Dr Peter Moore is a consultant neurologist at the Walton Centre in Liverpool and Honorary Senior Lecturer in Neurology at the University of Liverpool. He has clinics in general neurology and movement disorders. He established the botulinum toxin service at the Walton Centre.
Peter runs training in botulinum toxin treatment for the Movement Disorder Society. He has run and participated in many clinical trials in Parkinson's Disease, dystonia and spasticity and remains active in these fields, especially in the uses of botulinum toxin.
Peter co-authored the 'Handbook of botulinum toxin treatment' and guidelines of Parkinson's disease and the use of botulinum toxin.
Dr Richard Ellis is a consultant neurologist based in Liverpool. He provides a visiting neurology service at the Royal Liverpool University Hospital and the Countess of Chester Hospital. He established an ambulatory neurology clinic and AMU in-reach service at the Royal Liverpool University Hospital. He has a specialist interest in movement disorders and is part of the therapeutic botulinum toxin service at the Walton Centre in Liverpoo
Botulinum toxin therapy is used to treat a range of neurological conditions and disorders for adults and children, including dystonia, spasticity, hemifacial spasm, and migraine. Botulinum toxin is a therapeutic muscle relaxing agent that is injected into the muscle using a very fine needle.
Dystonia is a movement disorder in which a person's muscles contract uncontrollably. The contraction causes the affected body part to twist involuntarily, resulting in repetitive movements or abnormal postures. Dystonia can affect one muscle, a muscle group, or the entire body.
Spasticity is a condition in which there is an abnormal increase in muscle tone or stiffness of muscle, which might interfere with movement, speech, or be associated with discomfort or pain. Spasticity is usually caused by damage to nerve pathways within the brain or spinal cord that control muscle movement.
In our clinics we have access to both ultrasound and EMG guidance depending on what each individual case requires to allow optimisation of botulinum toxin therapy.
Hemifacial spasm is a nervous system disorder in which the muscles on one side of your face twitch involuntarily. Hemifacial spasm is most often caused by a blood vessel touching a facial nerve, but it may be caused by a facial nerve injury or a tumour, or it may not have a cause.
Sialorrhoea is a frequent symptom of neurological diseases (e.g. Parkinson's disease, motor neuron disease, cerebral palsy, and stroke) and is defined as excessive saliva accumulation leading to unintentional loss of saliva from the mouth. The Walton Centre has a dedicated ultrasound guided clinic for sialorrhoea management.