Bell's Palsy is a facial nerve disorder where the nerve controlling one side of the face becomes damaged, leading to weakness or paralysis, causing the face to droop. The exact cause of Bell's Palsy remains unidentified (it might be due to a virus), so there are no known preventive measures or cures. Fortunately, Bell's Palsy usually improves within weeks or months, and there are many ways to support the recovery process. A doctor may prescribe medication, and it's important to follow home care methods to speed up recovery. Additionally, several alternative treatments can help reduce symptoms, even if they don't cure the condition.
Steps to Take
Use Medication

Seek immediate medical attention. Bell's Palsy is easily treated if caught early. If you notice unusual symptoms on one side of your face or have difficulty controlling facial muscles, it’s important to see a doctor as soon as possible. The doctor will determine whether it's Bell's Palsy or another issue. From there, an appropriate treatment plan will be recommended. Possible signs of Bell's Palsy include:
- Difficulty closing or blinking one or both eyes
- Challenges controlling facial expressions
- Twitching
- Drooping eyelids
- Excessive drooling
- Taste issues
- Dry eyes or mouth
- Excessive tearing

Prednisone is a corticosteroid medication that your doctor may prescribe to help with inflammation. Typically, you will take this medication for a week, followed by a reduced dosage in the second week. This anti-inflammatory drug can help reduce swelling in the facial nerve caused by Bell's Palsy and also alleviate muscle pain. Before starting treatment, discuss with your doctor any potential drug interactions, particularly if you are using birth control, blood thinners, or have conditions like diabetes, HIV, heart disease, or are pregnant or breastfeeding.

Acyclovir is an antiviral medication commonly used to treat the herpes simplex virus, which causes cold sores. It may also be used in managing Bell's Palsy, though it's often prescribed alongside Prednisone for a more effective treatment approach. This combination suggests that the condition may be triggered by the herpes simplex virus.

Bell's Palsy can cause facial muscle control loss and accompanying pain. Over-the-counter pain medications such as Aspirin, Acetaminophen, or Ibuprofen may help relieve discomfort. It's important to consult your doctor before using any over-the-counter pain relief, especially if you are already taking prescription medications to avoid harmful drug interactions.
Home care is essential when managing Bell's Palsy. Taking steps to protect your health and comfort can significantly impact your recovery.

Bell's Palsy may make it difficult to close your eyelids properly, leading to dryness and irritation in the affected eye. To keep the eye moist, use eye drops or ointment and consider wearing an eye patch at night. During the day, wearing protective glasses or safety goggles can help prevent foreign particles from causing irritation. Limiting computer use is also advisable, as prolonged screen time can contribute to dry eyes.

Warm Compress. Soak a soft cloth in warm water, then wring out the excess. Apply the cloth to the affected area of the face for a few minutes. Repeat this process multiple times a day to alleviate pain caused by Bell's Palsy.

Supplement with Vitamins. Certain vitamins and minerals (including vitamin B12, B6, and zinc) may help stimulate nerve regeneration. These nutrients can help reduce symptoms of Bell's Palsy, as the condition is caused by nerve damage.
- Excellent sources of vitamin B6 include avocados, bananas, legumes, meat, nuts, and whole grains.
- Excellent sources of vitamin B12 include beef liver, shellfish, meat, eggs, dairy products, and fortified cereals.
- Good sources of zinc include protein-rich meats such as beef, pork, lamb, and chicken; legumes, seeds, and whole grains.
- Additionally, you may want to consult a doctor about taking supplements to ensure you're getting enough B12, B6, and zinc.

Patience. Recovery time depends on the extent of nerve damage and whether you are treating an identified underlying cause of Bell's Palsy. While recovery varies from person to person, symptoms typically improve within 2 weeks (with or without treatment). However, full recovery can take around 3-6 months.
- The symptoms of Bell's Palsy may recur, even after complete recovery. It's advisable to discuss with your doctor to pinpoint the underlying cause of the condition.
Explore Alternative Treatment Methods

Try Biofeedback Therapy. Biofeedback is a process of learning to control and understand the body through the mind. This method aids in facial muscle recovery by training you to consciously control your facial muscles and become more aware of sensations in the affected area. The specific biofeedback techniques will vary depending on the case, so you may want to ask your doctor to recommend a tailored program.

Consider Physical Therapy. Facial exercises through various physical therapy techniques can help restore facial muscle function. These exercises may also alleviate some symptoms of Bell's Palsy, including pain. You should consult with your doctor to be referred to a physical therapist experienced in treating Bell's Palsy.

Facial Massage. Similar to physical therapy, facial massage can assist in recovering the function of the affected area and soothe the discomfort caused by Bell's Palsy. You may ask your doctor for a referral to a massage therapist with experience in treating Bell's Palsy using facial massage techniques.

Try Acupuncture. This technique involves inserting fine needles into specific pressure points on the skin. Acupuncture stimulates the nerves and muscles, helping to reduce pain and other symptoms of Bell's Palsy. You can request a referral from your doctor to a licensed acupuncture specialist in your area.

Consider Electrical Stimulation. In some cases, your doctor may recommend electrical stimulation to restore facial muscle function and/or promote nerve growth to support recovery. This procedure must be performed by a trained medical professional and only when a doctor determines it will be beneficial.

Try Relaxation Techniques. Meditation, Yoga, and breathing exercises may help reduce muscle tension and pain. While it is uncertain whether these methods can cure Bell's Palsy, they may alleviate general discomfort caused by the condition.
- Bell's Palsy can cause physical and mental stress. Relaxation techniques can help reduce mental stress associated with the condition.
Advice
- Bell’s Palsy occurs when the facial muscles are compressed. The exact cause remains unknown, but it may be triggered by a virus such as Meningitis or Herpes Simplex. The condition is also linked to other illnesses like the flu, diabetes, and Lyme disease.
- Bell's Palsy differs from facial paralysis caused by a stroke.
- Bell’s Palsy does not affect the nerve controlling eye movement.
Warnings
- Surgical intervention is rarely recommended for Bell’s Palsy and is only considered for severe nerve damage. A surgical procedure may help alleviate pressure on the facial nerve by creating a passage through the bone where the nerve travels. However, surgery can result in nerve injury, hearing loss, and other complications, so it is not generally advised.
