Bell’s Palsy

Bell’s palsy is a condition characterized by sudden, temporary weakness or paralysis of the muscles on one side of the face. It occurs when the facial nerve, which controls facial expressions, becomes inflamed, leading to facial drooping and other related symptoms. The exact cause of Bell’s palsy is often unknown, but it is thought to be linked to viral infections, particularly the herpes simplex virus.

Bell's Palsy

Bell’s Palsy

Common Symptoms of Bell’s Palsy:

  1. **Sudden onset of facial weakness or paralysis, typically on one side.
  2. **Drooping of the mouth or eyelid on one side.
  3. **Loss of the sense of taste on the front two-thirds of the tongue.
  4. **Increased sensitivity to sound in one ear.
  5. **Excessive tearing or drooling.
  6. **Difficulty closing the eye on the affected side.

How Physical Therapy Can Help with Bell’s Palsy:

Facial Muscle Exercises:

    • Physical therapists can prescribe specific facial exercises to help improve muscle strength and coordination.
    • Exercises may include smiling, blinking, and other facial movements to promote muscle activation.

Stretching and Massage:

    • Gentle stretching and massage techniques can be employed to prevent stiffness and maintain flexibility in the facial muscles.
    • These techniques also help reduce tension and improve blood circulation.

Electrical Stimulation:

    • Electrical stimulation, such as neuromuscular electrical stimulation (NMES), can be used to stimulate facial muscles and enhance muscle recruitment.
    • This can help prevent muscle atrophy and promote recovery.

Eye Care:

    • Protection of the eye on the affected side is crucial, as Bell’s palsy can lead to difficulty closing the eyelid.
    • Physical therapists may teach techniques for proper eye care, including eye patching and lubrication.

Speech and Swallowing Therapy:

    • Bell’s palsy can affect speech and swallowing due to facial muscle weakness.
    • Speech therapists or physical therapists can provide exercises to improve speech articulation and swallowing function.


    • Biofeedback techniques may be utilized to help individuals gain better control over facial muscles and improve coordination.
    • Visual or auditory feedback is provided to enhance awareness of muscle activity.

Education and Emotional Support:

    • Providing education about the condition and strategies for managing symptoms.
    • Offering emotional support to cope with the psychological impact of facial weakness.

While most individuals with Bell’s palsy recover fully within a few months, the extent and speed of recovery can vary. Physical therapy plays a supportive role in the rehabilitation process, helping individuals regain optimal facial function and prevent long-term complications. Early intervention and a comprehensive approach involving healthcare professionals (Dr. Luciano Di Loreto, HBSc., D.C works with bell’s palsy patients), including physical therapists, contribute to a more successful recovery from Bell’s palsy.

How about Acupuncture?

Acupuncture is a traditional Chinese medicine technique that involves inserting thin needles into specific points on the body to stimulate energy flow, known as “qi” or “chi.” While the exact mechanisms are not fully understood, acupuncture is believed to help balance the body’s energy and promote natural healing. In the context of Bell’s palsy, acupuncture has been explored as a complementary therapy to address symptoms and potentially accelerate recovery. Here are several ways acupuncture may benefit individuals with Bell’s palsy:

Facilitating Blood Flow:

    • Acupuncture is thought to enhance blood circulation, which may be beneficial in promoting the delivery of nutrients and oxygen to affected facial muscles.
    • Improved blood flow can support the healing process and reduce inflammation in the affected area.

Nerve Stimulation:

    • Acupuncture points are strategically chosen to stimulate specific nerves and promote better nerve function.
    • By targeting areas related to facial muscles and the facial nerve, acupuncture may encourage nerve regeneration and improve motor function.

Reducing Inflammation:

    • Inflammation is a common aspect of Bell’s palsy, and acupuncture may have anti-inflammatory effects.
    • Acupuncture points associated with reducing inflammation may help alleviate swelling and promote a more favorable environment for healing.

Pain Relief:

    • Some individuals with Bell’s palsy experience pain or discomfort, and acupuncture is known for its analgesic (pain-relieving) properties.
    • Acupuncture may help reduce pain perception and enhance overall comfort.

Muscle Relaxation:

    • Acupuncture can have muscle-relaxing effects, potentially assisting individuals with Bell’s palsy in managing facial muscle stiffness or tension.
    • Relaxation of muscles may contribute to improved facial symmetry and function.

Stress Reduction:

    • Bell’s palsy can be a stressful condition, and stress may impact overall health and recovery.
    • Acupuncture is often associated with stress reduction and relaxation, which may have positive effects on the overall well-being of individuals with Bell’s palsy.

It’s important to note that while some individuals report benefits from acupuncture in managing Bell’s palsy symptoms, research on the efficacy of acupuncture for this condition is still evolving, and results can vary among individuals. Acupuncture should be considered as a complementary therapy, and individuals should consult with their healthcare provider, including their primary care physician or neurologist, before incorporating acupuncture into their treatment plan. Acupuncture should be performed by a qualified and licensed practitioner to ensure safety and effectiveness.