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Overview

Bell's Palsy: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Bell’s palsy is a condition in which one half of the face droops due to muscle weakness. It may be a reaction to a viral infection. It is generally seen to occur in pregnant women and people with respiratory problem o diabetes. You must look out for signs like facial droop, difficulty in making facial expressions like closing your eyes or smiling, decrease in your ability to taste, changes in the amount of tears and saliva you produce and pain around the jaw or behind the ear. You must consult a doctor as soon as you see signs of paralysis. Most of the time, bell’s palsy resolves on its own within six months. However, treatment will help you recover sooner. In rare cases, it can affect nerves on both sides of your face.

How is the treatment done?

The doctor will identify bell’s palsy by observing the movement of your facial muscles like lifting your brows, closing your eyes and frowning. In some cases, you may be asked to go for tests like electromyography (EMG) and imaging scans. EMG can confirm the presence and severity of nerve damage. Imaging scan are done to rule out other sources of pressure on the facial nerve. It can be treated by medications like corticosteroids and anti viral drugs. Corticosteroids are anti inflammatory agents that help in reducing the swelling of the facial nerve. They should be started within a few days of the appearance of these signs to achieve the best results. Physio therapy is recommended for every one going through bell’s palsy as the paralysed muscles may shrink and shorten causing permanent contractures. Physio therapist will suggest ways to exercise your facial muscles to avoid this from happening. In rare cases, plastic surgery may have to be done to correct facial nerve problems.

Who is eligible for the treatment? (When is the treatment done?)

If you are experiencing facial droop, difficulty in making facial expressions like closing your eyes or smiling, decrease in your ability to taste, changes in the amount of tears and saliva you produce and pain around the jaw or behind the ear; you must consult a doctor as these are some signs of bell’s palsy.

Who is not eligible for the treatment?

Decrease in ability to taste and pain around the jaw or behind the ear may occur due to any other medical treatment you are going through. Consult a doctor to confirm your condition.

Are there any side effects?

You may experience temporary rashes and redness in the skin due to certain medications. Other than that, there are no known side effects.

What are the post-treatment guidelines?

Protect the affected eye by wearing an eye patch or goggles. Use lubricating drops during the day and eye ointment at night to keep your eye moist and protected. You may take over the counter pain relievers like aspirin, ibuprofen and acetaminophen if the pain goes beyond your tolerance level. Follow your therapist’s advice and exercise your facial muscles regularly to achieve faster results.

How long does it take to recover?

Most of the time, bell’s palsy resolves on its own within six months. Treatment will speed up the results.

What is the price of the treatment in India?

One session of consultation with your doctor may cost between ₹600 - ₹1300. The cost of corticosteroids will be around ₹400. The cost of surgery will vary according to the severity of your condition.

Are the results of the treatment permanent?

Bell’s palsy rarely occurs more than once.

What are the alternatives to the treatment?

Most people with bell’s palsy recover fully with or without treatment. You can wait for that to happen naturally without going through any treatment.

Safety: Condition Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs 600 - Rs 1,300

Popular Health Tips

How To Deal With Bell's Palsy?

MBBS, MD - Internal Medicine, Fellow In Pain Management, DM - Neurology
Neurologist, Delhi
How To Deal With Bell's Palsy?

Bell’s palsy is a neurological condition that results in a temporary paralysis of the facial muscles. This paralysis or muscle weakness occurs when the cranial nerve responsible for controlling the facial muscles become compressed, swollen or inflamed. When this happens one side of the face may become stiff or can droop. You may experience trouble laughing, smiling or closing the eye located on the side of the face that has become affected.

Most often the condition of Bell’s palsy is temporary that will go away in a few days to a few weeks time. People between the age group of 16 and 60 years are at a risk of developing Bell’s palsy. The exact reasons why the cranial nerve becomes inflamed is not known but medical experts widely believe that it is because of viral infections.

Viruses that are sometimes instrumental behind causing Bell’s palsy are:

  1. HIV
  2. Herpes simplex
  3. Herpes Zoster Virus
  4. Lyme Disease
  5. Epstein-Barr Virus
  6. Sarcoidosis

Symptoms of Bell’s palsy can start to show up in a week or two’s time after you have developed an ear, eye or cold infection. The symptoms can occur all of a sudden and you will see them occurring usually in the morning. Generally, Bell’s palsy affects only one side of the face but it can also affect both sides. Aside from the stiffness of the facial muscles other symptoms of Bell’s palsy are:

  1. Trouble with either drinking or eating.
  2. Trouble with facial expressions
  3. Sudden twitching movements.
  4. Headaches
  5. Extreme sensitive to sound
  6. Eye irritation on the side(s) involved.
  7. Dryness of the eyes and mouth.

