Bells Palsy and sever pain

[faroughf]

Hello every one , i have a Bells palsy patient whose age is 45 Female and after 25 session of Physiotherapy all the muscles of the face are totally normal but the patient still suffering from Pain behind ears , around mastoid process
what do you guys do to reduce Pain ? i was using US around mastoid process 1HZ , Pulsed mode

Thanking you

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[Lauren20]

I think you should refer her to an Ear doctor.

[faroughf]

I think you should refer her to an Ear doctor.

yes i did the same and they said to continue Physiotherapy

[Serhend]

She most likely has Lyme. Please get her tested with Elisa + Western Blot.

[SubodhGupta]

Bell's palsy is a condition that causes temporary weakness or paralysis of the muscles in one side of the face. It is the most common cause of Facial Paralysis.Some conditions considered to be related to it are:

• Brain tumors,
• Ear infection,
• Extreme cold exposure,
• Herpes zoster infection,
• Mumps etc.

1. Medication :The first line of treatment is usually medication to reduce inflammation of the facial nerve and Antivirals (if it is related to herpes infection). Steroids have been shown to be effective.
2. Physiotherapy treatment for Bell’s Palsy may consist of facial massage, exercises, acupuncture and electrical stimulation.
3. Surgery : The third line of treatment is surgical intervention, which in most cases should be the last option when all else fails to help.