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Facial Palsy Physiotherapy Treatment

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What is Facial Palsy?

The term facial palsy generally refers to weakness of the facial muscles, mainly resulting from temporary or permanent damage to the facial nerve.

When a facial nerve is either non-functioning or missing, the muscles in the face do not receive the necessary signals in order to function properly. This results in paralysis of the affected part of the face, which can affect the movement of the eye(s) and/or the mouth, as well as other areas.

There are different degrees of facial paralysis: sometimes only the lower half of the face is affected, sometimes one whole side of the face is affected and in some cases, both sides of the face are affected.

What causes facial palsy?

Although the most commonly known cause of facial paralysis is Bell’s palsy, there are actually many different causes of facial palsy, and treatment and prognosis vary greatly depending on the cause. Some of the main causes of facial palsy are listed below:

  • Viral infections such as Bell’s palsy and Ramsay Hunt syndrome.
  • Surgical causes: for example during removal of acoustic neuroma or facial nerve, or when operating on the parotid gland.
  • Bacterial causes such as Lyme disease or following a middle ear infection.
  • Neurological conditions such as Neurofibromatosis 2, or Guillain-Barré syndrome.
  • Traumatic injury such as fractures of the brain, skull or face.
  • Birth trauma: for example caused by forceps or facial presentation delivery.
  • Congenital conditions such as an abnormal development of the facial nerve or muscle in the womb.
  • Rare genetic syndromes such as Moebius syndrome or CHARGE syndrome.
  • Stroke: although a stroke can cause facial palsy it is slightly different in that the problems are not caused by direct damage to the facial nerve. The paralysis, in this case, is caused by brain damage and the messages not being transferred properly to the facial nerve.

Before You Start Your Physiotherapy Prescribed Exercises…

It is a good idea to stimulate the muscles around your cheek, lips, and tongue by using an ice cube wrapped in a small damp cloth. Stroke the ice cube from your lips across your cheek to your ear. Then remove the cloth and stroke the inside of your cheek, your lips and tongue.

The ice should help reduce the inflammation surrounding the facial nerve which may be responsible for the loss of nerve impulse conduction leading to facial weakness.

We can assess, treat and monitor your condition from the acute onset of Bell’s Palsy through the various stages of recovery. Our Physiotherapists will aim to restore facial muscle strength and symmetry, and help to stimulate the facial nerve and maintain muscle tone.

You are invited to book a session in with one of our physiotherapists at Pinkcity Physio for Bell ’s Palsy rehabilitation exercises and advice.

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Opening Hours

  • MONDAY 09:00am – 1:00pm | 05pm – 09.00pm
  • TUESDAY 09:00am – 1:00pm | 05pm – 09.00pm
  • WEDNESDAY 09:00am – 1:00pm | 05pm – 09.00pm
  • THURSDAY 09:00am – 1:00pm | 05pm – 09.00pm
  • FRIDAY 09:00am – 1:00pm | 05pm – 09.00pm
  • SATURDAY 09:00am – 1:00pm | 05pm – 09.00pm
  • SUNDAY 09:00am – 1:00pm

Our Services

Treatment Of Bell’s Palsy

  • Steroids have been shown to be effective
  • Eye protection drops, patch and eyelid weights (available on prescription)
  • Physiotherapy treatment for Bell’s Palsy may consist of facial massage, exercises, acupuncture and electrical stimulation.
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