A Bell’s palsy condition can become risky if the person suffering from it is pregnant, has diabetes, has a pre-existing lung infection and also has a family medical history of this condition.
Most often a Bell’s palsy condition will improve on its own without requiring any treatment in a few days to few weeks time. But it can take many weeks for the facial muscles to recover their previous strength for muscle functioning.

The kinds of medications that can aid in speeding up the recovery process are:

  • Corticosteroids that help to lower the swelling and or the inflammation.
  • Antibacterials or antivirals to tackle the virus or the bacteria that may have been the reason behind your Bell’s palsy case.
  • Certain over-the-counter drugs that can help in providing temporary relief.
  • Some eye drops to deal with the eye dryness.

Some home remedies that can also be duly adopted are:

  1. Using a towel soaked in warm water to put on your face and get temporary relief from the pain.
  2. A facial massage.
  3. An eye patch.
  4. Therapy for stimulating the facial muscles.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2732 people found this helpful

Bell s Palsy - Myths And Facts!

MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Bell s Palsy - Myths And Facts!

Bell’s Palsy-
Bell’s Palsy is a disease, which causes a sudden, temporary weakness in the facial muscles. It is facial paralysis that makes patients unable to control his facial muscles on either side of his face. This disease can occur at any age.

There is no known reason for its cause. However, the disease is believed to be caused because of swelling and inflammation of the nerve that controls the muscles on the affected side. The risk factors include diabetes and upper respiratory tract infection. This is caused due to the malfunction of the cranial nerve.

Bell’s Palsy affects millions of people worldwide. For most of them, the disease is temporary. The symptoms usually start to improve within a few weeks from the first appearance. The complete recovery takes close to six months. There are a few people who continue to have the Bell’s Palsy for their complete life. The disease rarely affects someone twice. People who recurrently face the disease are often found to be a victim of diabetes or viral infections.

People, often, unknowingly interpret the disease as a stroke. It, however, is not a stroke. A stroke affecting the facial muscles would also affect the body muscles and cause weakness in other parts of the body too.

Bell’s Palsy Causes-
The causes that trigger Bell's Palsy in the human body are still unknown. Often researchers associate it with an exposure to a viral infection. The facial nerve passes through a narrow bony area in the skull and when it swells, it pushes against the hard surface of the skull when there is a viral infection. Apart from the facial muscles, the disease also affects tears, saliva, taste and a small bone positioned in the middle of the ear. At other times, researchers also associate it with physical damage to the facial nerve that causes a similar swelling of the face.

Mostly the disease occurs due to viral infections. The infections play an important role in the development of the disease. The viruses that are linked to the development of the disease are:

1. Cold sores and genital herpes, also known as herpes simplex

2. Chickenpox and shingles, which are also known as herpes zoster

3. Infectious mononucleosis, which is also known as herpes zoster

4. Cytomegalovirus infections

5. Respiratory illnesses or adenovirus

6. German measles or rubella virus

7. Mumps or the mumps virus

8. Flu or the influenza B virus

9. Hand-foot-and-mouth disease or the coxsackievirus

Some Risk Factors of Bell’s Palsy-
It has often been noticed that Bell ’s palsy follows a pattern when affecting people. These include:


1. The disease often occurs in females who are pregnant and are in the third trimester of the gestation period. It can also affect the mother after the first week of the birth.

2. People having an upper respiratory infection, such as the flu and the cold, are commonly affected.

3. People having diabetes are also frequently affected.

As mentioned before, the disease rarely affects the same person recurrently. If there is a family history of the disease recurring repeatedly, it suggests a genetic trait or predisposition of the disease.

