In this section...

  1. Acute Physiotherapy
  2. Cheshire and Merseyside Rehabilitation Network (CMRN)
  3. Chiari malformation and syringomyella
  4. Cognitive neurology
  5. Complex regional pain syndrome (CRPS)
  6. Dietetic Services
  7. Electroencephalogram (EEG)
  8. Endoscopic (keyhole) spinal surgery
  9. Epilepsy
  10. Epilepsy specialist nurse service
  11. Epilepsy surgery
  12. Essential tremor - Ultrasound thalamotomy
  13. Evoked potentials (EP)
  14. Facial pain
  15. Fluroscopy
  16. Functional Neurological Disorders Service (FNDS)
  17. Headache service
  18. Hydrocephalus, CSF disorders and spina bifida
  19. Infection prevention and control
  20. Integrated Neurology Nurse Service
  21. Interventional Radiology
  22. Major Trauma service
  23. Motor neurone disease
  24. Multiple sclerosis
  25. Multiple sclerosis (MS) nurse service
  26. Nerve conduction studies (NCS) and Electromyography (EMG)
  27. Neuroanaesthesia and Critical Care
  28. Neurogenetic disorders
  29. Neurological long-term conditions OT service
  30. Neurological Long Term Conditions Physiotherapy Team (LTC)
  31. Neurology
  32. Neuromodulation for Pain and Pelvic Floor Instability
  33. Neuromuscular disorders
  34. Neuromyelitis optica
  35. Neuro-Oncology Department
  36. Neuropathic pain (nerve pain)
  37. Neurophysiology Department
  38. Neuropsychiatry
  39. Neuropsychology Department
  40. Neuropsychology inpatient service
  41. Neuroradiology
  42. Neuroscience Laboratories
  43. Neurosurgery
  44. Neurovascular surgery and intervention
  45. Pain Management Programme
  46. Pain medicine
  47. Palliative care pain
  48. Parkinson's disease Nurse Specialists
  49. Pre-operative Assessment Team
  50. Physiotherapy botulinum toxin service
  51. Rehabilitation
  52. Research
  53. Respiratory Physiotherapy Team
  54. Speech and Language Therapy
  55. Spinal surgery
  56. Surgical management of chronic pain
  57. Surgical, Medical, Acute Response Team (SMART)
  58. Theatres
  59. Therapies Department
  60. Tissue viability
  61. Trauma Therapy Team

Physiotherapy botulinum toxin service

 

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.

 

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.

 

Contact information

0151 556 3867

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.

 

Consultants

Dr Sundus Alusi

Dr Jay Panicker

Dr Dinesh Damodaran

Dr Ganesh Bavikatte

Dr Michael Bonello

Dr Malcolm Steiger

Dr Peter Moore

Dr Shagufay Mahendran