Bell's palsy

45 years female with right side Bell's palsy 4months after they incomplete recovery plz give suggestions for this pt History Diabetes mellitus Breast cancer surgery 2 year ago Thyroid BP

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NEED'S.. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT .. INJECTION .. NEUROKIND PLUS X .. WKLY .. SYMPTOMATIC T/T .. NEUROLOGISTS OPINION ..

Tnx &wc Dr Atul Dangar
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Physiotherapy helps a lot in recovery. Correct her diabetes. Treat underlying cause of Bell's palsy

Strict control of diabetes Ad nerve conduction velocity Ref patient to neurologists

Control diabetes C

CT/MRI brain metastasis

Agree@Bhanudas Jadhav , @Dr. Suryam Goduguchinta (Pt)

DM control is must.may be immunity is compromised. Thorough neurological assessment is required. Brain stem mets can cause Bell's palsy.NCV may help to know whether nerve is regenerating. Degeneration is completed in 20 days.its 4 months now better to find out nerve status. Can continue physiotherapy.

first u should check any cardiac ,Neurological Histories..., if no then should go M.S...,FACIAL MUSCLES RELAXATION EX'S...like chewing. balloon blowing,Ex's could do behind Mirror,trying of Facial expressions practice............ AND FACIAL MASSAGE(SOFT Tissue MANIPULATIONS)....ALL THE BEST PHYSIO......!

Ultrasound therapy and TENS may be helpful. If eyes are involved blinking and ice therapy also can apply.

Application of interrupted galvanic current intially joined with it application and facial exercises may be helpful. Once the acute condition is over if application may be joined with faradic application and other things of treatment shall remain the same. One more component of treatment may be added as dont's i.e. diet advice- .like avoiding too cold and too hot items in eating .etc..

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