Bell’s Palsy Symptoms-
There are a few symptoms which constantly recur when Bell’s Palsy strikes a person. These symptoms include:

1. Inability to move the eyelid or blinking.

2. The eye on the affected side of the face waters more or less than it occurs usually.

3. Drooling even in a conscious state.

4. A reduced sense of taste in the mouth.

5. Twitching of the facial muscles.

6. Pain or numbness behind the ear.

Of all the symptoms drooling and facial weakness, reach their peak in a day or two. These symptoms then begin to reduce, which helps people to recover within a couple of weeks. Complete recovery happens within 3 months. Some of the patients may show neurological symptoms, which are defined as mononeuritis. This is what causes the tingling, headache, memory and balance problems. Other symptoms, which are unexplained by the facial nerve dysfunction, are ipsilateral limb weakness, ipsilateral limb paresthesias, and clumsiness.

Bell’s Palsy Diagnosis-
Bell’s Palsy is a disease which requires the diagnosis of exclusion. As there is no specific test for the disease, the doctor observes the diseased person’s face and asks him to move various parts of his face, including the facial muscles, for instance, closing the eyes, lifting the brow, showing the teeth and various other movements. Observing these parts, the doctor eliminates various other possibilities and tries to determine a reasonable cause for the disease.

As the disease is treated on the basis of exclusion, there is no routine testing or imaging test that can help in the diagnosis process. However, the degree of the nerve damage can be assessed using the House-Brackmann score. There are many studies, which have revealed that 45% of patients are not referred to a specialist. This simply suggests that the disease requires a straightforward diagnosis and is easy to manage.

Differential Diagnosis of Bell’s Palsy-
As there is no particular diagnosis in the treatment of the disease, doctors make use of the differential diagnosis technique in the treatment of Bell’s Palsy. In differential diagnosis, doctors distinguish a particular disease from other diseases that present similar clinical features. The technique finds its usage while diagnosing a particular disease to eliminate imminently life-threatening conditions.

During the differential diagnosis of Bell’s Palsy, there are various diseases which are easily eliminated such as a stroke. However, it is very difficult to eliminate the involvement of the facial nerve with the herpes zoster virus. In order to understand the major difference between the two, one must look for the small blisters on the external ear.

The Lyme’s disease also produces facial palsy, which occurs at the same time as the classic erythema migraine rash. Other times, it occurs at a later stage. In cases where the Lyme disease is common to the Bell’s Palsy disease, it may lead to facial palsy.

Bell’s Palsy Treatment-
As mentioned before, a vast majority of people have shown improvement in health and recovered completely from the disease with and at certain times, without treatment. There is no designated treatment for the disease. Doctors may suggest various medications or physical therapies that help to speed up the recovery of the patient. The medicines may vary from doctor to doctor. However, these medications may differ in accordance with the doctor. Surgery is rarely a solution or option in case of Bell’s Palsy.

Having said that, there are various procedures for the treatment of Bell’s Palsy. They include usage of the following:

1. Steroids

2. Antivirals

3. Physiotherapy

4. Surgery

5. Alternative Medicinal Therapies

 

1. Steroids – Various steroids such as corticosteroids, improve recovery of the patient within 6 months. Due to this, early administration of corticosteroids such as prednisone is recommended. The early treatment is necessary as it provides the patient with around 14% higher chances of recovery.

2. Antivirals –Various tests and reviews have shown that antivirals are not as effective in treating the disease as steroids. In fact, they are only beneficial in cases that display some form of mild diseases. There is another review, which stated that antivirals combined with corticosteroids were advantageous for the duration of the treatment. There is a huge amount of speculation when it comes to using antivirals for the treatment. However, antivirals still result in a benefit, which is slightly less than 7%, and therefore this course of treatment is not ruled out.

3. Physiotherapy – Physiotherapy helps in maintaining the tone of the impacted facial muscles and stimulating the facial nerve. Because of this, physiotherapy can be beneficial to some individuals.

4. Surgery – Surgery may help patients recover from facial nerve palsy. There are various techniques that exist to assist with the process of surgery. A form of surgery is a procedure that is beneficial in restoring the smile of patients suffering from facial nerve paralysis. However, this is a surgery that can be as harmful as it is beneficial. There are various side effects associated with the surgical technique. One may experience total hearing disability. In fact, around 3-15% patients experience hearing loss after the surgery.

5. Alternative Medicinal Therapies – Alternative Medicinal Therapies include various techniques such as acupuncture on the affected region. Paralyzed muscles often tend to shrink and shorten causing permanent contractures and pain. Physical therapies can guide the patient to prevent such an incident from occurring.

