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Bell’s Palsy

Bell’s Palsy — Vivacare Advanced Physiotherapy

The symptoms of Bell’s palsy (also known as acute peripheral facial palsy), include sudden weakness in your facial muscles. In most cases, the weakness is temporary and significantly improves over weeks. The weakness makes half of your face appear to droop. Your smile is one-sided, and your eye on that side resists closing.

The exact cause of facial palsy is unknown. It can occur at any age. It’s believed to be the result of swelling and inflammation of the nerve that controls the muscles on one side of your face. Or it might be a reaction that occurs after a viral infection.

Signs and symptoms of Bell’s palsy come on suddenly and may include:

  • Rapid onset of mild weakness to total paralysis on one side of your face — occurring within hours to days
  • Facial droop and difficulty making facial expressions, such as closing your eye or smiling
  • Drooling
  • Pain around the jaw or in or behind your ear on the affected side
  • Increased sensitivity to sound on the affected side
  • Headache
  • Loss of taste
  • Changes in the amount of tears and saliva you produce

Risk factors

Bell’s palsy occurs more often in people who:

  • Are pregnant, especially during the third trimester, or who are in the first week after giving birth
  • Have an upper respiratory infection, such as the flu or a cold
  • Have diabetes

At Vivacare Advanced Physiotherapy & Pain Clinic, our physiotherapists will assess all the muscles involved. An individualized treatment plan will be designed which will include Electrical Muscle Stimulation, manual therapy for facial muscles and facial exercises to help in quick and complete recovery.

You will be provided a home exercise regime to help strengthen the weak muscles and stretch the opposite side’s tight/shortened muscles. Guidelines for eye care will also be provided to you.

When to See a Physiotherapist

Bell’s palsy symptoms should be evaluated by a doctor promptly to rule out other causes of facial weakness (such as stroke); once confirmed, starting facial physiotherapy early gives the best chance of a full, symmetric recovery.

Prevention & Self-Care Tips

  • Protect the affected eye with lubricating drops and, if needed, a patch — especially if it doesn’t close fully.
  • Follow your prescribed facial exercise program consistently rather than only when you remember.
  • Avoid vigorous over-exercising of the weak muscles early on, which can encourage unwanted compensatory movement patterns.
  • Manage stress and get adequate rest, as recovery is generally supported by good overall health.

Frequently Asked Questions

Will my face go back to normal?

Most people recover significant to full function within three to six months, especially with early treatment; recovery pace varies by individual and severity.

Is facial exercise safe to do at home?

Yes, once your physiotherapist has taught you the correct technique — doing the wrong exercises or overdoing them can encourage unwanted synkinesis (unwanted associated movements), so guided instruction matters.

Can Bell’s palsy happen again?

Recurrence is uncommon but possible, occurring in a small percentage of people, sometimes on the same side and sometimes the other.

Is Bell’s palsy the same as a stroke?

No — but the sudden facial weakness can look similar, which is why urgent medical evaluation is important to rule out stroke before starting facial physiotherapy.

Can gentle facial massage help recovery?

Yes, when taught correctly — it can help maintain circulation and flexibility in the affected muscles, but should be done as part of your guided program rather than improvised.

Ready to start feeling better?

Book a consultation with Dr. Monika Chopra and get an individualized treatment plan.

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