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Botulinum Toxin Service

For Parents


What is Botulinum Toxin?

Botulinum Toxin is a medication that is often used to treat spasticity within muscles.  It is commonly used for children with Cerebral Palsy and other neuromuscular conditions.  In most cases a general anaesthetic is required under the care of your Orthopaedic Surgeon, but as your child gets older, they may offer the injections to be performed awake by the specially trained Paediatric Physiotherapists.

Bristol Children's Hospital Service

The Physiotherapy led Botulinum Toxin service offers a monthly clinic where your child will be invited for a full assessment of their joint ranges, video gait analysis and discussion on functional needs.  The Physiotherapists will then meet with an Orthopaedic surgeon to discuss your child's needs and then if its felt right they will receive their Botulinum Toxin injections later the same day.

All injections are done with the children awake using ultrasound guidance technique to ensure accuracy of injections.  If your child requires it, Entonox can be used during the procedure.

A follow up appointment is usually required about 2 months after injections to assess the effectiveness of the Botulinum Toxin.

Liaison with your local therapist and any orthotic changes will also be arranged after the injections as required.


Physiotherapy Contact

  • Caroline Penney, Jenny Anstead - 0117 342 8525


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