The Chronic “Invisible” Conditions and FND: PPPD, PPCS, and Chronic Pain
Presented by Julie Hershberg and Mike Studer
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Financial: Julie Hershberg receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.
Nonfinancial: Mike Studer has no competing nonfinancial interests or relationships with regard to the content presented in this course.
Nonfinancial: Julie Hershberg has no competing nonfinancial interests or relationships with regard to the content presented in this course.
This course will help clinicians organize their evidence-based approach to persons with conditions related to FND: PPPD, chronic pain, and persistent postconcussion syndrome (PPCS). Clinicians will be empowered to engage in patient education, project outcomes, and follow a POC to discharge.
Meet your instructors
Julie Hershberg
Julie Hershberg is a passionate neurologic physical therapist, educator, mentor, learner, and forever neuro nerd. She owns and practices at [Re+Active] Physical Therapy & Wellness, a state-of-the-art outpatient neurologic physical therapy and wellness practice in Los Angeles. It is there she has the privilege to lead a team…
Mike Studer
Dr. Mike Studer has been a PT since 1991. He has been board certified in neurologic PT since 1995 and has been a private practice owner since 2005. Dr. Studer has been an invited speaker covering 50 states, 10 countries, and 4 continents, speaking on topics such as cognition and psychology in rehabilitation, aging, stroke,…
Chapters & learning objectives
1. Physiologic Relationships: The Invisible FNDs and Related Conditions
In this chapter, we will establish the relationships and similarities between each of these conditions. Additionally, we will identify the common symptoms seen in persistent postconcussion syndrome (PPCS) and persistent postural-perceptual dizziness (PPPD). Finally, this chapter will define chronic pain and establish how is it related to these conditions.
2. Commonalities in Presentation and Triggers: Applying the Evidence
This chapter will provide strategies for effective trigger identification and management in persons with chronic pain, persons with PPPD, and persons with PPCS.
3. One Part of the Medical Team: Referral and Plan-of-Care Management
In this chapter, we will identify referral management and begin to reveal how we talk with patients about their diagnosis. In addition, we identify the medical team for persons with FND and outline two roles that can play a part in a collaborative process.
4. Invisible Cases, Observable Progress: PPCS and PPPD
In this chapter, we see real people who have struggled and persevered with PPCS and PPPD. We understand their plight, as others may not see their impairments (invisible), which can discount their self-agency and social support and lead to further disability and depression. We learn how to manage and reverse these tendencies for patient benefit.
5. Invisible Cases, Observable Progress: Chronic Pain
In this chapter, we meet an individual with an all-too-common case of pain and disability forecast through imaging prior to the patient experiencing symptoms. We learn how she, like so many, struggled and persevered through chronic pain. We see how little it took for her to reverse the course, to be given an opportunity to control her symptoms and condition, and how empowering this is for invisible conditions. Finally, she expresses a beautiful answer when challenged to explain whether her pain lives in her brain or in her back.
6. Summarizing What We Have Learned; Resources for Continued Learning
This chapter summarizes a relationship between FND, PPPD, PPCS, and chronic pain so that clinicians can see the common thread and help patients in their recovery for each. We outline additional resources for continued learning. This chapter will also summarize the three-part FND course series.
More courses in this series
Functional Neurological Disorders: Examination, Diagnosis, and Education
Julie Hershberg and Mike Studer
Functional Neurological Disorders: Evidence and Applications in Treatment
Julie Hershberg and Mike Studer
The Chronic “Invisible” Conditions and FND: PPPD, PPCS, and Chronic Pain
Julie Hershberg and Mike Studer