Facial Paralysis


Bell’s palsy is a form of temporary facial paralysis resulting from damage or trauma to one of the two facial nerves. It is the most common cause of facial paralysis.

Bell’s palsy is paralysis or weakness of the facial muscles on one side only, due to the damage to the facial nerve anywhere in its course. It results in an inability to control facial muscles on the affected side. It is said to be the most common acute monounsaturated.

Mechanism of injury to the facial nerve:

Anatomically, the nerve travels through the skull in a narrow bone canal beneath the ear. In case of any inflammatory condition there will be swelling of the facial nerve. Nerve swelling and compression in the narrow bone canal are thought to lead to nerve inhibition, damage or death.

Causes for facial palsy:

  • Stroke
  • Brain Tumor
  • Lyme disease
  • Idiopathic
  • Diabetes mellitus


Symptoms of Bell’s palsy usually begin suddenly and reach their peak within 48 hours.

Patients diagnosed with Bell’s palsy may have “myriad neurological symptoms” including:

  • twitching
  • Facial tingling
  • Moderate or severe headache/neck pain
  • memory problems
  • balance problems
  • ipsilateral limb paresthesias
  • ipsilateral limb weakness
  • Significant facial distortion.
  • drooping eyelid or corner of the mouth
  • drooling
  • dry eye or mouth
  • impairment of taste
  • Excessive tearing in the eye (crocodile tears).
  • a sense of clumsiness


The extent of nerve damage determines the extent of recovery. With or without treatment, most individuals begin to get better within 2 weeks after the initial onset of symptoms and recover completely within 3 to 6 months.

Physioline’s Treatment:

When can one start physiotherapy in Bell’s palsy.

You can start Physiolines Specialised Physiotherapy the next day itself in Bell’s palsy. You can contact Physioline Centre for the treatment and also for the exercises which will be prescribed to you according to your condition.

Physioline Eye protection recommendations :

  • The most important part of treatment is to keep the eyes healthy and moist. One of the purposes of blinking and closing the eyes is to keep the eyes wet.
  • If a person can’t close their eyes, because the muscles that control the eyelids are paralyzed, it is important to keep the eyes moist and prevent itching.
  • Eye drops are prescribed for the day, and an eye ointment for the night to prevent drying of the surface of the eye cornea.
  • Diminished blinking and the absence of tearing together can reduce or eliminate the flow of tears across the eyeball, resulting in drying, erosion, and ulcer formation on the cornea and possible loss of the eye.
  • Closing the eye with a finger is an effective way of keeping the eye moist. Use the back of the finger to ensure that the eye is not injured with the finger tip.
  • Protective glasses or clear eye patches are often used to keep the eye moist, and to keep foreign materials from entering the eye.

Physiolines Specialised Physiotherapy is helpful in strengthening the facial muscles. Patients with Bell’s palsy should find ways to reduce the stressful situations in their lives in order to speed recovery and avoid recurrence.


-When its time to start exercising, read the section for longtimers, and follow the same

-Sniffle. Wrinkle nose. Flare nostrils.

-curl upper lip up and raise and protrude upper lip.

-Compress lips together. Pucker lips & attempt to whistle.

-Smile without showing teeth; then smile showing teeth.

-Try moving your lips into a small smile slowly. Then gently pucker slowly using equal strength from both sides.

-Draw angle of mouth upward so as to deepen furrow from side of nose to side of mouth.

-Harden (wrinkle) the chin; “stick out” the chin (like a boxer).

-Using your index finger and thumb pull the corners of your lips in toward the center. -Slowly and smoothly push out and up into a smile. Continue the movement up to the cheekbone. -Use a firm pressure.

-Placing 4 fingertips on the eyebrow rub using a firm stroke up to the hairline. Return downward to the eyebrow. Do the same type of massage in a circular motion on your cheeks and chin, and outward to your ear.

-Try to close the eye slowly and gently, without letting your mouth pull up or your eyebrow move downward.

-Raise eyebrows and hold for 10 -15 seconds (watch out for synkinesis – hold the brow at a point before the corner of your mouth starts to move or your cheek tries to help). Wrinkle forehead.

-Frown and draw eyebrows downward.

-Gently wink with one eye and then the other to the best of your ability. Don’t push it.

-Open eyes widely, but without involving your eyebrow. Stop if you see any inappropriate muscle actions.

Taking care of ONE’S self:

It’s important to eat well and get lots of sleep when you have Bell’s palsy. Good nutrition and rest will help your body as it heals itself. One of the hardest things about having Bell’s palsy can be dealing with the emotions that go with it. To begin with, Bell’s palsy can be just plain scary. And because Bell’s palsy affects how your face looks for a while, you may feel self-conscious or embarrassed in public. Even your close friends may tease you in what they think is a good-natured way, but if it feels hurtful to you, tell them. Let people know why your face looks the way it does. Bell’s palsy isn’t contagious, so no one can catch it from you, and nothing you or anyone else did caused it to happen. Dealing with a condition like Bell’s palsy often helps you find out who your friends really are. Rely on the people you know can offer you the best support — your closest friends, family, or a school counselor, for example. Within a couple of months, you should be back to your old self.

DETAILED TREATMENT :- Kindly contact Physioline for the detailed assessment and treatment program which is individualized according to every patient.

Paralysis Patients get Combination Therapy 

Physioline, a specialized physiotherapy and rehabilitation center of international repute in Manish Nagar, Andheri west, Mumbai introduced world’s best treatment protocol for the paralytic patients called Combination therapy. As the name suggests it is a combination of an array of therapies for the paralytic patients. Physioline in India is the first to bring such a intensive and result oriented treatment protocol of global standards right at your door step pioneered by Dr Sanjay Bakhshi, the founder and chief physiotherapist and rehabilitation consultant.

Combination therapy consists of the usage of specialized and sophisticated electronic equipment from Germany namely ‘Mentamove’ in adjunction with all the best approaches and techniques used world wide for the treatment of paralysis, all which are FDA approved German & US Equipment.

Combination therapy works on the principal of ‘Neuro-Plasticity’ i.e. the ability of the brain to reorganize its neuronal networks so that it functions by experience thus helping to relearn and adapt to new conditions. This  therapy can be used in the treatment of most of the causative factors of paralysis, to mention a few paralyses due to stroke,Facial Paralysis post-op for brain tumors, cranio cerebral trauma, spinal cord injuries, multiple sclerosis cerebral palsy etc. This form of therapy promises recovery at a faster pace with success rates scaling as high as 99% and with absolutely no side effects as well as a fair reduction in the cost of illness and medications.

With this innovative concept, the success ratio soars as high upto 99.99% in neurological conditions and 100% pain relief in orthopedic conditions. This has rewarded them with satisfied patients over the years.

The overall goal of treatment or management at Physioline is to cater to the health needs of patients and strive hard to enhance their capacity to function and remain as independent as possible. The endeavor to be the best in the field has prompted Dr Sanjay Bakhshi to constantly look for new ways to improve the results for the patients. With each new patient he and his team try to gain greater knowledge for guiding the successful recovery of future patients with similar impairments and diseases.

E-mail: physioline@gmail.com

Website:  www.physioline.in

Contact: 26302176 / 26340779 / 65266092