Zachary Grin, PT, DPT
@zacharygrin.bsky.social
Doctor of Physical Therapy | 🏳️🌈 he/him
Owner of Rethink Physical Therapy, PLLC | NYC
I help people living with FND take back control.
www.fnd.physio
Owner of Rethink Physical Therapy, PLLC | NYC
I help people living with FND take back control.
www.fnd.physio
Pinned
It’s a relief to start fresh on Bluesky!
I’m intending to share my knowledge and passion for functional neurological disorders and functional somatic syndromes.
Let’s start with an FND treatment thread! 🧵👇
#physiosky #medsky #neurosky #fndsky
I’m intending to share my knowledge and passion for functional neurological disorders and functional somatic syndromes.
Let’s start with an FND treatment thread! 🧵👇
#physiosky #medsky #neurosky #fndsky
Reposted by Zachary Grin, PT, DPT
New review article on health anxiety for neurologists with Huw Green in Practical Neurology
❌Health anxiety is NOT FND.
✅Can occur in any neurological condition,
✅Reassurance usually makes it worse
✅Specific treatment.
pn.bmj.com/content/earl...
Free link - tinyurl.com/5n7shutv
❌Health anxiety is NOT FND.
✅Can occur in any neurological condition,
✅Reassurance usually makes it worse
✅Specific treatment.
pn.bmj.com/content/earl...
Free link - tinyurl.com/5n7shutv
February 21, 2025 at 5:35 PM
New review article on health anxiety for neurologists with Huw Green in Practical Neurology
❌Health anxiety is NOT FND.
✅Can occur in any neurological condition,
✅Reassurance usually makes it worse
✅Specific treatment.
pn.bmj.com/content/earl...
Free link - tinyurl.com/5n7shutv
❌Health anxiety is NOT FND.
✅Can occur in any neurological condition,
✅Reassurance usually makes it worse
✅Specific treatment.
pn.bmj.com/content/earl...
Free link - tinyurl.com/5n7shutv
Reposted by Zachary Grin, PT, DPT
Keith Haring died of AIDS aged 31 on 16 Feb 1990.
One of his last works, Unfinished Painting, was deliberately incomplete, reflecting the devastating, unquantifiable loss to the arts due to AIDS.
#LGBTplusHistoryMonth
One of his last works, Unfinished Painting, was deliberately incomplete, reflecting the devastating, unquantifiable loss to the arts due to AIDS.
#LGBTplusHistoryMonth
February 16, 2025 at 9:00 AM
Keith Haring died of AIDS aged 31 on 16 Feb 1990.
One of his last works, Unfinished Painting, was deliberately incomplete, reflecting the devastating, unquantifiable loss to the arts due to AIDS.
#LGBTplusHistoryMonth
One of his last works, Unfinished Painting, was deliberately incomplete, reflecting the devastating, unquantifiable loss to the arts due to AIDS.
#LGBTplusHistoryMonth
“Current evidence did not show an association between patients with MCADs #MCAS and those with #POTS and/or #EDS.”
www.jacionline.org/article/S009...
www.jacionline.org/article/S009...
Prevalence Of Mast Cell Activation Disorders Amongst POTS And EDS Patients: A Scoping Review
Our aim was to determine the prevalence mast cell activation disorders (MCADs) in
patients diagnosed with Ehlers-Danlos Syndrome (EDS) and/or Postural Orthostatic Tachycardia
Syndrome (POTS).
www.jacionline.org
February 15, 2025 at 7:05 PM
“Current evidence did not show an association between patients with MCADs #MCAS and those with #POTS and/or #EDS.”
www.jacionline.org/article/S009...
www.jacionline.org/article/S009...
Reposted by Zachary Grin, PT, DPT
If you’re a clinician looking for resources to share with patients with FND, neurosymptoms.org should be your go-to!
Lots of great info on FND diagnosis, subtypes, treatment, and formulation - presented in wonderfully clear language.
By expert neurologist @jonstoneneuro.bsky.social
Lots of great info on FND diagnosis, subtypes, treatment, and formulation - presented in wonderfully clear language.
