Symptoms · Symptom Library · FND presentation

Sensory symptoms

Numbness, tingling, odd sensations and altered touch

Also called: functional sensory symptoms · functional numbness · functional sensory loss

Functional sensory symptoms include numbness, pins and needles, burning, tightness, or patches of altered sensation. They can be patchy, fluctuating and deeply unsettling — especially when scans are clear.

Safety. Urgent care for sudden numbness with face/arm/leg weakness, speech change, severe headache, or rapidly progressive symptoms. New patterns need medical judgement.

How it can feel

  • Patches of numbness that do not match a simple nerve map in the way people expect.
  • Pins and needles, buzzing, or “cotton wool” skin.
  • Hypersensitivity where light touch hurts.
  • A sense the limb is not fully connected.

Day to day

  • Difficulty trusting the limb for fine tasks or walking.
  • Sleep disruption from sensory noise.
  • Fear that something is being missed on tests.

Why this can be FND (simply)

Sensation is filtered and interpreted by the nervous system. In FND those filters can mis-fire, producing real sensory experience without a structural cut on imaging.

What can help

  • Thorough assessment so dangerous causes are not missed — then a clear FND-compatible explanation if that is the diagnosis.
  • Desensitisation and sensory retraining approaches guided by therapists.
  • Pacing and reducing total sensory load.
  • Addressing pain, sleep and anxiety loops that amplify sensory volume.

This is information, not a treatment plan. Personal care decisions belong with you and your clinicians.

FAQs

Can sensory FND exist without weakness?

Yes. Sensory symptoms can dominate. Combinations are also common.

Next steps