Improving Facial Nerve Recovery After Trauma: Effective Treatments

Facial nerve

Hello, doctor.
Six years ago, I suffered a head injury that resulted in facial nerve damage.
I underwent acupuncture treatment within three months of the onset, and I have recovered about 70-80%.
However, I still cannot achieve complete recovery (for example, my blinking speed is inconsistent, the affected side pulls at the corner of my mouth when I blink, and there is a slight difference in expression on both sides when I laugh).
What methods can I use to continue improving my condition?

Weiwei, 20~29 year old female. Ask Date: 2016/08/02

Dr. Lan Shengxing reply Neurology

Hello, the recovery of the nervous system cannot be 100%, and the asymmetry on both sides may be similar to the natural size difference between two hands.
This is something you may need to try to accept.

Reply Date: 2016/08/02

More Info

Improving facial nerve recovery after trauma can be a complex process, especially after experiencing significant injuries like those you described. It’s commendable that you have already engaged in acupuncture therapy, which can be beneficial for nerve recovery. However, achieving complete recovery of facial nerve function is often challenging, and many patients experience some degree of asymmetry or residual symptoms even after extensive treatment.

Here are several approaches that may help you continue to improve your facial nerve function:
1. Physical Therapy: Engaging in facial exercises under the guidance of a physical therapist who specializes in facial rehabilitation can be very beneficial. These exercises can help improve muscle strength, coordination, and symmetry. Your therapist may provide you with specific exercises to target the affected areas, focusing on improving the control of your facial muscles.

2. Biofeedback: This technique involves using electronic monitoring devices to help you gain awareness and control over your facial muscle movements. Biofeedback can assist in retraining your facial muscles to respond more effectively, potentially improving coordination and reducing asymmetry.

3. Electrical Stimulation: Some therapists use neuromuscular electrical stimulation (NMES) to help stimulate the facial muscles. This method can promote muscle contraction and improve muscle tone, which may aid in recovery.

4. Medications: While you may have already explored various medications, it’s worth discussing with your healthcare provider the potential benefits of medications such as corticosteroids or other anti-inflammatory drugs, which may help reduce inflammation around the nerve and promote healing.

5. Nutritional Support: Ensuring that you have a well-balanced diet rich in vitamins and minerals is crucial for nerve health. Vitamins such as B12, B6, and folate are particularly important for nerve regeneration. Omega-3 fatty acids, found in fish and flaxseed, can also support nerve health.

6. Acupuncture and Alternative Therapies: Continuing with acupuncture may still provide benefits, as it can help with pain relief and promote overall well-being. Other alternative therapies, such as massage therapy or craniosacral therapy, may also be worth exploring.

7. Psychological Support: Dealing with the emotional and psychological impact of facial nerve damage can be challenging. Consider seeking support from a psychologist or counselor who can help you cope with any feelings of frustration or anxiety related to your condition.

8. Regular Follow-ups: It’s essential to maintain regular follow-ups with your healthcare provider. They can monitor your progress and make necessary adjustments to your treatment plan based on your recovery.

9. Patience and Realistic Expectations: Recovery from facial nerve damage can take time, and it’s important to set realistic expectations. While some patients may achieve significant improvements, others may experience only partial recovery. Accepting the possibility of some residual effects can help in managing your emotional response to the situation.

In conclusion, while complete recovery of facial nerve function may not be achievable for everyone, there are various strategies you can employ to maximize your recovery potential. Collaborating closely with healthcare professionals, including neurologists, physical therapists, and nutritionists, will provide you with a comprehensive approach to managing your symptoms and improving your quality of life. Remember, each individual's recovery journey is unique, and ongoing support and treatment can make a significant difference.

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