Treatment FAQ

what is the treatment of bell's palsy

by Louvenia Schaden Published 2 years ago Updated 1 year ago
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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
valacyclovir
Pharmacology. Valaciclovir is a prodrug, an esterified version of aciclovir that has greater oral bioavailability (about 55%) than aciclovir. It is converted by esterases to the active drug, aciclovir, and the amino acid valine via hepatic first-pass metabolism.
https://en.wikipedia.org › wiki › Valaciclovir
(Valtrex), plus a tapering course of oral prednisone
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Oct 1, 2007

Medication

  • Oral corticosteroids, such as prednisone, decrease nerve swelling and may help you regain facial movement faster. ...
  • Antiviral medications, such as acyclovir for herpes, may speed recovery, although it's unclear how much benefit they provide. ...
  • Eye care is very important. ...

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Procedures

Bell's palsy is rare in children, and most children who are affected make a full recovery without treatment. How long Bell's palsy lasts. Most people make a full recovery within 9 months, but it can take longer. In a small number of cases, the facial weakness can be permanent. Go back to see a GP if there are no signs of improvement after 3 weeks.

Self-care

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.
  • Protecting the eye, if you cannot blink, is one of the most important things during recovery to prevent permanent eye damage.

More items...

Nutrition

Bell Palsy Medication

  • Medication Summary. The goals of pharmacotherapy are to reduce morbidity and prevent complications. ...
  • Corticosteroids. In addition, signs of infection may be masked in patients taking prednisone. ...
  • Antivirals. ...

What treatment would you recommend for Bells Palsy?

What is the recovery time for Bells Palsy?

How do you treat Bells Palsy?

What medications treat Bell's palsy?

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What is the fastest way to cure Bell's palsy?

Facial exercises and physical therapy for Bell's palsy help to increase muscle strength and to regain facial coordination from this temporary facial paralysis. Most exercises should be done three or four times a day in short sessions, with up to 30 repetitions per exercise.

What is the main cause of Bell's palsy?

Experts think it's caused by swelling and inflammation of the nerve that controls the muscles on one side of the face. It could be caused by a reaction that occurs after a viral infection. Symptoms usually start to improve within a few weeks, with complete recovery in about six months.

How long does Bell's Palsy last?

How long Bell's palsy lasts. Most people make a full recovery within 9 months, but it can take longer. In a small number of cases, the facial weakness can be permanent. Go back to see a GP if there are no signs of improvement after 3 weeks.

Is there any treatment for 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 health care provider may suggest medications or physical therapy to help speed your recovery. Surgery is rarely an option for Bell's palsy.

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.

What foods are good for Bell's palsy?

It is recommended to avoid hard foods, sticky and chewy foods. Include lot of good protein foods which are soft and easy to eat- like boiled egg whites, moong khichdi, paneer, curd, peas, dal soups. Stay well hydrated and follow doctors advice for facial exercises.

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 Bell's palsy caused by stress?

Bell's Palsy is a neurological condition in which the seventh facial nerve is not working properly, causing paralysis of one side of your face. Most people don't know that Bell's Palsy is most often brought on by stress and over use of your brain.

Does Bell's palsy affect the brain?

In summary, this study provided significant evidence for abnormal brain activity between patients with early left and right Bell's palsy. In addition, the severities of the disease were closely associated with abnormal fALFF values in certain brain regions.

What eye drops are best for Bell's palsy?

Products containing them include Refresh, GenTeal, Visine Dry Eye Relief, and Systane. Patients should instill 1-2 drops in the eye as needed during waking hours. Treatment of dry eye during the night is the great challenge for Bell's palsy patients, owing to an inability to completely close the eye during sleep.

Does sleep help Bell's palsy?

The 5 Musts-Do's When First Diagnosed with Bell's Palsy: You MUST sleep for the nerve to regenerate.

Do antibiotics help Bell's palsy?

As far as blood routine examination is concerned, though lymphocyte increasing can be seen in most patients with Bell's palsy, there are cases with normal lymphocyte but increased neutrophil. Also, antibiotic treatment in these patients could accelerate recovery to some extent.

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.

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.

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

While uncommon, Bell’s palsy can come back, usually within two years of the initial diagnosis. A recurrence may affect the same side of the face or the opposite side.

Why do pregnant women get Bell's Palsy?

You may be more likely to develop Bell’s palsy while pregnant if you have preeclampsia (high blood pressure) or gestational diabetes.

Can Bell's palsy be repeated?

