Thanks Doc ,God bless your household 🙏, your video is very very effective on me for a week now I'm improving because there is a lot of pain on my working face exercise and I'm seeing the result , thanks so much sir
Good day Sir. I had bells palsy then hemifacial spasms as it's complication. Sir,.kindly advice to get recover from Hemifacial spasms. Thank you and more power.
Glad you fixed the sound......well over a year, been stretching the mouth area consistently, still limited results. Any other options to focus on this muscle? Electrical stimulation a possibility at this point to get it flexing? Thanks
No, definitely no stimulation. Have you had your condition assessed by anyone? there might be specific part of your face that are still tight(not necessarily the mouth), that are making mouth movement difficult. During paralyzed phase of Bell's palsy, many muscles get tight together, with areas of what we called fibrosis. These fibrotic area can persist and prevent normal movement. Do you have synkinesis?
This is my second time of suffering this paralysis. I'm tired I lost my confidence. My smile didn't back again. Before, my right face is damage. After one year, this is the time that i have paralysis again. It's been two months. When I pout, I can't do it normal. Please help me to get my face back to normal
Please look at all video on TH-cam and instagram account. Lots of things to do and try. I cannot tell you exactly what you should be doing without assessing your face.
I should add that if you are ten weeks in and no change, you need to go to an otolaryngologist. You might have been misdiagnosed and might need more meds.
I should correct that they help with the symptoms and effect of synkinesis, not preventing synkinesis. Synkinesis cannot be prevented...It is due to the way the nerve heals.
@@marcusvaldes a different diagnosis... Ramsay Hunt syndrome, Zoster sine herpete, a tumor/ vestibular schwannoma / parotid tumor/ acoustic neuroma... many other things...
Sir please reply i am very dipressed can you after one week my recovery start on eyebrow but after some recovery on eyebrow recovery was stopped and now 2 months are done i am on anti-inflammatory madicine and talking some vitamin tablet but recovery was stopped what is the reason
Bell's palsy can heal slowly. You mention anti-inflammatory ( do you mean steroids?). Massaging and stretching around eyebrow/forehead/eyelid is likely what needs to happen. But I can't tell you more since you are not my patient and have not assessed your condition.
Hello. I was on steroids for 10 days and there was marked improvement in my eye closing and even facial expressions however, a day after finishing my dosage the improvement regressed back to how it was on my diagnosis. The doctor prescribed 2 weeks of further steroid use but am not certain if the same thing will happen after finishing my current dosage. What is your advice on this and thank you so much for your videos, they have been of great help.
Some cases of BP are mor serious are more serious and it really takes several rounds of steroids to decrease facial nerve inflammation. I would certainly follow what your doctor prescribed. It does not mean you will have the same symptoms when you taper down after second round.
Hlo sir I am suffering from bells palsy for about 1.5 month I taking physiotherapy,medicine and exercise and can I recover and go back to normal is my smile can back because I listen that there is no treatment and medicine who can recover bells palsy
Very informative video. I have seen many videos but no one discussed this. I got Ramsey hunt in june. I have very little movement in my cheek and nose area. No lips and brow movement. Some one suggested use Tens machine. Is it a good idea?
no it is not. First, TENS is used for pain only, not muscle stimulation/contraction, so that won't help getting movement. Second, you should not use electrical simulation to address paralysis from Bell's palsy. Instead, targeted massage, stretching, and when appropriate neuromuscular reeducation with slow, controlled movement. all the latest research does n to recommend the use of electrical stimulation in recovering from Bell's palsy / RSH/ ZSH/Lyme disease/acute facial paralysis
@@ButheauPhysiotherapy thanks a lot for your kind suggestions. Its my 75 day of facial paralysis. Left side is completely paralyzed. I used tens machine twice and got little movements in cheek and nose area. I am not using it any more. Any other advice for fast recovery? I am based in Perth Western Australia. I cant find here any specialist. I had 2 sessions with Physio all she did cheek and forehead massage for 2 min and dry needling in forehead area.
