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Facial paralysis can happen due to many factors. Sometimes inflammation develops around the facial nerve as it passes through the skull from the brain. This presses on the nerve and makes it stop functioning. As the nerve stops functioning, so does the muscle it controls.
This is what happens in Bell’s palsy, the most common cause of facial paralysis.
Bell's palsy is a common cause of a facial paralysis but there are many others too that affect or damage facial nerve. These include head injury, sarcoidosis, lyme disease, growths in the ear, tumours in the parotid gland, brain tumors and stroke.
The weakness of the face usually one-sided is a symptom of Bell’s palsy. The face may droop to one side, chewing food is also tough, drooling, dry eyes and difficulty wrinkling forehead and speech are other symptoms of Bell’s palsy, the most common reason for facial paralysis.
The type of therapy you receive for facial paralysis will depend on its cause. It will also develop on how long you’ve suffered from facial paralysis and the extent of damage to the facial nerve.
Your physiotherapist can help and so can speech and language therapists to deal with the issue.
In physiotherapy, a treatment called 'facial retraining' with facial exercises helps with facial palsy. It is important that you seek help from a therapist who specialises in facial rehabilitation only.
This is what you can expect from facial rehabilitation therapy-
Exercises for eye care
Exercises for dry mouth management
Exercises to make drinking and eating easier
Your physiotherapist will educate you on how the facial nerve works and how it recovers. This is important to make you recover. A home therapy programme plays an important role too. It includes massages to keep face muscles mobile and healthy, stretches to lengthen muscles, exercises to help re-learn balanced facial movements and relaxation of your facial nerve and muscles.
The physiotherapist will work on your facial movement to make muscles fit. The basic idea is to slowly rewire the brain-to-nerve-to-muscle pathway. The physiotherapist’s first step is to retrain you to do correct movements voluntarily, while mentally focusing on the movement.
Physiotherapy may take months but keep at it to recover completely, especially the home exercises.
Remember that exercises should be done gently as well as daily to reap benefits. Always do these exercises with the help of a therapist only. Doing exercises by yourself can be counter- productive.
Foot pain is characterized by a feeling of pain in the feet. The symptoms of feet pain can be felt in the heel, instep, arches, toes and sole of the feet. Usually, foot pain can be treated at home but if the symptoms become severe then you should consult a doctor.
Foot pain can be caused by the following factors:
1. It can occur from an injury
2. Obesity often leads to too much weight pressure on the feet, thus causing pain
3. Aging weakens the bones and muscle causing pain
4. Too much physical activity within a short period of time
5. Deformities in the foot
6. Broken bones
7. Arthritis and gout
8. Stress fracture
9. Nervous system damage
The various exercises to treat foot pain are -
1. Plantar fascia stretch
The exercise requires you to sit down in a comfortable chair, and then roll the arch of your foot on a round object. Repeat this exercise for some time in all directions.
2. Sitting plantar fascia stretch
You need to sit in a chair and then cross one of your feet over your knee. Take hold of the toes and pull them towards you till they are comfortably stretched.
3. Towel pickup
Place a towel on the floor and place your feet on it. Scrunch your toes to pick the towel up and release.
4. Wall push
You face a wall and lean by placing your palms on the wall. Then keeping the back leg straight and bend the front knee towards the wall till you feel a comfortable pull on your calves.
5. Achilles tendon stretch
Loop a towel on the ball of your feet and pull the toes towards you. As you pull the towel, remember to keep your knees straight. Hold this position for at least 25 seconds and then release it. Do the same for the other foot and repeat 4 times.
Apart from the above mentioned exercises, electrotherapies like UST, IFT, etc. are also very effective in treating foot pain.
All of the above exercises need to be performed regularly to get the full benefit of these stretches. You may also use comfortable footwear to prevent the pain from coming back.
Hi, I am 60 year old and is suffering from ankylosis spondylitis for about last 30 years. My back has forward bending. Can someone please tell me how I can get rid of the same.
I am having pain in my right side of neck which seems spread around right shoulder. Unable to move smoothly. Kindly advise. With regards ram manohar singh.
My ankle twisted 7 month before still now not cured. My mri report shows grade 2 sprain of the posterior talo-fibular ligament.
My mother having rheumatoid arthritis. Age 58 years. Any possible solution for reducing joint pains and stiffness?
Its been 20 days I suffered from high uric acid level resulting in pain in left knee joint. I took medicine to cure uric acid problem which seems like solved but their is still pain in my left knee joint. Please help.
My right ankle is so pain. My uric acid level is 7.3.now I am taking dolonex and furic 80 mg. So how long this pain last and gout is curable or not?
A spinal cord injury is damage to the spinal cord. It’s an extremely serious type of physical trauma that’s likely to have a lasting and significant impact on most aspects of daily life.
The spinal cord is responsible for sending messages from the brain to all parts of the body. It also sends messages from the body to the brain. We are able to perceive pain and move our limbs because of messages sent through the spinal cord.
If the spinal cord sustains an injury, some or all of these impulses may not be able to ‘get through’. The result is a complete or total loss of sensation and mobility below the injury. A spinal cord injury closer to the neck will typically cause paralysis throughout a larger part of the body than one in the lower back area.
A spinal cord injury is often the result of an unpredictable accident or violent event. The following can all result in damage to the spinal cord:
- a violent attack such as a stabbing or a gunshot
- diving into water that’s too shallow and hitting the bottom
- trauma during a car accident (specifically trauma to the face, head and neck region, back, or chest area)
- falling from a significant height
- head or spinal injuries during sporting events
- electrical accidents
- severe twisting of the middle portion of the torso
Some symptoms of a spinal cord injury include:
- problems walking
- loss of control of the bladder or bowels
- inability to move the arms or legs
- feelings of spreading numbness or tingling in the extremities
- pain, pressure, stiffness in the back or neck area
- signs of shock
- unnatural positioning of the head
If you suspect that someone has a back or neck injury:
- Don’t move the injured person – permanent paralysis and other serious complications may result
- Call 911 or your local emergency medical assistance number
- Keep the person still
- Place heavy towels on both sides of the neck or hold the head and neck to prevent them from moving until emergency care arrives
- Provide basic first aid, such as stopping any bleeding and making the person comfortable, without moving the head or neck
Treatment should be focused upon that individual and tailored specifically to their condition. A treatment programme is formulated following a thorough physical assessment which might include:
- Stretching activities to maintain muscle and tendon length and reduce or keep muscle spasms/spasticity to a minimum.
- Flexibility and strengthening exercises for the whole body.
- Breathing exercises to maximise lung function and prevent chest infection.
- Balance and posture exercises which can help to reduce pain associated with poor posture and balance impairment and ensure correct transfer techniques (in/out of wheelchair, bed, toilet/bath, car etc.)
- Functional activities to improve fundamental movement patterns such as rolling over and sitting up, and standing where appropriate.
- Walking re-education, if there is sufficient muscle activity and power in the legs.
Your physiotherapist might also be able to advise an individual on use of appropriate equipment such as wheel-chairs and pressure releasing cushions, exercise equipment and electrical muscle stimulators.
Because spinal cord injuries are often due to unpredictable events, the best you can do is reduce your risk.
Some risk-reducing measures include:
- Always wearing a seatbelt while in a car
- Wearing proper protective gear while playing sports
- Never diving into water unless you’ve examined it first to make sure it’s deep enough and free of rocks