Functional movement symptoms in FND

Functional weakness, tremor, gait problems and dystonia are among the most common FND presentations. They are real, often fluctuating, and frequently improve with specialist physiotherapy approaches.

What this can feel like

A limb that will not move well, shaking that comes and goes, a walking pattern that changes with attention or fatigue, or abnormal postures. Symptoms may improve briefly with distraction and worsen when you try harder — that pattern can be part of FND, not proof of “faking”.

What often helps

Specialist neuro-physio experienced with functional movement (when available)
Retraining automatic movement rather than forcing effort alone
Reducing fear of movement while staying safe from falls
Addressing pain, sleep and fatigue alongside movement work
Clear explanation so you are not fighting your own nervous system

At home — while you wait for rehab

Do

Use walking aids if they reduce falls
Practise short, calm movement sessions
Note triggers (stress, sleep, attention)
Ask for falls-risk advice if needed

Be careful with

All-or-nothing exercise challenges
Pushing through pain into collapse
Comparing every day to your best day
Ignoring new stroke-like symptoms

Safety first

If symptoms are new, sudden, severe, stroke-like, a first seizure, chest pain, or very different from your usual pattern, call 999 or use NHS 111. Do not assume it is “just FND”.