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Hello. Grade 6 means you have complete flaccid paralysis, so no movement, and no return of nerve conduction to your facial muscles. You should not try to make facial movement at this point. Neither through the us of electrical stimulation nor "exercises". IF there is no conduction, it will not make your face move....and that can lead to reinforcement of mass patterns, which could make synkinesis worse if you were to develop that later. In this stage, gentle massage and stretches are recommended.

Thank you doctor for such a prompt response, really appreciate it. When does synkinesis usually surface in the timeline, if it develops, since i had already started with electrical stimulation as per doctor advice in the first week so just wanted to look out for any symptoms of it.

Botox should be in addition to facial therapy

@@ButheauPhysiotherapy yes i realize this after several years i have been dealing w spinal issues and have weakness of the nerves muscles everything on the left side I also have scoliosis but have gotten several things fixed . But after all these years i have realized myself it was weaken nerves so my muscles atrophied in my areas im working so hard to heal. Its effecting my vision in the left eye also but i can feel pressure behind that ear . Im trying hard to get into U of Ms Facial Nerve Clinic but we are plying phone tag. Its so defeating some times but i keep pushing . Ty for ur videos ♥️

Sorry to read this. Actually facial palsy is from a peripheral nerve injury to the facial nerve, it is not a central nervous system injury , like a stroke is. so all the concept I discussed in my video are not applicable to a stroke. I hope you are getting appropriate rehab from an appropriate therapist.

@@ButheauPhysiotherapy oh that's terrible. I didn't know this. No. They told me there is no rehab for this. It only affected my face. Thank you very much!

Without knowing your exact presentation, I would not be giving up hope. Working with the right team of medical professionals could change things for you.

@@ButheauPhysiotherapy thank you. In two years I’ve tried everything. But it’s hard….i pray your exercises can help me. God bless you.

@@marmeebean if you have been dealing with this for over two years, you possibly and likely have some synkinesis or other movement pattern problem, and so your unique presentation needs to be assessed to determine what should be efficiently worked on for best results… my two cents.

@@ButheauPhysiotherapy yes, I do have synkinesis - most movements of my mouth cause my eye to close. I'm scheduled for a tarsorraphy and a gold eyelid weight in October. But I will also work on regaining my smile with your post. I've seen so many doctors and health practitioners - the oprhthomologist is the first one suggesting specific procedures for my eye.

And I would have loved to have found a practitiober who could have helped me sooner.

I would never do "exercise" for the face...Ther his no such things since the muscles of the face behave differently than muscles in the rest of her body. It is very early for you now and do not attempt to move your afce if there is no movement. You can't use an appliance if it is not plugged in or if there is no electricity.... Massage and gentle stretching should be your routine at this point.

There is not really. But the 2/3 of people that recover from BP without complications generally recover in 2-4 months.

@@ButheauPhysiotherapy sorry doctor, didn't quite understand. Talking about synkinesis here. You mentioned in the video that you didn't develop synkinesis post recovery. When did you conclude that there is no possibility now of any occurence of synkinesis? Is it after 6 months of post recovery or post onset of palsy or 12-18 months post recovery of palsy? What is that time duration to conclude that synkinesis cannot happen now?

I cannot answer that question. What does more better means? From what? What was your initial presentation at onset?….

I am very tensed and helpless plz help me out to get out from this

@@deepakkumar-nb2it You need to be assessed. > butheauphysio.janeapp.com

hard to answer this without assessing. Consult with an opthalmologist.

Without full assessment, it is difficult for me to advise further. Have you consulted with facial surgeon?

Lower eyelid contraction generally returns after upper eyelid. It is slower to heal. There are some targeted stretches of eyelid you can do to help with that. But to do this correctly, the whole picture has to be looked at. You are also in week 7… your nerve is not done healing. Give it time.

You're welcome!

The tension on the facial muscles, which includes the auricularis, muscles of the ear, can affect hearing and the feeling of clogging one may have following Bell’s Palsy. Targeted stretches could help but It could also be other thing that need to be evaluated by an otolaryngologist

butheauphysio.janeapp.com

I cannot answer this. I have not evaluated you fully. You are on day 4… take your meds, massage… DO NOT “exercise” your face.

@@vacancierpermanent1238 oui. Contactez moi par mail, pierre@butheauphysio.com

you should not attempt tightly closing your eyes. You just have not regain the tone and muscle contraction adequate to do that...I would give it time. We never tightly close our eyes...unless we have soap in our eyes.... I do not know more about your condition to guide you specifically in this.

@@ButheauPhysiotherapyThank you doctor, appreciate your reply. Its Week 7 going on for a palsy due to temporal bone longitudinal fracture. Closing of the eyes has regained almost completely. From your reply, does that mean that, with time and not attempting any shrinking and tightly closing my eyes, there is hope that I would be able to tightly shut my eyes with normal wrinkled eye lid? And also able to shrink my eyes when looking into bright light?

@@denzel2623 yes. Your nerve needs time to heal.

this is not enough information to even guess where to start. You need to be assessed by a facial therapist and/or and otolaryngologist.

8 months perhaps...likely with some complications. Synkinesis...

I cannot answer that qurstion. You need to consult with an otolaryngologist

you mean eletric stimulation?

same thing upper lip difficulty to recover after 50 days

exactly the same (first BP in 2019) and now dealing with the second time since 6th July 2024

no it is not. I have seen people improve several decades after the onset of their facial palsy.

@@ButheauPhysiotherapy thank you so much for your response. I'm feeling more hopeful now. Thank you again. 🙏🏻💕

I cannot give a detailed answer if I have not assess your current situation. Many things to look at. Is your movement affected because of lack of return of nerve function, or because of tightness and synkinesis blocking your movement? I work with some people that have been dealign with this for several decades, and we tend to always be able to make some progress. But again, I don't have a full picture and cannot be specific to your case.

@@ButheauPhysiotherapy ok. I understand. I can close my eyes. I cant smile. It seems like im crying. 😭. I will try and i hoppe i will be better.

@@ButheauPhysiotherapy I am aware that have passed a long time and its so difficult. But i will do everything to get better. Sorry for my bad english. Hoppe u can understand me🥰

@@leocani-vt1rh I understand. you need to find someone that can help you with this.

the first step is being evaluated by a facial therapist. You might be appropriate for it or need to be referred, that really much depend on your current situation, which I do not have a full pictures of.

@@ButheauPhysiotherapy What is a facial therapist in France ?

@@vacancierpermanent1238 orthophoniste ou kiné

do not practice if you do not have any movement back