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Spasticity service

Checked: 22-02-2024 by 3 Vicky Ryan Next Review: 20-02-2026


The spasticity clinic at NBT is a multi-professional clinic providing assessment, advice and interventions for those with hypertonia.

The team consists of:

  • Neurorehabilitation/Neurology Consultant and Specialty Doctors
  • Neuro-physiotherapists

The service is available to adults (aged 16 years and over) with increased muscle tone due to an upper motor neurone insult. Causes include:

  • Stroke
  • Traumatic brain injury
  • Spinal cord insult
  • Cerebral palsy
  • Neurodegenerative processes such as Parkinson’s (typical and atypical)
  • Multiple Sclerosis

Treatments provided

Treatments provided:

  • Medication review and advice
  • Chemo denervation with botulinum toxin and/or phenol
  • Physiotherapy review for physical management of hypertonia.
  • Assessment and onward referral for intra-thecal baclofen


Please complete the Spasticity referral form and if referring from primary care submit via eRS (Spasticity Service - Southmead - RVJ (7952466)). This form is also uploadable in EMIS.

For advice and queries or non-primary care referrals please email:


Efforts are made to ensure the accuracy and agreement of these guidelines, including any content uploaded, referred to or linked to from the system. However, BNSSG ICB cannot guarantee this. This guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, in accordance with the mental capacity act, and informed by the summary of product characteristics of any drugs they are considering. Practitioners are required to perform their duties in accordance with the law and their regulators and nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

Information provided through Remedy is continually updated so please be aware any printed copies may quickly become out of date.