@@tehminaaziz9738 Yes, targeted massage and stretching for each area of the face, eyelid, mouth, lips, that you should be working on every day. Did the physio instructed you/ showed you any self massage and stretches to do at home? that is what you need. I can help with that. Learn to treat your Bell’s Palsy/ Facial paralysis correctly at home with our online tutorial, available at www.butheauphysio.com/bells-palsy-treatment-at-home.html Find out more information and treatment guidance by downloading our free E-book at butheauphysio.janeapp.com/#staff_member/1
Hello! I have the opposite problem: the lower lip on the affected side droops down. I experienced facial paralysis a year and a half ago. I carried out treatment, but, unfortunately, the results were not very good. It feels like my muscles on the affected side have atrophied. Could you recommend something in my case? I watch your videos carefully, but have not yet found the information I need.
Cannot recommend anything specific without assessing your face. Is your lip drooping because of tighness in chin/ along lower jaw bone… or because you might have never regain full nerve healing in that area? What did your “treatment” consisted of?
As soon as my nerves began to recover, I did a lot of exercises, which led to the fact that the healthy side is now hypertonic and the affected side remains weak. The lower lip droops and the upper lip, on the contrary, curls up. Tomorrow I'm going to see a neurologist and I hope he will help me figure it out. Anyway: thank you very much for your videos! They are very helpful. Have a good day! @@ButheauPhysiotherapy
Hello, recently I have noted that whenever I yawn there is a downward pull on the corner of the mouth. Will regular massage aid in reversal of the abnormality?
Without seeing it in person, I can only make a guess. Your depressor angle oris could likely be tight and is preventing normal excursion of your lips.Also, your platysma, muscles in neck could be involved. Stretching this muscles is where I would start
What could it mean if you also have numbness. And twitching on the other side. I was diagnosed bells palsy at 36 some numbness happened shortly afyer on other side is been getting worse I am 61 now I feel losing the otjer side no body believes me .
??? No medicine is going to give you a smile. You should have been prescribed prednisone and an antiviral within the first 72 hours of your facial paralysis symptoms when you were diagnosed.
hello me before easy paralysis I had neck pain for 4 months I still have doular however I am well cured 100% but the pain it comes back sometimes you have unbearable pain the pain in 2 weeks. Sometimes it happens a little. is it normal ?
@ButheauPhysiotherapy thank you for your reply I'm 6 weeks in I had no understanding at all did not realise what I had to do also working on my good side to get my bad side correct to stop my rhs dropping mouth so still trying to make sence of it it has affected me mentally also Il keep watching need to get my eye lid correct also thank you so much I'm sure I'll come back to you for more help Thanks Nigel
@@ButheauPhysiotherapy how can I get rid of that completely I been having that same problem and my eyes tent to close a little when smile it’s been 2 years do u think these exercises still will help ?
Thanks Doc ,God bless your household 🙏, your video is very very effective on me for a week now I'm improving because there is a lot of pain on my working face exercise and I'm seeing the result , thanks so much sir
I must try this I have residue from Bells palsy with 5 years
Thank you very much, I will start doing this immediately,blessing to you from Nigeria.
Totally true for sure is helping Thanks do much
Glad it is helping!
Sir.
Nice exercise you teach mi.
I have facial palcy 15days before. Your all vidios helpful for me thank you.
Thank you this video is such a good resource - this information is invaluable!
Thank you for the kind word
These videos are very helpful for me. I wish I had known about these back in January but at least I have them now.
it is definitely not too late
Good day Sir. I had bells palsy then hemifacial spasms as it's complication. Sir,.kindly advice to get recover from Hemifacial spasms. Thank you and more power.
Thank you
Please assist Ive been recovering from Bells Palsy for 7months
Thank you so much!
I have facial synkinesis. My upper right side lip does not move
Glad you fixed the sound......well over a year, been stretching the mouth area consistently, still limited results. Any other options to focus on this muscle? Electrical stimulation a possibility at this point to get it flexing? Thanks
No, definitely no stimulation. Have you had your condition assessed by anyone? there might be specific part of your face that are still tight(not necessarily the mouth), that are making mouth movement difficult. During paralyzed phase of Bell's palsy, many muscles get tight together, with areas of what we called fibrosis. These fibrotic area can persist and prevent normal movement. Do you have synkinesis?
