Facial Palsy Physiotherapy Treatment

Facial Palsy is a form of facial paralysis resulting from a dysfunction of the cranial nerve VII (the facial nerve) that result in the inability to control facial muscles on the affected side.

Facial Palsy Causes

Varcella-zoster infection

Myasthenia gravis

Epstein-Barr virus

Multiple sclerosis

Middle ear infection

Guillain –Barre syndrome

HIV infection

Tumour causing nerve compression

Lyme disease




Trauma to facial nerve

Viral infections such as herpes, mumps, influenza, a cold, infectious mononucleosis

Metabolic and emotional disorders


Environmental factors( cold climates)



Facial Palsy Symptoms

  • Symptoms most often start suddenly, but may take 2 – 3 days to show up. They do not become more severe after that.
  • Symptoms are almost always on one side only. They may range from mild to severe.
  • Sometimes person may have a cold shortly before the symptoms of Bell’s palsy begin.
  • The face will feel stiff or pulled to normal side, and may look different.
  • Difficulty eating and drinking; food falls out of one side of the mouth
  • Unable to close one eye.
  •  Sound that is louder in one ear (hyperacusis).
  •  Twitching or weakness of the muscles in the face.
  • Drooling due to lack of control over the muscles of the face.
  • Drooping of the face, such as the eyelid or corner of the mouth.
  • Problems smiling, grimacing, or making facial expressions.
  • Dry eye or mouth, headache, twitching of facial muscles.


Facial Palsy Physiotherapy Measures
      Modalities  for stimulation of denervated muscles  in order to reeducate the functions


  • Soft tissue techniques are implimented  to recovery to help prevent permanent contractures of the paralyzed facial muscles.
  • Taping technique.
  • To maintain muscle tone of the affected facial muscles by  doing facial exercises in front of mirror