Targeted Diagnosis: Understanding the "Software" of the Brain
FND is often described as a "software" problem rather than a "hardware" problem. The structure of the brain is intact, but there is a disruption in how the brain sends and receives signals.
Functional Movement Disorders
Includes persistent tremors, dystonia (posturing), or gait abnormalities that may change with distraction.
Functional Limb Weakness
A real experience of paralysis or weakness that does not follow traditional nerve-pathway damage but is detectable through clinical signs like 'Hoover's Sign.'
Non-Epileptic Seizures
Episodes that look like epilepsy but are caused by the brain's response to internal or external triggers rather than electrical 'storms.'
Sensory & Cognitive Symptoms
Numbness, tingling, 'brain fog,' or vision changes that fluctuate in intensity.
Precision Treatments: The Three-Pillar Recovery Roadmap
Because FND involves the brain's signaling pathways, treatment focuses on "retraining" the nervous system. Dr. Karmazin utilizes a multi-disciplinary approach.
Diagnostic Clarity & Education
Understanding Your Condition
- Validation: Moving away from 'it's all in your head' to 'your brain's signaling is misfiring'
- Symptom Mapping: Identifying the 'loops' in the nervous system that keep symptoms active
Neuro-Modulatory Strategies
Stabilizing the Nervous System
- Symptom Management: Targeted medications to address pain, anxiety, or sleep disturbances
- Neuromodulation Education: Non-invasive tools to help 'reset' sensory-motor pathways
Physical Interventions
Rewiring the Path
- FND-Specific Physical Therapy: 'Retraining' the brain through movement with distraction and relearning automatic patterns
- Speech & Occupational Therapy: For functional speech changes or difficulties with daily tasks
- Lifestyle Stabilization: Regulated breathing, pacing, and stress-reduction techniques
The Private Practice Advantage: Virtual FND Care
Patients with FND often face "medical gaslighting" in large hospital systems. In Dr. Karmazin's private practice, you receive the time and specialized attention required to treat this complex condition.
Personalized Attention
A board-certified neurologist who understands FND is a physical, biological condition.
Direct Observation
Virtual visits allow Dr. Karmazin to see your symptoms in your natural, low-stress environment.
Long-Term Coordination
We don't just diagnose; we manage your care team (PTs, therapists) over the long term.
Virtual Accessibility
Avoid the stress of travel, which is a common trigger for functional symptom flares.