By expert neurologist @jonstoneneuro.bsky.social
Functional Neurological Disorder (FND) – A Patient's Guide to FND
neurosymptoms.org
January 31, 2025 at 1:31 PM
If you’re a clinician looking for resources to share with patients with FND, neurosymptoms.org should be your go-to!
Lots of great info on FND diagnosis, subtypes, treatment, and formulation - presented in wonderfully clear language.
By expert neurologist @jonstoneneuro.bsky.social
Lots of great info on FND diagnosis, subtypes, treatment, and formulation - presented in wonderfully clear language.
By expert neurologist @jonstoneneuro.bsky.social
Reposted by Zachary Grin, PT, DPT
The mind/body revolution: how the division between ‘mental’ and ‘physical’ illness fails us all www.theguardian.com/society/2025...
The mind/body revolution: how the division between ‘mental’ and ‘physical’ illness fails us all
New research shows western medicine’s traditional split between brain and body is, in fact, far from clear cut – and could provide a breakthrough for many complex conditions
www.theguardian.com
January 26, 2025 at 4:17 PM
The mind/body revolution: how the division between ‘mental’ and ‘physical’ illness fails us all www.theguardian.com/society/2025...
Reposted by Zachary Grin, PT, DPT
What @mcuban.bsky.social said!!!!!
As a medical professional, the things I could tell you about how foul it is dealing with #insurance would blow your damn mind.
As a medical professional, the things I could tell you about how foul it is dealing with #insurance would blow your damn mind.
The facts are, the ACA saved millions with pre-existing conditions and set standards for care.
But now, more than a decade later, with what we now know, it’s time to take the insurance companies out of the mix.
The subsidies they get are enormous. We don’t need them as middlemen.
But now, more than a decade later, with what we now know, it’s time to take the insurance companies out of the mix.
The subsidies they get are enormous. We don’t need them as middlemen.
January 16, 2025 at 7:33 PM
What @mcuban.bsky.social said!!!!!
As a medical professional, the things I could tell you about how foul it is dealing with #insurance would blow your damn mind.
As a medical professional, the things I could tell you about how foul it is dealing with #insurance would blow your damn mind.
The FND misinformation in this video is very concerning. They discuss a number of FND symptoms but wrongly believe FND means feigning. They admit they don’t know the cause of the symptoms but they are open to learning more to figure it out.
Dr. Ruhoy, please consider learning about FND ⬇️
#FNDaware
Dr. Ruhoy, please consider learning about FND ⬇️
#FNDaware
December 24, 2024 at 9:37 PM
The FND misinformation in this video is very concerning. They discuss a number of FND symptoms but wrongly believe FND means feigning. They admit they don’t know the cause of the symptoms but they are open to learning more to figure it out.
Dr. Ruhoy, please consider learning about FND ⬇️
#FNDaware
Dr. Ruhoy, please consider learning about FND ⬇️
#FNDaware
We need to consider the neuropsychological & behavioral consequences of an infection too.
The study’s results seem consistent with functional cognitive disorder.
Good overview: www.elsevier.es/es-revista-n...
#LongCovid
The study’s results seem consistent with functional cognitive disorder.
Good overview: www.elsevier.es/es-revista-n...
#LongCovid
December 23, 2024 at 5:59 PM
We need to consider the neuropsychological & behavioral consequences of an infection too.
The study’s results seem consistent with functional cognitive disorder.
Good overview: www.elsevier.es/es-revista-n...
#LongCovid
The study’s results seem consistent with functional cognitive disorder.
Good overview: www.elsevier.es/es-revista-n...
#LongCovid
Reposted by Zachary Grin, PT, DPT
Videos of people suffering from severe neurological symptoms get shared on social media periodically. These videos are often presented as the person faking, but some may have functional neurological disorder. It's important to recognize that FND =/= fake.
What is FND? A brief primer for HCWs:
What is FND? A brief primer for HCWs:
December 18, 2024 at 1:28 PM
Videos of people suffering from severe neurological symptoms get shared on social media periodically. These videos are often presented as the person faking, but some may have functional neurological disorder. It's important to recognize that FND =/= fake.
