Treatment FAQ

what is best treatment for bell's palsy?

by Helen Senger Published 2 years ago Updated 2 years ago
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The most widely accepted treatment for Bell palsy is corticosteroid therapy. However, the use of steroids is still controversial because most patients recover without treatment. Antiviral agents have also been studied in this setting, as have combinations of the 2 types of drugs.May 4, 2021

Medication

Jun 01, 2017 · The treatments considered for Bell’s palsy include oral corticosteroids (prednisolone) and antiviral drugs. Although the aetiology of Bell’s palsy is uncertain, it is known that inflammation and oedema of the facial nerve are responsible for the symptoms. Corticosteroids have therefore been used for their anti-inflammatory effect. Corticosteroids

Procedures

Feb 24, 2022 · There are several treatment options that may be recommended by your ENT doctor. Some benefit from taking a prescribed oral steroid. In addition, some may be prescribed an antiviral medication if a viral infection is suspected. If the facial weakness continues or gets worse, other treatment and surgical options may be discussed with your ENT doctor.

Self-care

Still, your healthcare provider may recommend one or more of these therapies for symptom relief and a faster recovery: Oral corticosteroids, such as prednisone, decrease nerve swelling and may help you regain facial movement faster. This... Antiviral …

Nutrition

Aug 05, 2017 · Natural Treatments to Help Bell’s Palsy Symptoms. Try acupuncture as it stimulates nerve function. Vitamin B12, B6, and Zinc are all linked to speedy recovery. Moist heat can help pain and discomfort. A gentle facial massage can …

What treatment would you recommend for Bells Palsy?

How long does Bell’s palsy last? In the majority of cases, facial paralysis from Bell’s palsy is temporary. You’re likely to notice gradual improvement after about two weeks. Within three months, most people have recovered full motion and function of their face. A delay in recovery is often accompanied by some form of abnormal facial function. But if facial paralysis from Bell’s …

How long does Bell's palsy take to get better?

Apr 07, 2022 · Eat celery, leaves and stick, raw several times a day. 6. Have Some Ginger and Turmeric The anti-inflammatory properties in ginger and turmeric are very effective in relieving Bell's palsy symptoms. You can either add them to your food while cooking or take their supplements. 7. Take Vitamin Supplements

What medications treat Bell's palsy?

What are direct treatments for Bell’s palsy? Medical interventions may include: Oral corticosteroids, especially if started within 72 hours of onset. Anti-viral medication. Pain medication and moist heat. Eye drops, eyeglasses, and/or patches to …

How do you cure Bell palsy?

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What is the fastest way to recover from Bell's palsy?

Most people with Bell's palsy recover fully — with or without treatment. There's no one-size-fits-all treatment for Bell's palsy, but your doctor may suggest medications or physical therapy to help speed your recovery. Surgery is rarely an option for Bell's palsy.Apr 2, 2020

What is the best medicine for Bell's palsy?

Patients with Bell's palsy should be treated within three days of the onset of symptoms with a seven-day course of oral acyclovir (Zovirax) or valacyclovir (Valtrex), plus a tapering course of oral prednisone.Oct 1, 2007

What helps Bell's palsy go away?

How is Bell's palsy treated?Steroids to reduce inflammation.Antiviral medicine, such as acyclovir.Analgesics or moist heat to relieve pain.Physical therapy to stimulate the facial nerve.

How can I fix Bell's palsy at home?

How can you care for yourself at home?Take your medicines exactly as prescribed. ... Use artificial tears or ointment if your eyes are too dry. ... If you cannot completely close your eye, consider using an eye patch while you sleep.Help yourself blink by using your finger to close and open your eyelid.More items...

Is Bell's Palsy serious?

Bell's palsy temporarily weakens or paralyzes facial muscles. A pinched facial nerve causes this paralysis, or palsy. People with this type of facial nerve palsy develop a droopy appearance on one — or sometimes both — sides of the face. The condition isn't serious and often resolves in a few months without treatment.May 29, 2020

What vitamins are good for Bell's palsy?

Vitamin B12 injections have been shown to be beneficial for people with Bell's palsy. Vitamin B12 deficiency can cause nerve degeneration, and both oral and injected vitamin B12 have been used to treat many types of nerve disorders.

Is heat or cold better for Bell's palsy?

Apply low heat, such as a gel pack or heating pad, to help relieve pain and swelling. Gently massage the area. Talk to your doctor if you have severe pain.Apr 6, 2020

How can I strengthen the nerve in my face?

1:533:08Bell's Palsy Exercises - Ask Doctor Jo - YouTubeYouTubeStart of suggested clipEnd of suggested clipSo try and flirt whichever way you can and again put your finger just near the crease. And then kindMoreSo try and flirt whichever way you can and again put your finger just near the crease. And then kind of flare them out or flare them down whichever way you do that and again ten times using your

What happens if Bell's palsy is untreated?

“The results of this study are shocking, because previous studies have shown that about a third of untreated Bell's palsy patients will suffer long-term problems including facial disfigurement, facial spasms and chronic pain.Aug 15, 2013

Do you need to go to the doctor for Bell's palsy?