My smile is getting back to normal but when I smile my eye tends to get smaller. Any suggestions on what to do?
You could have some mild synkinesis but cannot tell you without seeing it. I would recommend to not practice smiling and forcing it.
Same problem... already 3 years now... still same while smiling...:(
Use Botox
Botox is an injection
This is my second time of suffering this paralysis. I'm tired I lost my confidence. My smile didn't back again. Before, my right face is damage. After one year, this is the time that i have paralysis again. It's been two months. When I pout, I can't do it normal. Please help me to get my face back to normal
Please look at all video on TH-cam and instagram account. Lots of things to do and try. I cannot tell you exactly what you should be doing without assessing your face.
Did you try to know why it came from as it is the second time ?
Your videos are great! I’m concerned about synkenisis because no movement in 10 weeks. Any other tips to avoid this other than massage?
Massage and stretches is the best way to prevent synkinesis, along with avoiding making faces and forceful exaggerated facial movements
I should add that if you are ten weeks in and no change, you need to go to an otolaryngologist. You might have been misdiagnosed and might need more meds.
@@ButheauPhysiotherapy What else could it be?
I should correct that they help with the symptoms and effect of synkinesis, not preventing synkinesis. Synkinesis cannot be prevented...It is due to the way the nerve heals.
@@marcusvaldes a different diagnosis... Ramsay Hunt syndrome, Zoster sine herpete, a tumor/ vestibular schwannoma / parotid tumor/ acoustic neuroma... many other things...
0:30 depressor levi inferiors
1:40 depressor levi inferiors action
3:10 streching
20230617 thank you
Sir please reply i am very dipressed can you after one week my recovery start on eyebrow but after some recovery on eyebrow recovery was stopped and now 2 months are done i am on anti-inflammatory madicine and talking some vitamin tablet but recovery was stopped what is the reason
Bell's palsy can heal slowly. You mention anti-inflammatory ( do you mean steroids?). Massaging and stretching around eyebrow/forehead/eyelid is likely what needs to happen. But I can't tell you more since you are not my patient and have not assessed your condition.
Hello.
I was on steroids for 10 days and there was marked improvement in my eye closing and even facial expressions however, a day after finishing my dosage the improvement regressed back to how it was on my diagnosis. The doctor prescribed 2 weeks of further steroid use but am not certain if the same thing will happen after finishing my current dosage. What is your advice on this and thank you so much for your videos, they have been of great help.
Some cases of BP are mor serious are more serious and it really takes several rounds of steroids to decrease facial nerve inflammation. I would certainly follow what your doctor prescribed. It does not mean you will have the same symptoms when you taper down after second round.
@@ButheauPhysiotherapy thank you so much for that.
how are you feeling now , did you recovered?@@roto2220
How can improve bells palsy. I'm almost a year now
Hlo sir I am suffering from bells palsy for about 1.5 month I taking physiotherapy,medicine and exercise and can I recover and go back to normal is my smile can back because I listen that there is no treatment and medicine who can recover bells palsy
Are you recovered ?
Very informative video. I have seen many videos but no one discussed this. I got Ramsey hunt in june. I have very little movement in my cheek and nose area. No lips and brow movement. Some one suggested use Tens machine. Is it a good idea?
no it is not. First, TENS is used for pain only, not muscle stimulation/contraction, so that won't help getting movement. Second, you should not use electrical simulation to address paralysis from Bell's palsy. Instead, targeted massage, stretching, and when appropriate neuromuscular reeducation with slow, controlled movement. all the latest research does n to recommend the use of electrical stimulation in recovering from Bell's palsy / RSH/ ZSH/Lyme disease/acute facial paralysis
@@ButheauPhysiotherapy thanks a lot for your kind suggestions. Its my 75 day of facial paralysis. Left side is completely paralyzed. I used tens machine twice and got little movements in cheek and nose area. I am not using it any more. Any other advice for fast recovery? I am based in Perth Western Australia. I cant find here any specialist. I had 2 sessions with Physio all she did cheek and forehead massage for 2 min and dry needling in forehead area.
@@tehminaaziz9738 Yes, targeted massage and stretching for each area of the face, eyelid, mouth, lips, that you should be working on every day. Did the physio instructed you/ showed you any self massage and stretches to do at home? that is what you need. I can help with that.
