{"id":5542,"date":"2025-11-18T21:42:13","date_gmt":"2025-11-18T21:42:13","guid":{"rendered":"https:\/\/integrativa.pt\/?p=5542"},"modified":"2026-02-26T19:57:01","modified_gmt":"2026-02-26T19:57:01","slug":"ramsay-hunt-syndrome-and-facial-paralysis-symptoms-causes-and-the-role-of-specialised-physiotherapy","status":"publish","type":"post","link":"https:\/\/integrativa.pt\/en\/sindrome-de-ramsay-hunt-e-paralisia-facial-sintomas-causas-e-papel-da-fisioterapia-especializada\/","title":{"rendered":"Ramsay Hunt syndrome and facial paralysis: symptoms, causes and the role of specialised physiotherapy"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h4>What is Ramsay Hunt Syndrome?<\/h4>\n<p>Ramsay Hunt syndrome is a neurological condition caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox and shingles. When this reactivation involves the facial nerve, it can lead to paralysis of one side of the face, intense ear pain, and a painful skin rash.<\/p>\n<p>It is considered one of the potentially most serious causes of peripheral facial paralysis, requiring prompt medical evaluation to reduce the risk of complications and improve functional prognosis.<\/p>\n<h4>What are the main symptoms?<\/h4>\n<p>The most frequent signs and symptoms include:<\/p>\n<ul>\n<li>Severe ear pain<\/li>\n<li>Rash with small vesicles on the auricle, ear canal or oral cavity<\/li>\n<li>Unilateral facial paralysis<\/li>\n<li>Difficulty closing eye<\/li>\n<li>Changes in taste<\/li>\n<li>Vertigo<\/li>\n<li>Hearing loss<\/li>\n<li>Tinnitus<\/li>\n<\/ul>\n<p>In some cases, a rash may not be present, which can make diagnosis difficult. The sudden onset of these symptoms warrants immediate medical evaluation.<\/p>\n<h4>A S\u00edndrome de Ramsay-Hunt \u00e9 causada pelo v\u00edrus varicela-z\u00f3ster (VVZ), o mesmo v\u00edrus que causa a catapora.<\/h4>\n<p>The syndrome results from the reactivation of the varicella-zoster virus, which remains latent in the nerve ganglia after the initial chickenpox infection. When reactivated, it can affect the facial nerve and adjacent structures, causing inflammation, pain, and motor deficit.<\/p>\n<p>Factors such as <em>stress<\/em>, Decreased immunity, advanced age, and chronic illnesses can increase the risk of viral reactivation.<\/p>\n<h4>Is Ramsay Hunt Syndrome contagious?<\/h4>\n<p>The syndrome itself is not contagious. However, the varicella-zoster virus can be transmitted to people who have never had chickenpox or who have not been vaccinated. In these cases, the exposed person may develop chickenpox, but not the syndrome.<\/p>\n<p>The skin vesicles are the main source of transmission, making it important to protect them and follow medical advice.<\/p>\n<h4>How is the diagnosis made?<\/h4>\n<p>The diagnosis is essentially clinical, based on the association between ear pain, facial paralysis, and a characteristic vesicular rash. Further tests, such as electromyography, may be performed to assess the degree of facial nerve involvement.<\/p>\n<p>In certain situations, laboratory tests can help confirm the presence of the virus.<\/p>\n<h4>What is the recommended medical approach?<\/h4>\n<p>Medical intervention should be initiated as early as possible. It usually includes antivirals, corticosteroids, and analgesics, with the aim of reducing inflammation, controlling pain, and limiting nerve damage.<\/p>\n<p>Early intervention is associated with a better clinical outcome.<\/p>\n<h4>Is specialised physiotherapy important in Ramsay Hunt Syndrome?<\/h4>\n<p>Yes. After the acute phase is controlled, specialised physiotherapy for facial paralysis plays a relevant role in functional recovery.<\/p>\n<p>The intervention focuses on:<\/p>\n<ul>\n<li>Neuromuscular re-education of the face<\/li>\n<li>Improvement of mobility and coordination<\/li>\n<li>Prevention of synkinesis, contractures, and spasms<\/li>\n<li>Muscle tension reduction<\/li>\n<\/ul>\n<p>Gentle mobilisation techniques, manual therapy, coordination training and relaxation strategies can be used, always adapted to the stage of progression and individual needs.<\/p>\n<h4>How long can recovery take?<\/h4>\n<p>Evolution varies significantly between people. In many cases, gradual improvement is observed in the first few weeks. However, Ramsay Hunt syndrome tends to have a more reserved prognosis when compared to Bell's palsy, with neuromuscular reorganisation potentially prolonging for several months.<\/p>\n<p>In more extensive situations, sequelae may persist which benefit from specialist follow-up.<\/p>\n<h4>What are the possible complications?<\/h4>\n<p>The most frequent complications include:<\/p>\n<ul>\n<li>Synaesthesia<\/li>\n<li>Persistent neuropathic pain<\/li>\n<li>Prolonged facial weakness<\/li>\n<li>Difficulty closing the eye<\/li>\n<li>Sound hypersensitivity<\/li>\n<li>Tinnitus<\/li>\n<li>Vertigo<\/li>\n<\/ul>\n<p>Early medical assessment and follow-up by a specialist physiotherapist reduce the risk of long-term complications.<\/p>\n<h4>When to seek medical help?