Vol. 5, Issue 2 (2020)
Case report of a patient with bell’s palsy
Author(s): Avi Choudhary
Abstract: Bell’s palsy is defined as an acute ipsilateral facial nerve paralysis with unknown aetiology which can result in weakness of the muscles of facial expression and is characterized by unilateral paralysis of all muscles of facial expression. Physical therapies including tailored facial exercises, acupuncture to affected muscles, massage, thermotherapy and electrical stimulation have been used to hasten recovery. Early facial exercise may reduce recovery time, long-term paralysis and number of chronic cases.5 Assessment: The patient noticed heaviness of half side of face and pain anterior to her left ear, just above the facial nerve trajectory. There was flattening of nasolabial furrow and angle of mouth was deviated to one side. Restricted movement was noticed for muscles of lips, left superior palpebra and left eyebrow region. Movement was associated with moderate pain around the left ear. He also demonstrated an inability to close the right eye, to corrugate the left eyebrow or to move her lips. Treatment: We have set the goals for the rehabilitation such as to improve the condition of face, Improve speech, eating, to prevent the secondary complications and to Re-education of muscle of facial expression. Patient received physiotherapy for 25 days. Grade of muscle strength and facial appearance started to improve within a week. After successful completion of treatment, patient recovered with minimal residual weakness.