Locations:
Search IconSearch

Bell’s Palsy: How to Recover From This Puzzling Facial Paralysis

The good news is, it's usually only temporary

Illustration of Bell's Palsy

Imagine looking in the mirror one day and noticing that your face seems to be sagging on one side, and your smile looks a little crooked. By the next day, you realize you can’t move an entire side of your face.

Advertisement

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

This facial paralysis, called Bell’s palsy, happens to tens of thousands of people each year. The good news is that it’s generally not permanent, but it can be a very scary experience nonetheless.

Part of the face becomes paralyzed because of damage or inflammation in the nerve that controls the muscles on either side of the face – the muscles you use to smile, blink and scrunch up your nose.

Doctors think that the nerve damage or inflammation might be triggered by a viral infection, like the herpes simplex virus or the varicella zoster virus, which causes chickenpox and shingles, says neurologist MaryAnn Mays, MD.

She says that many people initially mistake Bell’s palsy for a stroke. Although they produce a common symptom (weakness in one side of the face), the two aren’t actually related, and how they’re treated is very different.

Bell’s palsy vs. stroke

Bell’s palsy should be treated right away, but it isn’t necessarily an emergency.

A stroke, on the other hand, is a medical emergency. If you or someone you know experience facial droop along with any other symptoms of stroke, such as numbness, weakness, slurred speech, double vision or dizziness, or if the symptoms aren’t clear-cut, call 911. It’s better to be safe than sorry.

Advertisement

Dr. Mays says there are a few additional signs that can help distinguish one from the other:

  • A stroke comes on suddenly, whereas Bell’s palsy usually develops over the course of hours or days.
  • Generally, it’s the lower part of the face that becomes weak when someone is having a stroke. With Bell’s palsy, both the lower and upper part of the face will be affected, so it may be hard to blink or move the eyebrows.

Other symptoms that someone with Bell’s palsy might experience include:

  • Headache or pain behind the ear
  • Loss of taste on one side of the tongue
  • Sensitivity to sound in one ear
  • Excessive tears in one eye

Start treatment within 3 days

After doing an exam and diagnosing Bell’s palsy, a primary care doctor or urgent care clinic can prescribe an oral steroid such as prednisolone to help ease the swelling around the nerves in the face.

The doctor might also prescribe an anti-viral medicine in addition to the steroid if they suspect it’s related to an underlying viral infection.

Treatment is most successful when it begins within 72 hours, Dr. Mays says, so it’s important to see a doctor quickly.

Tips for recovery

How long does it take for someone with Bell’s palsy to be able to move their face again?

Everyone is different, but, “as a rule of thumb, usually within three weeks people will start to get some improvement,” Dr. Mays says.

For some people, though, recovery may take a few months.

In the meantime, it’s important to protect the eye on the side that’s paralyzed, since it won’t be able to protect itself by blinking or closing.

“We want to make sure that the patient can fully close their eye when they’re sleeping – we recommend covering the eye up with either a patch or a piece of tissue or hanky taped over the eye so that they don’t get any scratches on the cornea,” Dr. Mays says.

Most people will not need treatment beyond medication. Some people use additional treatments to help their recovery, but Dr. Mays notes that there aren’t a lot of scientific studies showing that these methods do speed up or improve recovery. They include:

  • Facial exercises
  • Electrical stimulation
  • Acupuncture
  • Massage

If symptoms haven’t cleared up after eight weeks, a doctor might want to do an MRI. Rarely, the facial nerve loses its way as it heals and grows back. This can lead to unintentional movements of facial muscles, like the eye blinking when someone smiles.

But usually, Bell’s palsy goes away and isn’t a sign that something else is wrong. By taking prednisolone as instructed, caring for the affected eye and following up with a doctor, most people can recover and get back to their normal quality of life.

Advertisement

Advertisement

Learn more about our editorial process.

Related Articles

person riding a bike
December 19, 2024/Brain & Nervous System
Exercises That Can Help Manage Spasticity

Stretching, water-based activities, cycling and treadmill training can all bring benefits

Two smiling people walking with shopping bags outside of stores
December 10, 2024/Brain & Nervous System
Why ‘Retail Therapy’ Makes You Feel Happier

An occasional shopping spree can boost your mood by distracting you from stressors and pumping your brain full of ‘happy hormones’

Happy, laughing child and caregiver sitting on couch holding video game controllers, playing video games
December 2, 2024/Brain & Nervous System
Are Video Games Good for You? Your Brain Thinks So

Imagination, completing tasks and social interactions are all key benefits for your brain

A therapist sitting in chair holding a clipboard and a patient sitting on couch talking in office
November 20, 2024/Brain & Nervous System
How To Pursue an Autism Diagnosis as an Adult

Find a psychiatrist or psychologist in your area who works with autistic adults — or reach out to a pediatric specialist if you can’t find one

Elderly couple sitting on bed talking in bedroom, in early morning light
November 13, 2024/Brain & Nervous System
Do You Have Early Signs of Dementia?

If you’re frequently dealing with short-term memory loss, confusion or issues around spatial awareness, you may need to see a neurologist

Elderly patient’s hand being held by a caregiver
November 1, 2024/Brain & Nervous System
Dementia vs. Alzheimer’s Disease: Are They The Same?

Alzheimer’s is just one common cause of cognitive decline categorized as ‘dementia’

Person with head against eye exam equipment, with provider looking through other end at eyes
October 30, 2024/Brain & Nervous System
Your Vision Can Predict Dementia — Here’s How

Changes to your vision may have an impact on the way your brain processes information

Person holding head in forgetfulness next to close up of a brain and magnifying glass and DNA strand
October 29, 2024/Brain & Nervous System
Understanding How Some Dementia Is Hereditary

Your risk for familial Alzheimer’s disease and other forms of hereditary dementia increases if an immediate family member has it

Trending Topics

Person sitting on floor at night next to bed in deep thought, with partner sleeping in bed
Understanding Mental Load: What It Is and How It Affects You

When you get bogged down with mental tasks, you can experience mood changes, sleeplessness and more

Hands holding two different kinds of pain medications separated by a white line
Can You Take Acetaminophen and Ibuprofen Together?

You can alternate these OTCs to help with pain management and fever reduction

Smiling person with headphones on, sweeping floor in living room
Understanding Non-Exercise Activity Thermogenesis (NEAT Exercise)

Non-exercise activity thermogenesis is all the activity we do that’s not technically exercise but is still important to your health and well-being

Ad