Physical neurodisability and movement clinics

The lower limb movement service provides specialist assessment, advice and treatment on issues surrounding your child’s movement, especially in relation to their walking.

This may involve interventions such as botulinum toxin A (botox) injections, changes in medication, recommendations to therapy programmes or referrals to other services as appropriate.

In our clinic we have a large room with video cameras so we can video your child walking if we need to.

We work in partnership with Great Ormond Street Hospital, and children from the south Thames region are initially assessed by us with regards to consideration for selective dorsal rhizotomy.

In this clinic we look at functional problems in hand use. Our assessments help guide your child's treatment plans, which we organise in conjunction with your local therapy team, to try and maximise your child's ability in two-handed tasks.

We provide many specialist interventions, including botulinum toxin A injections. We sometimes liaise with our orthopaedic colleagues on how best to support you.

Saliva control difficulties can have a marked effect on the quality of life for many children and their families. In this clinic we look at potential causes and what we can do to help.

We will develop a care plan for your child, starting with management techniques, then if necessary what medicines can help and possible intervention with botulinum toxin injections. We sometimes liaise with our ear, nose and throat (ENT) colleagues about surgical procedures.