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

Send us Fan Mail In 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.  **keywords** FND, pain, neurology, diagnosis, treatment, neuroimmune, predictive processing, multidisciplinary rehab **key topics** - FND as a neurological condition affecting movement and sensation - The overlap between FND and chronic pain conditions - Diagnostic signs like Hoover sign and tremor entrainment - The neuroimmune and predictive processing models of FND - Multidisciplinary approaches to FND and pain management **Chapters** 00:00 Understanding Functional Neurological Disorder (FND) 03:15 The Intersection of FND and Pain 07:44 Defining FND in Modern Medicine 11:28 Clinical Signs and Diagnosis of FND 13:29 FND as a Software Problem 15:52 Prevalence of Chronic Pain in FND Patients 19:08 Mechanisms Behind FND and Pain Overlap 21:10 Reconciling CRPS and FND 23:08 Understanding the Overlap in Pain Conditions 30:26 Predictive Processing and Its Role in FND 35:58 Interdisciplinary Approaches to FND Treatment 43:31 The Role of Pain Physicians in Managing FND 46:15 Resources for Learning About FND  **Resources** neurosymptoms.org - https://neurosymptoms.org International FND Society - https://fndhope.org FND 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**: @deepakravindra5 **Instagram**: drdeepakravindran **Website**: www.deepakravindran.co.uk Linktree: https://linktr.ee/DrDeepakRavindran Youtube Channel: https://www.youtube.com/@drdeepakravindran5361 For Clinical Queries and consultations, please go to Berkshire Pain Clinic Order a copy of the Pain Free Mindset here For Season 1 and 3: Mixed and edited by Rob Cao at...