What healthcare professionals can help me when I am dealing with Bell’s Palsy?
First and foremost, you should be evaluated by a physician. Most people will see their primary care physician/family doctor, or an Emergency or urgent care department physician. The goal here should be for a correct Bell’s Palsy diagnosis and prescription of steroids and antivirals.
Consulting with a facial specialist within the first 3 weeks after onset, especially if there are no signs of improvement, should be the next step. You can consult with:
An Otolaryngologist, or ENT( for ear, nose and throat doctor).
An Opthalmologist, especially if your eye is involved, you cannot blink, your eyes is irritated, itchy, red and painful. If your condition goes on for too long, an oculopastic surgeon ophtalmologist should be helpul
Neurologist: there exist many different type of neurologist and subspecialty and of course, I would recommend one with extra facial paralysis and conditions training
Physical / Physio Therapist ( that’s me , ).
I would be particularly picky in finding a PT with experience and training in treating Bell’s Palsy. A normal university PT curriculum does not teach facial muscles rehab to their student. Just ask when you contact them.
If you failed to progress after several months and still suffer with severe paralysis, consulting with a facial plastic surgeon would be helpful as they can help with recovery of facial movements and expressions
When Is It Safe To Return To Activity / Workout?
Common question people ask, wanting to make sure they won’t make things worse by exercising.
There exists many reasons to stay active and return to your exercise routine even if you suffer from facial paralysis.
But before we talk about exercising, let’s talk about rest:
-rest can be important as facial paralysis can be very taxing emotionally and physically.
Remember BP diagnosis and cause is linked to an exposure to a virus, during a time when your immune system was down.
So that would make sense that during this time you feel fatigue and tired.
BP affects people very differently, to different degrees, and rest might be necessary initially, just like when you have flu symptoms. That rest will help your body use energy to heal.
The key here is to listen to your body and do what you can. If you feel you are only mildly affected, i would suggest to continue your normal routine as much as possible. If you are exhausted, maybe taking some time off work might be necessary
Exercising and staying active remains to this day the single most important factors in keeping multiple body systems healthy: musculoskeletal, cardiovascular, respiratory, immune system amongst other...
Exercising helps release endorphins , which is your body’s own painkiller, and promote increased circulation. These could be needed with managing your Bell’s Palsy symptoms.
Exercising could also be a distraction from your current symptoms, and have been shown to help improve mental health.
The key here is to let your body guide you. Resume exercising and activity as early as you feel ready for it.
You might have to return progressively to it and that is ok.If you are normally sedentary and don’t exercise, going on walks should be beneficial and I would highly suggest it.
Common question: Should I get acupuncture treatment with a diagnosis of Bell’s Palsy? Can it help?
Studies have shown that acupuncture can help decrease inflammation and pain. Bell’s palsy can produce facial and neck pain and is an inflammation of the 7th cranial nerve. Hence, acupuncture could be a helpful modalities in treatment of BP.
Acupuncture assists with relaxation. Avoiding stress and striving to relax should be part of treating Bell’s palsy as symptoms are made worse by stress.
Studies have shown that the insertion of a needle can help start an immune reaction, which could boost healing of facial muscles and nerve.
Acupuncture is a fairly safe modality and can be used early on after onset of Bell’s Palsy.
Not to be negated, acupuncture could have a placebo effect, just from the fact of being treated. And if it is, so be it. Nothing wrong with that.
If you choose to try acupuncture, make sure you work with an acupuncturist that has training and experience with neurological condition
Predictors of recovery with Bell’s Palsy
Here are some data that might help predict your recovery from Bell’s palsy and can be a sign of more difficult recovery.
No significant difference between male and female, meaning your gender in itself does not seem to affect your chance of recovery
Bell’s Palsy can really take place at any age with a majority of cases between age 15 and 45. That said many experience Bell’s Palsy after 45. It is rare after age 60 but was found that full recovery tends to be more complicated and least likely.
Being diabetic, you have more chance of developing Bell’s Palsy, and that also puts you at more risk for a more difficult recovery. Possibly because healing tends to be slower in general in this population.
Obesity and hypertension have also been found to put you at more risk of developing Bell’s Palsy.
The incidence of developing Bell’s palsy during pregnancy for the expecting mother is also a known risk factors and also put her at more chance of a possible longer and more difficult recovery. Having preeclampsia during a pregnancy is also another risk factor
Upper respiratory problems, such as an infection, was also found to put you at more risk of developing Bell’s palsy. Anecdotally, I struggled with difficulty breathing and heavy coughing for a whole month about 3-4 months before I was diagnosed with my BP. I will of course never know for sure if that was the reason, but studies have shown a link between the two.
A relationship between experiencing significant pain upon onset of Bell’s palsy and a more difficult recovery has been shown.
