Facial neuritis hormone treatment

Written by Zhang Hui
Neurology
Updated on September 04, 2024
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If the diagnosis of facial neuritis is confirmed, and the patient does not have evident history of femoral head necrosis or diabetes, then it is advocated to treat facial neuritis with corticosteroids. Corticosteroids can suppress some of the inflammatory responses of facial neuritis, reduce edema, and facilitate the swift recovery of facial nerve function. The current guidelines recommend the use of corticosteroids for treatment. However, if the patient has conditions like elevated blood sugar, femoral head necrosis, osteoporosis, or gastric ulcers, the use of corticosteroids must be cautious to avoid adverse reactions. During the administration of corticosteroids, it is crucial to ensure the patient receives supplements of calcium and potassium to prevent electrolyte disturbances and osteoporosis. Besides corticosteroids, intake of B vitamins can also aid in promoting the repair of nerve functions.

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Written by Tang Bo
Neurology
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How is facial neuritis best treated?

The treatment of facial neuritis primarily aims to improve local blood circulation, alleviate facial nerve edema, relieve nerve compression, and promote the recovery of nerve function. Therefore, its treatment includes medication, which mainly nourishes the nerves, and may also involve antiviral drugs and corticosteroids. Physiotherapy, particularly post-acute phase, can include acupuncture or infrared radiation and local heat application. Eye protection is also necessary because patients with facial neuritis may not be able to fully close their eyelids, leaving the cornea exposed and susceptible to infection. Finally, rehabilitation treatment includes acupuncture, which is also part of the mentioned physiotherapy.

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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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Is facial neuritis prone to recurrence?

For idiopathic facial neuritis, this is a nonspecific inflammatory reaction caused by an immune function disorder of the body. The probability of recurrence of this disease is not particularly high. Patients should pay attention to exercising and enhancing their physical fitness. During the onset of the disease, treatment with corticosteroids, B vitamins, etc., should be given, and the prognosis is generally good with a very low recurrence rate. However, it should be noted that sometimes facial paralysis may be caused by other diseases, such as some tumors, especially malignant lymphomas, whose initial symptoms might affect the facial nerve, causing repeated paralysis. Clinically, when seeing patients with repetitive facial neuritis, it is crucial to consider the possibility of such diseases to avoid missed diagnoses. (Medication should be used under the guidance of a doctor.)

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Written by Zhang Hui
Neurology
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Does facial neuritis cause facial pain?

Facial neuritis is mainly caused by idiopathic facial nerve paralysis, which primarily manifests as paralysis of the facial muscles. Symptoms include deviation of the mouth, eyelid closure, lack of strength in opening the eyes, and shallowing of the nasolabial fold. Some patients' conditions are related to viral infections, which may cause facial pain. However, the pain is generally not very severe, and anti-viral medications can be used for treatment, which are somewhat effective. Additionally, active treatment of facial neuritis mainly involves the use of corticosteroids and is supported by the administration of B-group vitamins. Most patients, with timely and active treatment, have a relatively very good prognosis, with many experiencing no residual effects. (Please take medications under the guidance of a professional physician, do not self-medicate.)

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Does facial neuritis need treatment?

Bell's palsy is a nonspecific inflammatory reaction, primarily caused by impairment of the facial nerve leading to paralysis of the facial muscles. In general, if the symptoms of Bell's palsy are mild, such as slight drooping of the corner of the mouth and drooling, there is a possibility for spontaneous recovery. However, if the symptoms of Bell's palsy are severe, and the patient also has risk factors for diabetes, these symptoms mainly include noticeably shallower forehead wrinkles, weakness in opening and closing the eyes, inability to close the eyes while sleeping, and very severe facial paralysis. In such cases, spontaneous recovery is difficult, and active treatment is required. Treatment mainly includes corticosteroid drugs and B vitamins, along with some rehabilitative training. In summary, Bell's palsy can resolve on its own if the symptoms are mild; however, if the symptoms are severe, timely treatment is necessary to avoid lasting effects.