Bell’s Palsy/Facial Palsy


Bell’s palsy/Facial Palsy is a condition that causes a temporary  paralysis of the muscles in the face. It can occur when the nerve that controls your facial muscles becomes inflamed, swollen or compressed.The condition causes one side of your face to droop or become stiff. You will feel difficulty in  smiling or closing your eye on the affected side.



  • Varcella-Zoster virus.
  • Epstein-Barr viruses.
  • HIV infection
  • Lyme disease
  • Middle ear infection
  • Sarcoidosis
  • Trauma
  • Environmental factors
  • Metabolic or emotional disorders
  • Metabolic or emotional disorders
  • Myasthenia gravis
  • Viral infections such as herpes, mumps, influenza, a cold, infectious mononucleosis
  • Multiple sclerosis
  • Guillain-Barre Syndrome
  • Chronic disease such as diabetes
  • Tumor causing nerve compression
  • Stress
  • Pregnancy


  • Sometimes person may have a cold shortly before the symptoms of Bell’s palsy begin.
  • Symptoms most often start suddenly, but may take 2 – 3 days to show up. They do not become more severe after that.
  • Gripping and movements of the wrist hurt, especially wrist flexion.
  • Symptoms are almost always on one side only. They may range from mild to severe.
  • The face will feel stiff or pulled to normal side, and may look different.
  • Difficulty eating and drinking; food falls out of one side of the mouth.
  • Drooling due to lack of control over the muscles of the face.
  • Drooping of the face, such as the eyelid or corner of the mouth.
  • Hard to close one eye.
  • Problems smiling, grimacing, or making facial expressions.
  • Twitching or weakness of the muscles in the face.

Other symptoms that may occur:

  • Dry eye or mouth.
  • Headache.
  • Loss of sense of taste.
  • Twitching in face.
  • Sound that is louder in one ear (hyperacusis).


  • To maintain muscle tone of the affected facial muscles.
  • Muscle re-education exercises, useful in restoring normal movements.
  • To reduce flaccidity (in case of Bell’s palsy) &spasticity (in case of Facial Palsy).
  • Transcutaneous electrical stimulation for denervated facial muscles.
  • Soft tissue techniques are implemented prior to recovery in order to help prevent permanent contractures of the paralyzed facial muscles.
  • Taping technique.

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