Of course, just because you have any of the above does not mean you will experience or struggle with your recovery from it. What I would keep in mind is how important it is to be proactive and act early in your Bell’s Palsy treatment. Just like a stroke, BP is a neurological condition. Nerve heals very slowly, if ever. Time and waiting are not on your side when you suffer from Bell’s Palsy.
Find help to be guided, taught and cued with how to properly perform facial exercises, which one you should focus on, make this treatment tailored to your needs ( remember Bell’s palsy presents differently from one person to another). If you have been going over three weeks with no changes, you owe it to yourself to absolutely seek help if you expect to recover. Also remember that no improvement for 1.5 months is also a sure sign for a difficult recovery.
Facial exercises are an essential and necessary part of treating Bell’s Palsy correctly
Facial paralysis from Bell’s Palsy leads to weak and possibly unresponsive muscles due to inflammation of the facial nerve.
Facial exercises are essential in regaining facial motion, control and expression.
The problem resides once again from a lack of consistent and common consensus and treatment plan once the patient has been diagnosed with BP and prescribed steroids (and hopefully antivirals, as it has been shown that people prescribed with both recover quicker).
Mainly, some patients are recommended to start facial exercises, without any real guidance, and a vast majority are told to wait for steroids to do their magic.
Well, in regards to muscles function and physiology as well as recovery from a nerve injury and paralysis, it makes sense to start facial exercises early to increase your chance of full recovery
Most BP patients learn about these exercises after some online search, finding description and pictures on various site and on YouTube.
It is a start in the right direction.
The problem is that a vast majority are generic at best and do not address individual needs. Bell’s palsy manifest itself very differently in symptoms from one person to another.
The appropriate way to perform them often requires some modifications and cueing, proper direction and technique from a trained professional.
Many end up performing an oversimplified version of these which can lead to complication, incomplete healing and synkinesis.
Get Help With Your Facial Exercise!!
#facialparalysis #bellspalsy #facialpalsy #bellspalsytreatment #bellspalsyrecovery #bellspalsyawareness #bellspalsyexercises#bellspalsyjourney #facialpalsyexercises #facialnerveinjury #bellspalsyphysio #bellspalsyphysicaltherapy #bellspalsyfacialexercises#bellpalsy #bellspalsysmile #bellspalsyrecovery #facialmuscles #bellspalsyphysio #facialparalysis #facialdrooping #bellspalsycure
#facialstrengthening #bellspalsysurvivor #paralisisfacial #facialexercises #synkinesis
#bellspalsysmile #paralisiadebell #paralysiedebell
So today I would like to talk to you about a question that I often see on forums online or I have been ask by patients is...
Is physical therapy or physiotherapy appropriate after a car accident?
My answer today's is 100%, Yes!
Bell's Palsy is considered a rare condition but it still affects over 40,000 Americans between the age of 16 and 60.
A lot of the research and best course action to treat it remain a source of debate and disagreement.
It is a neuromuskuloskeletal condition since it affects both the facial nerve and muscles of the face it innervates.
I may be be biased, but as a physical therapist (physio for anyone living outside of the USA), and as a fully recovered Bell's palsy patient myself, I believe it is my duty to educate the population with what physical therapy can do when suffering from this rapid, debilitating, physically and socially, condition.
Most Convenient Way For Physical Therapy: Butheau Physiotherapy Now Offering Virtual/ Telehealth Consultations From The Comfort Of Your Own Home
People Living in Burien and Seattle, WA, Have A New Way Of Addressing Their Pain, Mobility And Movement Problems: Treatments by Butheau Physiotherapy
Hi, this is Pierre-Yves Butheau, owner and physical therapist at ButheauPhysiotherapy here in Seattle.
I would like to officially welcome you to my practice.
We specialize in helping people return to their full physical potential, the activities and the sports that they love. We help people b come more mobile and active, all without requiring pain medications, joint injections and often, unnecessary surgery.
We specialize in one-on-one, detailed, concierge style treatments. So who are our treatments for?
If you identify with following, you are the perfect candidate for care with Butheau Physiotherapy: Do you have aches and pains associated with low back pain, sciatica, arthritis, neck pain, shoulder pain, knee pain, ankle or foot pain, hip pain, or headaches?
Have you been told?
• "You have the worst <spine, neck, posture, knee,...> I've ever seen!"
• "Your pain is just from getting old, arthritis. You will just have to live with it?
• "Your pain is all in your head?"
• "Your only option left is surgery?
Are you tired of not being able to perform basic movements without pain? Of living in pain and discomfort, unable to do the activities you love and enjoy, as a sport activity or with family and loved ones?
Are you frustrated by having to take pain medications that do not seem to really help? Are you tired of all these doctors visits that don’t seem to be resolving your problem?
