Bells Palsy Treatment Guidelines
Draping and Pillowing
- Supine
- Pillow under knees
- Check in about affected eye
Hydrotherapy
- Cold on edema
- Heat on high toned areas
Specific Treatments
- Unaffected side :
- Head, neck, shoulder massage
- Drag towards lesion to decrease tone
- Lymph techniques – start at termini (proper rate, depth and duration)
- Affected side:
- at neck, towards the lesion, NO STRETCHING
- Over Cranial Nerve 7: fluid technique to mastoid, vibrations to mastoid, stroking mastoid
- at face: stroking, pincement, vibration, taping, kneading
- Engrams: have client do frowning, raising eyebrow, flare nose, smile, frown
Communication
- Be sure client is secure on table
- check in with comfort and pillowing
- ask about emotional status
- stop at sign of fatigue – ask them to let you know
- prevent stretching of nerve
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