Is facial neuritis the same as facial paralysis?

Written by Tang Bo
Neurology
Updated on August 31, 2024
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Facial neuritis can lead to facial paralysis, but facial paralysis can be divided into central facial paralysis and peripheral facial paralysis. Generally, facial paralysis caused by facial neuritis is peripheral facial paralysis. This means that there might be incomplete closure of the eyelids and deviation of the mouth corners. If central facial paralysis is considered, it generally does not lead to incomplete closure of the eyelids. Central facial paralysis is mainly caused by cerebrovascular diseases or other diseases of the brain or brainstem, whereas facial neuritis is due to damage to the facial nerve.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Which part of the body is moxibustion applied for facial neuritis?

For facial neuritis, moxibustion on specific areas needs dialectical analysis. Apart from moxibusting local acupoints like Quanliao, Dicang, and Qianzheng for facial neuritis caused by exposure to wind, cold, and damp pathogens, one can dialectically choose distant or nearby acupoints, such as Fengchi, for moxibustion. For cases where facial neuritis has persisted for a long time accompanied by symptoms of physical weakness, such as fatigue and a pale complexion, it is effective to also perform moxibustion on acupoints like Zusanli and Guanyuan, in addition to the local points, to enhance the body's resistance. This approach tends to yield better results.

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Written by Li Min
Neurology
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Can you take a bath with facial neuritis?

Bell's palsy is caused by a decrease in the body's resistance, leading to damage in the face following viral infection and the resultant cleaning. This results in a series of clinical symptoms primarily on the affected side of the face. Therefore, regarding the symptoms of Bell's palsy, whether in the acute phase or during recovery, bathing generally poses no major issue. However, in the acute phase, some treatments recommend antiviral and anti-inflammatory therapies, along with diets aimed at eliminating free radicals, and the application of topical plasters, which generally should not be exposed to water. If the plasters become wet, their effectiveness may be minimal or nullified. Therefore, personal circumstances should be considered.

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Written by Zhang Hui
Neurology
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Nursing measures for facial neuritis

The treatment of facial neuritis, in addition to some pharmacological treatments including corticosteroids, B vitamins, and antiviral medications, also requires some rehabilitative physiotherapy training. On the other hand, nursing measures also play an important role in the recovery from facial neuritis. The nursing measures for facial neuritis mainly include: First, it is essential to soothe the patient's emotions. Patients with facial neuritis often become quite depressed and may experience anxiety and depression. Nursing work must be thorough, including explanation and reassurance. Only when the patient's emotions are stable, can they cooperate with the treatment. The second nursing measure is to advise patients not to consume spicy and irritating foods. Third, it is important to keep the face warm, and patients can wear masks. Fourth, it is crucial to take good care of the eyes, as patients with facial neuritis often have difficulty closing their eyes, which can easily lead to eye infections. Eye drops can be administered to the patient.

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Written by Zhang Hui
Neurology
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What should not be eaten with facial neuritis?

Bell's palsy primarily refers to the idiopathic paralysis of the facial nerve. This condition is quite common and can occur in individuals of any age. Essentially, it is a non-specific immune inflammatory response. Patients should be cautious about their diet, avoiding spicy and stimulating foods, as these can exacerbate facial nerve swelling, which is detrimental to recovery. Additionally, alcohol consumption should be avoided as it can significantly damage the nerves. There are no special dietary restrictions otherwise; it is recommended to consume more fresh vegetables and fruits, such as greens, apples, and oranges. Consuming foods rich in B vitamins, like buckwheat, sorghum, and corn, is also advised.

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Written by Zhang Hui
Neurology
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Is facial neuritis inflammation?

Bell's palsy is essentially an inflammatory reaction, but this inflammation is a nonspecific type. It also exhibits the typical inflammatory symptoms of redness, swelling, heat, and pain. However, this inflammation is not caused by direct infection from viruses, bacteria, or fungi. Since Bell's palsy is an inflammatory condition, its treatment must include corticosteroids for management. Additionally, administration of B vitamins is necessary to promote nerve function recovery. Moreover, targeted rehabilitation exercises, acupuncture, and local physiotherapy from the rehabilitation department also play a vital role in the recovery from Bell's palsy. Generally, with proper and timely treatment, Bell's palsy can fully recover, and most patients will not experience any impact on their future quality of life. However, if the symptoms of Bell's palsy are very severe, and the patient has a history of diabetes, the prognosis may be poorer.