What is FND? A brief primer for HCWs:
What is FND? A brief primer for HCWs:
Reposted by Zachary Grin, PT, DPT
Want to save yourself heartache, discomfort and prevent medical errors when admitted to the hospital? Have your doctor arm you with a signed letter you can hand out to all the healthcare professionals who will be in your orbit. www.parkinson.org/library/book...
December 16, 2024 at 3:25 PM
Want to save yourself heartache, discomfort and prevent medical errors when admitted to the hospital? Have your doctor arm you with a signed letter you can hand out to all the healthcare professionals who will be in your orbit. www.parkinson.org/library/book...
Reposted by Zachary Grin, PT, DPT
I've put together a starter pack for the FND science community.
Please repost to share the link and do let me know of folks I've missed so I can add them to the group.
Thanks everyone 🙏
🧵 1/
Please repost to share the link and do let me know of folks I've missed so I can add them to the group.
Thanks everyone 🙏
🧵 1/
December 15, 2024 at 8:50 AM
I've put together a starter pack for the FND science community.
Please repost to share the link and do let me know of folks I've missed so I can add them to the group.
Thanks everyone 🙏
🧵 1/
Please repost to share the link and do let me know of folks I've missed so I can add them to the group.
Thanks everyone 🙏
🧵 1/
Reposted by Zachary Grin, PT, DPT
A very nice statement from the American Academy of Allergy, Asthma & Immunology (AAAAI) debunking the myth of "toxic mold illness" that is spread by functional and integrative medicine quacks:
www.aaaai.org/tools-for-th...
www.aaaai.org/tools-for-th...
Toxic Mold Syndrome: Separating Fact from Fiction
Fungi are present in all human environments, both indoors and outdoors, but most fungi do not cause disease in humans.
www.aaaai.org
December 13, 2024 at 3:02 AM
A very nice statement from the American Academy of Allergy, Asthma & Immunology (AAAAI) debunking the myth of "toxic mold illness" that is spread by functional and integrative medicine quacks:
www.aaaai.org/tools-for-th...
www.aaaai.org/tools-for-th...
Reposted by Zachary Grin, PT, DPT
How common is FND?
‘Incidence and Prevalence of Functional Neurological Disorder: A systematic review’ – a new open access article in JNNP led by Sara Finkelstein with Clare Diamond, and @alancarson15.bsky.social
jnnp.bmj.com/content/earl... 1/🧵
‘Incidence and Prevalence of Functional Neurological Disorder: A systematic review’ – a new open access article in JNNP led by Sara Finkelstein with Clare Diamond, and @alancarson15.bsky.social
jnnp.bmj.com/content/earl... 1/🧵
December 12, 2024 at 7:51 AM
How common is FND?
‘Incidence and Prevalence of Functional Neurological Disorder: A systematic review’ – a new open access article in JNNP led by Sara Finkelstein with Clare Diamond, and @alancarson15.bsky.social
jnnp.bmj.com/content/earl... 1/🧵
‘Incidence and Prevalence of Functional Neurological Disorder: A systematic review’ – a new open access article in JNNP led by Sara Finkelstein with Clare Diamond, and @alancarson15.bsky.social
jnnp.bmj.com/content/earl... 1/🧵
Reposted by Zachary Grin, PT, DPT
New to #bluesky and excited to share a new publication at the interface of my two main clinical interests in neuropsychiatry.
"New Framework for the Continuum of Concussion and Functional Neurological Disorder" with @silverberglab.bsky.social in BJSM. Thread below 🧵
bjsm.bmj.com/content/earl...
"New Framework for the Continuum of Concussion and Functional Neurological Disorder" with @silverberglab.bsky.social in BJSM. Thread below 🧵
bjsm.bmj.com/content/earl...
December 10, 2024 at 9:13 PM
New to #bluesky and excited to share a new publication at the interface of my two main clinical interests in neuropsychiatry.
"New Framework for the Continuum of Concussion and Functional Neurological Disorder" with @silverberglab.bsky.social in BJSM. Thread below 🧵
bjsm.bmj.com/content/earl...
"New Framework for the Continuum of Concussion and Functional Neurological Disorder" with @silverberglab.bsky.social in BJSM. Thread below 🧵
bjsm.bmj.com/content/earl...
