Our multi-disciplinary spasticity management assessment and treatment tiers
Targeted clinical assessment and treatment to improve comfort, mobility, and independence.
Targeted clinical assessment and treatment to improve comfort, mobility, and independence.
At PSP, we deliver a tiered range of specialist spasticity and injection clinics designed to meet the needs of clients with varying levels of medical complexity.
Our clinics are led by experienced physiotherapists, nurses, and consultants, ensuring safe, evidence-based management of spasticity, tone, and functional movement.
We offer assessment, treatment, and review for clients requiring Botulinum toxin, nerve blocks, or other localised injections, delivered across a structured pathway of increasing complexity.
A focused clinic for isolated tone changes affecting one or two limbs. Designed to reduce pain and spasm, improve comfort and unlock functional movement where patterns of spasticity are predictable.
Clinical team: Physio-led
Age range: Adults aged 18+
MDT-led assessment and treatment for multi-limb or more complex tone presentations. Combines advanced injection techniques with coordinated therapy to optimise posture, movement and long-term functional outcomes.
Clinical team: Multidisciplinary team led
Age range: Children and adults
For clients with intricate neurological or musculoskeletal profiles where tone interacts with pain, contracture risk or instability. High-level clinical reasoning and integrated planning guide safe, effective intervention.
Clinical team: 1-2 consultants
Age range: Children and adults
For clients requiring theatre-based interventions such as Botulinum Toxin under sedation or guided nerve blocks. Enables safe delivery where outpatient treatment alone is insufficient.
Clinical setting: Theatre setting
Client age requirement: Children and adults
A fully tailored pathway for cases that don’t fit standard clinic models. Individualised planning aligned to the client’s goals, presentation and wider rehabilitation strategy.
Clinical team: Clinician team and appointment structure tailored to the client’s needs
Age range: Children and adults

From physiotherapy-led Botulinum Toxin treatments to complex theatre-based procedures, PSP’s clinics provide a complete, scalable service for clients with neurological or musculoskeletal tone issues. After a thorough initial assessment, the client will be allocated the most appropriate treatment or service.
Our specialist PSP team will carry out a comprehensive assessment and guide your client to the most appropriate treatment pathway at the right time. Referrals are accepted for assessment from consultants, case managers, solicitors and NHS teams, with clinical decisions made following evaluation.