What is FND (functional neurological disorder)? A Cardiff chiropractor Explains:

Quick intro:

Only very recently had I become more aware of FND. A complex host of symptoms and challenges, challenging for even the most seasoned chiropractor and of coarse the patient too. Recently, have seen more patients come through my doors here in Cardiff with a host of different issues, along with pain and, of coarse, the concern that the patients are feeling.

I have referred out to gp's because the examination and history shows something deeper going on. And after they have been referred to neurology they have a new diagnosis of FND. Chiropractic doesn't treat FND as such but it can help by reducing symptoms and speeding up recovery. The good news, is it can be treated.

So what is FND?

Functional Neurological Disorder (FND) is a complex condition affecting how the brain and body communicate. Unlike neurological conditions caused by structural damage (such as stroke or multiple sclerosis), FND occurs due to a disruption in nervous system function rather than disease or injury. So it's not exactly life threatening, but it can be just as destructive, affecting all aspects of life.

Common Symptoms of FND

FND presents in many ways, with symptoms often resembling serious neurological disorders. These can include:

• Motor symptoms: Weakness, tremors, jerky movements, gait disturbances, dystonia (involuntary movements).

• Sensory symptoms: Numbness, tingling, pain, sensory loss.

• Dissociative seizures (psychogenic non-epileptic seizures, or PNES).

• Speech difficulties: Slurred speech, inability to speak (aphonia).

• Fatigue and brain fog

Many people with FND experience symptom variability, meaning symptoms can change in severity depending on stress, fatigue, or emotional triggers. So like many conditions, there are good days and bad days.

Side note: Often chiropractic examinations can pick up on irregularities. In these cases we still want a definitive diagnosis by referring to your doctor and associated professionals.

How is FND Diagnosed?

A diagnosis of FND is made through clinical assessment, focusing on positive neurological signs rather than just ruling out other conditions. Common diagnostic tests include:

• Hoover’s Sign (to assess functional weakness in the legs)

• Tremor Entrainment Test (to differentiate functional tremors from neurological tremors)

• EEG and MRI (to rule out epilepsy and structural brain conditions)

Once diagnosed, treatment requires a

multidisciplinary approach, often involving physiotherapy, cognitive-behavioral therapy (CBT), and movement-based therapies. And of course chiropractic.

Can Chiropractic Care Help People with FND?

Yes, evidence-based chiropractic care can play a valuable role in managing FND along side other professionals, particularly when focusing on neuromuscular rehabilitation, movement retraining, and pain management. Chiropractic can help by making movements smoother and training the brain to function better with the help of someone else. Chiropractic is very soothing to the nervous system, which can only have a positive impact on everything else. An experienced chiropractor trained in functional neurology and musculoskeletal health can provide individualized care tailored to FND symptoms. Below are some of the ways chiropractic care can help.

What can we do?

1. Neuromuscular Rehabilitation & Movement Retraining

FND often leads to abnormal movement patterns, weakness, and muscle control issues. Chiropractors trained in functional movement assessment can help retrain proper movement patterns using:

• Gentle motor control exercises to re-establish brain-body communication

• Proprioceptive training to improve coordination and reduce involuntary movements

• Gait retraining techniques to help restore normal walking patterns

  
  

2. Chronic Pain and Muscle Dysfunction Management

Many people with FND experience chronic pain, muscle tightness, and postural imbalances. Chiropractic techniques that can help include:

• Myofascial release therapy to reduce muscle tightness

• Gentle spinal and joint mobilization (not high-velocity adjustments) to improve mobility

• Trigger point therapy to ease muscle spasms

• Dry needling a gentle aproach yet soothing effect on tight muscles.

These methods help regulate the nervous system, decreasing

hypersensitivity and pain responses.

3. Vestibular and Balance Rehabilitation

For patients experiencing dizziness, balance issues, or postural instability, vestibular rehabilitation exercises can be beneficial. Chiropractors can guide patients through:

• Eye movement retraining (oculomotor exercises)

• Balance exercises to improve stability and confidence in movement

• Vestibular adaptation exercises for dizziness control

4. Education and Lifestyle Modifications

An evidence-based chiropractor will take a holistic, science-driven approach, educating patients about:

• Pacing and energy management to prevent symptom flare-ups

• The mind-body connection in FND and strategies to reduce stress-related triggers

• Breathing and relaxation techniques to calm the nervous system

5. Collaboration with Other Healthcare Providers

FND is best managed with multidisciplinary care. A chiropractor in Cardiff should work alongside:

• Neurologists

• Psychologists specializing in CBT for FND

A collaborative approach ensures a comprehensive, patient-centered plan.

Why Choose an Evidence-Based Chiropractor in Cardiff for FND?

Finding the right chiropractor for FND is essential. Chiropractic models that focus on an evidence-based

chiropractor uses:

✅ Neuromuscular rehabilitation tailored to functional disorders

✅ Gentle, non-invasive

techniques suitable for FND symptoms

✅ A scientific approach grounded in research, not subluxation theories

✅ Collaborative care, working along side other health professionals.

If you need help, get in contact with us.

Health@corbinchiropractic.co.uk