What if I still haven’t recovered from facial palsy?

  The clinical efficacy of facial paralysis depends on whether the treatment is timely (including medication and acupuncture), the severity of the disease, and the patient’s own physical factors (whether there is diabetes, hypertension, etc.) related. Generally, the recovery is better for herpes simplex virus infection, which can be cured in 2-3 weeks with timely treatment. However, some patients who have not recovered for more than 40 days or so may be clinically untreated, mistreated and some patients with Hunt (Hunt) syndrome (varicella-zoster virus infection), how to do on treatment?  1, self-relaxation, pay attention to rest, avoid staying up late and excessive eye use, and a diet based on lightness. It is found that the more nervous the patient is, the worse the recovery is, which may be related to vascular spasm.  2, hot water bag or hot towel hot compress affected face and behind the ear, twice a day, each time 20 minutes, can improve local blood circulation, the condition of the improvement is very helpful.  3.Facial function training, several times a day, insist on doing 10-15 minutes of facial exercises in front of the mirror (including raising the eyebrows, raising the forehead, forcefully closing the eyes, showing teeth, lifting the corners of the mouth, cheek puffing and other actions) and using the palm of the hand from the corner of the mouth to the front of the ear direction from bottom to top to do facial massage (mainly on the affected side).  4, acupuncture points and techniques is the key to determine the effectiveness of treatment. Clinical acupuncture with medication, acupuncture points to the affected side of the face, the healthy side of the face should also cooperate, it is best not to electroacupuncture (because electroacupuncture is likely to cause facial muscle spasm), there is a sense of acupuncture needles after 30 minutes, with vitamin B12 acupuncture point injection, acupuncture point injection to take the facial points 3-4 points, to strengthen the local circulation of qi and blood, nerve nutrition and other effects. Chinese herbal medicine can be added with blood-activating and antispasmodic drugs, while western medicine is treated with nerve-nourishing and vasodilating drugs.  In conclusion, patients with facial palsy should be treated with acupuncture (no electro-acupuncture for the face, otherwise it will aggravate the facial nerve damage) as early as possible, and the efficacy will be significantly improved by the combination of Chinese and Western medicines. It was found that the efficiency of treatment with Western medicine alone was 83%, while the efficiency of interventional acupuncture treatment was 96%. And interventional acupuncture treatment significantly shortened the course of treatment, that is, acupuncture with Chinese and Western medicine treatment after 7-10 days to start recovery, simple drug treatment after 12-15 days to start recovery, which is the reason for early interventional acupuncture treatment. However, some clinical experts instruct patients to intervene in acupuncture treatment only after 2 weeks, they are worried that individual acupuncturists use electro-acupuncture treatment at facial points too early, which may aggravate facial nerve damage and affect the efficacy. Therefore, do not use electroacupuncture treatment in the early days, the manipulation should not be too heavy, such as individual patients after a period of treatment (the course of the disease must reach more than 40 days) still do not see recovery, the discretion to use about 10-15 days of electroacupuncture treatment, but the stimulation should not be too large, to a slight comfort, the power stimulation is too large, more likely to cause facial muscle spasm (facial muscle twitch).  Severe facial nerve paralysis, the onset of 2 years still can not recover, you can perform facial – paramedian nerve or facial – phrenic nerve anastomosis.