Hello,

Thanks for your query.

Bells palsy is most of the time caused by viral infections and is a self limiting disease and with near full recover. It does not affect other nerves of the body. Only when you have systemic disease which can affect both the nerves of the body along with the facial nerves. But the symptoms you have described does not indicate systemic disease.

So I consider that the bells palsy and the painful spots are not related to each other. Isolated painful spots may or may or may not be related to the nerve problems. At these point no investigations are required. If these painful spots increase or you develop numbness or paresthesias in the leg or hands needs evaluation. So I would suggest you to wait and watch what happens. If it worsens consult a neurologist for detailed evaluation.

Hope I have answered your query. If you have any follow up queries I will be available to answer them

---