Reposted by Zachary Grin, PT, DPT
Profession Consensus Guidelines & Briefing Papers for the assessment & treatment of Functional Neurological Disorder:
Psychology
tinyurl.com/4d62rcj6
Speech & Language Therapy
jnnp.bmj.com/content/92/1...
Physiotherapy
tinyurl.com/4rebwjm2
Occupational Therapy
jnnp.bmj.com/content/91/1...
Psychology
tinyurl.com/4d62rcj6
Speech & Language Therapy
jnnp.bmj.com/content/92/1...
Physiotherapy
tinyurl.com/4rebwjm2
Occupational Therapy
jnnp.bmj.com/content/91/1...
Functional Neurological Disorder: Neuropsychological and psychological management in children and adults | BPS - British Psychological Society
BPS Explore is our easy-to-access central location for you to read and download a wide range of psychological content from practitioners, researchers and working groups.
tinyurl.com
December 11, 2024 at 9:25 PM
Profession Consensus Guidelines & Briefing Papers for the assessment & treatment of Functional Neurological Disorder:
Psychology
tinyurl.com/4d62rcj6
Speech & Language Therapy
jnnp.bmj.com/content/92/1...
Physiotherapy
tinyurl.com/4rebwjm2
Occupational Therapy
jnnp.bmj.com/content/91/1...
Psychology
tinyurl.com/4d62rcj6
Speech & Language Therapy
jnnp.bmj.com/content/92/1...
Physiotherapy
tinyurl.com/4rebwjm2
Occupational Therapy
jnnp.bmj.com/content/91/1...
Reposted by Zachary Grin, PT, DPT
🎉 We've just completed our 1st psychologist training for ReACT FND Health! 🎉
We are gearing up to offer ReACT for FND via telehealth in the US starting Jan 2025. This marks a major milestone in our mission to expand access to research-informed FND treatment.
Stay tuned for updates! reactfnd.health
We are gearing up to offer ReACT for FND via telehealth in the US starting Jan 2025. This marks a major milestone in our mission to expand access to research-informed FND treatment.
Stay tuned for updates! reactfnd.health
December 7, 2024 at 9:04 PM
🎉 We've just completed our 1st psychologist training for ReACT FND Health! 🎉
We are gearing up to offer ReACT for FND via telehealth in the US starting Jan 2025. This marks a major milestone in our mission to expand access to research-informed FND treatment.
Stay tuned for updates! reactfnd.health
We are gearing up to offer ReACT for FND via telehealth in the US starting Jan 2025. This marks a major milestone in our mission to expand access to research-informed FND treatment.
Stay tuned for updates! reactfnd.health
Reposted by Zachary Grin, PT, DPT
I've put together a starter pack for the FND science community.
Please repost to share the link and do let me know of any folks I've missed so I can add them to the group.
Please repost to share the link and do let me know of any folks I've missed so I can add them to the group.
December 5, 2024 at 2:32 PM
I've put together a starter pack for the FND science community.
Please repost to share the link and do let me know of any folks I've missed so I can add them to the group.
Please repost to share the link and do let me know of any folks I've missed so I can add them to the group.
Reposted by Zachary Grin, PT, DPT
🧵 ISTDP for functional symptoms in a nutshell 🥜
🧠 Bodily symptoms can result from habitual avoidance of emotions & physical anxiety states in the brain & nervous system.
💔 Habitual avoidance can be learned early in life when showing emotions led to parent overwhelm, rejection, or harm.
🧵 1/4
🧠 Bodily symptoms can result from habitual avoidance of emotions & physical anxiety states in the brain & nervous system.
💔 Habitual avoidance can be learned early in life when showing emotions led to parent overwhelm, rejection, or harm.
🧵 1/4
December 4, 2024 at 10:30 PM
🧵 ISTDP for functional symptoms in a nutshell 🥜
🧠 Bodily symptoms can result from habitual avoidance of emotions & physical anxiety states in the brain & nervous system.
💔 Habitual avoidance can be learned early in life when showing emotions led to parent overwhelm, rejection, or harm.
