Functional Neurological Disorder (FND)

What is FND?

Functional neurological disorder (FND) is a problem with how the brain and nervous system function, rather than damage to their structure. The brain has trouble sending and receiving signals, which can cause real and often disabling symptoms, such as:

• weakness or heaviness in an arm or leg

• difficulty walking or problems with balance

• tremor, jerks or spasms

• unusual postures or movements

• numbness or altered sensation

• fatigue

• functional (dissociative) seizures

FND is one of the most common reasons people see a neurologist.

How physiotherapy can help

Physiotherapy for FND is different from standard rehabilitation. Liz’s approach focuses on:

• Understanding your diagnosis: what’s happening, and why improvement is possible

• Retraining movement: strategies that help movement become automatic again, such as rhythm, shifting your focus of attention, and breaking tasks into steps

• Practising in daily life: building on the everyday activities that matter to you

• Managing fatigue and flare-ups: pacing, and a plan for setbacks

• Self-management: a home program and strategies you can keep using

Physiotherapy works best as part of a team. With your permission, we’ll keep your GP, neurologist and psychologist informed.

What to expect

Your first session is an assessment of your symptoms, daily life and goals, and together you’ll agree on a plan. Sessions are one-on-one with Liz on Thursdays, in our Dudley studio or in your home.

Funding options

• Private (self-funded)

• Private health insurance (physiotherapy extras)

• Medicare, with a GP Chronic Condition Management Plan

• NDIS (plan- and self-managed participants)

Frequently asked questions

Do I need a diagnosis first?

We recommend a diagnosis from a neurologist before starting FND physiotherapy. If you’re still being investigated, contact us and we can talk through your options.

Is FND “all in my head”?

No. FND is a recognised neurological condition. The symptoms are real and not deliberate.

Can FND improve?

Many people improve with the right treatment and support, although recovery varies from person to person.

Do I need a referral?

Not for private sessions. A GP referral is needed to claim Medicare rebates.