Treatment FAQ

what treatment can a neourologist use instead of botox shots for bells pallsey resedue

by Rita Hammes Sr. Published 2 years ago Updated 2 years ago
image

Medication

Botox for Bell's Palsy. Botox is a safe treatment and can help with both cosmetic and functional concerns that many Bell’s palsy patients have. Often times, patients are left with residual Bell's Palsy symptoms called synkinesis, which results in an extreme tightening and mis-coordination of certain facial muscles.

Procedures

Surgery is rarely an option for Bell's palsy. Commonly used medications to treat Bell's palsy include: Corticosteroids, such as prednisone, are powerful anti-inflammatory agents. If they can reduce the swelling of the facial nerve, it will fit more comfortably within the bony corridor that surrounds it.

Self-care

Dr. Azizzadeh’s goal is to provide a patient with a safe, effective treatment to address his or her facial paralysis symptoms. If Dr. Azizzadeh evaluates a patient and believes Botox injections can treat his or her facial paralysis symptoms, he develops a Botox treatment plan. On the other hand, if Dr.

Nutrition

Dermatologists can minimize long-term distortion of the face if they intervene early on in a permanent Bell’s palsy condition - usually one to two years after onset, she says.

Can Botox help Bell's palsy?

What are the treatment options for Bell's palsy?

Can Botox help with facial paralysis?

Can dermatologists help with Bell’s palsy?

image

Can a neurologist Help with Bell's palsy?

If your primary care doctor suspects Bell's palsy, she will most likely refer you to a neurologist for additional testing. You may also see an ophthalmologist because Bell's palsy can affect the eyes. Most doctors start by obtaining a thorough medical history, including a description and timeline of your symptoms.

What treatment would a doctor recommend for Bell's palsy?

Commonly used medications to treat Bell's palsy include: Corticosteroids, such as prednisone. These are powerful anti-inflammatory agents. If they can reduce the swelling of the facial nerve, the nerve will fit more comfortably within the bony corridor that surrounds it.

Is Bell's Palsy considered a neurological disorder?

Bell's palsy is a non-progressive neurological disorder of the facial nerve (7th cranial nerve). This disorder is characterized by the sudden onset of facial paralysis that may be preceded by a slight fever, pain behind the ear on the affected side and weakness on one side of the face.

Can filler help Bells Palsy?

Bell's palsy, a form of temporary facial paralysis, can cause a person to feel very self-conscious. Today's extensive line of facial injectables like Botox and dermal fillers can actually help those with Bell's palsy to achieve a more symmetrical facial appearance.

Is gabapentin good for Bell's palsy?

Our findings suggest that gabapentin may be an effective treatment for patients with hemifacial spasm with a very good ratio of therapeutic effects to side effects when compared with other drugs currently used.

What if Bell's palsy doesn't go away?

Bell's palsy usually starts to improve in 2 weeks but may take 3 to 6 months to return to normal. If there is no improvement or if any symptoms worsen, it is important to tell your healthcare provider.

What autoimmune diseases cause Bell's palsy?

Bell's palsy may be an autoimmune demyelinating cranial neuritis, and in most cases, it is a mononeuritic variant of Guillain-Barré syndrome, a neurologic disorder with recognised cell-mediated immunity against peripheral nerve myelin antigens.

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 is the fastest way to get rid of Bell's palsy?

Immediate Bell's Palsy Treatment After it's been determined that Bell's palsy is causing the facial paralysis, the doctor needs to prescribe a high dose of steroids as well as an anti-viral medication such as Valtrex.

Can Botox make Bells Palsy worse?

Botox can improve this condition. If you have had Bell's Palsy and are fully recovered, the fact that you have had Bell's Palsy in the past should not affect your current use of Botox.

Should I get Botox if I had Bell's palsy?

Botox is one of the most effective treatments for patients with Bell's palsy, partial facial paralysis and synkinesis. Botox has been a mainstay treatment for patients with synkinesis, partial facial paralysis and bell's palsy for the past two decades.

Can you get Botox if you have had Bells Palsy?

Yes, Botox is safe to be used to smooth frown lines after Bell's Palsy. It is also safe if you have a facial paralysis on one side. In fact, it is indicated for this diagnosis to weaken the muscles on the non-paralized side to try and make the two sides more similar. Radiesse is also helpful for this.

What is the best medicine for Bell's palsy?

Commonly used medications to treat Bell's palsy include: Corticosteroids, such as prednisone, are powerful anti-inflammatory agents. If they can reduce the swelling of the facial nerve, it will fit more comfortably within the bony corridor that surrounds it.

How to test for Bell's palsy?

There's no specific test for Bell's palsy. Your doctor will look at your face and ask you to move your facial muscles by closing your eyes, lifting your brow, showing your teeth and frowning, among other movements.

What is facial reanimation?

