Doctor insights on:
Bell's Palsy Treatment Physical Therapy
My 30months old son was diagnosed with cerebral palsy. He srill can't walk but he's undergoing physical therapy. Is there a chance for him to walk?
Cerebral palsy: Cerebral palsy has a wide range of severity. Many children with CP are able to walk. It would be helpful to discuss the specifics of the nature of your son's cerebral palsy with your doctor. Depending on the nature and severity your son may require physical therapy, braces or aids, or surgical pricedures. I would recommend seeing an orthopaedic surgeon. ...Read moreSee 1 more doctor answer
...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more
I have an 8 year old with mild cerebral palsy, how long will she need physical therapy... She goes once a week right now and it's really helping.
Whats the best treatment plan for Saturday night palsy , what kind of splints does physiotherapy help thanks?
A few directions: Biggest issue is potential of corneal abrasion, so patch the ipsilateral eye until the blink reflex has returned to normal. Liquid tears will help ease any discomfort. Although some docs use steroids and antivirals, might add some thiamine 100 mg daily. Should fully resolve in a few weeks. Prognosis for normal outcome about 92%. ...Read moreSee 3 more doctor answers
Not beneficial: Metanx is a medical food approved for diabetic neuropathy, especially small fibre variant. Beneficial outcomes may take well over 6-9 months. Bell's is an acute event and in most cases, >90%, will recover in a few weeks. It is unknown if those who fail to recover rapidly would benefit. ...Read moreSee 1 more doctor answer
Steroids first: If pain is present, steroids should be given promptly. Since many cases are thought due to herpesvirus, the combination of steroids and an antiviral, such as zovirax, (acyclovir) is often used. Of course that doesn't always work. Corneal protection (eye patches & drops) should be used if eye closure is incomplete. Facial massage to affected areas preserves muscle flexibility until nerve healing occurs. ...Read moreSee 1 more doctor answer
Antivirals: At the first signs: lid droop, mouth droop, inability to smile, sometimes pain infront of ear, start an antiviral. Use of steroids is controversial but most studies show no effect. Most bell's gets better in 2-6 months but some leave a residual droop which can be surgically addressed at that time. ...Read more
Yes: Bell's palsy is an exclusionary diagnosis that first needs to be verified. Treatment is geared to maintain moisture of the cornea. Treatments range according to severity of disease. Possibilities include lubrication with drops or ointment, taping the eye shut while sleeping, temporarily sewing the eye closed, placing a weight in the upper lid to aid in closure. These are just to name a few.... ...Read moreSee 1 more doctor answer
Was diagnosed w/ bells palsy after 7days got this excruciatingly painful headache & pain behind my ear & jaw. Is this normal? Is there any treatment?
No: Pain is not typical of bell's palsy. However, if the eye does not close as a result if the bell's, then significant drying of the eye can occur. Pain from the eye is poorly localized, so your pain may be from this. You need to see an eye md to see if this is the case. ...Read moreSee 1 more doctor answer
Difficult: This is a tough one. Itb symptoms can be very difficult to treat and often times persistent pt and time are the best answer. Topical nsaids such as voltaren gel or Flector Patch (diclofenac) may help. Consider massage therapy. Tens units (electrical stimulation) sometimes help. Lastly, local steroid injections are an option as well. ...Read more
My doctor sent me to physical therapy. I didn't want to delay treatment so i could find the costs. Should have to pay thousands for 4 hours of pt?
Shop around: If you are paying out of pocket for pt shop around for the best care with the cost being a consideration. The referring doctor should be able to refer you to several different therapy places they have sent patients to before. "thousands" implies the cost for 4 hours is at least $2000 meaning 500/hour that seems a bit steep ( to be diplomatic). ;-). ...Read more
Integrate : The cause for the sciatica should be delineated first. Physical therapy is an important first step in most cases. In more severe or refractory cases, injection is indicated. In my opinion, the combination of injections and physical therapy is likely to be more effective than either one alone. ...Read moreSee 1 more doctor answer
Had left side and right side treatment for bilateral possioning vertigo. Dr said if this don't work then physical therapy. What do I expect?
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