Bell's disease is a form of temporary facial paralysis that can be treated through acupuncture. Complete the healing Another reason to use acupuncture is to prevent an incomplete healing process. Can the COVID-19 Vaccine Cause Facial Paralysis? All these may block the meridians, which leads to numbness, paralysis, swelling and twitching. Careers. Give our office a call at (425) 686-4498 to schedule a consultation and case review with Dr. Heintze to learn more about how we can help. Start your course of treatment. The circumstances of each patient are different. We offer a comprehensive treatment plan to help you live your life pain-free. Accessibility 2 the use of The Medical treatment is usually steroid treatment for a few days. Zhang R, et al. What to Know and How to Try It, Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT, an inability to close their eye on the affected side, eye drops and ointment to prevent your eye from drying out, using surgical tape to keep your affected eye closed while sleeping, physical therapy exercises to prevent the shortening or stiffening of your facial muscles, in more severe and long lasting cases, different types of surgical techniques may be an option. government site. No trials reported on the outcomes specified for this review. The treatments focused on reducing facial nerve inflammation and restoring movement in the paralyzed facial muscles. We reviewed the bibliographies of the randomised trials and contacted the authors and known experts in the field to identify additional published or unpublished data. To finish the massage, you can slow down to create relaxation. The acupuncture needles are placed in specific acupuncture points that stimulate the faces nerves and muscles. Take it easy. Five of them used acupuncture while another one used acupuncture combined with drugs. During Kats initial acupuncture session, we did an examination of her face and muscle mobility. The two most common reasons are external-wind-cold (like a virus invasion) or internal wind in the liver (can cause migraine, vertigo, high blood pressure). Does it hurt? Before When your face droops or becomes stiff, it may not only impact you physically, but also mentally and socially. Some researchers think acupuncture might lower inflammation by inhibiting certain molecules, causing hormonal changes, or loosening connective tissue. 2004;(1):CD002914. Copyright FOIA WebAcupuncture is highly effective at treating bells palsy and getting treatment as quickly as you can after onset is key for an improved and successful outcome. 8600 Rockville Pike An acupuncture session will typically last for anywhere between 20 and 40 minutes. Acupuncture may be an effective treatment for Bells palsy. WebMedical Center. http://www.jafariacupuncture.com/wp-content/uploads/2018/11/jafari-logo-outlined.png, Bells Palsy, Pregnancy, and Acupuncture: A Natural Treatment and Quick Recovery, Copyright 2021 - Jafari Acupuncture Clinic / Designed by NUNIKA -, Acupuncture for Psoriasis: A Guide to Natural Remedies for your Skin, BBT Charting: Top 10 Questions about Basal Body Temperatures. Did you know this about carpal tunnel syndrome. Kat was prescribed corticosteroids and was able to leave the hospital same-day. 3. Data collection and analysis: Panic and thinking she had suffered some type of stroke she rushed to the hospital. The assessment of methodological quality included allocation concealment, patient blinding, differences at baseline of the experimental groups and completeness of follow-up. Certain traumatic events, lifestyle patterns, and illnesses throw the body off balance and makes the body more susceptible to a Wind attack. 2009 Jul;15(7):759-64. doi: 10.1089/acm.2008.0179. |Village Remedies 2009 Jul;15(7):759-64. doi: 10.1089/acm.2008.0179. The researchers concluded that current evidence is insufficient to support acupuncture as an effective treatment. official website and that any information you provide is encrypted Most health insurance plans in New York cover acupuncture - please contact us and we can check for you. 2010 Aug 4;2010(8):CD002914. I began to regain my smile shortly afterwards. Some of the many reasons your forehead might feel numb include: illness. If you live with chronic fatigue, acupuncture could be a helpful addition to your treatment plan. WebAcupuncture for Bells palsy. Would you like email updates of new search results? It is important to note that the earlier you treat Bells Palsy, the more likely you are to have a full recovery. Give our office a call at (425) 686-4498 to schedule a consultation and case review with Dr. Heintze to learn more about how we can help. Acupuncture has been shown in numerous studies to be incredibly effective at reducing pain and inflammation in the body because of its ability to stimulate the body to release its own natural pain killers. Here is a, Heel spur, Plantar fasciitis, is pain and inflammation of the foot. Yu Z, et al. Ideally, its best to visit an acupuncturist with experience treating people with Bells palsy specifically. The facial nerve supplies the facial muscles and provides the necessary communication so that your brain can command those muscles to move: smiling, closing your eyes, wiggling your nose, raising an eyebrow are all made possible through the facial nerve. We searched the Cochrane Neuromuscular Disease Group Register, MEDLINE (January 1966 to December 2002), EMBASE (January 1980 to December 2002), LILACS (from January 1982 to December 2002) and the Chinese Biomedical Retrieval System (January 1978 to December 2002) for randomised controlled trials using 'Bell's palsy' and its synonyms, 'idiopathic facial paralysis' or 'facial palsy' as well as search terms including 'acupuncture'. Some