<\/h4>\n<p>It is essential to seek medical evaluation for severe ear pain, facial paralysis, rash, or a combination of these symptoms. Early diagnosis and timely intervention are crucial for the prognosis.<\/p>\n<h4>Understanding Ramsay Hunt Syndrome from an integrative perspective<\/h4>\n<p>Ramsay Hunt syndrome is a complex condition that requires rigorous diagnosis, early medical intervention, and specialist follow-up. Physiotherapy specialising in facial paralysis is integrated into the functional recovery process, supporting neuromuscular reorganisation and the improvement of facial control.<\/p>\n<p>At Integrativa <a href=\"https:\/\/integrativa.pt\/en\/specialities\/physiotherapy\/physiotherapy-specialising-in-facial-paralysis\/\">physiotherapy specialising in facial paralysis<\/a>\u00a0It is based on a detailed clinical assessment of mobility, symmetry, coordination, and functional impact, allowing for the delineation of an individualised approach tailored to the stage of development.<\/p>\n<p>In the presence of symptoms suggestive of facial paralysis or suspected Ramsay Hunt Syndrome, early professional evaluation is essential to guide the clinical pathway safely and in a structured manner.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1770067031505\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p style=\"text-align: right;\"><a href=\"https:\/\/integrativa.pt\/en\/physiotherapist-alexandra-gomes\/\"><strong>Alexandra Gomes <\/strong><\/a>| Physiotherapist specialising in the treatment and recovery of Facial Paralysis<\/p>\n<p style=\"text-align: right;\">member of the <em>Facial Therapy Specialists International<\/em>\u00a0 (FTSI)<\/p>\n<h6 style=\"text-align: right;\">Physiotherapist Card: 1459 | Order of Physiotherapists<\/h6>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><div class=\"vc_row wpb_row vc_row-fluid vc_custom_1680169461443\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1680169468507\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<p><a title=\"Home\" href=\"https:\/\/integrativa.pt\/en\/\"><strong>Integrativa<\/strong><\/a> | Health and well-being as a lifestyle<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t<div class=\"wpb_text_column wpb_content_element  vc_custom_1769969575981\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<h6>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><div class=\"vc_row wpb_row vc_row-fluid\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner vc_custom_1676836891191\"><div class=\"wpb_wrapper\"><div class=\"vc_separator wpb_content_element vc_separator_align_center vc_sep_width_100 vc_sep_pos_align_center wpb_content_element vc_separator-has-text\" ><span class=\"vc_sep_holder vc_sep_holder_l\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span><h4>Blog Articles<\/h4><span class=\"vc_sep_holder vc_sep_holder_r\"><span style=\"border-color:#1b9193;\" class=\"vc_sep_line\"><\/span><\/span>\n<\/div><style type=\"text\/css\" data-type=\"the7_shortcodes-inline-css\">.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article {\n  padding-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article:first-of-type {\n  margin-top: 0;\n  padding-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.classic-layout-list.mode-list .post-entry-content {\n  width: calc(100% - );\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.classic-layout-list.mode-list .no-img .post-entry-content {\n  width: 100%;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .filter-bg-decoration .filter-categories a.act {\n  color: #fff;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.mode-masonry) article:first-of-type,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.mode-masonry) article.visible.first:not(.product) {\n  margin-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on:not(.mode-masonry) article {\n  margin-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on:not(.mode-masonry) article:first-of-type,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on:not(.mode-masonry) article.visible.first:not(.product) {\n  margin-top: 0;\n  padding-top: 0;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-thumbnail-wrap {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.enable-bg-rollover .post-thumbnail-rollover:after {\n  background: -webkit-linear-gradient();\n  background: linear-gradient();\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  width: 44px;\n  height: 44px;\n  line-height: 44px;\n  border-radius: 100px;\n  margin: -22px 0 0 -22px;\n  border-width: 0px;\n  color: #ffffff;\n  background: none;\n}\n.bottom-overlap-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  margin-top: -72px;\n}\n.gradient-overlay-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico,\n.content-rollover-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  margin: 0 0 10px;\n}\n.content-align-center.gradient-overlay-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico,\n.content-align-center.content-rollover-layout-list.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  margin: 0 auto 10px;\n}\n.dt-icon-bg-on.