It’s unusual to get Bell’s palsy more than once in a lifetime, but it can happen. A recurrence is most likely within two years of the first incident. The facial nerve palsy may affect the same side of your face or the opposite side. You’re more at risk for a recurrence if you have a family history of the disease.

Does Bell's Palsy improve without treatment?

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.

What are the best treatments for Bell's palsy?

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.

Why do you take corticosteroids for Bell's palsy?

The rationale for the use of corticosteroids in acute phase of Bell's palsy is that inflammation and edema of the facial nerve are implicated in causing Bell's palsy and corticosteroids have a potent anti-inflammatory action which should minimise nerve damage and thereby improve the outcome.

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.

Which muscle is ipsilateral to the side of facial nerve involvement?

Peripheral facial palsy involves all the facial muscles ipsilateral to the side of facial nerve involvement where as central weakness involves lower facial muscles contralateral to the lesion in the brain stem above pons and cerebral hemisphere.

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.

What is Bell's Palsy?

Exercises. Diagnosis. Outlook. Bell’s Palsy, or facial palsy, is a paralysis or severe weakness of the facial muscles on one side of the face. It is believed to be due to a swelling of the nerve that controls the muscles of the face. It can be worrying, but most people make a full recovery.

What is the diagnosis of Bell's palsy?

Diagnosing Bell’s palsy is often a process of elimination. The doctor will look for evidence of other conditions that may be causing the facial paralysis, such as a tumor, Lyme disease, or stroke. They will check the patient’s head, neck, and ears.

Why does Bell's palsy happen?

This is Bell’s palsy. The exact reason why this happens is unclear. It may result when a virus, usually the herpes virus, inflames the nerve. This is the same virus that causes cold sores and genital herpes. Other viruses that have been linked to Bell’s palsy include: chickenpox and shingles virus.

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

When the facial nerve malfunctions, as in Bell’s palsy, the following symptoms can occur: sudden paralysis/weakness in one side of the face. difficulty closing one of the eyelids. irritation in the eye because it does not blink and becomes too dry. changes in the amount of tears the eye produces.

Does prednisolone help with nerve pain?

This helps accelerate the recovery of the affected nerve. Prednisolone prevents the release of substances in the body that cause inflammation, such as prostaglandins and leukotrienes.

Can Bell's palsy cause muscle contractions?

However, if damage to the facial nerve is severe, some complications are possible, including: Misdirected re-growth of nerve fibers: Nerve fibers re-grow in an irregular way. This can result in involuntary contractions of some muscles.

Can Bell's palsy affect taste?

Many people are afraid they are having a stroke, but if the weakness or paralysis only affects the face, it is more likely to be Bell’s palsy. Approximately 1 in 5,000 people develop Bell’s palsy each year.

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.

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.

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.

What are the risk factors for Bell's Palsy?

Additional risk factors include: ( 5, 6) Pregnancy, especially during the third trimester. Diabetes.

What tests are done to determine if a person has paralysis?

Your physician may have MRI, CT or EMG tests run to confirm nerve damage and to rule out other causes of the weakness or paralysis. ( 7) Once diagnosed, your doctor may prescribe corticosteroids, antiviral drugs, and physical therapy.

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)

What are the causes of Bell's palsy?

Viruses that have been linked to Bell's palsy include viruses that cause: Cold sores and genital herpes (herpes simplex) Chickenpox and shingles (herpes zoster) Infectious mononucleosis (Epstein-Barr) Cytomegalovirus infections.

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

For most people, Bell's palsy is temporary. Symptoms usually start to improve within a few weeks, with complete recovery in about six months. A small number of people continue to have some Bell's palsy symptoms for life. Rarely, Bell's palsy can recur.

How long does it take for facial paralysis to occur?

Rapid onset of mild weakness to total paralysis on one side of your face — occurring within hours to days. Facial droop and difficulty making facial expressions, such as closing your eye or smiling. Drooling. Pain around the jaw or in or behind your ear on the affected side.

Can Bell's palsy be genetic?

Recurrent attacks of Bell's palsy are rare. But in some of these cases, there's a family history of recurrent attacks — suggesting a possible genetic predisposition to Bell's palsy.

Can Bell's palsy be caused by stroke?

Bell's palsy is not caused by a stroke, but it can cause similar symptoms. See your doctor if you experience facial weakness or drooping to find out the underlying cause and severity of the illness.

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Diagnosis

Lifestyle and Home Remedies

Alternative Medicine

Preparing For Your Appointment

Medically reviewed by
Dr. Karthikeya T M
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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