Pilates and Functional Neurological Disorder (FND): Moving with Calm, Control and Confidence

Functional Neurological Disorder (FND) is a complex and often misunderstood condition that affects how the brain and body communicate. Symptoms can include muscle weakness, tremors, movement difficulties, sensory changes, and episodes of dissociation or non-epileptic seizures. These experiences are real, distressing, and can significantly impact day-to-day life.

At NeuroPilates Method, we offer tailored Pilates-based movement therapy to support people living with FND. Our gentle, evidence-informed approach helps clients rebuild trust in their bodies, reduce symptom severity, and regain confidence in movement—without fear or overwhelm.

Understanding FND: It’s Real and It’s Treatable

FND is a condition where the nervous system is not functioning as it should, despite no clear structural damage. It sits at the intersection of neurology and psychology, with symptoms often triggered or worsened by stress, past trauma, or disruptions in how the brain processes movement and sensation.

Common symptoms of FND may include:

  • Limb weakness or paralysis

  • Functional tremors or jerky movements

  • Gait or balance disturbances

  • Functional seizures (non-epileptic)

  • Speech difficulties or sensory changes

  • Fatigue and cognitive fog

Although the cause isn’t always clear, research shows that FND is treatable, especially when clients receive care from professionals who understand both the physical and emotional aspects of the condition.

Why Pilates? A Mindful, Movement-Based Approach

Pilates is a low-impact form of exercise that focuses on breath, body awareness, posture, and gentle strength training. For individuals with FND, Pilates provides a safe and empowering environment to:

  • Reconnect the brain and body through intentional, functional movement

  • Improve postural control, coordination and balance

  • Reduce fear and anxiety around movement

  • Promote relaxation and nervous system regulation

  • Increase physical confidence and independence

Unlike high-intensity workouts or complex rehab routines, Pilates is slow, adaptable, and supportive—making it an ideal form of movement for those living with functional symptoms.

Movement Without Pressure

A key principle of working with FND is moving without fear or performance pressure. At NeuroPilates Method, we:

  • Start with a thorough assessment to understand your symptoms, triggers and goals

  • Use calm, structured movement sequences designed to re-establish motor control

  • Focus on what your body can do, rather than pushing into discomfort or overload

  • Incorporate mindfulness, breathwork, and yoga therapy principles to support emotional regulation and body awareness

  • Progress at your pace—with no pressure to achieve or “fix” anything overnight

We understand that symptom severity can vary from day to day. Our programs are flexible and responsive to your energy levels, emotional state, and confidence in the moment.

Neuroplasticity and FND Recovery

One of the reasons Pilates is so effective for FND is that it supports neuroplasticity—the brain’s ability to rewire and form new connections. By practising safe, repetitive movements in a relaxed state, the nervous system can begin to relearn more functional movement patterns.

This process is often supported further by:

  • Education around FND to reduce fear and uncertainty

  • Psychological support (e.g., working with a psychologist or neuropsychiatrist)

  • Multidisciplinary care, where allied health providers work together toward shared goals

Pilates acts as the movement-based pillar in this recovery approach—helping clients reconnect with their bodies in a non-threatening, empowering way.

What a Pilates Session for FND Looks Like

Our sessions are individualised and trauma-informed. You can expect:

  • A calm, quiet environment

  • A strong focus on breathing, grounding and posture

  • Use of equipment such as mats, foam rollers, resistance bands and small props to support movement

  • Slow, deliberate exercises tailored to your symptom profile

  • Clear, supportive instruction with options for rest, pacing and modification

We also integrate gentle yoga therapy techniques to support nervous system regulation and help shift out of fight-or-flight responses that may worsen symptoms.

What Our Clients Say

Many of our clients with FND have told us they feel:

  • More confident walking and moving

  • Less fearful of triggering symptoms

  • Calmer and more in control of their body

  • Reconnected with their strength and physical capability

  • Validated, heard, and supported

They also appreciate the holistic and non-judgemental approach we bring to every session. For people who have spent years searching for answers or feeling dismissed, this can be a game-changer.

We Understand FND—and We’re Here to Help

Living with FND can be overwhelming, frustrating and isolating—but with the right support, recovery is possible. At NeuroPilates Method, we understand the unique challenges of this condition and provide a safe, structured path forward using movement, education, and empathy.

Our goal is to help you feel more confident in your body, more connected to your breath, and more in control of your movement—one session at a time.

Ready to Get Started?

Contact us today to learn more about our Pilates-based programs for people living with Functional Neurological Disorder. We offer individual sessions and small group options in a supportive, sensory-friendly environment.

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