Bells Palsy requires very little physiotherapy interventions in the first 12 weeks. When a patient developes the palsy they should receive either anit-inflammatory drugs or antibiotics depending on what the doctor feels is the cause. The physiotherapists role is then to explain the improtance of regular message and exercises in the mirror to try and reactivate the muscles as soon as possible. Only after 12 weeks if no or minimal return has occured do we recommend electrical stimulation. Even then this must be applied with caution as it can lead to the development of spasticity. On average I only see the Bells Palsy patients twice over a 10-12 week peroid for reviews along the above lines of treatment.





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