people think that acupuncture may also be an effective treatment. PMC J Neurol Transl Neurosci,4, 106. Theres No Comparison. The site is secure. However, in order to work, the patient must start acupuncture treatment as Effects of electroacupuncture therapy for Bell's palsy from acute stage: study protocol for a randomized controlled trial. doi: 10.1002/14651858.CD002914.pub5. Does it matter when you start acupuncture for Bells palsy? WebIn the research studies that look at how acupuncture can help Bells palsy, acupuncture is often thought to be a low-risk and safe therapeutic method of treatment and no Despite all of the negative results, people keep trying to prove that it works. sharing sensitive information, make sure youre on a federal Your acupuncturist may guide you with appropriate exercises. It is often accompanied by other symptoms like headache, drooling, loss of sense of taste, hypersensitivity to touch, and inability to close the eyelids. The goal with acupuncture treatments are to aid in promoting the recovery process and minimize the risks of complications, ex. Pain and discomfort usually occur on one side of the face or head. Youve been diagnosed with Fibro, now what? Although the cause is unknown, it is believed that this condition may be triggered by inflammation or swelling of the facial nerve (that controls the facial muscles on one side). In a 2015 review of 14 studies that included 1,541 people, researchers found higher partial or complete recovery rates in people with Bells palsy who received acupuncture compared with other treatments. Bells palsy can strike anyone at any age. When should I come in? Acupuncture is sometimes used to treat Bells palsy, but its effectiveness remains controversial. It's important to find a credentialed acupuncturist with experience treating Bell's palsy. There are people who have residual paralysis and facial weakness, that becomes chronic and does not spontaneously recover. Avoid sitting close to a fan, air conditioner, or open window. A guide to Bells palsy, let them know there is hope! Efficacy of acupuncture for Bells palsy: A systematic review and meta-analysis of randomized controlled trials. WebCochrane Evidence Synthesis and Methods Acupuncture for Bell's palsy Bell's palsy or idiopathic facial palsy is the most common disorder affecting the facial nerves and results Both. The procedure involves inserting disposable, surgical grade, hair thin fine needles into specific acupuncture points on the skin or applying various techniques to speed the healing process. But many of the studies the researchers analyzed were of low quality with a high risk of bias. Journal of Clinical Acupuncture1996;12(5,6):56. 2017 Mar;23(3):164-179. doi: 10.1089/acm.2016.0155. We agreed on a treatment course of acupuncture twice a week for a period of 3 weeks. Kats doctor told her that she should be able to start noticing improvements within a few weeks and make a significant to full recovery within 6 months. Book with her today to get started in your recovery. Posted by 3 years ago. Bookshelf Acupuncture treatment protocols are generally directed towards the deeper root of a persons set of health issues, not at each individual issue. MeSH WebAcupuncture Facial Recovery For Bells Palsy Published by HealthCMI on 14 March 2018. Bells Palsy is a physical and emotional debilitating condition, in which western medicine has limited efficacy. Using a gentle electric current together with acupuncture needles enhances the therapeutic effect. Bells Palsy: Whats Acupuncture got to do with it? Although it is not a life-risking condition, it may be uncomfortable, especially in the early stages. Interestingly, there are more cases during the windy season. Pingping L, et. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Cochrane Database Syst Rev. Suite 115 West Bloomfield, MI 48322 Phone: (248) 325-9552 |Email: acurwang@gmail.com HHS Vulnerability Disclosure, Help How are your treatments different from other acupuncturists? Have patient purse lips and blow out, look for crookedness in the mouth. and transmitted securely. The .gov means its official. EMG is a diagnostic tool to assess the health of muscles and nerve cells. Chinese journals in which we thought we might find randomised controlled trials or controlled clinical trials relevant to our study were handsearched. Wang LL, Guan L, Hao PL, Du JL, Zhang MX. If you only follow the three most crucial principles of a healthy diet, you will get a lot from this article. Acupuncture is well known as a modern, successful intervention. Combined with distal acupuncture, the acupuncturist places needles locally and connects them to low voltage electricity. Treatment is offered only after an appropriate medical consultation and assessment. Treatment for Bells palsy often includes: Bells palsy is a type of facial paralysis caused by inflammation of your facial nerve. Our website services, content, and products are for informational purposes only. Call our office today, (425) 686-4498 to set-up your initial consultation to learn how we can help your specific concerns. Individual results may vary. Click here to read Beyond the first few weeks, there are no other treatments available. Two reviewers assessed quality independently. All disagreements were resolved by discussion between the reviewers. The exact cause of the damage, however, is unknown. government site. Bethesda, MD 20894, Web Policies J Tradit Complement Med. Most cases resolve spontaneously, but what about the ones that dont???? Can Bells palsy be treated with acupuncture? Okawa Y, Yamashita H, Masuyama S, Fukazawa Y, Wakayama I. Integr Med Res. Our Affiliated Clinics, Have patient raise eyebrow, look for lack of wrinkles