If you have any signs of Bell's palsy, you should see a doctor or nurse because treatment is effective but should be started within two to three days of onset.Jan 4, 2022

Can stress cause Bell's palsy?

One response to severe stress is that the body's immune system is weakened. The weaker the body's immune system, the less functional the body's systems are. A weakened immunity can lead to parts of the body not functioning correctly, such as with Bell's Palsy.Jun 29, 2020

How long does Bell's palsy take to heal?

How long does Bell's palsy last? In the majority of cases, facial paralysis from Bell's palsy is temporary. You're likely to notice gradual improvement after about two weeks. Within three months, most people have recovered full motion and function of their face.

How long does it take for Bell's palsy to progress?

Facial palsy secondary to other causes progresses over days to months. Diagnostic Workup. Diagnosis of Bell's palsy in a patient with unilateral peripheral facial weakness of unknown cause is purely clinical. However, electrodiagnostic testing done within 14 days of onset may provide prognostic information.

What is the most common cause of unilateral facial weakness?

The most common cause of acute onset unilateral peripheral facial weakness is Bell's palsy. The incidence of Bell's palsy is 20-30 cases for 100,000[1] and accounts for 60-70% of all cases of unilateral peripheral facial palsy.[2] . Either sex is affected equally and may occur at any age, the median age is 40 years.

Is prednisolone effective for Bell's palsy?

Treatment with prednisolone is likely to be cost-effective.[9] Antiviral Agents . The rationale for the use of antiviral agents is the evidence that the inflammation of the facial nerve in Bell's palsy might be related to the herpes simplex virus (HSV).

Is Bell's palsy left or right?

Left and right sides are affected equally.[3] Clinical Characteristics. Bell's palsy is an acute peripheral facial weakness of unknown cause and the diagnosis can be established without difficulty in patients with unexplained unilateral isolated facial weakness. The onset is sudden and symptoms typically peak within a few days.

How long does it take to recover from Bell's Palsy?

You should notice a gradual lessening of symptoms within a few weeks. Depending on the extent of nerve damage, full recovery can take two to six months. Some symptoms last longer, and some people never fully recover.

How long does Bell's palsy last?

You may have a lopsided smile, or an eyelid that won’t close. These effects typically last several months and go away without treatment. The condition gets its name from Sir Charles Bell, a Scottish surgeon who first described it during the 19th century.

What causes a droopy face?

Bell's Palsy. Bell’s palsy temporarily weakens or paralyzes facial muscles. A pinched facial nerve causes this paralysis, or palsy. People with this type of facial nerve palsy develop a droopy appearance on one — or sometimes both — sides of the face. The condition isn’t serious and often resolves in a few months without treatment.

When does Bell's Palsy occur?

The condition typically occurs during the third trimester. You may be more likely to develop Bell’s palsy while pregnant if you have preeclampsia (high blood pressure) or gestational diabetes. If your symptoms are severe, your healthcare provider may recommend treatment.

What causes a person's face to droop?

What is Bell’s palsy? Bell’s palsy causes temporary paralysis, or palsy, of facial muscles. It occurs when a condition, such as a viral infection, causes inflammation and swelling of the seventh cranial nerve (the nerve that controls facial muscles). With Bell’s palsy, your face droops on one side or, rarely, both sides.

How do you know if you have Bell's palsy?

In addition to facial drooping, signs of Bell’s palsy include: Difficulty speaking, eating or drinking. Drooling. Dry eyes. Facial or ear pain. Headache. Loss of taste. Ringing in ears (tinnitus). Sensitivity to sounds.

What is the best treatment for facial swelling?

Still, your healthcare provider may recommend one or more of these therapies for symptom relief and a faster recovery: Oral corticosteroids, such as prednisone, decrease nerve swelling and may help you regain facial movement faster.

What is Bell's palsy treatment?

Used for decades to treat a wide array of ailments and conditions including stress, insomnia, chronic pain, and muscle tension, there is evidence that supports biofeedback therapy as a Bell’s palsy treatment.

How to help Bell's Palsy?

Natural Treatments to Help Bell’s Palsy Symptoms. Try acupuncture as it stimulates nerve function. Vitamin B12, B6, and Zinc are all linked to speedy recovery. Moist heat can help pain and discomfort. A gentle facial massage can help alleviate symptoms and discomfort.

What is zinc used for?

Used for 1,000s of years to heal wounds, boost immune system response, and support healthy thyroid function, it is also a proven treatment for colds, certain respiratory illnesses, and viruses.

How many people have Bell's palsy?

Bell’s Palsy Key Points. Bell’s palsy affects 1 in 5,000 people each year in the United States, and 1 out of 70 throughout a lifetime. When it strikes, this relatively common neurological disorder causes one side of the face to become weakened, or paralyzed.

How long does it take for Bell's Palsy to develop?

It may develop suddenly, or develop more gradually over a period of 24 to 48 hours.

What to do if your eye doesn't close?

If one of your eyes does not close, it is imperative that you protect it as the doctor recommends. Wearing protective glasses during the day, an eye patch at night, and using hydrating eye drops can help prevent long-term damage. ( 9)

How do you know if you have a swollen face?

