What families may notice
- Stiffness, scissoring or toe walking
- Difficulty with dressing, hygiene, sleep or positioning
- Pain, spasms or reduced range of motion
How assessment may help
Management is guided by function and comfort, not tone alone. Therapy, orthoses, medicines, botulinum toxin or surgery may be considered within a coordinated plan.
The child’s own pattern matters. Similar symptoms can have different causes, and tests are selected only after considering the history and examination.
What to bring
- A referral letter and previous medical reports
- A current medicine and dose list
- EEG, MRI or CT reports and the actual images where available
- School or therapy reports relevant to the concern
- Safe phone videos of typical episodes, without delaying care or placing the child at risk
Planning the next step
Contact the practice for a non-urgent appointment request. Sudden, severe or rapidly worsening symptoms should be assessed through an emergency service rather than an online form.