Patient's question:
In the late autumn of 2015, I suffered from facial paralysis, but after treatment, there were no residual symptoms. In mid-September 2017, the condition recurred, and I took Gabapentin, Vitamin B12, Vitamin B1, and Sodium Aescin for treatment, along with acupuncture. Now, my left facial muscles are stiff and not movable. Is this a residual symptom? Can it still be recovered?Doctor's answer:
Generally, it is believed that facial cold exposure is a major trigger for facial paralysis. It may also be caused by certain viral infections, such as herpes simplex virus or chickenpox. Treatment can be divided into acute phase, recovery phase, and post-convalescent phase.You are currently in the recovery phase (from the third week to 1-2 years). During this phase, in addition to focusing on vitamin B1 and B2 supplementation, folic acid and hydralazine can be administered. It can be combined with facial electromyography and electro-massage. Acupuncture, a traditional Chinese medicine method, is also effective.
During this period, attention should be paid to eye protection. Patients should undergo active or passive activity training based on their condition, with a recovery rate of approximately 85%-90% within two years.