🧵 1/4
🧠 Bodily symptoms can result from habitual avoidance of emotions & physical anxiety states in the brain & nervous system.
💔 Habitual avoidance can be learned early in life when showing emotions led to parent overwhelm, rejection, or harm.
🧵 1/4
Reposted by Zachary Grin, PT, DPT
🥱 Chronic insomnia is a common sx of chronic pain.
❌ But poor sleep ➡️ more pain ➡️ worse sleep ➡️ more pain.
💊 Sleep meds aren't the answer & can make the problem worse.
🏆 The gold standard for tx is CBTi = CBT for insomnia.
✨The better we tx sleep, the better we tx pain✨
#medsky #neuroskyence 🧠
❌ But poor sleep ➡️ more pain ➡️ worse sleep ➡️ more pain.
💊 Sleep meds aren't the answer & can make the problem worse.
🏆 The gold standard for tx is CBTi = CBT for insomnia.
✨The better we tx sleep, the better we tx pain✨
#medsky #neuroskyence 🧠
December 3, 2024 at 7:13 AM
🥱 Chronic insomnia is a common sx of chronic pain.
❌ But poor sleep ➡️ more pain ➡️ worse sleep ➡️ more pain.
💊 Sleep meds aren't the answer & can make the problem worse.
🏆 The gold standard for tx is CBTi = CBT for insomnia.
✨The better we tx sleep, the better we tx pain✨
#medsky #neuroskyence 🧠
❌ But poor sleep ➡️ more pain ➡️ worse sleep ➡️ more pain.
💊 Sleep meds aren't the answer & can make the problem worse.
🏆 The gold standard for tx is CBTi = CBT for insomnia.
✨The better we tx sleep, the better we tx pain✨
#medsky #neuroskyence 🧠
“Loneliness, fear avoidance in response to symptoms, and illness perceptions were directly linked to the outcomes. Biological (inflammatory markers) and clinical (severity of initial illness) variables were connected to the outcomes only via psychological or social variables.”
#LongCovid #medsky
#LongCovid #medsky
Long-term sequelae of SARS-CoV-2 two years following infection: exploring the interplay of biological, psychological, and social factors www.cambridge.org/core/journal...
Long-term sequelae of SARS-CoV-2 two years following infection: exploring the interplay of biological, psychological, and social factors | Psychological Medicine | Cambridge Core
Long-term sequelae of SARS-CoV-2 two years following infection: exploring the interplay of biological, psychological, and social factors
www.cambridge.org
December 3, 2024 at 12:35 AM
“Loneliness, fear avoidance in response to symptoms, and illness perceptions were directly linked to the outcomes. Biological (inflammatory markers) and clinical (severity of initial illness) variables were connected to the outcomes only via psychological or social variables.”
#LongCovid #medsky
#LongCovid #medsky
🚨 Common pseudoscience tactic! 🚩
Complex ideas are strung together using buzzwords & disconnected facts without evidence to substantiate them. It creates an illusion of deep insight but it’s just unfounded BS.
Same tactics are used for anti-vax, chronic Lyme, and “wellness” propaganda.
#medsky
Complex ideas are strung together using buzzwords & disconnected facts without evidence to substantiate them. It creates an illusion of deep insight but it’s just unfounded BS.
Same tactics are used for anti-vax, chronic Lyme, and “wellness” propaganda.
#medsky
How do #persistentpathogens affect brain function? @putrinolab.bsky.social , Nash Family CoRE director & PolyBio scientist, explains: “MCAS or chemokines from systemic infections affect everything... Inflammation causes mitochondrial dysfunction, which leads to energy crisis [in the brain].”
December 2, 2024 at 2:03 AM
🚨 Common pseudoscience tactic! 🚩
Complex ideas are strung together using buzzwords & disconnected facts without evidence to substantiate them. It creates an illusion of deep insight but it’s just unfounded BS.
Same tactics are used for anti-vax, chronic Lyme, and “wellness” propaganda.
#medsky
Complex ideas are strung together using buzzwords & disconnected facts without evidence to substantiate them. It creates an illusion of deep insight but it’s just unfounded BS.
