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Spasticity Clinic - Royal North Shore Hospital

Ambulatory Care Centre (outpatient clinics)
Level 3 (main entry level)
Acute Services Building (main building)
Royal North Shore Hospital
Reserve Road

St Leonards


Spasticity Clinic - Royal North Shore Hospital

General enquiries: (02) 9463 1400
FAX : (02) 9463 1065

Friday: 0800 - 1200

Your referral will be triaged and booked into the clinic for your condition, as appropriate

 What we do

We provide treatment for:
•    Impairments and limitations arising from spasticity and related postural and reflex changes following neurological injury

 What to bring

•    Your referral letter from your GP/Specialist
•    Relevant images/scans/blood test results (including CT or MRI scan of affected area)
•    Relevant test and assessment results (including diagnostic and functional assessments)
•    List of current medications and drug allergies

 When to visit us

Your GP or non-GP specialist is always your first step in seeking treatment for any condition. You will be referred to our service if your treating doctor feels that your treatment requires the input of the spasticity clinic. Once we receive the referral it will be reviewed by a doctor and you will be notified of the outcome and next steps. Please allow at least 4 weeks for this process to be undertaken. We generally see patients face to face although sometimes telehealth may be appropriate – our team will let you know what the best option is for you.
Please note that phone calls from the hospital will appear as a blocked number.
If you have a scheduled appointment you will receive a reminder text message.
Please allow a full morning or afternoon for your appointment. Some patients require a longer review and delays can occur.

 How to visit us

Exit off Pacific Highway and the M1 will take you to the hospital on Reserve Road in St Leonards

Bus Route 114 stops directly at the hospital

The hospital is close to St Leonards train station

The hospital is a 5 minute walk from St Leonards Station

Street and multi storey car parking are available on the Royal North Shore hospital campus. Fees apply, so please check signage. Concession parking rates are available for patients and carers. Click here for more details.

The spasticity clinic is located at Check in B

When you enter the hospital, walk past the yellow lifts. The Ambulatory Care Centre will be on your right hand side between the orange and green lifts.

Check in B is located on the right, past the enquiries desk.

 Referral information

Indications for referral for clinic appointment


Prioritising criteria for referral

Severe traumatic brain injury (TBI), stroke, spinal cord injury

Acute onset of spasticity, tone and posture changes affecting function, hygiene or causing pain, where condition has stabilised. Potential for benefit from specialised surgical expertise.

Cerebral palsy, multiple sclerosis and associated subacute conditions

Acute exacerbations of spasticity, tone and posture changes affecting function, hygiene or causing pain, where condition has stabilised

All CNS Injury

Chronic spasticity, tone and posture changes affecting function, hygiene or causing pain where improvements may be achievable











Indications for urgent referral to local Emergency Department

  • Seizure
  • Acute Crisis
  • Baclofen pump dysfunction


Exclusion criteria

  • Parkinson’s disease and related conditions (except in special circumstances by arrangement)
  • Dystonia and movement disorder diagnosis
  • Torticolis and dystonia management
  • Baclofen pump insertion and refill


Out of NSLHD

Area-related referral criteria apply, including North and Eastern parts of Sydney and South Eastern Sydney LHDs, Central Coast LHD and Northen NSW regional areas

  • Reason must be stated explicitly 
  • Resident of other LHD that does not provide the clinical service
  • Continuing care of existing condition already managed by NSLHD
  • Demonstrated complexity requiring services of NSLHD
  • Compassionate circumstances, e.g. family, proximity, staff


The following information must be included for referral to be accepted:

  • Date of injury, onset
  • Severity of injury details (eg presentation, clinical and imaging findings, progress)
  • Impairments and potential remediable issues
  • Functional issues or anticipated goals


Providing more information will aid the triage process and make it more likely that your patient will be seen in the most timely manner possible


Please submit referrals using the eReferral system through HealthLink, which can be accessed through most clinical software systems

Alternatively, address letters to Dr Clayton King or other specialist listed below
Fax: (02) 9463 1065


Referrals will be triaged and your patient will be notified of the outcome as soon as possible. This process may take between 1-4 weeks. You will be contacted if more information is needed.

Telehealth services are available, please indicate on the referral if you feel this would be suitable for your patient’s appointment


 Other information

Your Team


Dr Samuel Arthurs - Rehabilitation Physician, Spinal Injury

Dr Andrew Ellis - Orthopaedic surgeon, Lower Limb spasticity

Dr Clayton King - Rehabilitation Physician, Brain Injury

Dr James Ledgard - Hand Surgeon, Upper Limb spasticity

Dr Paul Silberstein - Neurologist

 Related links