In addition, the most common symptoms include: ( 4) The onset of weakness or paralysis on one side of the face that occurs suddenly, or over a period of 48 hours. Facial drooping in the corner of the mouth. Drooling and changes in amount of saliva produced. Increased sensitivity to sound.

What is Bell's palsy?

Kofi Boahene, M.D. Bell’s palsy is a rare condition that affects the facial nerve and muscles. It may appear after a cold sore or other viral illness such as the flu or a cold. You might notice a headache and pain, or twitching or weakness in one side of your face.

How long does Bell's Palsy last?

How long does Bell’s palsy last? In the majority of cases, facial paralysis from Bell’s palsy is temporary. You’re likely to notice gradual improvement after about two weeks. Within three months, most people have recovered full motion and function of their face.

Where is the facial nerve center?

“The Facial Nerve Center at Johns Hopkins is a terrific place for patients with facial paralysis,” Boahene says, “because we have so much experience and expertise. We’re one of the busiest centers in the world, and have pioneered or refined some of the current techniques used in treating facial palsy.”

Who is Kofi Boahene?

Kofi Boahene, M.D., is a professor of otolaryngology–head and neck surgery and the director of the Facial Plastic and Reconstructive Surgery at Johns Hopkins. He’s an expert in facial reanimation — surgery to help restore motion and expression to the face after Bell’s palsy, stroke or other conditions. He notes that, once diagnosed ...

What muscle is used to restore a smile?

If the muscles in the face are frozen and no longer function, the surgeon can transplant small pieces of muscle called the gracilis from the inner leg to restore smile or from the neck to restore blink or eyelid closure.

Is Bell's palsy a facial nerve?

He notes that, once diagnosed with Bell ’s palsy, it is important to consult a facial nerve expert. “Not all that looks like Bell’s is indeed Bell’s palsy,” Dr. Boahene says. “I have seen several patients who had been diagnosed with persistent Bell’s palsy who had something else on closer look.”.

What is the best treatment for facial palsy?

Plastic Surgery. Plastic surgeons work with a facial palsy specialist to help treat your facial weakness. While surgery may not prove beneficial in restoration of nerve function, it may still help protect your eye and improve the overall appearance of your face.

What is the best vitamin for Bell's Palsy?

Vitamins such as vitamin B-12, B-6, and zinc can greatly speed up Bell's palsy recovery. Vitamin B-12 is helpful for neurological conditions while vitamin B-6 helps nerve growth. Vitamin B-1 also helps with its thiamine in treating never inflammation. However, consult your doctor for proper doses before taking them.

Why does Bell's palsy hurt?

Affecting one side of the face at a time, it is caused by the inflammation of the facial nerve. It can affect people of any age, but it usually hurts those who have diabetes or are recovering from viral infections.

How long does it take for Bell's Palsy to peak?

The symptoms of Bell's palsy may develop suddenly and reach their peak in no time (in usually 48 hours). The most common symptoms include the following: You may have weakness or complete loss of control in one side of your face with difficulty closing your eyelid.

How to improve facial muscles?

These exercises play a big role in improving coordination in your facial muscles and increasing range of movement. While physiotherapy works great for many, it is not that effective or suitable for everyone. 4. Plastic Surgery. Plastic surgeons work with a facial palsy specialist to help treat your facial weakness.

How long does it take to recover from Bell's Palsy?

Statistics show that about 70% of people manage to make a full recovery after Bell's palsy – they notice improvement in 2-3 weeks from onset and a full recovery takes up to six months or more in most cases . The nerve damage is more severe in some individuals and they have to live with permanent facial paralysis.

What is Botox injection?

Botulinum Toxin (Botox) Injections. These injections give you the option to treat the unaffected or the affected side of your face. These injections can help your facial muscles to relax to reduce unwanted muscle movements. They can also reduce muscle activity in the unaffected side of your face to maintain a balance.

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Diagnosis

Treatment

Lifestyle and Home Remedies

Preparing For Your Appointment

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatments involve medications and therapies.
Medication

Anti-inflammatory drugs: Corticosteroids, helps to reduce the inflammation of the facial nerve.

Betamethasone . Prednisone


Antivirals: Antiviral drug alone will not help to treat Bell's palsy. In some severe facial palsy cases, antiviral drugs combined with a corticosteroid is prescribed.

Zanamivir . Oseltamivir . Peramivir

Procedures

Facial nerve decompression: In very rare cases, decompression surgery will be done to reduce the pressure on facial nerve.

Self-care

Always talk to your provider before starting anything.

  • Initiate appropriate treatment
  • If the patient is finding it difficult to close their eye, they should find a way to protect their eyes
  • Massage the face

Nutrition

Eat high nutrient foods

Foods to eat:

  • Foods that are rich in vitamins, protein & fiber
  • Eat more of leafy vegetables
  • Have low-fat dairy products

Foods to avoid:

  • NA

Specialist to consult

Otolaryngologist
Specializes in the diagnosis and treatment of diseases of the ear, nose and throat.
Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.

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