness of the symptoms
- Response to suggestion or distraction
- Normal neurological examination or imaging results
FND is a treatable condition, and physiotherapy plays an important role in its management. Physiotherapy for FND aims to:
- Educate the person about FND and its causes, mechanisms and treatment options
- Address any physical impairments or limitations caused by the symptoms
- Restore normal movement patterns and function
- Reduce fear and avoidance of movement or activity
- Enhance self-efficacy and confidence in managing the symptoms
- Promote physical and mental well-being
Physiotherapy for FND is tailored to the individual needs and goals of each person, and may involve a combination of:
- Exercises to improve strength, flexibility, balance and coordination
- Functional tasks and activities to improve mobility and independence
- Motor retraining and imagery techniques to rewire the brain and improve movement control
- Relaxation and breathing exercises to reduce stress and anxiety
- Graded exposure therapy to gradually confront feared or avoided situations that trigger or worsen the symptoms
- Self-management strategies to cope with flare-ups and prevent relapses
Physiotherapy for FND is usually delivered in an interdisciplinary team approach, where the physiotherapist works closely with other health professionals such as neurologists, psychologists, occupational therapists and speech pathologists. The team will provide coordinated and holistic care for the person with FND, addressing not only their physical symptoms, but also their emotional, cognitive and social needs.
At Cortex Neuro Rehab, Ashan Weerakkody is an experienced physiotherapist who is trained and skilled in managing FND. We provide evidence-based and person-centred physiotherapy interventions that are designed to help you overcome your symptoms and achieve your goals. We also work collaboratively with other health professionals in our centre and in the community to ensure that you receive comprehensive and integrated care.
If you or someone you know has been diagnosed with FND, or if you have any questions about FND or physiotherapy for FND, please contact us today. We would love to hear from you and help you on your recovery journey.
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