Bell's Palsy

Bell's Palsy is a condition in which there is a union of the fascial nurve and resultant paralysis i the muscles that if supplies.



 The main muscle which are affected as follows

• occipitals frontalis-Raises eye brow
• orbicularis oculi-Closes eye
• Buccinator-Mastication or sucking
• Orbicularis oris-Mouth closing

• Mentalis-Wrinkles of chin.

• 

• Causes: cause is unknown.It can occur at any age.Both male and female may  affected.Some factors may involved.Cold weather,ear  ache,due to neurological condition.

• Sign and symtome: 
• Sudden onset
• Often wake up with paralysis with ear ache
• Loss of fascial expiration
• Droping of the face
• Closing  eye is difficulties
• Chewing is difficult
• Mastication is difficuit
• Speaking is difficult
• Eyelities may occur
• Headache
• Earache
• difficult ballowning of mouth.

Pathology:
Fascial nerve become swallen and hypermie within the fascial cannel

                  
The nerve rapidly becomes compressed and the conductivity is losed.

Prognosis:
5o% recover within 3 months.
             
                                         

•  Aim and treatment:
• To relief pain-Ultra-sound over the fasial cannel in pulsed mode.
• Fascial muscle comducting use TENS
• IRR to reduce ear and neck pain.(eye must be covered)

•  Fascial exercise:
• Upward  direction.
• Assisted contraction exercise: nasal contraction, eye brow contraction,fascial nerve contraction,closing and opening of eyes,whitlstelling,sucking or drawing water with straw,ballowning.

• Patient advise:To do the exercise every 2 hourly-
• Use sunglass
• Avoid cold
• Fascial stimulator for those who are have parmanent paralysis.

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