The Leeds Teaching Hospitals NHS Trust

Your condition and treatment


After assessment some patients will need their arms to be splinted or casted and stretched. Sometimes this is all that is required. Some patients undergo this therapy first to optimize the condition of their arm in preparation for surgery.

Some patients will require botulinum toxin followed by stretching and splinting. This is also sometimes done in preparation before surgery and can improve the surgical outcome.

Some patients will be suitable for surgery such as tendon lengthening, tendon transfers or tone reducing surgery.

Some patients may benefit from psychological support to help them cope with their arm disability and we can refer them to our Clinical and health psychology department for this.