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico {\n  background: rgba(255,255,255,0.3);\n  box-shadow: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico > span,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico:before {\n  font-size: 32px;\n  line-height: 44px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico > span,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .gallery-zoom-ico:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-title,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .entry-title {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-meta {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .portfolio-categories {\n  margin-bottom: 15px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-excerpt {\n  margin-bottom: 5px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.centered-layout-list) .post-entry-content {\n  padding: 15px 20px 20px 20px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290:not(.centered-layout-list):not(.content-bg-on):not(.mode-list) .no-img .post-entry-content {\n  padding: 0;\n}\n@media screen and (max-width: ) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 article {\n    -ms-flex-flow: column nowrap;\n    flex-flow: column nowrap;\n    margin-top: 20px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on article {\n    border: none;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.content-bg-on.centered-layout-list article {\n    padding: 0;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.blog-shortcode.dividers-on article,\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article {\n    margin-top: 20px;\n    padding: 0;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.blog-shortcode.dividers-on article:first-of-type,\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.dividers-on.classic-layout-list article:first-of-type {\n    padding: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-thumbnail-wrap,\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-entry-content {\n    width: 100%;\n    margin: 0;\n    top: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-thumbnail-wrap {\n    padding: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-entry-content:after {\n    display: none;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .project-even .post-thumbnail-wrap,\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.centered-layout-list .post-thumbnail-wrap {\n    -ms-flex-order: 0;\n    order: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.centered-layout-list .post-entry-title-content {\n    -ms-flex-order: 1;\n    order: 1;\n    width: 100%;\n    padding: 20px 20px 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.centered-layout-list .post-entry-content {\n    -ms-flex-order: 2;\n    order: 2;\n    padding-top: 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .fancy-categories {\n    top: 10px;\n    left: 10px;\n    bottom: auto;\n    right: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .fancy-date a {\n    top: 10px;\n    right: 10px;\n    left: auto;\n    bottom: auto;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-entry-content {\n    padding: 20px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-title {\n    margin: 3px 0 5px;\n    font-size: 20px;\n    line-height: 26px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-meta {\n    margin: 5px 0 5px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .entry-excerpt {\n    margin: 15px 0 0;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-details {\n    margin: 5px 0 10px;\n  }\n  #page .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .post-details.details-type-link {\n    margin-bottom: 2px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div {\n  width: 36px;\n  height: 36px;\n  border-radius: 500px;\n}\n.dt-arrow-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:not(:hover):before {\n  border-width: 0px;\n}\n.dt-arrow-hover-border-on.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:hover:after {\n  border-width: 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-prev {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  left: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-prev i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-next {\n  top: 50%;\n  transform: translateY(calc(-50% + 0px));\n  right: -43px;\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div.owl-next i {\n  padding: 0px 0px 0px 0px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav i {\n  font-size: 18px;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:not(:hover) i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:not(:hover) i:before {\n  color: #ffffff;\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:hover i,\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.owl-carousel .owl-nav div:hover i:before {\n  color: rgba(255,255,255,0.75);\n  background: none;\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .owl-dots {\n  top: calc(100% + 20px);\n  left: 50%;\n  transform: translateX(calc(-50% + 0px));\n}\n@media all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .owl-dots {\n    transform: