Treatment FAQ

what is the treatment for bell's palsy

by Nathanael Quigley Published 2 years ago Updated 2 years ago
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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

Medication

Physical Therapy. In Bell's palsy various physical therapies, such as exercise, biofeedback, laser, electrotherapy, massage and thermotherapy are used to hasten recovery. However, the evidence for the efficacy any of these therapies, is lacking.

Procedures

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

Self-care

All treatment options for Bell's Palsy: What Causes Bell's Palsy & Best Treatment for Full Recovery Find the best care to treat your symptoms, whether it's using home treatments, having a virtual visit with a healthcare provider, getting a prescription, or …

Nutrition

Management and Treatment How is Bell's palsy managed or treated? Bell’s palsy improves without treatment. 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 treatment is most …

What treatment would you recommend for Bells Palsy?

Apr 06, 2021 · Bell’s palsy is nearly always treated with oral corticosteroids alone or in combination with antiviral agents. Corticosteroids reduce swelling, alleviate symptoms, speed recovery, and reduce the risk of complications. It’s uncertain that adding antiviral treatment does any good, but it may slightly reduce the risk of complications. Surgery

What medications treat Bell's palsy?

One uniformly recommended treatment for Bell's palsy is protecting the eye from drying at night or while working at a computer. Eye care may include eye drops during the day, ointment at bedtime, or a moisture chamber at night. This helps protect the cornea from being scratched, which is crucial to the management of Bell's palsy.

Does Bells Palsy have a cure?

Apr 07, 2022 · 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. Vitamins such as vitamin B-12, B-6, and zinc can greatly speed up Bell's palsy recovery.

Is there any nerve regeneration treatment for Bell's palsy?

Jul 18, 2019 · Physio therapy is recommended for every one going through bell’s palsy as the paralysed muscles may shrink and shorten causing permanent contractures. Physio therapist will suggest ways to exercise your facial muscles to avoid this from happening. In rare cases, plastic surgery may have to be done to correct facial nerve problems.

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Acupuncture therapy is widely used for the treatment of Bell’s palsy in China and throughout the world. It involves inflammation of 7 th cranial nerve affecting regions of the stylomastoid foramen or the facial canal. This corresponds to the ancient TCM as Yang Ming and Shao Yang channel obstruction. The initial treatment goal is to expel ...

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What is best treatment for Bell's palsy?

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

What is the main cause of Bell's palsy?

Bell's palsy occurs when the seventh cranial nerve becomes swollen or compressed, resulting in facial weakness or paralysis. The exact cause of this nerve damage is unknown, but many medical researchers believe it's most likely triggered by a viral infection.

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

Is Bell's palsy caused by stress?

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

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 fastest way to get rid of Bell's palsy?

How Can I Treat Bell's Palsy at Home?Using eye protection. If a Bell's palsy patient cannot fully close his or her eye, lubricating eyedrops and/or an eye ointment may be prescribed to help keep the eye moist. ... Taking over-the-counter medications. ... Performing physical therapy exercises.

Should I go to the ER for Bell's palsy?

When to go to the emergency room (ER) There are conditions, such as stroke, that may look like Bell's palsy and are medical emergencies. Therefore, you should seek emergent medical care if you notice facial weakness or drooping. Although Bell's palsy can be alarming, it's rarely serious.

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

Can lack of sleep cause Bell's palsy?

Most scientists believe that reactivation of an existing (dormant) viral infection may cause the disorder. Impaired immunity from stress, sleep deprivation, physical trauma, minor illness or autoimmune syndromes are suggested as the most likely triggers.Nov 15, 2021

Is Bell's Palsy life threatening?

Bell's palsy is not life-threatening, and its symptoms are usually temporary, but they can be very distressing, interfering not only with facial appearance but also with the ability to speak, eat, sleep, or enjoy food.Jan 1, 2010

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 the best treatment for Bell's palsy?

NSAIDs (nonsteroidal anti-inflammatory drugs), such as ibuprofen, naproxen, or aspirin, not only alleviate pain but help to reduce swelling.

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

Bell’s palsy has a high rate of full and spontaneous recovery with or without treatment. It usually takes less than three weeks to fully resolve. About 30% of people struck with Bell’s palsy may take a longer time to recover or have long-term complications.

How to tell if you have Bell's palsy?

In a physical examination, a healthcare provider will be looking for specific Bell’s palsy symptoms: 1 Rapid onset of symptoms 2 Weakness or paralysis of all the muscles on one side of the face 3 Weakness or paralysis of the forehead on the affected side of the face 4 Drooping eyebrow 5 Inability to fully close the eyelid on the affected side 6 Decreased tear or saliva production 7 Drooling 8 Loss of taste 9 Pain behind the ear or around the jaw

Why does Bell's palsy hurt?

Most people who get Bell’s palsy, however, have no evidence of a viral infection, so some researchers believe it might be due to an immune response or autoimmune disorder. No matter what the cause, swelling damages the cranial nerve.

What nerve is responsible for the facial muscles?