Same tactics are used for anti-vax, chronic Lyme, and “wellness” propaganda.
#medsky
Reposted by Zachary Grin, PT, DPT
Early diagnosis + consistent antiretroviral therapy = long, healthy lives for people living with HIV. 💊️
Achieving an undetectable viral load means ZERO risk of transmission.
#WorldAIDSDay: bit.ly/3Z5Ot5P
Achieving an undetectable viral load means ZERO risk of transmission.
#WorldAIDSDay: bit.ly/3Z5Ot5P
December 1, 2024 at 1:34 PM
Early diagnosis + consistent antiretroviral therapy = long, healthy lives for people living with HIV. 💊️
Achieving an undetectable viral load means ZERO risk of transmission.
#WorldAIDSDay: bit.ly/3Z5Ot5P
Achieving an undetectable viral load means ZERO risk of transmission.
#WorldAIDSDay: bit.ly/3Z5Ot5P
Reposted by Zachary Grin, PT, DPT
wanting to fill my feed with some interesting new articles: post an article or case you find interesting . I will go first publications.aap.org/pediatrics/a...
Assessment of Multisensory Sensitivity May Assist With the Management of Children With Chronic Pain
Chronic pain is a significant problem in adults; however, it can also be challenging to evaluate and manage effectively in pediatric and adolescent populations. Many theories implicate different facto...
publications.aap.org
November 30, 2024 at 9:58 PM
wanting to fill my feed with some interesting new articles: post an article or case you find interesting . I will go first publications.aap.org/pediatrics/a...
🚨 Pacing for #ME/CFS 🚨
“There is insufficient evidence to conclude that pacing exerts a positive effect in people with ME/CFS for physical function, pain, and fatigue; although pacing may reduce fatigue in ME/CFS patients”
#medsky #physiosky
www.tandfonline.com/doi/full/10....
“There is insufficient evidence to conclude that pacing exerts a positive effect in people with ME/CFS for physical function, pain, and fatigue; although pacing may reduce fatigue in ME/CFS patients”
#medsky #physiosky
www.tandfonline.com/doi/full/10....
‘Pacing’ for management of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): a systematic review and meta-analysis
Pacing typically comprises regulating activity to avoid post-exertional neuroimmune exhaustion, the worsening of symptoms after an activity. Yet, the efficacy of pacing to improve symptomology is u...
www.tandfonline.com
November 30, 2024 at 7:55 PM
🚨 Pacing for #ME/CFS 🚨
“There is insufficient evidence to conclude that pacing exerts a positive effect in people with ME/CFS for physical function, pain, and fatigue; although pacing may reduce fatigue in ME/CFS patients”
#medsky #physiosky
www.tandfonline.com/doi/full/10....
“There is insufficient evidence to conclude that pacing exerts a positive effect in people with ME/CFS for physical function, pain, and fatigue; although pacing may reduce fatigue in ME/CFS patients”
#medsky #physiosky
www.tandfonline.com/doi/full/10....
Reposted by Zachary Grin, PT, DPT
UnitedHealth pays its own physician groups considerably more than others, driving up consumer costs and its profits
The latest in STAT's "Healthcare's Colossus" series on what has happened as the U.S.' s biggest health insurer bought up medical practices.
www.statnews.com/2024/11/25/u...
The latest in STAT's "Healthcare's Colossus" series on what has happened as the U.S.' s biggest health insurer bought up medical practices.
www.statnews.com/2024/11/25/u...
UnitedHealth pays its own physician groups considerably more than others, driving up consumer costs and its profits
First-of-its-kind data analysis finds UnitedHealth Group pays many of its own physician practices significantly more than the average it pays other doctors in the same markets
www.statnews.com
November 25, 2024 at 1:39 PM
UnitedHealth pays its own physician groups considerably more than others, driving up consumer costs and its profits
The latest in STAT's "Healthcare's Colossus" series on what has happened as the U.S.' s biggest health insurer bought up medical practices.
www.statnews.com/2024/11/25/u...
The latest in STAT's "Healthcare's Colossus" series on what has happened as the U.S.' s biggest health insurer bought up medical practices.
www.statnews.com/2024/11/25/u...