Top Bell's Palsy Fact Answered: Can You Get It More Than Once? What Are The Priorities? How To Massage My Forehead? Ramsay-Hunt Syndrome & Antivirals, How To Massage My Chin?

‼️This post is for informational and educational purpose only. It is not tailored medical advice to your specific condition.

Can I Get BP More Than Once?

• Bell’s Palsy has an incidence of 1 in 60 lifetime chance.⁣
• ⁣Some studies have closely looked at the chance of recurrence and concluded that Bell’s Palsy recurs in 4-14% of patients.⁣⁣
• This recurrence can occur on either side of the face, not necessarily the same side.⁣
• A Romanian study carried over 10 years, following a total of 185 patients( 136 adults, 49 children) demonstrated that 12% of these 185 subjects suffered 1 to 6 recurrence of BP.⁣
• That recurrence was more likely to occurs within the first two years after the original episode and more likely in 

• females and if suffering more than two episodes, all subjects develop an episode of BP on the other side.⁣
• Recurrence was expected in more than 1 out of 10 subjects.⁣
• Another conclusion was that one is more likely to develop recurrence if you have a family history of the disease.⁣
• ​So you have 6% lifetime chance to contract Bell's palsy, then 4-14% to have recurrence.  So not at all common. 
  

What Should I Do In Priority When Diagnosed?

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?. ?????? ?????? ??????? ??? ??????? ?? ??????? ?????????, ????? ????? ????, ???? ????. ??? ?? ???????? ?? ??????? ???? ????? ????⁣
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?. ????? ?????? ?????????. ???????? ?? ???? ???? ?? ? ??????? ?????? ?? ??????? ?????????, ???????? ?????????? ??? ???? ?? ???? ???????????, ???????? ?? ??????? ???? ?????? ?????????? ?? ???????? ???? , ?? ??????? ?????????? ?????? ?? ???? ???????????, ????? ??? ???? ?? ??????????. ?? ?????? ????????? ???? ????? ?? ????????? ??? ???????, ???????, ??? ?????? ??? ?????? ???????. ??? ?????????? ????? ????? ?? ????. ???????? ?????.⁣
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How Should I Be Massaging My Forehead?

• Your occipitofrontalis, the muscles that lifts your eyebrow and creates wrinkle on your forehead as you do so, can be massaged prior to attempt working on lifting your eyebrow.⁣

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• This allow for stimulation, increased blood flow and mobilization of possible fibrotic tissue.⁣

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• In this picture, I just show the direction the massage should take place. ⁣

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• Easy thing to do with potential big results in loosening your forehead and also assisting your eyelid to shut down properly.⁣

????????: ??????? ????? ?? ? ?????? ?? ??? ??????????, available here ( https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063726/#!po=19.6429), has compared 31 studies following 882 patients with RHS.⁣
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It showed that, when treatment with steroids and antivirals started within no more than 5 days after first symptoms, 70.4% of patients recovered complete facial nerve function.⁣
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The recovery was based on an increase score on the House-Brackmann Scale from V-VI to I-II ( I being complete recovery)( see out previous post on the HB Scale)⁣

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Ramsay Hunt Syndrome (RHS) represents 12% of the case of facial paralysis, with generally a much worse prognosis than Bell’s Palsy.⁣
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Over a 100 scientific medical studies have demonstrated that a combination of course of steroids and antivirals seem to be preferable in the medical treatment of Bell’s Palsy⁣
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One meta analysis by Da Costa Monsanto, Bittencourt, et al., titled ????????? ??? ????????? ?? ?????? ????? ?? ?????? ???? ????????: ??????? ????? ?? ? ?????? ?? ??? ??????????, available

The studies looked at the effect of treating RHS with Steroids with or without Acyclovir ( antiviral). Results of Administrating Acyclovir with either methylprednisolone, prednisone or hydrocortisone were closely looked at.⁣
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The rate of complete recovery were as following: with hydrocortisone:76.3%, with prednisolone:61.4%, with prednisone:69.2%, with methylprednisolone:81.3%⁣
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The combination of Acyclovir and Methylprednisolone showed the best chance of recovery.⁣

As usual, medications should be discussed with your physician.

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The mentalis, depressor anguli oris and depressor labii inferioris are affected by facial paralysis and are often areas of complaint for tightness and soreness.⁣

Also 
Often involved with the complication of Synkinesis.
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Shown here on the diagram are the direction of pull to massage and stretch that area. ⁣

⁣​A little work spent on these areas can be really rewarding in alleviating symptoms.⁣

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