Bell’s palsy—also called acute peripheral facial palsy—is paralysis or weakness in one half of the face due to swelling and compression (squeezing) of the seventh cranial nerve. This nerve branches out to the nerves that control the facial muscles, saliva glands, tear glands, and the nerve that transmits taste sensations.

What are the risk factors for Bell's palsy?

Some people are more at risk for Bell’s than others. Age (40-49), pregnancy, diabetes, preeclampsia, obesity, and high blood pressure are all risk factors. In a physical examination, a healthcare provider will be looking for specific Bell’s palsy symptoms: Rapid onset of symptoms.

Can you take corticosteroids for Bell's palsy?

Bell’s palsy has a high rate of spontaneous recovery, so healthcare providers use drugs conservatively. Nearly all patients will be given a few days of corticosteroids, but more severe cases will include antiviral agents. Pain and headache can be alleviated with over-the-counter pain relievers.

What is Bell's palsy?

Bell's palsy is an unexplained episode of facial muscle weakness or paralysis. It begins suddenly and worsens over 48 hours. This condition results from damage to the facial nerve (the 7th cranial nerve). Pain and discomfort usually occur on one side of the face or head. Bell’s palsy can strike anyone at any age.

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

Currently, there is no known cure for Bell's palsy; however, recovery usually begins 2 weeks to 6 months from the onset of the symptoms. Most people with Bell's palsy recover full facial strength and expression.

Why does Bell's palsy get worse?

It is associated with other conditions such as diabetes. Symptoms of facial weakness or paralysis get worse over the first few days and start to improve in about 2 weeks.

What tests are used to diagnose Bell's palsy?

These tests may include: Electromyography (EMG) to determine the extent of the nerve involvement.

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

These are the most common symptoms of Bell's palsy: Disordered movement of the muscles that control facial expressions, such as smiling, squinting, blinking, or closing the eyelid. Loss of feeling in the face. Headache. Tearing.

Can Bell's palsy be treated?

If a specific cause for Bell’s palsy is identified, such as infection, that cause will be treated. Otherwise, the symptoms are treated as needed. One uniformly recommended treatment for Bell's palsy is protecting the eye from drying at night or while working at a computer.

Can you close your eyes with Bell's palsy?

However, during the illness most people with Bell’s palsy are unable to close their eye on the affected side of their face. It is, therefore, important to protect the eye from drying at night or while working at a computer.

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.

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.

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.

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.

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.

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.

What is the treatment?

Bell’s palsy is a condition in which one half of the face droops due to muscle weakness. It may be a reaction to a viral infection. It is generally seen to occur in pregnant women and people with respiratory problem o diabetes.

How is the treatment done?

The doctor will identify bell’s palsy by observing the movement of your facial muscles like lifting your brows, closing your eyes and frowning. In some cases, you may be asked to go for tests like electromyography (EMG) and imaging scans. EMG can confirm the presence and severity of nerve damage.

Who is eligible for the treatment? (When is the treatment done?)

If you are experiencing facial droop, difficulty in making facial expressions like closing your eyes or smiling, decrease in your ability to taste, changes in the amount of tears and saliva you produce and pain around the jaw or behind the ear; you must consult a doctor as these are some signs of bell’s palsy.

Who is not eligible for the treatment?

Decrease in ability to taste and pain around the jaw or behind the ear may occur due to any other medical treatment you are going through. Consult a doctor to confirm your condition.

Are there any side effects?

You may experience temporary rashes and redness in the skin due to certain medications. Other than that, there are no known side effects.

What are the post-treatment guidelines?

Protect the affected eye by wearing an eye patch or goggles. Use lubricating drops during the day and eye ointment at night to keep your eye moist and protected. You may take over the counter pain relievers like aspirin, ibuprofen and acetaminophen if the pain goes beyond your tolerance level.

How long does it take to recover?

Most of the time, bell’s palsy resolves on its own within six months. Treatment will speed up the results.

What is Bell's palsy?

Bell’s palsy or “Deviated mouth and eye” in Traditional Chinese Medicine (TCM) is one of the most common disorders affecting the facial nerves, resulting in weakness or paralysis on one side of the face.

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

The most important factor is to treat as early as possible as acupuncture is most effective in the initial acute stage. Within 10 days from onset.

How does acupuncture help the face?

By stimulating the localised area of facial muscles, acupuncture can restore the movement to facial muscles by invigorating Qi and promoting blood circulation to the face.

Does acupuncture help Bell's palsy?

A large-scale clinical trial that investigated the effects of acupuncture on Bell’s palsy indicated that acupuncture with stronger needle stimulation could be advantageous compared with non-stimulated acupuncture in the acute stage of Bell’s palsy.

What is the wind factor?

This “Wind” attacks the meridian channels of the face which are in charge of transporting Qi and blood to nourish the muscles in the face. This is more likely to happen if you have an underlying Qi (vital energy) deficiency. The “Wind” factor can be further catagorised into 2 specific types – Wind-cold and Wind-heat.

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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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