Bell's palsy steroid treatment duration

I had Bells about 12 years ago and although I have made a good recovery there are still some residuals left. I was left with a very watery eye so after about seven years of putting up with this I made an appointment (privately) with an eye consultant.  He suggested using botox to stop the eye watering and so I went on to have these injections every three months.  This was very successful and worked well.  I had these for about 3 years when all of a sudden my eye stopped watering altogether and has been fine ever since - touch wood.  The consultant did say that the Botox would not have cured the eye watering so I don't know why it stopped suddenly other than the muscles which control watering had got stronger and were now working properly.  The consultant did do the Botox on the NHS as he said it was due to an illness of which I had no control over.  It was the best thing I did.  Also i would like to say to others going through this that you can see improvements for years after having Bell's so never give up.  They will be small improvements after a couple of years but my face has gradually got better and better so never give up.

A doctor can usually diagnose Bell's palsy just by looking at a person, but may decide to do a blood test, MRI, or CT scan to rule out other causes of facial paralysis, like diabetes or tumors. Treatment for Bell's palsy usually begins with caring for the parts of the face that are paralyzed, especially the eye. In severe cases, a person may not be able to close the eye on the paralyzed side of the face, which could lead to damage to the cornea. Eye drops or ointment can usually help prevent this, as can wearing an eye patch, especially overnight, Dr. Simpson says.

There is no single treatment for Bell's palsy. The approach should vary from patient to patient depending on the severity of their condition. For mild cases, a therapy can be helpful and no further medication is needed. However, in more severe cases, medical intervention is needed to prevent further damage to the nerves and for faster recovery of the patient. The common medication or treatment for this disorder is the use of antiviral drugs such as acyclovir which is used to fight viral infections. The treatment is commonly combined with an anti-inflammatory drug such as the steroid prednisone which is used to reduce inflammation and swelling. It is noted that these combination is effective in improving facial function by limiting or reducing damage to the nerve. Analgesics such as aspirin, acetaminophen, or ibuprofen may also be used to relieve pain. A study conducted by University of Alexandria in Egypt validated the efficacy of using steroids in the treatment of patients with Bell's palsy. The rate of satisfactory recovery in all steroid treated patients was higher (79 of 93 patients) which is 85%. There was also evidence that steroid treatment of Bell's palsy is effective more than 24 hours after the onset of facial paralysis. With these development, more doctors are now using steroids to help patient recover from this disorder.

Many of us treat patients with Bell’s palsy with both corticosteroids and antiviral medications, such as acyclovir or valacyclovir, largely on the basis of pathophysiologic reasoning, because we’ve had no clear guidance from outcome studies. Until now, outcome studies have had mixed findings, and have been inconclusive. 2 Most outcome studies have lacked the statistical power to either detect or to rule out potential benefits convincingly. The study by Sullivan and colleagues is the first to have a sufficiently large study sample from which to draw more definitive conclusions based on patient-oriented outcomes.

Bell's palsy steroid treatment duration

bell's palsy steroid treatment duration

Many of us treat patients with Bell’s palsy with both corticosteroids and antiviral medications, such as acyclovir or valacyclovir, largely on the basis of pathophysiologic reasoning, because we’ve had no clear guidance from outcome studies. Until now, outcome studies have had mixed findings, and have been inconclusive. 2 Most outcome studies have lacked the statistical power to either detect or to rule out potential benefits convincingly. The study by Sullivan and colleagues is the first to have a sufficiently large study sample from which to draw more definitive conclusions based on patient-oriented outcomes.

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