{"id":3638,"date":"2025-01-05T12:02:19","date_gmt":"2025-01-05T12:02:19","guid":{"rendered":"https:\/\/integrativa.pt\/?p=3638"},"modified":"2026-03-04T14:28:03","modified_gmt":"2026-03-04T14:28:03","slug":"facial-paralysis-10-frequent-errors-that-can-compromise-recovery","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/paralisia-facial-10-erros-frequentes-que-podem-comprometer-a-recuperacao\/","title":{"rendered":"Facial paralysis: 10 common mistakes that can jeopardise recovery"},"content":{"rendered":"
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Peripheral facial palsy results from dysfunction of the facial nerve (cranial nerve VII), which is responsible for facial movements, eye closure, and part of taste function. In addition to facial asymmetry, changes in speech, chewing, tearing, and taste can occur, with a significant impact on quality of life. Early evaluation and an integrated approach are fundamental to support neuromuscular reorganisation.<\/p>\n

Facial paralysis presents a significant physical and emotional challenge. The good news is that with an appropriate and timely approach, recovery can be favourable. However, many people end up adopting behaviours that inadvertently hinder the recovery process. In this article, we analyse ten common mistakes and explain how to avoid them, based on current clinical principles.<\/p>\n

To defer the specialist medical assessment<\/h5>\n

The first step in the face of facial paralysis should be an assessment by qualified professionals, such as an ear, nose, and throat specialist (otorhinolaryngologist) or a neurologist. This assessment allows for the identification of the underlying cause and the definition of the most appropriate medical approach. Medication should be initiated early and administered at the correct dose and duration. Delaying this assessment can negatively impact clinical progression.<\/p>\n

2. Do not resort to Physiotherapy with specific training in facial paralysis<\/h5>\n

Assuming that recovery will occur spontaneously or that any physiotherapist is prepared to manage these cases is a frequent mistake. Facial re-education requires specific knowledge of neuroplasticity, fine motor control, and prevention of complications such as synkinesis. Support from a specialised physiotherapist with experience in this area is crucial for promoting a balanced functional recovery.<\/p>\n

3. Not taking prescribed medication correctly<\/h5>\n

When corticosteroids and\/or antivirals are indicated, strict adherence to the prescribed regimen is essential. Failure to adhere to the dosage or timing may compromise the initial response of the facial nerve. Simple strategies, such as mobile phone alarms, can help ensure compliance.<\/p>\n

4. Neglecting eye protection<\/h5>\n

If there is difficulty in closing the eye, it becomes essential to protect the ocular surface. Preservative-free lubricating eye drops and ointments should be used, as well as nocturnal occlusion when indicated. The absence of these precautions can lead to serious complications, including keratitis or corneal ulcers.<\/p>\n

5. Use electro-stimulation<\/h5>\n

Although still proposed in some contexts, electrostimulation is no longer recommended for peripheral facial palsy. This type of stimulation promotes mass movement patterns and can contribute to permanent changes in muscle coordination, hindering the functional recovery of the nerve.<\/p>\n

6. Chewing gum<\/h5>\n

There is a misconception that chewing gum strengthens facial muscles. In reality, this habit primarily activates the masticatory muscles, which are not compromised, favouring compensations and worsening facial asymmetries.<\/p>\n

7. Perform facial mimic exercises without guidance<\/h5>\n

Facial exercises should be carefully selected and guided by a specialist physiotherapist. Exaggerated or random movements can consolidate inappropriate motor patterns and increase the risk of synkinesias. At this stage, gentle relaxation and motor control exercises are preferred, avoiding any facial strength work.<\/p>\n

8. Diet predominantly based on processed foods<\/h5>\n

Nutrition directly influences inflammatory and regenerative processes. A diet rich in ultra-processed foods can delay the recovery of the facial nerve. It is recommended to favour fresh and anti-inflammatory foods, such as various fruits and vegetables, fish, whole grains, and good quality fats. These nutrients support neuronal metabolism and the immune response.<\/p>\n

9. Social isolation<\/h5>\n

Changes in facial expression can affect self-esteem and emotional well-being. Isolation tends to worsen this psychological impact. Maintaining contact with family and friends and participating in social activities contributes to emotional regulation and a more balanced experience of the recovery process.<\/p>\n

10. Believing that synkinesis cannot improve<\/h5>\n

Synkinesias, involuntary movements that can arise during recovery, are amenable to functional intervention. Specialised physiotherapy, and in some cases, the use of botulinum toxin or facial surgery, can significantly reduce the impact of these movements on quality of life. Ignoring this problem unnecessarily limits the potential for improvement.<\/p>\n

Unrealistic expectations about recovery time<\/h4>\n

Nerve regeneration is a slow process. Many people underestimate the first few months or stop their follow-up prematurely due to a lack of immediate improvement. Functional recovery can take several months, requiring consistency, regular monitoring, and periodic reassessment.<\/p>\n

Even after initial symptom improvement, it is important to maintain clinical vigilance, as late changes in muscle coordination can arise weeks or months afterwards. Regular assessment allows for the adjustment of strategies and the early identification of signs of synkinesis or muscular compensation.<\/p>\n

Recovery from facial paralysis requires continuity of care, specialist follow-up, and an integrated approach that considers neurological, muscular, nutritional, and emotional aspects. Recognising behaviours that negatively interfere with this process is an important step towards optimising clinical progress.<\/p>\n

Early identification of specific needs and the use of professionals with experience in this area allow care to be aligned with current scientific evidence and support a more balanced functional recovery.<\/p>\n

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At Integrativa, the Facial Paralysis Specialized Physiotherapy<\/a>\u00a0are based on a rigorous clinical assessment of mobility, symmetry, muscle strength, coordination, compensatory patterns and functional impact (speech, chewing, swallowing and emotional expression), allowing each case to be understood on an individual basis. Based on this detailed analysis, a progressive physiotherapy intervention plan is defined, guided by clear clinical objectives, adjusted to each person's needs and the different stages of recovery, promoting effective and sustained functional improvement.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Alexandra Gomes <\/strong><\/a>| Physiotherapist specialising in the treatment and recovery of Facial Paralysis<\/p>\n

member of the Facial Therapy Specialists International<\/em>\u00a0 (FTSI)<\/p>\n

Physiotherapist Card: 1459 | Order of Physiotherapists<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t

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This website and its content are for information purposes only and are not a substitute for medical or health professional advice. In all cases, treatments should be individualised and guided by health professionals. Do not make any changes to your treatment without contacting the doctor or health professional accompanying you.<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>
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