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Is Physiotherapy With Electric Stimulation The Right Treatment For Facial Paralysis?
Hello. My wife was suffering from facial paralysis. During our first visit to the Dr, he identified as bells palsy. later when we took a second opinion from an ENT, she said it is "HERPES ZOSTER OTICUSB RAMSAY HUNT SYNDROME --- HOUSE BRACKMAN CLASSIFICATION GRADE IV".
She has prescribed a steroid PREDNISOLONE 20 mg, ZOVIRAX 800 mg along with Vit B Complex for 2 weeks.
She is also undergoing physiotherapy with electric stimulation.
Please do let me know if we are in the right direction of treatment?
NOTE: Initially she was unable to close her eyes and unable to move her right lips both lower and upper. Also she was facing running water from her eyes with no taste in her toungue. There were few rashes in the ear hole. After 1 week of physiotherapy she is not able to close her eyes but only 10%. Yesterday doctor told that if it doesnt improve she might need to undergo a nerve surgery.
We will be really greatful if we get some response.
She has prescribed a steroid PREDNISOLONE 20 mg, ZOVIRAX 800 mg along with Vit B Complex for 2 weeks.
She is also undergoing physiotherapy with electric stimulation.
Please do let me know if we are in the right direction of treatment?
NOTE: Initially she was unable to close her eyes and unable to move her right lips both lower and upper. Also she was facing running water from her eyes with no taste in her toungue. There were few rashes in the ear hole. After 1 week of physiotherapy she is not able to close her eyes but only 10%. Yesterday doctor told that if it doesnt improve she might need to undergo a nerve surgery.
We will be really greatful if we get some response.
Mon, 24 Feb 2014
Hi and thank you so much for this query
I am so sorry to hear about this facial paralysis that your wife has.Whatever the cause, she needs no surgery to get this fixed. Physiotherapy and time would help her get over it. If it were for real caused by herpes zoster, then prednisolone and zovirax would be of great help. In all, physiotherapy with or without electrical stimulation would help, surgery has no plcae in its management and do not accept it.
I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.
Dr. Ditah, MD.
I am so sorry to hear about this facial paralysis that your wife has.Whatever the cause, she needs no surgery to get this fixed. Physiotherapy and time would help her get over it. If it were for real caused by herpes zoster, then prednisolone and zovirax would be of great help. In all, physiotherapy with or without electrical stimulation would help, surgery has no plcae in its management and do not accept it.
I hope this addresses your query fully. Thank you so much for patronizing our services and please do feel free to ask for follow up clarifications and information if need be. I wish you the best of health.
Dr. Ditah, MD.
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