What is an effective treatment for facial palsy

  Facial palsy is divided into central and peripheral. Central palsy is usually secondary to cerebrovascular disease, while peripheral palsy generally refers to primary idiopathic facial nerve palsy, and the treatment of facial palsy generally refers to the treatment of this type of facial palsy.  Idiopathic facial nerve palsy is a common single neuropathy of the brain, and is the most common cause of facial palsy. The disease is self-healing and mainly manifests as unilateral peripheral facial palsy, which usually appears suddenly and should be treated promptly and diagnosed clearly. Central facial palsy should be treated for the original brain disease, and peripheral facial palsy can be treated with drugs combined with acupuncture, physical and rehabilitation therapy.  Drug treatment: For peripheral facial nerve palsy caused by facial neuritis, B vitamins and other drugs should be injected or taken orally to nourish the nerves. In case of viral infection, antiviral therapy is available.  Chinese medicine treatment: Early onset of the disease, use the Chinese medicine to disperse wind and open the channels, after the acute stage, the main method is to invigorate the blood and benefit the qi, open the meridians and activate the channels.  Acupuncture treatment: appropriate acupuncture treatment can reduce local inflammatory response and promote nerve function recovery, professional acupuncturist is recommended.  Physical therapy: commonly used are ultra-short wave, low and medium frequency electrotherapy, laser, drug introduction, etc., which have certain auxiliary therapeutic effects. The patient can also be instructed to apply heat to the affected side to promote local blood circulation.  Rehabilitation treatment: When the facial muscle starts to recover, it is necessary to do muscle strength training of facial muscle, mainly to train the expression muscle, to do eye opening, forehead wrinkling, sucking, lip curling, whistling, lip pouting, mouth opening and other actions for about 20 min each time, 1-2 times a day until the final recovery.  While actively taking medication, care should be strengthened to prevent direct wind blowing on the face; when patients have incomplete eyelid closure, attention should be paid to the protection of the patient’s eyes, using eye shields if necessary; attention should be paid to rest and prevention of overwork; diet should be light and avoid spicy and oily diet.  In summary, most patients with peripheral facial palsy can heal on their own, but due to the differences in the patient’s age, physique, and underlying diseases, some patients will have sequelae. Therefore, after symptoms are detected, it is important to seek medical attention, make a clear diagnosis, and adopt comprehensive treatment, which can effectively reduce sequelae and shorten the recovery time.