However, the efficiency of such techniques still remains unknown to the doctors. This is due to the fact that the studies conducted are available in a low quality. Another therapy is the hyperbaric oxygen therapy. However, the evidence available for the therapy is quite tentative.

Myths related to Bell’s Palsy
Bell’s Palsy disease often confuses people leading them to believe various myths. The most prominent myths include:

Myth #1: Bell’s Palsy Causes Permanent Facial Paralysis

Bell’s Palsy is a form of temporary facial paralysis. The facial nerve that is on one side of the face is disrupted. Due to this, the message, which is received from the brain, is interfered. However, in a majority of cases, the disease is temporary. The paralyzed area of the face starts to cure within a few weeks and within three to six months; the paralysis completely disappears on its own. In a few percentages of cases, the nerve function does not return to normal. The nerve function may return but the full function does not return.

Myth #2: There is No Treatment Which Ensures the Treatment of Bell’s Palsy

There are various techniques which are available for the treatment of Bell’s Palsy. As mentioned above, the disease can be defeated using steroids, antivirals, physiotherapy, surgery and alternative medicinal therapies. These are the most effective treatments for the disease. Apart from this, selective neurolysis and botox can be used to treat the disease.

Selective neurolysis involves releasing a platysma muscle downward and reducing the activity. The selective neurolysis is very useful for a patient to regain his ability to smile. The botox treatment is a non-surgical treatment. When injected by a nerve expert, it helps patients to regain some symmetry into their faces and improve their facial appearance.

Myth #3: Prognosis of the Disease is not Very Good

There are many people who are under the impression that prognosis for Bell’s Palsy is not very good and hence they hesitate in using it for the treatment. However, doctors state that prognosis is generally very good for the patients.

After making use of the prognosis method, a person starts to improve on his symptoms within the first two weeks. The duration for complete recovery remains the same, i.e. three to six months.

5 Homeopathic Medicines For Treating Bell's Palsy!

BHMS
Homeopath, Bangalore
5 Homeopathic Medicines For Treating Bell's Palsy!

Bell’s Palsy is a form of facial paralysis that can leave the features or one side of the face completely frozen. This can also affect the patient’s ability to eat and talk on a normal basis. As per medical science reports, this kind of a condition is brought on by the inflammation of the delicate facial nerves when a viral infection from the past comes back and gets reactivated. It can also happen due to sudden and debilitating change of air from hot to extremely cold without any proper acclimatization, as well as other factors like stress, anxiety, trauma and similar factors.

There are many homoeopathic medicines that can be used for dealing with these conditions. These medicines are preferred as they are natural and do not usually have any side effects. So let us look at a few medicines that can be used in Homeopathy for treating Bell’s Palsy.

  1. Aconite: This is one of the most widely prescribed medicines for this condition. It is usually prescribed when the patient is facing symptoms like trauma due to sudden exposure to extremely cold and icy air without any kind of warning or a subtle change in temperature first. Also, those who have been suffering from chronic facial paralysis due to a variety of reasons can be given this medicine for some amount of relief in the long run. If the patient has had a history of complications when it comes to dealing with icy temperatures and cold air, then this medicine can also help.
  2. Ignatia: This medicine is usually prescribed when the facial paralysis is brought on due to stress and grief. Ignatia is also a well-known medicine that is usually prescribed for any kind of grief and trauma besides being known as an effective treatment when it comes to depression, as well. Other symptoms treated by this condition include a constant biting sensation that one may feel in the cheeks as well as problems while swallowing and talking.
  3. Cadmium Sulph: This medicine is used when there is some amount of haemorrhage at play when it comes to Bell’s Palsy. When the facial paralysis happens suddenly due to such a condition, then this medicine is usually prescribed for the patient. Also, this medicine is prescribed in order to treat symptoms like a distorted face and problems when it comes swallowing food and water. The patient will also find that he or she cannot close the eye on the affected side of the face.
  4. Bacillinium: This medicine is usually prescribed when the patient has suppressed the facial eruptions, which has then manifested itself as facial paralysis. This can happen when expressions and eruptions are suppressed by the constant use of certain medicated treatments and ointments.

In case you have a concern or query you can always consult an expert & get answers to your questions!

5994 people found this helpful

Bell's Palsy- Facial Muscle Paralysis & Homeopathic Remedies For Treating It!