translateX(-50%);\n    margin-left: 0px;\n  }\n}\n.blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 .owl-dot {\n  width: 10px;\n  height: 10px;\n  margin: 0 8px;\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.hide-arrows .owl-nav a {\n    display: none;\n  }\n}\n@media screen and (max-width: 778px) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-prev {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    left: 10px;\n  }\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-next {\n    top: 50%;\n    transform: translateY(calc(-50% + 0px));\n    right: 10px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-prev {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}\n@media screen and (max-width: 778px) and all and (-ms-high-contrast: none) {\n  .blog-carousel-shortcode.blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290.reposition-arrows .owl-nav div.owl-next {\n    transform: translateY(-50%);\n    margin-top: 0px;\n  }\n}<\/style><div class=\"owl-carousel blog-carousel-shortcode dt-owl-carousel-call blog-carousel-shortcode-id-22a922bc6f6408b859793f5af908d290 classic-layout-list scale-img dt-icon-bg-off dt-arrow-border-on dt-arrow-hover-border-on meta-info-off bullets-small-dot-stroke reposition-arrows arrows-bg-on disable-arrows-hover-bg arrows-hover-bg-on\" data-scroll-mode=\"1\" data-col-num=\"3\" data-wide-col-num=\"4\" data-laptop-col=\"3\" data-h-tablet-columns-num=\"3\" data-v-tablet-columns-num=\"2\" data-phone-columns-num=\"1\" data-auto-height=\"true\" data-col-gap=\"30\" data-stage-padding=\"0\" data-speed=\"600\" data-autoplay=\"false\" data-autoplay_speed=\"6000\" data-arrows=\"true\" data-bullet=\"false\" data-next-icon=\"icon-ar-017-r\" data-prev-icon=\"icon-ar-017-l\"><article class=\"post post-7111 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia-em-paralisia-facial category-psicologia tag-fisioterapia tag-osteopatia tag-pilates-clinico category-39 category-18 description-off\" data-name=\"Paralisia Facial: quando o impacto vai al\u00e9m do que \u00e9 vis\u00edvel\" data-date=\"2026-04-06T20:07:46+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Consulta-Integrativa-do-Sono-2-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Sleep Consultation\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" title=\"Facial Paralysis: when the impact goes beyond what is visible\" rel=\"bookmark\">Facial Paralysis: when the impact goes beyond what is visible<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quando-o-impacto-vai-alem-do-que-e-visivel\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial Paralysis: when the impact goes beyond what is visible\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3688 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"O meu filho tem uma paralisia facial: e agora? Os conselhos da fisioterapia\" data-date=\"2025-01-22T21:19:14+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-768x512.avif\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-768x512.avif 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/01\/Paralisia-facial-em-criancas-Fisioterapia-1152x768.avif 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Facial paralysis in children Physiotherapy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" title=\"My child has facial paralysis: what now? Physiotherapy advice\" rel=\"bookmark\">My child has facial paralysis: what now? Physiotherapy advice<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/o-meu-filho-tem-uma-paralisia-facial-e-agora-os-conselhos-da-fisioterapia\/\" class=\"post-details details-type-link\" aria-label=\"Read more about My son has facial paralysis: what now? Physiotherapy advice\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-2509 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Paralisia facial: 6 orienta\u00e7\u00f5es cl\u00ednicas pr\u00e1ticas para complementar a fisioterapia especializada\" data-date=\"2023-10-11T10:27:45+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-6-orientacoes-clinicas-praticas-para-complementar-a-fisioterapia-especializada\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-8-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-8-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-8-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy (8)\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-6-orientacoes-clinicas-praticas-para-complementar-a-fisioterapia-especializada\/\" title=\"Facial paralysis: 6 practical clinical guidelines to complement specialised physiotherapy\" rel=\"bookmark\">Facial paralysis: 6 practical clinical guidelines to complement specialised physiotherapy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-6-orientacoes-clinicas-praticas-para-complementar-a-fisioterapia-especializada\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial paralysis: 6 practical clinical guidelines to complement specialised physiotherapy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3267 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Sincinesias ap\u00f3s paralisia facial: o papel da fisioterapia