Miyerkules, Hulyo 20, 2011

therapy treatment for bell's palsy


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 Bell's palsy,facial paralysis, a form of facial paralysis resulting from dysfunction cranial nerve VII (the facial nerve) that results in the inability to control facial muscles on the affected side. Several conditions can cause facial paralysis, e.g., brain tumor, stroke, and Lyme disease. However, if no specific cause can be identified, the condition is known as Bell's palsy. Named after Scottish anatomist Charles Bell, who first described it, Bell's palsy is the most common acutemononeuropathy (disease involving only one nerve) and is the most common cause of acute facial nerve paralysis.
Bell's palsy is defined as an idiopathic unilateral facial nerve paralysis, usually self-limiting. The hallmark of this condition is a rapid onset of partial or complete palsy that often occurs overnight. In rare cases (1%),it can occur bilaterally resulting in total facial paralysis.
 It is thought that an inflammatory condition leads to swelling of the facial nerve. The nerve travels through the skull in a narrow bone canal beneath the ear. Nerve swelling and compression in the narrow bone canal are thought to lead to nerve inhibition, damage or death. No readily identifiable cause for Bell's palsy has been found.
Corticosteroids have been found to improve outcomes while anti-viral drugs have not Early treatment is necessary for steroids to be effective. Most people recover spontaneously and achieve near-normal to normal functions. Many show signs of improvement as early as 10 days after the onset, even without treatment.
Often the eye in the affected side cannot be closed. The eye must be protected from drying up, or the cornea may be permanently damaged resulting in impaired vision. In some cases denture wearers experience some discomfort.
 Causes and Risk Factors of Bell's Palsy
The cause of the nerve irritation associated with Bell's palsy is unknown. Anecdotally, exposure to cold is a frequently cited cause -- for example, driving with a car window open in frigid weather, or sleeping with the window open on a chilly night. This association remains speculative. Some evidence suggests that the cause is inflammation of cranial nerve VII triggered by a viral infection, perhaps in the herpes family. The risk increases through the first 30 years of life, remains steady until approximately 70 years, then increases further. People with diabetes or high blood pressure, as well as pregnant women, are at slightly greater risk, but most patients are ordinary people with no known predisposing factors. Some cases have recently been reported after administration of intranasal influenza vaccine.

Symptoms of Bell's Palsy
The classic presentation of Bell's palsy is weakness on one side of the face. The potential range of weakness is wide -- it may range from difficulty blinking all the way to a complete paralysis on one side of the face with an inability to close the eye. Onset usually occurs acutely, but the weakness may worsen for 24 to 48 hours before stabilizing.
  The first awareness of the problem may involve drooling after brushing the teeth or when drinking, an asymmetrical appearance of the mouth noticed in the mirror, an inability to whistle, or excessive tearing in one eye. A man may say that he was unable to blow out his cheeks when shaving. Sometimes the onset is subtle and a family member or a work associate is the first to notice the patient's facial asymmetry. 
 People with Bell's palsy may describe the sensation of unilateral loss of facial movement as deadness, loss of feeling, or numbness, although the affected part of the face is neither asleep nor tingling. Misidentification of the affected part is common. Alteration of taste or hearing is occasionally a symptom.
 It is important to remember that facial paralysis does not always mean an individual has Bell's palsy. Other diagnoses should be considered, especially stroke, Lyme disease, and varicella zoster (Ramsey Hunt syndrome). Less common causes include HIV infection, sarcoidosis, Sjögren's syndrome, amyloidosis, and tumors. Only a physician can distinguish among these possibilities by performing a careful examination. Diagnostic studies such as Lyme titers and neuroimaging may be indicated depending on the individual case.

Treatment of Bell's Palsy
A primary concern in the management of Bell's palsy is eye care. The inability to close one eye may lead to corneal abrasions and other injuries, especially during sleep. Regardless of what other therapy is undertaken, dark glasses should be worn during the day, eye drops used to prevent drying and a bland eye ointment applied before retiring to bed for the night. 
 An oral steroid such as prednisone is commonly prescribed. The scientific basis for this treatment is that is helps reduce the inflammation of the nerve and shorten the recovery period. Several studies suggest that prednisone is effective in shortening the disease course and improving recovery rates, but other studies show little benefit. An improved rate of recovery with steroid therapy was especially noticeable in a group of patients with diabetes.
 The use of antiviral medications such as acyclovir, often in addition to prednisone, is somewhat controversial. It is clearly justified when there is evidence of facial palsy caused by varicella zoster infection (Ramsey Hunt syndrome), but there is less evidence to support its use in cases of Bell's palsy, where the evidence for a viral cause is less convincing to date.
 In severe cases, surgery can relieve pressure on the nerve at the narrowest point of the bony canal and potentially avoid permanent nerve damage, but this procedure remains controversial. After approximately the first two weeks, permanent nerve damage has probably already occurred, and surgery is much less likely to be beneficial. Thus, the optimal time for surgery to be considered is during the second week of the illness, if there is no sign of improvement. Permanent hearing loss may occur as a complication of the surgery. 
 The vast majority of individuals with Bell's palsy recover completely or have minimal deficits, even without treatment. The percentage appears to be somewhat higher with medical and surgical treatment. In the small number of patients who have significant permanent deficits, reconstructive surgery may sometimes be beneficial.

How can jesoga70therapy possibly treats this facial paralysis or bell's palsy/ clinical manefistation?
 Jesoga70 therapyfound out so many cases of bell's palsy which stay no recovery and no  good result at all, after  so many treatment they spend to their respective doctors. Most of them, complaining the good smile that losed , the hard thing for them to eat , including to open their mouth more than two inches , effort at yawning  or talking result in jaw pain , especially if the victim want to play gun shooting , sight was really improper., and lastly feel pain in neck area , shoulder or ears is actually noted.  The technique from the 14 vitality abdominal impulses functioning system healed the most cause of the disease by egniting key or chi (oxygen) from the 7th canial nerves and especially the periperal nervous system,  During jesoga70  therapy, patients perform a series of direct knuckles vibriatory friction after energizing the entire autonomic nervous system, cranial nerves parasympathetic and sympathetic chain(neuron) is  like (facial exercises and assume certain expressions) in particular sequences.To help ease and cure these bell's palsy therapy must proceed directly at the pain sight area , clenching and stumble your facial muscles and teeth together and  feel for the muscles that causes the bulge between the facial pain against jaw area , these is how good to penetrate the knuckles therapy technique all overs the  most common acute facial  nerves paralysisjesoga70 therapy may be used this treatment, patients with partially paralyzed facial nerves and patients who have had facial nerve or muscle reconstruction. For instance, patients with Bell's palsy (the most common cause of facial paralysis), may undergo  this form of therapy . Bell's palsy typically results in paralysis or weakness on one side of the face; some patients may also develop synkinesis. Synkinesis consists of involuntary facial movements, such as grimacing, that accompany voluntary movements, such as closing of the eyes. Most people who are afflicted with Bell's palsy recover fully, regardless of treatment. And jesoga70 therapy compromise so many natural healing treatment and relieved all these bell's palsy physical condition.
The goal of jesoga70therapy is to improve the symmetry of facial features and to help patients regain expression and control of their facial muscles. For example, damage to facial nerves may result in a droopy facial appearance; patients may also have difficulty using their facial muscles to express emotion. In addition, patients may have problems with speaking, eating, and drinking.













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