Paralysis of the facial nerve

Medications are prescribed immediately after the patient's treatment for medical care. It is with complex medication therapy that the main treatment of paralysis of the facial nerve begins.

Drugs are prescribed only by a doctor. Most often, the treatment is carried out in a hospital, since it is very difficult to cure facial paralysis qualitatively at home. In addition, this can lead to various negative consequences.

Physiotherapeutic treatment

Physiotherapy is used as an auxiliary, but mandatory therapeutic method for paralysis of the facial nerve. Possible appointment of such physiotherapy procedures:

• UHF is the heating of tissues by an electric field, which leads to an improvement in trophic processes, removal of edema and inflammation. The duration of one UHF session is about 10 minutes. The treatment course usually consists of about 10 sessions that take place every day, or 3-4 times a week.
• UVA of the affected part of the face can be used starting from about 6 days after the onset of the disease. Ultraviolet activates the synthesis of hormones, improves the work of immunity, which has a positive effect on recovery. The treatment course can consist of 7-15 sessions.
• DMV therapy is the use of electromagnetic decimeter waves to activate metabolic processes in the affected tissues of the face. The procedure lasts about 10 minutes. The course can be short (3-5 procedures) or standard (10-15 procedures).
• Electrophoresis with dibazol, vitamins, proserin is the effect of certain doses of electric current, by means of which the drug can penetrate into the affected tissue. The duration of one electrophoresis session is about 20 minutes. Duration of treatment - from 10 to 20 sessions.
• Diadynamic currents help to restore the work of muscles, causing their spastic reduction. At the same time, edema is removed and nerve fibers are restored. Treatment is usually lengthy: 10 to 30 procedures may be needed for recovery.
• Applications with paraffin or ozocerite accelerate the process of regeneration and promote a speedy recovery. The application is applied for 30-40 minutes. To restore innervation in paralysis of the facial nerve, it may take about 15 procedures.

After each session of physiotherapy, it is important to protect your face from drafts and cold, as a sharp temperature drop can aggravate the course of the inflammatory process.

Massage procedures for paralysis of the facial nerve

Massage with paralysis of the facial nerve is considered very effective, but spend it, bypassing the acute period of the disease. The first massage sessions are prescribed not earlier than one week after the onset of the disease. What is a therapeutic massage from paralysis of the facial nerve?

• massage procedure begins with warming up and kneading muscles of the neck, using slow slopes and rotation of the neck;
• further massage the occipital region, thereby strengthening the lymph flow;
• massage the scalp;
• pass to massage of face and temples;
• important: massage movements should be light, shallow, so as not to provoke muscle spasms;
• it is good to use stroking and relaxing movements;
• stroking is carried out along the lymphatic vessels;
• face massaged from the center line to the periphery;
• should avoid massaging the localization of lymph nodes;
• massage the inner part of the cheek with the thumb;
• at the end of the procedure, massage the neck muscles again.

The massage procedure should last no more than 15 minutes. The total duration of the course is up to the complete cure of the patient.

Special gymnastics

Gymnastics with paralysis of the facial nerve consists of a set of exercises to warm up the cervical region and shoulder area. The patient is seated opposite the mirror so that he can see his reflection. This ensures the quality of the exercises performed.

During the session, the face should be relaxed. Do 5 repetitions of each of the following exercises:

• the patient raises and lowers his eyebrows;
• frowns;
• looks as much down as possible while closing his eyes;
• screwed up;
• moves the eyeballs in a circle;
• smiling with clenched lips;
• Raises and lowers the upper lip, showing the upper row of teeth;
• Lowering and lifting the lower lip, demonstrating the lower dentition;
• smiles with open oral cavity;
• He presses his chin to his chest and snorts;
• moves the nostrils;
• tries to inflate his cheeks, alternately and simultaneously;
• collects air and blows it, folding his lips with a "tube";
• tries to whistle;
• draws his cheeks;
• Lowering and lifting the corners of the lips;
• Raises the lower lip to the upper, then the upper one puts on the lower one;
• makes the movements of the tongue with closed and open lips.

If any exercise fails, it is recommended to relax and carry out stroking movements with your fingertips over the affected part of the face.

Usually the proposed series of exercises is repeated up to 3 times a day.

Homeopathic remedies for paralysis of the facial nerve

Homeopathy also offers a number of remedies that will help accelerate recovery in facial paralysis. Homeopathic preparations should not be the basis of therapy, but they can enhance the effect of other treatments. Next - in more detail about the medicines that homeopaths offer to ease the condition with facial nerve palsy.