Have you already tried PT and feeling discouraged as it did not seem to help as much as you’d wish? Have you been told you need to get an MRI or surgery for your pain and want a second opinion?
Have you noticed that aches and pains tend to stay around longer?
Do you have an old injury that keeps creeping up every now and then ans are serious of resolving?
Are you active and worry a new injury might put you on the sideline for months? Not being able to play with your team?
Are you not able to play golf or tennis, hike or ski or participate in your favorite sports due to pain or an old injury?
Do you have difficulty getting up in the morning because you are tired or hurting?
Do you suffer from regular fatigue or headaches on a frequent basis?
Are you worried about your child or teenage athlete returning to play after they tore their ACL?
Are you a male with pelvic issue that is looking for an empathic and available practitioner that places patient first?
I know this is a long list but know that at Butheau Physiotherapy, we are able to help with many conditions you might not have known was treatable with a thorough and patient focused movement and therapeutic approach. We do believe that movement is medicine.
We can help you or your family, friends, co-workers when you feel that your movement or activity performance is limited, and when you experience pain, tightness, numbness or tingling.
We strive to help you reach your goal and potential so you can enjoy life to its fullest.
Make sure you take advantage of our free online material that you can download below this video. Check our blog, Facebook and Instagram pages for even more free tips that could make a big difference in the way you feel.
I would like to conclude with the fact that we are not your typical PT clinic. We have developed a model that help us provide the best level of care for our patients.
We work for our patients. NOT Health Insurances!
Don’t hesitate to contact us by phone, email, text with any questions you might have and sign up below for a free phone consultation or any enquiring about our services.
Have an awesome day!
Visit our website: http://www.butheauphysio.com
Butheau Physio on social media:
How To Receive Quality Physical Therapy in Burien and Seattle And Not Let Your Insurance Dictate Your Care
Burien, Seattle and Greater Seattle residents,
Before typing “physical therapy near me,” and choosing a provider , make sure you're making the right decision...and consider all your options.
Butheau Physical therapy offers quality, private, one-on-one physical therapy treatments.
With us, you can pick a convenient time of treatment to your convenience. We drive to you: at home, your work, or location of your choice, with all the equipment needed. Done are the days of rushing out of work, taking time from your hardly earned banked time off, and/or fighting traffic to get to your PT treatment on time.
One Simple Graphic That Could Save You A Lot Of Time, $$$ And Headaches Getting Physical Therapy Treatments
A little addition to my last post showing the old way to practice healthcare...the one that gets both patients and practitioners frustrated, that is full of red tapes from insurance companies. A physical therapist will refer you to the appropriate healthcare practitioner as they are trained to recognize medical emergencies or anything that is outside of their scope of practice. For so many other things (let's say back pain for example, and really any musculoskeletal pain...) though, seeing a PT first is your best bet to learn what to do and start actively working on the problem...which is key if you're interested in a faster recovery.
The Number One Simple Reason To Not Use Your Health Insurance For The Best Physical Therapy Treatments in Seattle, WA , Burien, WA and Greater Seattle Area
In my 15 years career as a physical therapist, I have worked in various inpatient and outpatient settings with different reimbursement / payment models. The one consistent reality I have had to face in regards to patient care is dealing with, advocating, explaining and justifying for the care of my patients to insurance companies.
I have always have a hard time understanding how a non medically trained person sitting at a cubicle could solely decide on authorizing, allowing, finding medically necessary and/ or extending the care of a patient that has been deemed appropriate and/or necessary after assessment by a medical professional.
Let's face it, health insurances are big businesses and are in it for one thing: saving themselves money while increasing premiums, co-insurances, co-pays all while covering less and less medical and paramedical treatments, making their "beneficiaries" responsible with an ever increasing part of the bill.
I have spent countless hours on the phone, by fax, mail or emails justifying the benefits of my physical therapy treatments and allowing patients to receive the proper care anyone deserve. As a provider, this of course takes away from patient care time and stands against my values that healthcare is a necessity, not a luxury.
Insurance companies have made receiving and being reimbursed for medical care an increasingly difficult task, requiring more and more paperworks from both the patients and the providers, adding to the likelihood that mistakes will be made...all in order to simply deny services...And while delaying payments to both patients and providers.
This pattern has become clearer and clearer over the course of my career and has reached pathetic level of bureaucracy. Insurance companies simply don't have patients best interests in mind...Increasing premiums and decreasing reimbursement stating cost are rising, all the while giving their corporate high ranked employees a 7+ figures salary increase. I am no math wiz, but...???
This is why I decided to be an out-of-network provider (except for Medicare and Work Comp) when I started and set my business up. I want to work in a business model where my efforts, services and time go to my patients, not a multimillion dollar company that will make your work more difficult.
