Bell's palsy is a condition that causes the facial muscles to become inflamed or swollen. Only one side of the facial muscles typically are affected and symptoms include drooping in a smile or an eye that has difficulty closing, according to the Mayo Clinic. While facial nerve palsy will typically cease with time, facial exercises can help to balance and regain motion in the face. Perform the exercises slowly and be realistic --- aim for slow gains in muscle strength and function.
Closing the Eye
For those with facial nerve palsy, even closing the eye can be problematic. This exercise from the Bell's Palsy Association can help you to close the eye. To perform, begin by looking down, then placing the back of the pointer finger over the affected eyelid. This will keep the eye closed. Leave this finger on the eyelid and take your opposite hand to stretch the eyebrow upward. Starting at the inside of the nose and then working your way outward, massaging along the eyebrow line. This will help to relax the muscles that control the eye, helping to facilitate eye opening and closing. Repeat on the other eye, then slowly and gently press the eyelids together. Open slightly as if you are squinting into the sun. Open the eyes to relax the muscles. You can repeat this exercise on a daily basis and when you are experiencing eye muscle stiffness.
Lip Movements
The lip muscles can become slackened due to facial nerve palsy. For this reason, exercises to loosen the skin can help to restore movement. You may wish to observe this exercises in the mirror. Close your lips and slowly pucker them. If your eyelid begins to twitch or droop, cease the compressions as this can affect the muscles of the eye. Now work to snarl the lip, attempting to lift it upwards, ceasing if you observe eye movement. Finally, smile to lift the corners of the mouth upward. In order to more successfully perform this task, you may wish to visualize the corners of your mouth smiling upward, then physically perform the exercise.
Forehead Lift
These exercises from the Cheltenham General Hospital Physiotherapy Department are designed to help you increase mobility in the forehead. Begin by performing these exercises in front of a mirror. Gently massage the forehead for a few minutes, then work to slowly raise your eyebrows as if you are surprised. You may wish to make the movement smaller if you feel the unaffected side working too hard. Perform this exercise two to three times per day.
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