Please view our cookie policy that explains what cookies are and how they are used on our website. This also provides you with a guide on how to disable cookies, but please be aware that parts of the site will not function correctly if you disable them.

By closing this message, you consent to our use of cookies on this device in accordance with our cookie policy unless you have disabled them.

North Cumbria University Hospitals NHS Trust - 70 years of the NHS

Home > Patients and visitors > Your health > Rehabilitation > Spasticity and Botulinum Toxin

Spasticity and Botulinum Toxin

What is spasticity?

Spasticity is an increase in the stiffness of muscle movement, and it arises as part of the upper motor neurone syndrome. This is a collection of symptoms and signs that are seen when some part of the nervous pathways that control and coordinate voluntary movement is disrupted.

Spasticity is commonly seen in patients with many neurological conditions such as:

  • Cerebral palsy
  • Stroke
  • Head injury
  • Multiple sclerosis 

How can our Neuro Rehabilitation Unit help?

Management of spasticity is effective when spasticity is relatively mild or short-lived. However a significant proportion of people with spasticity – perhaps well over half – have problems that benefit from being seen by specialists in neurological rehabilitation who can:

  • Accurately identify any treatable factors that are causing or exacerbating the problem
  • Consider whether all physical treatments available have been used
  • Review the appropriateness of past and current medications
  • Undertake more specialist management

We provide a number of specialist managements through our Neurological Rehabilitation Service, including:

  • Seating and postural management
  • Casting, splints and stretching programmes
  • Expert advice on medication strategies
  • Botulinum toxin injections
  • Expert multi-professional assessment to consider
    o Operations on tendons and joints
    o Insertion of an intra-thecal baclofen pump
    o Other rare treatment

Complex Spasticity Clinics

These clinics are run weekly by Mr Yogendra Jagatsinh.
The clinic specifically assesses people for botulinum toxin, and gives it, but also considers and gives or recommends other alternative and additional treatments as needed. Not all patients receive botulinum toxin injections.