especializada\" data-date=\"2024-06-07T14:01:28+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Lisboa-Alexandra-Integrativa-Fisioterapia-Paralisia-Facial-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Lisbon Alexandra Integrative Physiotherapy Facial Palsy\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" title=\"Synkinesias after facial paralysis: the role of specialised physiotherapy\" rel=\"bookmark\">Synkinesias after facial paralysis: the role of specialised physiotherapy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/sincinesias-apos-paralisia-facial-o-papel-da-fisioterapia-especializada\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Synkinesis after facial paralysis: the role of specialized physiotherapy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-5296 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-39 description-off\" data-name=\"Paralisia Facial: quanto tempo demora a recupera\u00e7\u00e3o e o papel da fisioterapia especializada\" data-date=\"2025-10-27T08:55:30+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2024\/12\/Fisioterapia-Paralisia-Facial-Integrativa-10-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy (10)\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" title=\"Facial paralysis: how long recovery takes and the role of specialised physiotherapy\" rel=\"bookmark\">Facial paralysis: how long recovery takes and the role of specialised physiotherapy<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/paralisia-facial-quanto-tempo-demora-a-recuperacao-e-o-papel-da-fisioterapia-especializada\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Facial paralysis: how long recovery takes and the role of specialised physiotherapy\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><article class=\"post post-3547 type-post status-publish format-standard has-post-thumbnail hentry category-fisioterapia category-fisioterapia-em-paralisia-facial tag-fisioterapia tag-osteopatia tag-pilates-clinico category-6 category-39 description-off\" data-name=\"Prote\u00e7\u00e3o ocular na paralisia facial: cuidados essenciais\" data-date=\"2024-06-25T11:50:01+00:00\">\n\n<div class=\"post-thumbnail-wrap\">\n\t<div class=\"post-thumbnail\">\n\t\t\n\t\t\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" class=\"post-thumbnail-rollover layzr-bg\" ><img decoding=\"async\" class=\"preload-me owl-lazy-load aspect\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D&#39;http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg&#39;%20viewBox%3D&#39;0%200%20768%20512&#39;%2F%3E\" data-src=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-768x512.webp\" data-srcset=\"https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-768x512.webp 768w, https:\/\/integrativa.pt\/wp-content\/uploads\/2025\/10\/Fisioterapia-Paralisia-Facial-Integrativa-Lisboa-Alexandra-1152x768.webp 1152w\" loading=\"eager\" style=\"--ratio: 768 \/ 512\" sizes=\"(max-width: 768px) 100vw, 768px\" alt=\"\" title=\"Integrative Facial Palsy Physiotherapy Lisbon Alexandra\" width=\"768\" height=\"512\"  \/><\/a>\t<\/div>\n<\/div>\n\n\n<div class=\"post-entry-content\">\n\n\t<h3 class=\"entry-title\">\n\t\t<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" title=\"Eye protection in facial paralysis: essential care\" rel=\"bookmark\">Eye protection in facial paralysis: essential care<\/a>\n\t<\/h3>\n\n\t\n\t\n\t\n<a href=\"https:\/\/integrativa.pt\/en\/protecao-ocular-na-paralisia-facial-cuidados-essenciais\/\" class=\"post-details details-type-link\" aria-label=\"Read more about Eye protection in facial paralysis: essential care\">Read more<i class=\"dt-icon-the7-arrow-03\" aria-hidden=\"true\"><\/i><\/a>\n\n<\/div><\/article><\/div><\/div><\/div><\/div><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>What is Ramsay Hunt Syndrome? Ramsay Hunt Syndrome is a neurological condition caused by the reactivation of the varicella-zoster virus, the same virus responsible for chickenpox and shingles. When this reactivation involves the facial nerve, paralysis can appear on one side of the face, intense pain in the ear and a rash...<\/p>","protected":false},"author":1,"featured_media":6948,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[39],"tags":[4,27,8],"class_list":["post-5542","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia-em-paralisia-facial","tag-fisioterapia","tag-osteopatia","tag-pilates-clinico","category-39","description-off"],"_links":{"self":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/5542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/comments?post=5542"}],"version-history":[{"count":0,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/posts\/5542\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media\/6948"}],"wp:attachment":[{"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/media?parent=5542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/categories?post=5542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/integrativa.pt\/en\/wp-json\/wp\/v2\/tags?post=5542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}