As a neurologist for functional movement disorders, I help patients who experience tremors, jerks, or walking issues that don’t match typical neurological conditions. These are not imaginary or fake, they are real symptoms without visible brain damage. This page explains what functional disorders are, and how I guide patients with understanding, reassurance, and step-by-step recovery.
Hello, I’m Dr. Mitesh Chandarana
I’m a neurologist and movement disorder specialist. Some patients come to me with real movement problems like shaking, jerking, or trouble walking but their brain scans and tests are all normal.
They’re often confused, scared, or even told by others that “it’s all in the mind.” But what they have is a condition called Functional Movement Disorder (FMD) and yes, it’s very real, and very treatable.
What Is a Functional Movement Disorder?
In FMD, the brain is not damaged, but it is not sending signals properly to the muscles. This causes:
- Unusual tremors
- Jerky movements
- Leg dragging or “gait freezing”
- Sudden spasms or posturing
- Muscle weakness or imbalance
Unlike diseases like Parkinson’s or stroke, FMD is reversible, because the structure of the brain is normal.
It’s not fake. It’s a disconnect between brain and body.
Common Symptoms I See in Functional Disorders
- Tremors that start and stop suddenly
- Jerks or spasms that change pattern
- Weakness or numbness without nerve damage
- Legs that feel stuck, but move fine when distracted
- Frequent falls without loss of consciousness
- Symptoms that worsen with attention or stress
- Unexplained shaking or walking difficulty
- Multiple symptoms that don’t fit one disease
These movements may appear dramatic, but they’re not intentional. They often improve when the person is calm or distracted, this is a key diagnostic clue.
How I Diagnose Functional Movement Disorders
Diagnosis is based on clinical examination, not just ruling things out.
I look for:
- Specific signs like “entrainment” or variability
- Movements that disappear when attention is shifted
- Normal scans, nerve tests, and blood work
- Past stress or emotional trauma (in some cases)
Many patients have no psychiatric history and that’s okay. FMD can happen to anyone, even without major stress.
How I Treat Functional Movement Disorders
Treatment is not just about medicines, it’s about retraining the brain. My approach includes:
1. Clear Explanation & Reassurance
I take time to explain:
- Your symptoms are real
- Your brain can relearn normal movement
- You’re not imagining it or doing it on purpose This is the most powerful first step in recovery.
2. Physiotherapy With Focused Goals
- I refer you to therapists who understand FMD
- The focus is on automatic movement, not effort
- We train the brain to move naturally again
- Small wins build confidence and momentum
3. Stress Management (if needed)
- If anxiety or past trauma is present, I may recommend:
- Relaxation techniques
- CBT (Cognitive Behavioral Therapy)
- Counseling sessions
- These help calm the nervous system and support recovery
4. Medicines (only if needed)
- I use medications only if there’s depression, anxiety, or pain
- No specific drug “cures” FMD, but treatment helps support your journey
5. Family Support
- I include your family in the process
- I explain what to say and what not to say
- Supportive families help patients recover faster
My Focus: Recovery, Confidence, and Respect
Many patients with FMD suffer in silence. They feel blamed, judged, or hopeless. My clinic is a safe space no judgment, just a clear plan to help you get better.
Frequently Asked Questions (FAQs)
Q1. Are functional movement disorders fake?
Not at all. The symptoms are real. They come from temporary signal issues in the brain, not from imagination. Know More
Q2. Can they be cured?
Yes, many patients fully recover with the right guidance, therapy, and reassurance. Know More
Q3. Will medicines help?
Sometimes. But the most important part is understanding and physical retraining, not just pills. Know More
Q4. Can children or teens get this?
Yes, FMD can happen at any age. Early diagnosis helps avoid years of confusion or mistreatment. Know More
Q5. Can I work or go back to normal life?
Yes. Many people return to full activity once the symptoms are controlled and confidence returns. Know More
Let’s Start Your Recovery – One Step at a Time
If your movements don’t make sense, or your tests are normal but your symptoms are not — don’t give up. I can help you understand what’s happening and support you with a clear recovery path.
Book Your Appointment Today
📞 Call: 8866843843
📍 Medisquare Superspeciality Hospital, Ahmedabad