• Traumeel C is an injectable preparation in ampoules. Usually appoint 1-2 ampoules from 1 to 3 times a week in the form of intramuscular injections. The duration of therapy is at least 1 month. A combined use with Traumeil ointment and tablets is possible.

The drug rarely causes an allergy, but there may be redness and a small swelling at the injection site. In such a situation, a doctor's consultation is recommended.

• Nervocheel is a homeopathic remedy that improves the functioning of the nervous system, promotes functional renewal of nerve fibers, eliminates the effects of stress and fatigue. The drug is taken 1 tablet three times a day, dissolving under the tongue for half an hour before meals. Treatment continues for about 3 weeks. Features of the drug: during the first week of taking Nervocheil, a temporary deterioration of the condition is possible, which is considered a variant of the norm.
• Girel is a drug used for paralysis of the facial nerve, which is a consequence of viral infectious diseases. Hirel take 1 tablet three times a day, dissolving under the tongue. Duration of admission is calculated by the doctor.
• Valerianahel is a soothing remedy that can be used for neuroses, neuropathies, neurasthenia. Reception of this drug can serve as an excellent prophylaxis of relapses of paralysis of the facial nerve. The drug is prescribed 15 drops with ½ cup of clean water, three times a day for half an hour before meals. Continue taking 20-30 days.

Operative treatment

The doctor may resort to surgery if medication does not have the expected effect for 9 months. Before this time, it is not necessary to prescribe an operation, since medicines can still have their positive effect. If it takes more than 1 year, then surgical treatment is already meaningless, because by this time already there are atrophic changes in muscle tissue, which can not be restored.

In most cases, surgical intervention is used for nerve ischemia, which develops due to chronic otitis or after head injuries. Also, the operation is appropriate for a mechanical rupture of the nerve branch.

Summing up, we can distinguish the following situations with paralysis of the facial nerve, which may require the help of a surgeon:

• traumatic rupture of the nerve trunk;
• ineffectiveness of ongoing medical treatment for about 9 months;
• tumor processes.

How is the operation performed?

• When squeezing the facial nerve, the procedure is as follows:

1. an incision is made behind the ear;
2. the place of the exit of the nerve from the stylophyllary opening is allocated;
3. the outer wall of the hole is widened by special devices;
4. overlapping is applied.

General anesthesia is used for the operation.

• To sew the nerve trunk damaged by a rupture, the following surgical procedures are performed:

1. an incision is made behind the ear;
2. under the skin, the ends of the torn nerve trunk are found, which are cleaned for the best adhesion;
3. the ends are stitched together at once or first passed through a different, shorter path;
4. in some cases, it may be necessary to transplant the nerve from another part of the body, for example, from the lower limb.

The operation is rather complicated, however the rehabilitation period is usually not long.

Alternative treatment

1. It is useful to put compresses of puree based on elderberries. The berries are steamed and grinded, distributed on the surface of a clean cloth and applied as a compress to the affected part of the face for half an hour. The procedure is carried out twice a day.
2. A good effect is expected from the regular use of dates with milk, which eat three times a day for 6 pcs. Duration of treatment - 1 month.
3. They collect warm water into the oral cavity, in which a few drops of valerian tincture are added. Keep the medicine in your mouth, do not swallow, 3-4 minutes.
4. Take mummies in the morning, during the day and at night for 0.2 g, for 10 days. After another 10 days, the reception is repeated. Usually there are three such courses for cure.

In addition, you can use and herbal treatment according to the following recipes.

1. Take 100 g of sage grass, pour 1 glass of hot water and insist for the night. Drink 1 tsp. Between meals, squeezed milk.
2. Prepare an equivalent mixture of the rhizome of valerian, herb oregano, yarrow and mistletoe white. Prepare the infusion at the rate of 1 tbsp. L. Mixture on a glass of water. Drink a medicine in 100 ml three times a day for 20 minutes before a meal.
3. Prepare an equal mixture of mint, melissa, oregano, thyme, mistletoe, motherwort. Pour 1 tbsp. L. Mixture of 200 ml of boiling water, insist for an hour and take 100 ml twice daily between meals.
4. Take 1 tbsp. L. Grass drop caps, pour 200 ml of boiling water and insist for 2 hours. Drink a medicine for 60 ml to 4 times a day.