Advanced Techniques in Ultrasound Guided Injections for Neuro Rehabilitation

Based on 3 Reviews


Course Objectives

  • Be aware of ways to minimise risk and enhance patient safety in practice
  • To Identify the muscle and nerve anatomy of the shoulder, upper limb using ultrasound
  • To Identify the muscle and nerve anatomy of the lower limb, using ultrasound
  • To identify the anatomy surrounding the salivary glands and structures using ultrasound
  • To Develop consistent and reliable approaches for performing a scan and injecting target muscles under ultrasound guidance.
  • This course will explore How to localise vital structures

What's Included?

  • One day's face to face tutoring with low student to ultrasound ratio to support learning.

This course is and advanced level course aimed at discussing more complex procedures in ultrasound guided injection for Neuro Rehabilitation using adjuncts of focal spasticity management with an emphasis on injection therapy, including aspects of Safety, localisation, and minimising patient risk. It is intended for clinicians and practitioners with experience of ultrasound scanning for guidance of injections therapy to include (Botulinum toxin, steroid, and chemo-denervation).

This course is designed to provide a programme of practical instruction to ensure the skills learned are practiced and refined. This model of learning is specifically designed to support practitioners in their development of ultrasound identification of structures to support guided injections for botulinum toxin. The aim is to build confidence through practice covering the shoulder, upper and lower limb structures, and salivary glands. Examination techniques are demonstrated and practiced. Discussion and sharing of experience with the course leads is encouraged.

Please complete the pre-course questionnaire prior to joining.

No Photographs will be permitted during the presentations for the explicit requirements of GDPR.

Our CPD courses provide practical knowledge but do not award a certificate of competency. You must enquire with your relevant professional body to confirm if the skills covered within our courses are considered within the scope of your professional practice, and whether your professional insurance will cover you to use them in your practice.

Peter Sanderson

Peter Sanderson

Neurological Physiotherapist

Peter Sanderson, Clinical Director and Consultant Neurological Physiotherapist has a wealth of experience working within neurological rehabilitation both in the private and public sector.

Peter is internationally recognised as leading in the field of neurological rehabilitation and regularly invited to share his skills and experiences with international delegates.

As Clinical Director of PSP Neuro and Paediatric Rehabilitation he has brought together both medics and healthcare professionals to provide one of the most advanced spasticity service in the UK.  The unique multi-disciplinary team has a proven track record of developing and implementing effective approaches in the management of spasticity ensuring the individual’s needs are met.

Karen Howarth

Karen Howarth

Clinical specialist physiotherapist with expertise in neurological rehabilitation

Karen is a clinical specialist physiotherapist with expertise in neurological rehabilitation for adults and children, working both in hospital and community settings across the NHS and private sectors .Karen demonstrates specialist spasticity assessment and treatment skills and works as part of multidisciplinary team as a trained injector of botulinum toxin. Within the MDT, Karen advises on bespoke management adjuncts for spasticity including Botulinum Toxin, phenol nerve blockades, ITB and peripheral neurectomies.

Karen worked on a spasticity CQUIN with the dual role of developing a specialist spasticity outreach service for patients unfit to travel to clinic, whilst creating and delivering a training package on spasticity management for professionals working in care homes. Karen has continued this work and regularly presents to those within the legal world on the need for early intervention to maximise rehab potential, and to avoid secondary co morbidities. Karen was recognised for her work on this project and given a best practise award.

Having worked within a regional orthotic centre, Karen has expertise in orthotic prescription, assessment and fabrication. Karen is skilled in serial casting and the provision of FES. Karen has worked as a brain injury case manager gaining an in-depth understanding of the litigation process, and the need to maintain open, transparent and frequent communication with all members of the multi-disciplinary team in order to provide timely and effective care for each client. Karen continues to provide Immediate Needs Assessments, and case management on an interim basis.

