Physiotherapy botulinum toxin service

Service contact information

Due to physiotherapists working in clinic, they may not always be accessible on this office number. If you require a more urgent response, please contact the relevant consultant’s secretary or the botulinum toxin therapist/nurse secretary via The Walton Centre's main switchboard.

Service detail

The physiotherapy botulinum toxin service is provided by clinical specialist physiotherapists who administer botulinum toxin injections to patients with spasticity and dystonia. The physiotherapists work with consultant neurologists, rehabilitation consultants and movement disorder specialist nurses.

Botulinum toxin injections 

Botulinum toxin injections are provided for people with a range of conditions such as cervical dystonia, hemi-facial spasm, blepharospasm, focal limb spasticity and dystonia. The physiotherapists can give specific physiotherapy advice regarding posture, exercises, orthoses and equipment. They can also refer on to other services such as community, outpatient therapy, orthotics and wheelchair services. Botulinum toxin injections are administered using a range of techniques such as ultrasound and EMG guidance to achieve the best outcomes possible. The physiotherapists also support and advise on clinical decisions in situations that may require an alternative approach and management plan. Data gathered from clinical audits, patient outcomes and patient satisfaction surveys is essential for informing service development and best practice.

Getting here

Sid Watkins Building

Sid Watkins Building

This building hosts our Complex Rehabilitation Unit, some outpatients services, pain management services, corporate services and more.


Lower Lane,Liverpool, L9 7BB

Directions and map

The Walton Centre NHS Foundation Trust is not responsible for third-party sites or content.

The Walton Centre - Main Hospital Building

The Walton Centre Main Building

This building hosts many of our in-patient services, including wards and theatres, and some outpatients services.


Lower Lane, Liverpool, L9 7LJ

Directions and map

The Walton Centre NHS Foundation Trust is not responsible for third-party sites or content.

Referral information

Referrals to the physiotherapy botulinum toxin clinics come internally from our movement disorders consultants and neurological rehabilitation consultants. 

Referrals to consultants at The Walton Centre for consideration for botulinum toxin should come from the patient’s GP or another relevant consultant. 

If you are a local therapist and feel that your patient would benefit from this service, we would be happy to discuss suitability with you prior to referral. Alternatively, you may include a relevant detailed clinical summary via the GP referral.

Physiotherapy botulinum toxin service Consultants

Dr Sundus Alusi

Dr Sundus Alusi has been a Consultant Neurologist since 2004 and has a special interest in movement disorders. Since 2020 she has been the clinical lead for movement disorders at The Walton Centre. 

Dr Jay Panicker

Dr Panicker is the Clinical Director for Neurology and a Consultant Neurologist.

Dr Dinesh Damodaran

Dr Dinesh Damodaran was appointed Consultant Neurologist at The Walton Centre in 2014 where he is part of team delivering the Movement Disorder service. 

Dr Malcolm Steiger

Dr Malcolm Steiger is a Consultant Neurologist at The Walton Centre.

Dr Ganesh Bavikatte

Dr Ganesh Bavikatte is a Consultant and Clinical Lead in the Rehabilitation department at The Walton Centre in Liverpool, and Honorary Senior Lecturer at The University of Liverpool. 

Dr Michael Bonello

Dr Bonello runs general neurology clinics, movement disorders subspecialist clinics including neurogenetics, deep brain stimulation and botulinum toxin for movement disorders at The Walton Centre NHS Foundation Trust. 

Dr Peter Moore

Dr Peter Moore is Consultant in Clinical Neurology at The Walton Centre. He runs a general neurology and a movement disorder service with a special interest in botulinum toxin treatment.

Dr Shagufay Mahendran

Dr Shagufay Mahendran is a Consultant in Rehabilitation Medicine at The Walton Centre where she is also the Clinical Lead for innovation.


Page last updated: 23 June 2021