Toxin for Hand Conditions in Rossett
Consultant-delivered botulinum toxin injections used medically to relax overactive or spastic hand and upper-limb muscles — led by Mr Preetham Kodumuri, Consultant Hand & Wrist Surgeon. This is therapeutic, not cosmetic, treatment, with no NHS waiting list.

When muscles in the hand and forearm become overactive or spastic — for example after a stroke, in cerebral palsy, or in certain dystonias that affect the hand — they can pull the wrist and fingers into tight, uncomfortable positions that make everyday tasks, hand hygiene and comfort harder. Botulinum toxin is a prescription medicine that, injected into selected muscles, temporarily reduces that overactivity so the muscles relax, stiffness eases and function and comfort can improve.
This is the medical, therapeutic use of Toxin — it is not the cosmetic or aesthetic injection some clinics advertise. Care is led by Mr Preetham Kodumuri, Consultant Hand & Wrist Surgeon, who first assesses at consultation whether injections are likely to help you and which muscles to target. It relieves symptoms rather than curing the underlying condition, and you can book directly with no GP referral and no NHS waiting list.
Because these injections treat specific neuromuscular conditions, any clinic letters, scans or notes about your stroke, cerebral palsy or dystonia help Mr Kodumuri judge whether Toxin is likely to help and which muscles to target.
Jot down which hand and wrist movements are tightest, what is hardest in daily life and what you would most like to improve — comfort, easing the grip, or making hand care simpler — so the plan is focused on your goals.
Tell us about blood-thinning medication, any bleeding tendency, and any other treatment you are already receiving for the same condition, as these can affect the timing and approach to an injection.
Why have Toxin for a hand condition done here

At the initial consultation Mr Kodumuri examines your hand, wrist and forearm, reviews your history and explains whether botulinum toxin injections are likely to help your particular condition — and honestly if they are not.
Together you agree which overactive muscles to treat and what to expect, including that Toxin relieves symptoms for a period rather than curing the underlying condition and may need repeating.
The botulinum toxin is injected into the selected muscles in an ordinary outpatient appointment using fine needles. It takes only a short time and you go home the same day.
You will leave with clear advice on what to expect over the following days and weeks as the effect builds, and any review needed to see how the muscles have responded is arranged at the time.
Know the cost before you book.
Every price is fixed and published upfront. A £50 deposit secures your appointment and comes off the total.
Book now→Is this cosmetic Toxin? +
No. This is the medical, therapeutic use of botulinum toxin for neuromuscular hand and upper-limb conditions — relaxing overactive or spastic muscles to ease stiffness and aid comfort and function. It is not the cosmetic or aesthetic Toxin used to soften wrinkles.
How much does it cost? +
The initial consultation and assessment is £200, and a medical Toxin injection for neuromuscular indications is from £450. The exact cost depends on what is involved and is confirmed for you at consultation.
Do I need a GP referral? +
No — you can book an assessment directly with us, with or without a letter from your doctor, and there is no NHS waiting list.
Will it cure my condition? +
No. Toxin relieves symptoms by temporarily relaxing overactive muscles; it does not cure the underlying condition, and the effect wears off over time so injections may need repeating. Mr Kodumuri assesses at consultation whether it is likely to help you.
What is the injection like and what happens afterwards? +
The toxin is injected into selected muscles with fine needles in an ordinary outpatient appointment, takes only a short time, and you go home the same day. You will leave with advice on what to expect as the effect builds over the following days and weeks, and any review of how the muscles respond is arranged at the time.
Book toxin for hand conditions.
From £450, published upfront — with no GP referral needed.