Modern physical therapists and health care practitioners should focus on patients. This is why I offer a 20 minutes free phone consultation, allowing myself to determine if that potential patient is a good candidate for physical therapy, how I can help them or if he/she should be referred to another practitioner, and also if I will be a good fit to help them achieve whatever goal they might have.
Nowadays, most clinics still spend these first phone calls or contacts only discussing insurance details such as benefits, co-pays, deductibles, booking the initial treatment depending on, guess what, insurance. Instead of finding out more about the patient problem, how long it has been, how it affects them in their life, what are they not able to do, what would they like to achieve, this first conversation is driven by the insurance and the patient's history and condition is barely addressed. Patients often make their decisions on receiving PT treatments only on this: "Is it covered by my insurance and what is my co-pay"...all the while forgetting about their high out-of-pocket deductibles.
Stating the above could be seen as futile because money and the cost of things are a concern for everyone... and I get that.
This is where really understanding the cost associated with using your health insurance or not for physical therapy treatment becomes that much more important. The following might surprise you because most people are used to providers being in network and accepting their insurance and they never had to weigh the benefits an out-of-network provider might offer.
Gone are the days when patients had no co-pays (or under $10) for each treatment, low deductibles and infinite amount of covered visits. Instead, it is not unusual for patient to have co-pays ranging from $25 to $75 per treatment, out-of-pockets deductibles that are $1500 and above...and all this for care provided by an in network provider. Physical therapy treatment reimbursements have been on a steady decline, with insurance companies switching to an increased patient/beneficiary financial responsibilities model.
In order for many clinics to keep their doors opened, therapists have to see 2 to 4 patients an hour(per therapist). As you may already know or can picture, this quickly leads to subpar care, with very limited (10-15mn) one-on-one care and least than adequate time to communicate. This lack of time spent with the patient can lead to unnecessary lengthy plan of care...even when patients are seen 2-3 times a week....leading to consequent bills if you multiply copays by # of visits and factor the cost of the treatments that the insurance will not cover until the deductible is met.
To put it simply, if you are far from meeting your yearly deductibles and are receiving physical therapy at an in-network provider, you will likely pay for the entirety of your physical therapy treatments out of pockets...
Which may surprise you since you spend so much money already on your insurance premiums and copays.
People are more and more savvy in looking up and get informed about their conditions on their internet. Sometimes , that also helps them cut cost by seeing the provider they know they will most likely benefits from, helping them save time and money at the same time.
Even though most people have insurance, they do realize now more than ever than they have power over the decision that will impact their health.
When I talk with prospective patients, it often becomes obvious that 99% of people value time, expertise, empowerment over their condition/ injury, personal attention and overall experience they receive.
They realize that what I have to offer, the time spent with them one-on-one can lead to better care and better understanding of their condition and how to manage it. And for people with high deductibles and copays, the value that Butheau Physiotherapy provides becomes even more logical and pertinent since they are paying for physical therapy services even from an in-network provider.
Benefits of Butheau Physiotherapy treatments:
-One-on-one hands-on care 45, 60 and 90 minutes sessions
-Treatment packages and payment plans available, with no hidden cost.
-Holistic, comprehensive treatment approach, a look at the big pictures and all your complaints ( not only what the insurance dictates)
-Evidence based treatments with modern, proven and effective techniques
-A blend of manual therapy techniques, including The Mulligan Concept, Proprioceptive Neuromuscular Facilitation, exercises, neuroplasticity through Rekinetics™, pain science and pain reducing techniques, neuromuscular reeducation, taping.
-Treatment location convenience: your home or work space
-Appointments available within a few days at convenient times, often with short notice.
Call or text us at 4252814171 to learn more about our services.
15034 5th Ln S
Burien, WA 98148
Click here for a FREE Phone Consultation with a physical therapist
As a PT, I often hear people saying they really don't know what physical therapy does, what kind of treatment or techniques a PT use and often even question why their doctor sent them for PT treatments.
To be honest, I think the physical therapy profession has been lackluster in promoting its benefits, at educating the population in regards to when seeking advice from a PT and at marketing themselves as movement specialists and as who should be the primary provider for musculoskeletal problem. For too long we have been considered an ancillary profession to the medical management of millions of patients, have been passive in being "fed" patients "by prescription only" by doctors, who many still have no clue what conditions we help with(once again, our profession fault's).
So without diverging because I could go on and on about the above, the following could help you figure out if physical therapy is something you just consider. This list of questions is far from being exhaustive.
On Learning To Listen, Shut Up, Take My Time & Be Different in the Current Healthcare Environment...A Different Kind of Physical Therapy in Seattle
This is my first blog post!
I want to officially welcome you to my blog and the new website for Butheau Physiotherapy. It has been a long time in the making and I could not be more proud of my little baby!
And I will start with something that is of actuality in the physical therapy world...I don't sugar coat things...I am not that kind of guy...