Treatments of Bell's palsy mostly focus on relief of symptoms, promoting recovery, and preventing the condition from progressing to complications. Protection of the affected eye from dryness and corneal damage should be put in place during periods when full closing of the eyelid is not possible. Lubricating eye drops, ointments, or eyewear may be prescribed, especially during sleep or long periods when opening and closing the eyes are done. Additional treatment might also include medications such as corticosteroids, antiviral drugs, and pain relievers to minimize inflammation, combat viral infections, and handle discomfort associated with facial paralysis. Regular physical therapy may also work to restore muscle strength and function by conducting exercises that stimulate the facial nerve, thus bettering facial symmetry and coordination. Moreover, alternative therapies like acupuncture, biofeedback, and vitamin supplements may be part of the overall treatment plan; however, their effectiveness still needs a better debate and needs more studies.
Facial Muscle Strengthening: Physiotherapists use specific exercises and techniques to strengthen the facial muscles on the affected side. These exercises target the muscles responsible for facial expressions, such as smiling and frowning.
Range of Motion Exercises: Physiotherapists guide patients through a series of range of motion exercises to improve the flexibility and mobility of the facial muscles. These exercises help restore the ability to make facial movements, such as raising the eyebrows or closing the eyes.
Facial Massage and Mobilization: Physiotherapists may perform gentle facial massage and mobilization techniques to relieve muscle tension, promote blood circulation, and enhance the overall health of the facial muscles.
Electrical Stimulation: In some cases, electrical stimulation techniques, such as neuromuscular electrical stimulation (NMES) or transcutaneous electrical nerve stimulation (TENS), may be used to stimulate the facial muscles and promote muscle re-education.
Education and Self-Management: Physiotherapists educate patients about the condition, teach self-management techniques, and provide guidance on home exercises and strategies to promote recovery.