Our multi-disciplinary spasticity management assessment and treatment tiers

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. 

Our clinics

Targeted spasticity treatment

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+

Multidisciplinary spasticity treatment

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

Complex spasticity treatment

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

Procedural spasticity treatment

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

Bespoke spasticity treatment

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

Our clinic pathway

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. 

Tell us about your client

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.