Physiotherapy of facial nerve palsy

Facial nerve palsy, which is the seventh paired nerve, is one of the idiopathic diseases whose causes are unknown. which is seen in diseases such as diabetes, thyroid, arthritis, leukemia, abscess or brain tumors, meningioma, MS. 1\_ Sometimes the nerve damage is in the cerebral cortex or nerve nucleus. 2\_ The damage may be at the place where the nerve exits from the bridge of Moazi 3\_ In the middle ear area and above the special nerve channel, the nerve may be damaged 4\_ Nerve damage or its swelling in the fallopian canal of the ear (fallopain), which may be caused by the herpes zoster virus or herpes. Autoimmune diseases or high blood pressure can also be the cause of inflammation and closure of the nerve path. In general, the seventh paired nerve is divided into two categories, central and peripheral. Peripheral nerve palsy is divided into 3 grades depending on how much the nerve sheath is damaged, and the more basic and superficial it is, the faster recovery is achieved and the prognosis is better. ### Symptoms of facial nerve paralysis 1. Weakness and paralysis of the facial muscles is the most important complication of this disease. In half of the face, the patient is unable to raise the eyebrows, the eyelids cannot be closed, the power of chewing is weak, and the mimicry of one side of the face is completely lost. (smiling, laughing, frowning) on one side of the face, the mask remains motionless, and this itself is a #psychological trauma to the affected person. 2- Reduction of tears and dry eyes 3. Taste disorder 4\_Hearing disorder 5_Pain behind the ear. Treatment of this disease: - Corticotherapy should be started immediately, the dose of which is different based on the level of the lesion. 2. Vitamin therapy, especially vitamin B - Physiotherapy: In the first week, they will only visit and learn basic care. And from the second week, the treatment of these people starts, which includes: electrostimulator to stimulate the laser nerve, therapy that is used with low or high power depending on the time and degree of recovery. Ultrasound in the form of phonophoresis, iontophoresis, infrared, and dry needling. The main type of treatment: #exercise, full treatment and massage, special treatment for all facial muscles to prevent atrophy and help to return the strength as quickly as possible. The direct supervision of the physiotherapist is very necessary. For more information and free consultation, please contact our specialist, Dr. Noushin Alvandian and his strong team at 22745914.