Bell’s palsy is a disease of facial muscles in which muscles on one side of the face become very weak. In some cases, the patient with Bell's palsy experiences some symptoms for a short period which disappears after a week. Due to the weakness of muscles on one side of the face, the patient becomes unable to smile and close their eyes. Bell’s palsy can happen at any age and the exact cause of Bell's palsy is unknown. But mostly it occurs after an ear infection which causes swelling of the nerves that supply facial muscles. Bell’s palsy can be recovered completely in 5 to 6 months. But in some rare cases, symptoms can persist for longer periods or many years. Sometimes bell palsy occurs on both sides of the face and causes weakness of the whole face. Apart from the muscles of the face, the condition of Bell’s palsy can also affect taste sensation, saliva production, and tears. Bell’s palsy has different treatments. The complications caused by the bell’s palsy should also be managed to increase the quality of life of patients. For this reason, there is a need for physical therapy other than medications to improve the patient as a whole.
Some of the types of treatments used for Bell’s palsy are described below:
Corticosteroid medications are often used as the first line of treatment for Bell's palsy. These medications reduce swelling around the facial nerve which can help in the recovery and lowers the chances of nerve damage. These medications help control the symptoms of Bell’s palsy.
When Bell's palsy is caused by a viral infection, these medications are used to treat the infections. Patients are dealt with antiviral medications who have a history of infection. It is often used with combinations of other treatments.
Physical therapy is important to manage the complications of Bell's palsy. Specially designed exercises and facial massage techniques are used to improve muscle strength and overall function of facial muscles. These exercises can help the patient to move the muscles of the face with greater ease.
Bell's palsy can affect the eye on the affected side which can lead to problems like dryness, excessive tearing, and difficulty in closing the eye. To treat the eye, eye drops or creams are often used.
Some healthcare professionals also use electrical stimulation techniques in the treatment of Bell’s palsy. Transcutaneous electrical nerve stimulation (TENS) is a method in which low levels of electrical currents are used to stimulate the muscles of the face.
Surgical treatment is often done when all other treatments do not show any response and the patient is severely affected by the symptoms of Bell’s palsy. In such cases, surgery is performed to relieve pressure on the nerve that supplies the muscles by removing a small portion of bone near the nerve. This surgical procedure can help in the recovery of patients.
Some of the methods to diagnose Bell’s palsy are described below:
The healthcare provider asks about the medical history of the patient which can give an idea about the cause of the disease.
The doctor performs some tests on the patient to check the ability of the patient to move the muscles of the face on both sides. It can also give the idea about diagnosis if there is asymmetry present.
Sometimes brain hemorrhage and brain tumors can also produce the symptoms of Bell’s palsy. So it is an important part of diagnosis to rule out other medical conditions before making the confirmed diagnosis.
Blood tests may be performed to check for signs of infection in the body and to rule out other conditions that may be causing the symptoms.
In some cases, imaging studies like magnetic resonance imaging (MRI) or computed tomography (CT) scans may be performed to see the nerve that supplies the facial muscles. It is also performed to find out structural abnormalities or tumors.
These tests are very helpful to examine the activity of the muscles of the face and nerves. These tests can also determine the extent of nerve damage.
The cost of Bell’s palsy treatment in India ranges from 532 USD to 4,972 USD. The cost can vary according to the types of treatment and the need for physical therapy sessions for an individual patient. The surgical treatment of Bell's palsy can also increase the cost.
Treatment Costs in India | Min in USD | Max in USD |
Bell's Palsy Treatment | 532 USD | 710 USD |
Facial Nerve Decompression | 3792 USD | 4972 USD |
Some of the symptoms of Bell’s palsy are as follows:
Some of the risk factors that are associated with Bell’s palsy are as follows:
Many types of viruses that cause infection of the ears can also cause the swelling of nerves of facial muscles. This complication can lead to the development of Bell's palsy.
The condition of Bell's palsy mostly occurs in the age group of 20-50 years. However, it can be present at any age.
Some studies show that there are higher chances of females developing the condition of Bell’s palsy than the male population.
Patients suffering from diabetes are at more risk of Bell’s palsy. This can be due to the effect of diabetes on nerve functions. So diabetic patients can also have Bell’s palsy as a complication.
Some infections of the upper respiratory system that cause the symptoms of flu and allergy can also cause the condition of Bell’s palsy.
Some diseases that lower the immunity of a patient can also affect the ability of a patient to fight against germs which can lead to various other complications including Bell's palsy.
Increased stress levels are also associated with the development of Bell’s palsy in some patients.
Pregnant women particularly in the third trimester may have a slightly higher risk of developing Bell's palsy. It can be due to continuous changes in hormones and increased physical stress.
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