Doctor insights on:
Speech Therapy For Bell's Palsy
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 more
...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
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 more
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 more
Several options: Although there is no universal agreement some believe that cortisone medications or antiviral antibiotics may be helpful in some cases. You should see a specialist to see what is best for you. ...Read more
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 more
Was diagnosed w/ bells palsy after 7days got this excruciatingly painful headache & pain behind my ear & jaw. Is this normal? Is there any treatment?
Depends: Bell's palsy is a peripheral nerve disorder involving the facial nerve usually on one side of the face. The hallmarks are inability to close the eye and droopy upper and lower facial muscles. The speech impairment is dependent on the severity of muscle weakness. The ability to understand speech, follow commands, and write, should be unaffected. ...Read more
Several: The original kaiser studies suggested that steroid therapies might work well, and later studies suggested some benefit with thiamine. Since there is evidence that both herpes simplex and zoster may cause variations of bell's palsy, anti-virals may be used. However, even if not treated 92.5% of cases fully recover on their own after several weeks. ...Read more
Bells palsy: Supportive care, keep the eye on the affected side well lubricated with artificial tears during daytime and with eye ointment at night. Protect the eye at night with eye patch and gauze to prevent accidental cornea laceration and dryness. The use of Acyclovir is safe in 2nd and 3rd trimester. Prednisone is a category d in pregnancy, should discuss with physician before using this medication. ...Read more
At times I feel I have trouble speaking clearly & many times people can't understand me but I can't tell. Could speech therapy help?
Can't hurt: How do you know that many times people can't understand you if you can't tell? If you have any questions about your ability to speak clearly & enunciate, I think it's perfectly reasonable to get a professional evaluation by someone trained to assess speech & communication. Just be prepared to pay out of pocket in case your insurance won't. ...Read more
After having Bell's palsy for a few months, my face has regained most movement but now have face tightening that hasn't gone away. Permanent?
Bell's palsy: No. Function will continue to improve for several more months. Corticosteroids and anti-viral medication are often prescribed at initial signs of weakness. Facial exercises, massaging the facial muscles and opening and closing the eye lid are helpful. Take extra care with oral hygiene as food can pool on the affected side. Eye drops to lubricate the eye and a wear a patch at night to protect it. ...Read more
I was diagnose with bells palsy 3 days ago my doctor told me it was a little bit t late to get treated but I don't understand mine medicine is only20mg?
Bells Palsy: Bells palsy is only a diagnosis of exclusion, not a primary diagnosis especially if its the first time happening. 3 days is still early enough to begin treatment if other pathologies are sufficiently excluded to make idiopathic facial Nerve inflammation and compression the likely diagnosis. The starting Prednisone dose should be at least 60 mg for 3 days followed by taper to be effective. See ENT. ...Read more
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