Coping with Bell’s Palsy: The Role of Physiotherapy

Blogs, / By Shi Qi Yap

Bell’s Palsy is a neurological condition that affects facial muscles, resulting in sudden weakness or paralysis on one side of the face. While the exact cause is still uncertain, physiotherapy can play a valuable role in managing Bell’s Palsy symptoms and promoting recovery.

Understanding Bell’s Palsy

Bell’s Palsy is typically characterized by the sudden onset of facial weakness or paralysis, often accompanied by drooping of one side of the face, difficulty closing the eye, and changes in taste. Although the exact cause is unclear, it’s thought to be related to viral infections, particularly herpes simplex virus.

Common signs and symptoms include:

  1. Facial Weakness or Paralysis: One of the hallmark signs of Bell’s Palsy is the sudden onset of facial weakness or paralysis, which usually affects one side of the face. This can make it difficult to smile, close the eye on one side, or raise the eyebrow on the affected side. The face may appear droopy on one side.
  2. Loss of Facial Expression: Due to muscle weakness, individuals with Bell’s Palsy may have a limited ability to show facial expressions on the affected side, such as raising the eyebrow, frowning, or pursing the lips.
  3. Drooping of the Mouth or Eyelid: The corner of the mouth on the affected side may droop, causing an uneven smile. Additionally, the upper eyelid may droop (ptosis), making it difficult to fully close the eye.
  4. Difficulty Closing the Eye: Some people with Bell’s Palsy have difficulty fully closing the eye on the affected side. This can lead to problems with eye protection and dryness, making it important to keep the eye moist and protected.
  5. Altered Sense of Taste: Changes in taste perception, such as a metallic taste or loss of taste on the front two-thirds of the tongue, can occur.
  6. Increased Sensitivity to Sound: In some cases, individuals with Bell’s Palsy may experience heightened sensitivity to sound on the affected side (hyperacusis).
  7. Increased Tear Production: On the affected side, individuals may have excessive tearing or drooling because of the lack of muscle control.
  8. Decreased Salivation: Reduced salivation on the affected side can lead to dry mouth and difficulties with chewing and swallowing.

The Physiotherapy Approach:

  1. Facial Muscle Exercises: Physiotherapists teach specific facial muscle exercises to help regain control and strength in the affected side of the face. These exercises are essential for maintaining facial symmetry and function.
  2. Electrical Stimulation: Electrical stimulation may be used to stimulate facial nerves and muscles, promoting muscle re-education and preventing muscle atrophy.
  3. Massage and Manual Techniques: Physiotherapists can employ gentle massage and manual techniques to improve blood circulation and reduce muscle tension in the affected area.
  4. Moist Heat and Cold Therapy: Heat and cold therapy may be used to alleviate pain and reduce inflammation in the facial muscles.
  5. Education: Patients receive education on self-care techniques, including proper facial hygiene, eye protection, and strategies for coping with speech and eating difficulties.
  6. Biofeedback: Some physiotherapy practices use biofeedback techniques to help patients regain better control over facial muscles.

Recovery Timeline:

It’s important to note that Bell’s Palsy typically does not cause pain or discomfort. Symptoms usually peak within 48 hours of onset and can progress for a few weeks before gradually improving. The recovery timeline varies from person to person, and while many people recover completely within a few weeks to months, some may experience residual weakness or other long-term effects.

If you or someone you know experiences sudden facial weakness or other symptoms suggestive of Bell’s Palsy, it’s essential to seek medical attention promptly. A healthcare provider can diagnose the condition and recommend appropriate treatment, which may include medications like corticosteroids to reduce inflammation and physiotherapy to aid in recovery.

We have posted a short video about “Simple Facial Strengthening Exercises for Bell’s Palsy”. Share it to your friend and raise awareness!

The Takeaway:

In summary, physiotherapy plays a vital role in helping individuals with Bell’s Palsy regain facial function and appearance. A tailored treatment plan, including exercises, manual techniques, and education, can greatly enhance the recovery process and improve overall quality of life for those affected by this condition. If you or someone you know is dealing with Bell’s Palsy, consulting with a physiotherapist is a valuable step toward managing and recovering from the condition.

We hope this has been useful for you. Find out more useful exercises by checking out our instagram page. Feel free to contact us should you have further questions.

Yap Shi Qi
Rehab Therapist

Shi Qi graduated with Bachelor of Physiotherapy (Hons), awarded by Anglia Ruskin University, UK. Certified Kinesio Taping Practitioner (CKTP®). She practiced as a physiotherapist in a Malaysian private physiotherapy center with a special interest in musculoskeletal and neurological rehabilitation. Her previous experience inspired her to combine active approach along with patients’ education to optimize the rehabilitation outcome in sports-related injuries and postural pain.

In her spare time, she enjoys swimming, singing, and playing piano.