BSc (Life Science), DHMS (Diploma in Homeopathic Medicine and Surgery), NDDY(Naturopathy and Yoga), Punjabi University.
Homeopath, Mohali
Bell's Palsy- Facial Muscle Paralysis & Homeopathic Remedies For Treating It!

Bell’s palsy is a muscle paralysis that occurs on one side of your face. The dysfunction of facial nerves can cause sagging on a side of your face. Due to Bell's palsy, the facial nerves lose the ability to control regular facial movements.

Symptoms 
Usually, if a person gets Bell's palsy, then he or she may be encountering the following symptoms: 
Twitching

  1. Weakness
  2. Paralysis
  3. Drooping eyelid or corner of mouth
  4. Drooling
  5. Dry eye or mouth
  6. Excessive tearing in the eye
  7. Impaired ability to taste

Generally, the symptoms start all of a sudden and worsen within two days. Symptoms can be mild or severe, depending on the severity of the disease.

Causes 
Inflammation around the facial nerves causes Bell's palsy. But there is no particular reason behind the infection. Mostly, viral infections are the reason behind it. Research states that (herpes simplex) or the cold sore virus, (varicella zoster) or chickenpox virus is responsible and causes Bell's palsy.

Homeopathic treatment for Bell's palsy 
Treating Bell's palsy with homeopathy is safe and effective as it has proven to cure Bell's palsy from the roots. The top 10 homeopathic medicines, which have proven to produce good results on Bell's palsy patients, are discussed below.

  1. Aconitum napellus: When one side of the face gets paralyzed due to the exposure to cold, then aconitum napellus works well. Symptoms such as trepidation, fear and weakness on face muscles strongly signify the need for this medicine.
  2. Agaricus: When the facial muscle of one side feels stiff and the opposite side of the face encounters pain and twitching, then you might need this remedy. Symptoms such as anxiety and over-excitement are some indications for the need of this medicine.
  3. Cadmium sulphuratum: When Bell's palsy affects the left side of the face due to exposure to cold, then you might need this medicine. Symptoms like feeling cold and experiencing weakness strongly indicate the need for this medicine. Apart from this, the patient might encounter symptoms such as deformation of mouth and tendency to close eyes often.
  4. Causticum: This remedy works well when Bell's palsy affects the right side of the face. The patient might feel difficulties while opening or closing his or her mouth. In fact, the patient often tends to bite the tongue and inside of the mouth. Symptoms such as restlessness and weakness, are indications that you need this medicine.
  5. Cocculus: When you suffer from one side of facial paralysis with symptoms like dizziness, weakness and lack of sleep, these indicate the need for this remedy.
  6. Dulcamara: One-sided facial paralysis with symptoms like difficulty in speaking clearly indicate you need this remedy.
  7. Nux vomica: One-sided facial paralysis with symptoms like irritation, being impatient etc. are treated by this medicine.
  8. Platina: This remedy works well on one-sided facial paralysis which feels painless.
  9. Hypericum: Facial neuralgia, itching, toothache, tension and shooting pain are the symptoms, which indicate the need for this remedy.
  10. Belladonna: One-sided facial paralysis with symptoms such as twitching, facial neuralgia, pain etc. indicate the need for this medicine.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3765 people found this helpful

9 Best Treatments for Bell's/facial Palsy

MPT, BPT
Physiotherapist, Noida
9 Best Treatments for Bell's/facial Palsy

BELL'S PALSY

Bell’s palsy is a facial paralysis of acute onset presumed to be due to non-suppurative inflammation of unknown etiology of the facial nerve within its  canal above the stylomastoid foramen. 

CAUSES: 

History of exposure of  the year to extreme cold Water retention in  pregnancy  Infection of the ear Herpes zoster infection Upper respiratory tract infection Idiopathic They all causes facial   nerve lesion.It occurs any time from infancy to old age. However it is more seen among younger population and males are more affected than females.  

MANAGEMENT FOR BELL’S PALSY:

 Resolving the inflammation:     

If the patient comes immediately following the onset of paralysis, then he   may be treated with either SWD or IR to increase the circulation in the  stylomastoid  foramen so that the inflammation can be resolved. If the     paralysis is only due to compression or neuropraxia then the patient will  show a miraculous recovery once the inflammation is resolved and   compression on the nerve is relieve. Such heat modalities can be tried for   a period of one week to ten days.

