Steroids Given Early for Bell’s Palsy

     Bell’s palsy, weakness or paralysis of muscles on one side of the face caused by damage to a facial nerve, ranges from mild weakness to total paralysis on one side of the face. Symptoms of Bell’s palsy include headache, ear pain, sudden weakness on one side of the face, and possible loss of taste in the front of the tongue. This condition may occur at any age, although occurs more often in pregnant women, persons with diabetes, persons with compromised immune systems, and in persons with the flu or a cold. Bell’s palsy resolves on its own within several weeks or months in most persons. Although the exact cause of this condition is unknown, it is thought that an infection caused by the herpes simplex virus, results in swelling and injury of the facial nerve, which leads to weakness or paralysis of facial muscles.

     Although it is not known whether treatment will affect the outcome of Bell’s palsy, as this condition typically resolves without treatment, there are medications that may be prescribed. Steroids, such as prednisone, may be prescribed within the first few days of symptoms to reduce inflammation and swelling. Acyclovir (Zovirax) and famciclovir (Famvir) are antivirals that are sometimes prescribed to help reduce damage to the facial nerve. Facial massages also may be prescribed.