Learn to treat your Bell’s Palsy/ Facial paralysis correctly at home with our online tutorial, available at
www.butheauphysio.com/bells-palsy-treatment-at-home.html
Find out more information and treatment guidance by downloading our free E-book at
butheauphysio.janeapp.com/#staff_member/1
Hello! I have the opposite problem: the lower lip on the affected side droops down. I experienced facial paralysis a year and a half ago. I carried out treatment, but, unfortunately, the results were not very good. It feels like my muscles on the affected side have atrophied. Could you recommend something in my case? I watch your videos carefully, but have not yet found the information I need.
Cannot recommend anything specific without assessing your face. Is your lip drooping because of tighness in chin/ along lower jaw bone… or because you might have never regain full nerve healing in that area? What did your “treatment” consisted of?
As soon as my nerves began to recover, I did a lot of exercises, which led to the fact that the healthy side is now hypertonic and the affected side remains weak. The lower lip droops and the upper lip, on the contrary, curls up. Tomorrow I'm going to see a neurologist and I hope he will help me figure it out. Anyway: thank you very much for your videos! They are very helpful. Have a good day!
@@ButheauPhysiotherapy
Hello, recently I have noted that whenever I yawn there is a downward pull on the corner of the mouth. Will regular massage aid in reversal of the abnormality?
And are there any further exercises or measures I should start observing?
Without seeing it in person, I can only make a guess. Your depressor angle oris could likely be tight and is preventing normal excursion of your lips.Also, your platysma, muscles in neck could be involved. Stretching this muscles is where I would start
@@ButheauPhysiotherapy I will try to focus more on that. Thank you
I cannot blow air what to do sir
Does chewing gum help with Bell Palsy recovery?
No. It is actually to be avoided. It will make your face tight and create abnormal movement pattern
@@ButheauPhysiotherapy ok thanks for the reply
What could it mean if you also have numbness. And twitching on the other side. I was diagnosed bells palsy at 36 some numbness happened shortly afyer on other side is been getting worse I am 61 now I feel losing the otjer side no body believes me .
It does not sound like Bell’s palsy
Sir i tried this really works plz suggest some medicines too
??? No medicine is going to give you a smile.
You should have been prescribed prednisone and an antiviral within the first 72 hours of your facial paralysis symptoms when you were diagnosed.
It has been 12 days since i got this disease...
I can close my eye easily but can't wink bcz my cheek no show any movement
When i massage my face i feel pain in my effected side ear... is that something wrong?or its normal?
Waiting for your kind reply
hello me before easy paralysis I had neck pain for 4 months I still have doular however I am well cured 100% but the pain it comes back sometimes you have unbearable pain the pain in 2 weeks. Sometimes it happens a little. is it normal ?
I cannot make any specific recommendations with that information only.
Can BP re occur again?
I am speaking from Bangladesh,, i wanna talk to you, how can i talk to you?
pierre@butheauphysio.com
Am also strugling closing my eye lid do you have advice😊
I do have some videos posted about this on this channel.
@ButheauPhysiotherapy thank you for your reply I'm 6 weeks in I had no understanding at all did not realise what I had to do also working on my good side to get my bad side correct to stop my rhs dropping mouth so still trying to make sence of it it has affected me mentally also
Il keep watching need to get my eye lid correct also thank you so much I'm sure I'll come back to you for more help
Thanks
Nigel
@@nigelscott4999 are you currently working with a facial therapist to address all you describe? Many things to look at here . butheauphysio.com
@ButheauPhysiotherapy thank you I will look this evening currently working in nz
But your most helpful
Nigel
Can bellspalsy affect your neck?
Yes, the facial nerve controls the platysma, big wide muscles covering your neck. It is a common complaint to have stiffness/tightness in the neck.
@@ButheauPhysiotherapy how can I get rid of that completely I been having that same problem and my eyes tent to close a little when smile it’s been 2 years do u think these exercises still will help ?
@@mohammadspranks204 you likely have some area of tightness / fibrosis by your eye and mouth, and/or in between. I would start there
Thank you