 Maintenance of muscle     properties: This can be achieved with interrupted galvanic stimulation to the paralyzed muscles.  

Facial massage: Massage is essential to     maintain the circulation to the face as well as to keep the face supple. The direction of the manipulation used should be in upward direction and     not downward direction as downward movement tends to stretch the paralyzed  muscle more and can have deleterious effect. 

Taping or Splinting    These methods are used to decrease the facial asymmetry noticed in Bell’s palsy. 

Eye care: the patient     may be instructed to wear protective goggles to prevent entry of foreign   bodies into his eyes. 

Continuous monitoring:     the patient recovery status should be reviewed consistently.  SDC is  helpful in knowing the prognosis of the patient. 

Faradic Reeducation:     only if patient can tolerate sensory stimulus of faradic current to th  face, faradic reeducation is given. Other means of reeducating the  movement is by using 

PNF techniques, visual feedback exercises etc. 

Visual feedback   exercises: the patient may asked to do facial exercises in front of the mirror, so that he gets a visual feedback and can perform the exercises     more efficiently.

 Strengthening   exercises: once the facial muscles reach grade 3 or fair then resistance can be given to muscle action to further strengthen them.

9 people found this helpful

Popular Questions & Answers

I am having bell palsy from last 10 months. And it has not been recovered yet properly. So what should I do? Which medicine should I take?

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - General Medicine, DM - Neurology
Neurologist, Faridabad
Already 10 months passed. You should meet a Neurologist. Usually 10-15% cases have residual disability depending on the severity of attack.

My wife is attacked by facial palsy and doctor has advised wysolone 10 mg three times and neurobion forte two times, her lab report like diabetes, thyroid, lipid profile, ecg all are normal. Daily mm level improvement is noticed. So still how many days it will take to cure and will you please suggest any exercises for facial palsy.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Ayurveda, Kanpur
ras raj ras 125 mg twice a day vyadhihar rasayan 125 mg twice a day rati modak awleh 10 gm twice a day relief in 3-4 days and for complete cure take it for 60 days only

We have visited to neurologist and he told me that vishal is having bell's palsy. please tell me about it and what treatment is required.

Bell’s Palsy 
Bells palsy is a condition that causes the facial muscles to weaken or become paralyzed. It’s caused by malfunction of 7th cranial nerve, and is not permanent. 
Bells palsy is not uncommon. Bell's palsy can occur on either side The incidence of Bells palsy is equal in males and females, as well as in the various races WHAT CONDITIONS CAN INCREASE THE CHANCE OF HAVING BELL’S PALSY? 
Older people are more likely to be afflicted, but children are not immune to it. Children tend to recover well. Diabetics are more than 4 times more likely to develop Bells palsy than the general population. The last trimester of pregnancy is considered to be a time of increased risk for Bell’s palsy. Conditions that compromise the immune system such as HIV or sarcoidosis increase the odds of facial paralysis occurring and recurring. For a more details communicate with me in private chat
6 people found this helpful

Sir my mother age 65 yrs, diagnosed bell palsy for past 2 month. But till now do not have much improvement. She was treated in hospital for 4 days taking steroids for 1 month n right now doing physio. Is there any other treatment for it. Please advise.

DM - Neurology
Neurologist,
Hi lybrate-user - for "Bell's palsy" the treatment is a course of oral steroids in tapering doses for 7 days; after that period is over, the only intervention that has been shown to be better than placebo is physiotherapy. So, to give you a short answer - No, there is no (scientifically - proven) therapy which can be given to her at this point. I would like to point out a few things here: (1) Ensure the diagnosis is accurate; though Bell's is the most common condition, the age of 67 years would make us consider more serious conditions - at least to keep our eyes and ears open; (2) Even if there is no visible improvement after the use of steroid, at the very least, it prevents further worsening, which is a very important thing - because, the worst complication of Bell's palsy is the eyelid becoming so weak that the eye gets exposed and the cornea can suffer (secondary) exposure keratitis, leading, at its worst, to corneal blindness; so rest assured that the use of oral steroids was not a useless exercise; (3) Bell's palsy has a monophasic course - which is to say, it rarely, if ever, recurs - so much so that if facial palsy does recur in your mother's case, then the treating doctor should seriously consider alternative diagnoses. That is a point which should help you to relax. Do continue physiotherapy, it has been shown to have significant benefit - though you shouldn't be expecting miracles.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Astro-homeopathy
Hi!

