Bell's Palsy

Bell's palsy is a form of facial paralysis resulting from damage or trauma to the 7th cranial nerve.

Vertigo

GENERAL INFORMATION

The most common type of vertigo is called benign paroxysmal positional vertigo (BPPV) and is appreciated by a feeling that your world is spinning or moving.  It occurs with sudden head motions, usually rolling in bed or change in position.  Other forms of vertigo can be associated with horizontal motions.  The anatomy of the inner ear and the specific areas affected will impact the type of vertigo and associated head eye movements that can precipitate and cause the attack.

SYMPTOMS OF VERTIGO

  • Symptoms are associated with the anatomical area affected
  • Abnormal eye movements
  • Appreciation of the room spinning
  • Duration minutes to hours, days to weeks
  • Constant or associated with certain head movements
  • Hearing loss or tinnitus
  • Visual disturbances, nystagmus

REHABILITATION

  • Assessment of the balance system: sensorimotor, visual, and vestibular
  • Specific eye exercises
  • Specific head motions
  • Sensory integration
  • Maneuvers specific to vertigo etiology
  • Home exercise program

Bell’s Palsy

GENERAL INFORMATION

Bell's palsy is a form of facial paralysis resulting from damage or trauma to the 7th cranial nerve.

COMMON SYMPTOMS

  1. Sudden onset of paralysis or weakness on one side of your face, making it difficult to smile or close your eye on the affected side
  2. Facial droop and difficulty with facial expressions
  3. Difficulty eating or drinking
  4. Dryness of the eye or mouth
  5. Excessive tearing of one eye
  6. Pain behind or in front of your ear on the affected side
  7. Sounds that seem louder on the affected side
  8. Pain, usually in the ear on the affected side or around the jaw
  9. Headache
  10. Loss of taste

REHABILITATION

After examination by your physician, physical therapy addresses the weakened muscles of the face that can shorten during the episode. Treatment includes massage and exercise of the facial muscles and modalities to reduce pain and inflammation. Instruction in a home management program will include feeding recommendations, exercise and massage to the affected soft tissues and muscles.

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