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How is Bell’s palsy treated?

Medications

• Corticosteroids, such as prednisone, are powerful anti-inflammatory agents. If they can reduce the swelling of the facial nerve, it will fit more comfortably within the bony corridor that surrounds it. Corticosteroids may work best if they're started within several days of when your symptoms started.
• Antiviral drugs. The role of antivirals remains unsettled. Antivirals alone have shown no benefit compared with placebo. Antivirals added to steroids are also unlikely to be beneficial.

Physical therapy
Paralyzed muscles can shrink and shorten, causing permanent contractures. A physical therapist can teach you how to massage and exercise your facial muscles to help prevent this from occurring.
Surgery
In the past, decompression surgery was used to relieve the pressure on the facial nerve by opening the bony passage that the nerve passes through. Today, decompression surgery isn't recommended. Facial nerve injury and permanent hearing loss are possible risks associated with this surgery.

What are the risk factors for Bell’s palsy?

Your risk of developing Bell’s palsy increases if you:

• are pregnant
• have diabetes
• have a lung infection
• have a family history of the condition

What causes Bell’s palsy?

• herpes simplex, which causes cold sores and genital herpes
• HIV, which damages the immune system
• sarcoidosis, which causes organ inflammation
• herpes zoster virus, which causes chickenpox and shingles
• Epstein-Barr virus, which causes mononucleosis
• Lyme disease, which is a bacterial infection caused by infected ticks

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