I am Dr. Abhay Patil from Ashwini Homeopathy. We have established our homeopathy center in 1994 and it is a registered clinic. We are classical homeopaths and are placed in Vashi. Since past 10 years we have developed the science in which we are able to correlate homeopathy and astrology we call it astro-homeopathy. As all of you must be aware in homeopathy, history of a person is very important for us. It includes the nature of the patient, the eating habits of the patient. Sometimes the patient is not able to give us proper information or he is reluctant to give proper information, he may be in coma or paralysis.

So if we have the birth chart of the patient, we can correlate from the chart what could be his nature, what could be his habits, what type of diseases he could be having which helps us to prescribe right homeopathy medicines. We have used this method in thousands of cases who are autistic, who are cerebral palsy patients, where there is practically no history given by the parents. Only on the basis of the chart we are able to analyse and predict what could be the nature and what could be the disease of the patient and prescribe homeopathy medicine and get wonderful results.

I just give you an example- this is a horoscope that you must be aware of. This sign is Aries or Mesh rashi. Suppose we got n number of planets in Aries or Mars in Aries where the dominant sign in the patient is Aries. We can predict definitely that he can develop blood pressure, he can have a stroke, he can have a migraine or he will get a child who has the dominant Aries sign, can have a cerebral palsy, basically head injuries. Such a person will be prone to head injuries, stroke, blood pressure etc.

This type of patient will usually be fast, restless in nature, they don't like to sit in one place, they are very adventurous, they are very ambitious in nature. The medicines which are indicated in Aries signs are belladonna, veratrum album, mercury etc. And analyzing other symptoms which the patient may present we can prescribe the right medicines. For more information on Astro-homeopathy or if you want to understand more about Astro-homeopathy you can contact us on lybrate.com or our website.

Thank you!
Play video
Body Pain Related To Posture
hello,

We are working on postural association of lifestyle disease, postural association of pain and postural association of most of the evolving muscular-skeletal issue. If we notice what has changed during the last few years, there has been masive change in our lifestyle, our living standards, our surroundings that ultimately we are going towards modernization. By modernisation we are changing our surroundings. Previously we used to walk on soft floor. Now we are walking on much harder floor. Our running surface has been changed, our sitting posture, our living standard, our lifestyle all the things are changing. At Rehab For You, we are advising you how to live with your surroundings, how do you change your surrounding so that you live comfortably, how we can rectify your posture on how we can rectify your defective areas, how we can give you rapid cure from pain. Also at Rehab For You we are working on rapid cure from pain.

Pain is a biggest enemy of human body. Simply if you have pain you ask for a painkiller but how is it helping you? It is infact killing you. You are subsiding your pain by suppressing your pain center. After some time there is a again recurrence of pain, you are again taking painkiller. This cycle has been repeated so many times but here at our centre we are working on target organs. We are working on how to give rapid cure. Like in osteoarthritis people use to take painkiller for decades also but what happened? They are ultimately damaging their sensitive areas. They are taking painkiller, they are putting more pressure on their damaged areas and by doing so they are fully damaging their joints.

At Rehab For You, we are mostly working on injection therapy like, injection Botox, PRP, steroid injection. How much and how rapid can they give you relief from pain. Third area of our concern is Cerebral Palsy. In India 95% of cerebral palsy are not getting proper treatment because most of the parents are not knowledgeable enough. Most of the time they are engaged in therapies and sessions for so many years. Ultimately the golden phase in which you can expect maximum recovery is lost. Fourth, we are working on handicap rehabilitation. By handicap few people are having muscular-skeletal issue, few people are having amputation. By providing them appropriate advice and splint support and prosthetics. We are helping them in rapid ambulation. As soon as the patient will ambulate, they will get more confidence and more active lifestyle. Fifth, we are not working much on medication, we are working more on how to change lifestyle, how to correct posture, how to correct pain. That is our ultimate moto.

Thank you!
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Procrastination
The Art of Procrastination

Hi, I m Dr. Neha, and today we are going to talk about the art of procrastination.