Facial reanimation helps to make the face look more even and may restore facial movement. Examples of this type of surgery include eyebrow lift, eyelid lift, facial implants and nerve grafts. Some procedures, such as an eyebrow lift, may need to be repeated after several years.

How to stop eye from getting scratched?

Wearing glasses or goggles during the day and an eye patch at night can protect your eye from getting poked or scratched. Taking over-the-counter pain relievers. Aspirin, ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others) may help ease your pain. Doing your physical therapy exercises.

Can Bell's palsy be treated?

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.

How long does it take for Botox to work on Bell's Palsy?

It takes one to two weeks to see the full results of the Botox treatment, and the results last approximately four months. Once the Botox treatment wears off, a patient needs to return to the Facial Paralysis Institute for another treatment with Dr. Azizzadeh. Botox for Bell’s palsy requires a long-term commitment from both Dr.

What is the best treatment for Bell's palsy?

Botox is one of the most effective treatments for patients with Bell’s palsy, partial facial paralysis and synkinesis. Botox has been a mainstay treatment for patients with synkinesis, partial facial paralysis and bell’s palsy for the past two decades. Botox is a protein derived from botulinum toxin. It relaxes unwanted muscle movements on the ...

What is the best treatment for synkinesis?

Botox for synkinesis may be used to treat eye muscles, neck bands and chin dimpling. It improves facial symmetry, as well as reduces the activity of facial muscles in the forehead and other areas of the unaffected side of the face.

How long does it take for Botox to work?

Azizzadeh can apply a numbing cream to make the treatment as comfortable as possible. The injections themselves usually take no more than 10 to 15 minutes to administer. Patients can return to their normal daily activities immediately after the treatment.

What is Botox used for?

At the Facial Paralysis Institute, Botox is utilized to address asymmetric facial movement in a novel manner to create a more symmetrical facial movement and reduce the signs of facial paralysis and synkinesis. Botox is most commonly utilized with neuromuscular retraining that will be performed by an experienced physical therapist.

How long does Bell's Palsy last?

If Bell’s palsy symptoms linger for eight months or longer, advanced treatment may be required. At this point, the facial paralysis experts at The Facial Paralysis Institute offer a variety of Bell’s palsy treatment options, including Botox for Bell’s palsy.

What is facial synkinesis?

Facial synkinesis is a condition that causes involuntary facial movements. It sometimes occurs following Bell’s palsy. Or, synkinesis may affect individuals after the facial nerve has been cut or sewn back together. Botox for synkinesis may be used to treat eye muscles, neck bands and chin dimpling.

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.

What is the procedure called when you can move a branch of nerves in your face?

In a procedure called highly selective myectomy and selective neurolysis, tight muscles and abnormal nerves can be divided to relax the face and allow better movement.

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.”

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.

Can Bell's palsy get better?

A delay in recovery is often accompanied by some form of abnormal facial function. But if facial paralysis from Bell’s palsy doesn’t get better, there are effective treatment options.

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.”.

Answer: Botox for Bell's Palsy

These are great questions! Botox and fillers can both be effective ways to treat the residual symptoms from Bell’s palsy, but require the experience of a facial nerve expert to administer them. There are lots of physicians who do these types of injections, but very few worldwide who use them to specifically treat facial nerve damage.

Answer: Botox after Bell's palsy

When patient's have acute or early Bell's palsy, treatment of the Bell's should be first priority. If a full recovery is not made, Botox can be helpful to improve the symmetry of the face. There are not any known instances of Botox triggering a Bell's palsy and it is frequently used to improve symmetry in the face.

Answer: Botox to treat synkinesis

First of all I'm sorry that you have to deal with this issue, but it is a very common complication from poorly recovered Bell's Palsy. Your eye is tight and more narrow as a result of the hypertonicity in that muscle and it is very effectively and commonly treated with botox.

Answer: Check with your neurologist first

It would be safest for you to check with a neurologist who can examine you and determine if the Botox is safe. Despite your history of Bell’s Palsy, it might be fine for you. Fillers in the tear trough usually don’t create so much volume that the eyelid raises up, but with your droop this would make sense.

Answer: Botox for Bell's Palsy

Hi jr2935, Thank you for your question! You absolutely can still receive Botox or filler if you’ve had Bell’s Palsy. Often times Botox is used to help treat asymmetrical facial movements that can accompany Bell’s Palsy. In our practice we find that this procedure is very successful for our Bell’s Palsy patients.

Answer: Botox and Bell's Palsy

Yes, it is perfectly safe to get a Botox injection if you have had Bell's Palsy and should not cause Bell's Palsy return.

Answer: Bell's Palsy

You are absolutely still able to have Botox and fillers after having Bell's Palsy. Botox is used to help diminish muscle movement, therefore preventing fine lines from forming. Over time, Botox helps to reduce resting lines as well. Asymmetry can be addressed with Botox injections as well!

image

Diagnosis

Treatment

Lifestyle and Home Remedies

Alternative Medicine

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.

Preparing For Your Appointment

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9