Karen acts as an expert witness specialising in long term adult neuro rehabilitation. Karen is passionate about every patient reaching their rehabilitation potential, and has demonstrated a sound record on providing up to date evidence-based recommendations to assist in the acquisition of funds for clients proceeding with both personal injury and medical negligence claims.

Within Apollo Health, Karen is responsible for managing a team of clinicians, as alongside leading development and research. Karen provides professional input to assist a level 2b rehabilitation unit to evidence patient outcome through the implementation of recognise valid and reliable outcome measures.

Dr. Bhaskar Basu

Dr. Bhaskar Basu

Acute Rehabilitation

Bhaskar is the Clinical Lead for the Acute Rehabilitation following major trauma at University Hospital South Manchester. He is a very important part of the team that provides a comprehensive and specialist Neurorehabilitation service for complex patients in Greater Manchester. Bhaskar provides the consultant service for patients with traumatic brain injury, stroke, spinal cord injury and other neurodegenerative diseases. He has a special interest in complex spasticity management following stroke or brain injury, including Botulinum Toxin chemodenervation.

He is a regular contributor to professional journals, and has taken an active interest in a number of rehabilitation, Research and educational projects for Manchester University and University of Central Lancashire (UCLAN). He is the Contributor of the on-going FORME research project on CFS/ME. He has a wealth of teaching experience and regularly presents at national and international meeting. He has a number of published articles in leading journals. He is the teacher and trainer in BSRM SIGAM Advanced Prosthetic and Amputee Rehabilitation course.

Time Topic Speaker/Presenter
08:15 - 08:30 Registration, Welcome and introductions. Peter Sanderson and Bhaskar Basu
08:30 - 09:30 Session 1
  • Safety and minimising risk
  • Poly Pharma
  • Use of localisation?
Peter Sanderson and Bhaskar Basu
09:30 - 09:45 Coffee Break
09:45 - 10:45 Session 2: Shoulder
  • Patient assessment, practical considerations, pit falls and pharma tips
  • Review of anatomy
  • Scanning these structure and key identification
  • Practical session
Peter Sanderson, Bhaskar Basu and Karen Howarth
10:45 - 11:00 Break
11:00 - 12:45 Session 3: Upper limb
  • Patient assessment, practical considerations, pit falls and pharma tips
  • Review of anatomy
  • Scanning these structure and key identification
  • Practical session
Peter Sanderson, Bhaskar Basu and Karen Howarth
12:45 - 13:30 Lunch and coffee break
13:30 - 15:00 Session 4: Lower limb
  • Patient assessment, practical considerations, pit falls and pharma tips
  • Review of anatomy
  • Scanning these structure and key identification
  • Practical session
Peter Sanderson, Bhaskar Basu and Karen Howarth
15:00 - 15:15 Coffee Break
11:00 - 12:45 Session 5: Salivary Glands
  • Patient assessment, practical considerations, pit falls and pharma tips
  • Review anatomy
  • Scanning these structure and key identification
  • Practical session
Peter Sanderson, Bhaskar Basu and Karen Howarth
16:00 - 16:45 Questions and answers, more practical time. Next steps.
16:45 - 17:00 Round up and close.

How do I know whether a course is suitable for me?

The programme for each course is formulated by the course director and a description of the content and intended learning objectives is provided.

Who are the course directors?

The biographies for the Course directors of each course are provided so that you can see their experience.

Do I need to have scanned before in order to attend a course?

Our Foundation courses are specifically designed for people who have no previous scanning experience.

What's included in the price?

The Course Fee includes access to all the education workshop sessions, CPD points and certificate.

I'm interested in a very specific area. How will I know if your course covers that?

If you would like more information about any of our courses then please contact us on

What do I do if I am unable to attend the next course or it is fully booked?

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Tuesday 01 November 2022

This was an excellent interactive course and helped improve my understanding and techniques using US guidance for injections in spasticity.


Tuesday 01 November 2022

Excellent course, good interactive workshop.


Tuesday 01 November 2022

The low numbers were excellent, Great content and examples with practical use of ultrasound Claire Excellent one day training - Thankyou.