Spasticity treatment has made a huge step forward in the recent years. On the options for selected neurological diagnoses is the application of botulinum toxin.
The SPC now allows even the physiatrists / rehabilitation medical specialists / to apply botulinum toxin to patients with these selected diagnoses. At this time application of botulinum toxin is the domain of neurologists in complex or regional spasticity centres.
However, it is desirable for the number of cneters to increase; and for the maximalization of the effect of this costly therapy, a thorough theoretical and practical training of physicians (even physiatrists) is necessary.