Short answer · Medically reviewed summary · Last updated: 2026-04-06
The standard of care for Bell's palsy involves the early administration of oral corticosteroids to reduce facial nerve inflammation, often supplemented with antiviral medications depending on the suspected underlying viral trigger. First-line Medical Management For patients diagnosed with Bell's palsy, clinical guidelines emphasize starting oral corticosteroids (such as prednisone) within 72 hours of symptom onset to improve the likelihood of complete recovery. In cases where a viral etiology, such as the herpes simplex virus, is suspected, physicians may concurrently prescribe antiviral medications like valacyclovir (Valtrex) or acyclovir.
3 people with Bells Palsy have shared their first-person experience on this question at DiseaseMaps.
What are the best treatments for Bells Palsy?
Treatments for Bells Palsy: what real patients say works for them, alongside a medically reviewed overview citing sources like NIH GARD and Orphanet.
The standard of care for Bell's palsy involves the early administration of oral corticosteroids to reduce facial nerve inflammation, often supplemented with antiviral medications depending on the suspected underlying viral trigger.
First-line Medical Management
For patients diagnosed with Bell's palsy, clinical guidelines emphasize starting oral corticosteroids (such as prednisone) within 72 hours of symptom onset to improve the likelihood of complete recovery. In cases where a viral etiology, such as the herpes simplex virus, is suspected, physicians may concurrently prescribe antiviral medications like valacyclovir (Valtrex) or acyclovir. Because Bell's palsy causes the eye on the affected side to struggle with blinking, aggressive ocular protection is essential; this includes using lubricating eye drops during the day and protective ointments or taping the eye shut at night to prevent corneal abrasions.
Non-Pharmacological and Supportive Care
While pharmacological intervention addresses the acute inflammation, physical therapy is highly recommended for patients experiencing prolonged recovery. Facial exercises and neuromuscular retraining can help improve symmetry and muscle coordination. While some patients explore acupuncture, clinical evidence regarding its efficacy remains inconsistent, and it should be viewed as a complementary rather than a primary treatment. In rare, chronic cases where facial paralysis persists, surgical interventions such as eyelid weights or nerve grafting may be discussed with specialized surgeons.
The Multidisciplinary Team
The recovery trajectory for Bell's palsy varies significantly; while most patients experience a full recovery within weeks to months, some may face long-term nerve damage or synkinesis. A multidisciplinary approach is vital for optimal outcomes. Your care team should ideally include a neurologist to monitor nerve function, an ophthalmologist to protect ocular health, and a physical therapist specializing in facial rehabilitation. Because Bell's palsy can be distressing, consulting with a psychologist can also assist in managing the emotional impact of visible facial changes during the healing process.
Medical Disclaimer: This information is for educational purposes and does not constitute medical advice. Treatment plans must be personalized by your healthcare provider based on your unique clinical history. Never adjust medications or treatment protocols without consulting your physician.
References
- NIH Genetic and Rare Diseases Information Center (GARD): Bell’s Palsy
- Orphanet: Bell's Palsy
- American Academy of Neurology: Clinical Practice Guideline on Bell's Palsy
I also found laser treatments quite awesome at relieving the pain and bringing back some movement-- however 5 treatments only worked for about 2 months before regressing.
Wear the eye patch until your eye closes. I use 'refresh' eye drops during the day and eye ointment at night to prevent dry eye.
In major cities you can find doctors who treat this condition, but for many of us we do not live close enough to where the specialists are. Find a good neurologist local to you and they will help with getting you into PT and other things you need.
Posted Mar 20, 2017 by Amy 1050
Posted Dec 15, 2020 by jaschteddy53 100
Posted Mar 6, 2017 by Pablo 1045