How often do we think to ourselves, you know, I ll just do this tomorrow? I ll wash the dishes later, I don t feel like going to the gym, honey! I m not going to do this right now. How many of us are believers in the same? Why do today what you can put off till tomorrow? And then when the deadline is near we groan and mourn and think how unfair it is that we have to do this, and we feel anxious and we feel sad, and end up doing a half-hearted job, and then we wonder why we never get the results we expected. This is procrastination the act of postponing, avoiding or delaying something that needs to be done.

Maybe you are thinking it s too hard, I ll never get this done, it s not going to be perfect so why bother? I don t like doing this. I m going to fail if I do it. Or maybe you re a thrill seeker, and you think you work best under a deadline-induced panic. Any of these thoughts ring a bell? And how do they make you feel? Happy? Excited? I think it s more like sad and anxious. And I m sure they don t actually motivate you to get these tasks done. So what do you do?

So here is an action plan. Write down one thing that you re currently procrastinating. Write it down right now, while you re watching the video. I think it will help. Write down the reasons why you cannot complete the task today. Written? Okay, so for example, I can t go to the gym today because the time I usually go at has already passed, and it will be too crowded. Look at the reason. Is it a excuse, or is it a valid reason? You can of course go to the gym, of course it will be crowded and uncomfortable, but you can do it. So if it is an excuse, write down the excuse next to it. How many excuses do you have on that list? So what do you want to do now? I think you ll find that if you actually do something, it s not so bad at all. Practice this trick the next time you find yourself procrastinating, and with time, you will learn to get things done. And that s the real art.

If you d like to take an appointment with me, just visit Lybrate.com. Thank you.
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ADHD (Attention Deficit Hyperactivity Disorder)
Here are Symptoms of ADHD and how to handle the Children suffering with ADHD.

Good afternoon, I am Dr. Lata Bhat. I am a pediatrician who is specially trained for newborn care and developmental problems of children. Today, I am going to talk about one of the conditions which is very common. It is known as ADHD- attention deficit hyperactivity disorder.

Many of you may have read about it in the newspapers or online. About 8-10% of schoolchildren have this problem. Now this is not a disease, so you need not be scared of this problem. All you need to know is to understand the kids and provide support and this is essential both by the parents and teachers. These kids have generally poor concentration, very easily distractible that means even if a door bell rings or a horn or if somebody is playing music or television or if somebody in the surroundings is talking and laughing their concentration gets distracted. They may or may not be hyperactive because the core component is lack of concentration which affects their studies. But they may be impulsive which means they may act without thinking. They may land up into frequent fights because of that. They may have certain behavioral issues which teachers and parents may find difficult to handle. They may have learning disability which can be because of lack of concentration or it can be specific learning disability.

Now, there is no need to get worried about it. All you need to do is to contact a developmental pediatrician, get the right assessment done. Then come to the management of these children. First and foremost, is how the parents and teachers handle the children are very important. They need a lot of attention, so kindly give it but it should be positive attention. Always praise and encourage for whatever good they do, never criticize. If there is a bad behavior, you first explain to them and then if it s a very small kid you can sometimes just track them so that they get distracted from the bad behavior and calm down. There is something called household roles.

You can fix certain household roles, routines so that children can understand the do s and dont s which itself takes care of 50% of the problems. Still if they behave badly, you can count up to 10 and then there is something called time-out. Time-out means 1 minute per year of each, if it s a 5 year old child then 5 minutes; it means that lights off, TV off, nobody is talking to them, physical, visual and verbal attention- all three are not given by anybody in the house and the child is made to sit in a corner. At the end of it, you hug the child and tell them that the child is very good but the behavior was bad so that the child does not lower his self-esteem because self-esteem of a child is supreme. Your behavior should always uplift the self-esteem of your child.

Secondly, what you have to remember is never criticize or compare him with any other child and all the adults should follow the household rules consistently. Coming to studies, they have a very short attention span. So set short targets for studies and give breaks in between. They need 1:1 attention for studies which means somebody has to sit with them while they are studying at home either the tutor or the parent. In school, the teacher should make sure that they are sitting in the front row, close to teacher, away from doors and windows and give them a little extra attention. Apart from this, you also need to remember that you have to decrease the TV, video, mobile and computer watching. These lead to hyperactivity. You also need to limit the amount of chocolates and fast food intake. Remember, by understanding the condition, you and the teacher can really make a difference to the child s future.

For any other further information, you can contact me on lybrate.com.
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