Prednisolone and acupuncture in Bell's palsy: study protocol for a randomized ...
There are a variety of treatment options for Bell's palsy. Evidence from randomized controlled trials indicates corticosteroids can be used as a proven therapy for Bell's palsy.Acupuncture is one of the most commonly used methods to treat Bell's palsy in China. Recent studies suggest that staging treatment is more suitable for Bell's palsy, according to different path-stages of this disease.
The aim of this study is to compare the effects of prednisolone and staging acupuncture in the recovery of the affected facial nerve, and to verify whether prednisolone in combination with staging acupuncture is more effective than prednisolone alone for Bell's palsy in a large number of patients.
Methods: In this article, we report the design and protocol of a large sample multi-center randomized controlled trial to treat Bell's palsy with prednisolone and/or acupuncture. In total, 1200 patients aged 18 to 75 years within 72 h of onset of acute, unilateral, peripheral facial palsy will be assessed.
There are six treatment groups, with four treated according to different path-stages and two not. These patients are randomly assigned to be in one of the following six treatment groups, i.e.
1) placebo prednisolone group, 2) prednisolone group, 3) placebo prednisolone plus acute stage acupuncture group, 4) prednisolone plus acute stage acupuncture group, 5) placebo prednisolone plus resting stage acupuncture group, 6) prednisolone plus resting stage acupuncture group. The primary outcome is the time to complete recovery of facial function, assessed by Sunnybrook system and House-Brackmann scale.
The secondary outcomes include the incidence of ipsilateral pain in the early stage of palsy (and the duration of this pain), the proportion of patients with severe pain, the occurrence of synkinesis, facial spasm or contracture, and the severity of residual facial symptoms during the study period.DiscussionThe result of this trial will assess the efficacy of using prednisolone and staging acupuncture to treat Bell's palsy, and to determine a best combination therapy with prednisolone and acupuncture for treating Bell's palsy.Trial registrationThis study is registered with ClinicalTrials.gov (reference no. NCT01201642).
Bell Palsy Symptom - News
To make this already long-ish story shorter, I did indeed have Lyme disease, despite the fact that I skipped over the typical symptoms and went straight to Bell's palsy, full body rash, and, eventually, convulsions. It took a two-week course of IV
There are a variety of treatment options for Bell's palsy. Evidence from randomized controlled trials indicates corticosteroids can be used as a proven therapy for Bell's palsy. Acupuncture is one of the most commonly used methods to treat Bell's palsy
People can also get arthritis, a mild form of meningitis, Bells palsy, a drooping of one side of the face, fever, headache and fatigue. Testing is often unreliable, and the vague symptoms aren't always indicative of Lyme. • Treatment of early Lyme in
But if not, a second stage of symptoms can appear weeks to months later. They include Bell's palsy, a paralysis on one side of the face, nerve pain and irritation, or a mild form of meningitis. In some cases, Edlow says, the heartbeat slows.
loss of memory or Bell's palsy, a paralysis and drooping of the facial muscles. Ehrlichiosis is another recognized disease also carried by deer ticks, but is much less common than Lyme disease. Its most common symptoms include a sudden high fever,
What is Bell's Palsy | TheInfoMine
The visible symptoms of Bell’s Palsy make the condition extremely distressing for its victim.
Although virtually anyone of any age can suffer a bout of Bell’s Palsy, the victims are seldom the very young or the elderly. The incidence of the disease in both sexes, and all races, is about equal. However, women in the last trimester of pregnancy, diabetics, and those with compromised immune systems, or upper respiratory system infections, are at greater risk.
This condition is called Bell’s Palsy after Sir Charles Bell, a Scottish surgeon and anatomist, who studied the facial nerve around two hundred years ago.
Bell’s Palsy is caused when the nerve that affects the facial muscles becomes inflamed, probably due to a virus similar to those that cause herpes simplex, shingles, chickenpox, and mononucleosis. The virus causes inflammation in the area around the nerve which affects the facial muscles. This inflammation interferes with the nerve’s ability to send messages to the facial muscles. Hence they do not react normally. In addition to its affect on facial muscles, Bell’s Palsy can affect taste and hearing as well as the production of tears and saliva. Bell’s Palsy only affects the face. It is vital to see you physician immediately if you have any symptoms that may be of concern. This is important to rule out other conditions and diseases with similar symptoms as well as to start treatment, if necessary, as soon as possible.
Bell’s Palsy almost always affects only one side of the face. There can be a wide range of symptoms, the severity of which varies, from individual to individual. The muscles on the affected side may be weak or paralyzed. The face appears to droop, especially around the eyelid and mouth. It may be impossible to close the eye. There may be pain around the ear or in the jaw. The nose may run and the mouth may drool or be abnormally dry. The forehead will not wrinkle. It will be difficult to eat, drink, and even speak.
The majority of those with Bell’s Palsy recover quite rapidly and completely in just a few months. Others may take as long as a year and a very few may have some symptoms throughout life. Bell’s Palsy can reoccur on the same side of the face or the opposite side. Bell’s Palsy is not contagious.
Most individuals recover completely from Bell’s Palsy with no treatment at all. However, if symptoms are severe or the condition does not soon show signs of improvement, your physician may suggest treatment. If symptoms are mild, over-the-counter pain medications may be sufficient. There is some evidence that early treatment with anti inflammatory or anti viral drugs may speed up recovery significantly. Your physician may also suggest physiotherapy to keep the facial muscles from permanent changes. Care must be taken to keep the affected eye constantly lubricated. Surgery may also be an option.
Bell Palsy Symptom - Bookshelf
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Other symptoms may include pain, tearing, drooling, hypersensitivity to sound in the affected ear, and even impairment in taste. Many cases of Bell's palsy ...The encyclopedia of blindness and vision impairment
Half of those with Bell's palsy experience pain behind the ear, but the condition does not cause hearing impairments. The symptoms of Bell's palsy, ...Encyclopedia of global health
Although it is most likely not serious, people with Bell's palsy symptoms should consult a physician. Because of its not unique symptoms, ...Otologic surgery
Other associated symptoms of hearing loss, vestibular symptoms, or other cranial nerve neuropathies also rule out the diagnosis of Bell's palsy. ...Primary care medicine, office evaluation and management of the adult patient
Herpes simplex virus and Bell palsy. Ann Intern Med 1995;124:63. ... series had features atypical of idiopathic facial palsy and other systemic symptoms. ...Find Information Directory
Bell's Palsy InfoSite & Forums - Bells Palsy / Facial ...
Bells palsy, Ramsey Hunt syndrome and facial palsy symptoms, causes, residuals, treatment and exercises. Bell's Palsy forum & chatroom.
Bell's palsy: Symptoms - MayoClinic.com
Bell's palsy — Comprehensive overview covers causes, treatment of this usually temporary facial paralysis.
Bells Palsy Symptoms
loss of memory or Bell's palsy, a paralysis and drooping of the facial muscles. Ehrlichiosis is another ... The typical symptoms of Bell's Palsy include muscle weakness ...
Bell's Palsy Information Site
Offers general information, including background, causes, symptoms, and treatment options.
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