Understanding FND and Pain: A New Paradigm with Prof Jon Stone

Send us Fan MailIn this episode, i got the opportunity to interview a person I hugely admire. He is  the person most responsible for putting Functional Neurological Disordeer (FND) on the scientific map. Professor Jon Stone is Professor of Neurology at the University of Edinburgh. Since 1999, he has published over 400 papers, built the world's most widely used patient resource for FND — neurosymptoms.org — and led on international diagnostic criteria.As you may know, FND is a real, disabling, neurological condition. It affects how the brain processes and generates movement, sensation and — critically for this audience — pain. It is not feigning. It is not malingering. And for many patients, it is treatable. keywordsFND, pain, neurology, diagnosis, treatment, neuroimmune, predictive processing, multidisciplinary rehabkey topicsFND as a neurological condition affecting movement and sensationThe overlap between FND and chronic pain conditionsDiagnostic signs like Hoover sign and tremor entrainmentThe neuroimmune and predictive processing models of FNDMultidisciplinary approaches to FND and pain managementChapters00:00 Understanding Functional Neurological Disorder (FND)03:15 The Intersection of FND and Pain07:44 Defining FND in Modern Medicine11:28 Clinical Signs and Diagnosis of FND13:29 FND as a Software Problem15:52 Prevalence of Chronic Pain in FND Patients19:08 Mechanisms Behind FND and Pain Overlap21:10 Reconciling CRPS and FND23:08 Understanding the Overlap in Pain Conditions30:26 Predictive Processing and Its Role in FND35:58 Interdisciplinary Approaches to FND Treatment43:31 The Role of Pain Physicians in Managing FND46:15 Resources for Learning About FND Resourcesneurosymptoms.org - https://neurosymptoms.orgInternational FND Society - https://fndhope.orgFND in chronic pain clinics: 2023 -  DOI: 10.1111/ene.15892 CRPS and FND : 2018:  Popkirov S, Hoeritzauer i, Colvin L, doi:10.1136/jnnp-2018 318298 Pain and FND 2024 review:  Steinruecke M, Mason I, Keen M, et al. J doi:10.1136/jnnp-2023 332810 Migraine and FND 2025 review:  https://doi.org/10.1093/braincomms/fcaf288 Disclaimer:This podcast is for education and general information only and does not replace personalised medical advice. If you are experiencing ongoing pain or distress, please consult your healthcare professional. Please provide a feedback and comments on the podcast and any questions that you may have.If you enjoyed it please rate and leave a review on Spotify/Apple podcasts and tell a friend about this show.The Pain Speak podcast is presented by Prof Deepak Ravindran, a NHS Consultant specialising in Pain and Lifestyle Medicine. Dr Ravindran is also the author of the book, 'The Pain Free Mindset' Get in touch:Twitter: @deepakravindra5Instagram: drdeepakravindranWebsite: www.deepakravindran.co.ukLinktree: https://linktr.ee/DrDeepakRavindranYoutube Channel: https://www.youtube.com/@drdeepakravindran5361For Clinical Queries and consultations, please go to Berkshire Pain ClinicOrder a copy of the Pain Free Mindset hereFor Season 1 and 3: Mixed and edited by Rob Cao at...