Overview
Bell’s palsy is a condition in which the muscles on one side of your face become weak or paralyzed.
Bell’s palsy causes sudden, temporary weakness in your facial muscles. This makes half of your face appear to droop. Your smile is one-sided, and your eye on that side resists closing.
Bell’s palsy, can occur at any age. The exact cause is unknown. It’s believed to be the result of swelling and inflammation of the nerve that controls the muscles on one side of your face. Or it might be a reaction that occurs after a viral infection.
For most people, Bell’s palsy is temporary. Symptoms usually start to improve within a few weeks, with complete recovery in about six months. A small number of people continue to have some Bell’s palsy symptoms for life. Rarely, Bell’s palsy can recur.
Symptoms
Facial paralysis
Signs and symptoms of Bell’s palsy come on suddenly and may include:
- Rapid onset of mild weakness to total paralysis on one side of your face — occurring within hours to days
- Facial droop and difficulty making facial expressions, such as closing your eye or smiling
- Drooling
- Pain around the jaw or in or behind your ear on the affected side
- Increased sensitivity to sound on the affected side
- Headache
- A decrease in your ability to taste
- Changes in the amount of tears and saliva you produce
In rare cases, Bell’s palsy can affect the nerves on both sides of your face
Diagnosis
There’s no specific test for Bell’s palsy. Your doctor will look at your face and ask you to move your facial muscles by closing your eyes, lifting your brow, showing your teeth and frowning, among other movements.
Treatment
Most people with Bell’s palsy recover fully — with or without treatment. There’s no one-size-fits-all treatment for Bell’s palsy, but your doctor may suggest medications or physical therapy to help speed your recovery. Surgery is rarely an option for Bell’s palsy.
