Bell's Palsy: Treatment
Since there is no cure for Bell’s palsy, treatment centers primarily on the management of symptoms, especially problems with eye movement and inflammation of the affected facial nerve.

Facial paralysis often impedes the patient’s ability to blink or close the affected eyelid completely. This can lead to eye problems and permanent damage, if the eye is not cared for properly.

Measures must be taken to protect the exposed eye from damage and drying out. The use of artificial tears, lubricants and protective eyewear (sunglasses) is recommended until the patient regains control of the muscle surrounding the eye.

In terms of medications, Prednisone and antivirals are the most commonly prescribed agents for patients diagnosed with Bell’s palsy. These medications have the best outcomes when administered shortly after onset of the disorder. Prednisone is used to quickly reduce the inflammation compressing the nerve. Antivirals like Famciclovir (Famvir), acyclovir (Zovirax), and valacyclovir (Valtrex) are often prescribed to prevent the viral cells from replicating, so the virus will run its course in a shorter period of time.

Throughout the recovery period, patients may find relief through moist heat and regular massage therapy. A custom physical therapy program can prove beneficial as well. A certified facial NMR therapist can perform facial retraining, a specialized program designed to retrain facial muscles for improved movement and expression.  It can also help Bell’s sufferers to minimize the asymmetrical appearance of the face that occurs when one side is weakened. Facial retraining has been proven to improve muscle mobility, even in cases of long-standing paralysis.

Acupuncture and other therapies, like Botulinum toxin injections (BOTOX®), may provide relief of involuntary twitching (Hemifacial spasm). Botox can reduce spasms and the pain and discomfort associated with them. It can also effectively enhance a patient’s appearance.

For patients with permanent facial nerve injury, there are a number of surgical procedures that can improve facial function.

In the final analysis, the appropriate diagnosis and treatment of Bell’s palsy is vital to achieving the best possible recovery of facial nerve function.