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Bell's
Palsy
Bell’s Palsy is defined as an
acute, idiopathic, commonly unilateral, peripheral
facial paralysis.
Bells’ Palsy, A chiropractic case
study. Shara K, Sacrooccipital
Resource Society International Vol. 11
NO. 2, May 1999. (originally published in the Kansas
Chiropractic Association Journal – no
date given).
A 40-year-old white male with right
facial paralysis of 2 days duration. Prior to
the paralysis he had been experiencing “tingling” sensations
at approx. C7/T1 and had been fighting a sinus
infection for two weeks. Patient also had right
facial numbness, inability to smile on affected
side, inability to eat on the affected side.
Under
SOT (sacral occipital technique) using pelvic
blocks, cranial work and cervical
adjustment and by 3rd visit, 2 days later
up to 75% of sensation in the face had returned
and by 7 days complete recovery.
A five year old boy with Bell’s
Palsy. International Chiropractic
Pediatric Association Newsletter September/October
1997
A five year old boy fell from his bike and
within one week had symptoms of Bell’s
Palsy.
He was unable to close his right eye or
wrinkle his brow. He was brought to a neurologist
who told the parents it would be 4 or 5 month’s
recovery time.
Chiropractic examination revealed a right lateral
atlas (C-1) and the child was adjusted once
per week for three weeks at which time has was
90%
improved.
Chiropractic
management of a patient with Bell’s Palsy. Alacantara
J, Plaugher G, Van Wyngarden DL. International
Journal of Chiropractic Vol. 9, No. 2
1997.
49 year old Caucasian female, medical diagnosis
of Bell’s Palsy
with right facial paralysis with the inability to close her right eye, extreme
bilateral ear sensitivity to sound, pain in the
right TMJ and neck pain. In addition patient could
not
raise her right eyebrow, close her eye, show her
upper teeth, smile, frown or puff her cheeks.
Symptoms
began ten days after a series of dental treatments
for crowns on her right molars.
Adjustment:
From 10-18-95 to 4-19-96 patient was seen 37
times. The left TMJ was adjusted as well as thoracic
and lumbar vertebrae. The patient experienced
symptomatic relief in the cervical and facial
regions after one week of care; within four months
her
right facial pain abated, she could close her
right eye lightly, smile, move her eyebrows and
puff
her cheeks.
(Comment from Dr. Koren: There was
not complete recovery for this patient. The
history of such dramatic symptoms appearing so
soon after dental work would lead me to believe
that at least part of her problem was the fitting
of the crowns. They probably were not put in properly.
In addition to spinal analysis and adjustment
this patient should have been sent to a dentist
for re-evaluation.)
Chiropractic and pregnancy, a partnership
for the future. Fallon J. ICA Review
Nov/Dec 1990. pp. 39-42.
Discusses neurological conditions associated
with subluxation in pregnancy: brachia neuralgia,
compression of the brachial plexus causing tingling
and numbness
in the shoulder and arm; neuralgia, paresthesia,
compression of the lateral femoral cutaneous nerve
causing pain and paresthesia of the thigh; intercostal
neuralgia, compression of the intercostal nerves
causing radiating pain between the ribs; sciatic
neuralgia,
compression of lumbar plexus causing pain of the
pelvic region and/or radiating down leg; coccydynia,
pain at site of coccyx; separation of the symphysis pubis, causing pain at
the symphysis pubis and SI joint; Carpal tunnel
syndrome, compression of median nerve; Bell’s
Palsy, compression of CN V11 causing paralysis
of facial muscles; traumatic neuritis, motor and
sensory deficits of L5, S1 and S2 after labor.
Idiopathic
facial paralysis: mechanism, diagnosis and conservative
management. Palmieri NF. Chiro
Technique 1990; Nov: 182-187.
“Treatment consisted of mechanical force,
manually assisted chiropractic adjusting, high
voltage therapy and self-administered facial muscle
exercises.” Positive
results were reported. Comment from Dr. Koren: This article and the one below
discussed the electrical therapy in great detail
while causally mentioning adjusting (“manipulating” the
spine.)
Treatment of facial muscles affected
by Bell’s Palsy with high-voltage electrical
muscle stimulation. JMPT,
1993; 16:347-352.
“Patients were treated with high-voltage pulsed galvanic current…spinal
fixations were
mobilized using chiropractic manipulation.” Positive results were reported.
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