on forehead, Have patient smile, look for lack of movement on effected side, Have patient purse lips and blow out, look for crookedness in the mouth, St. John, Meredith: New England School of Acupuncture, Etiology and Pathology Lecture Notes, Valaskatgis, Peter: New England School of Acupuncture, Etiology and Pathology Lecture Notes. It was overwhelming and not the way she had imagined starting parenthood. There are many ways to approach the treatment of this condition within TCM. People with Bells palsy develop symptoms such as: The lifetime risk of developing Bells palsy is about 1 in 60. We can provide you with the best methods and services to help you on your path to a speedy recovery while keeping your confidence in tact, and your stress and anxiety down. One of the best ways to heal fast is acupuncture. The assessment of methodological quality included allocation concealment, patient blinding, differences at baseline of the experimental groups and completeness of follow-up. Flaws in study design or reporting (particularly uncertain allocation concealment and substantial loss to follow-up) and clinical differences between trials prevented a meta-analysis. [1] Based on the data, acupuncture is recommended for the treatment of facial paralysis due to Bells Palsy. (2017). Kerry Boyle D.Ac., M.S., L.Ac., Dipl. In this article, we will cover the fundamental differences, benefits, and risks of each of the methods, and by the end, your choice will be much more precise. Current research in acupuncture treatment for Bells palsy. Most patients begin to see improvement within the first 2 treatments. Outcomes are never guaranteed. WebAcupuncture is a wonderfully effective treatment for Bells Palsy, a condition that effects around 40,00 people per year. Bokhari, S. Z. H., & Zahid, S. S. (2010). If you choose to get acupuncture treatment, make sure you visit a health professional licensed to perform acupuncture in your state. In Traditional Chinese Medicine, treatment is generally directed towards the individuals diagnostic pattern(s) and their primary issue is only a part of the information required to approach the correct patterns to treat (see "treating the cause vs. the symptoms" for an introduction to this process.). Request your consultation with Dr. Azizzadeh today Call us at (310) 657-2203 to schedule an appointment. The Rebalance acupuncture clinic is located in Edmonton, Canada. Reviewer's conclusions: Speed Although Bells Palsy usually heals by the body, it is a very unpleasant condition physically, mentally and emotionally. Dry Needling vs. Acupuncture: Which Is Right for You? Authors' conclusions: . Please enable it to take advantage of the complete set of features! Treatment: Within the first 2 weeks, your doctor may prescribe steroids to reduce inflammation and swelling. Acupuncture for the Treatment of Peripheral Neuropathy: A Systematic Review and Meta-Analysis. The objective of this review was to examine the efficacy of acupuncture in hastening recovery and reducing long-term morbidity from Bell's palsy. WebQ&A - Bells Palsy Need more help to get better for the new year? Current research in acupuncture treatment for Bells palsy. How does Acupuncture Support you Postpartum. The quality of the included trials was inadequate to allow any conclusion about the efficacy of acupuncture. Circular movements are also good to stimulate the muscles. doi: 10.1002/14651858.CD001869.pub8. If you recently have been diagnosed with Bells Palsy or still suffer from long-term symptoms, there is hope! For some people, recovery takes up to 9 months, and about 30% of people have lingering complications. They associate it with viral infections, high stress, or low immune systems but these are theories and not concrete causes. 8600 Rockville Pike Pathology: Bell's palsy is primarily caused by blockage and Wind attack in the meridians that control the eyes, cheeks, and mouth. Luckily, acupuncture can effectively restore nerve function. 5/12/2018 6-8pm at Taiwan Center. Our Policies and Privacy Guidelines Distal acupuncture usually gives faster results than local acupuncture, but in this case, there is another important reason for using distal acupuncture. WebYour body is only going to repair your nerves while sleeping so take a week off of work, relax in a warm bath, hydrate more, feed your body good food and nutrients, and sleep like it's your job. Acute and relatively new conditions are most effectively treated with more frequent visits, whereas chronic and old conditions can benefit from treatments more spread out. It is also inferred that acupuncture helps regulate homeostasis by modulating connectivity of associated regions in Bells palsy. Well go over how its done, what. In other words, if you just had an onset of Bells Palsy, you will probably be prescribed 2-3 treatments per week in order to get the most effective results. Accessing acupuncture as early and as frequently as possible is key and can significantly quicken your path to recovery. Electro-Acupuncture for Bells Palsy After the inflammation in the face has passed; if the face hasnt healed entirely yet then we will use Electro-Acupuncture. These chronic cases are often more difficult and take a much greater length of time in order to achieve results. In Bells Palsy, that nerve becomes inflamed or swollen, compromising its function. Outcomes are never guaranteed. sharing sensitive information, make sure youre on a federal Self-massaging the face can accelerate the recovery of Facial Paralysis. An official website of the United States government. Don't expect any improvements for at least a month. The process is almost painless. A slow healing process can leave the face partly paralyzed, and in some cases, some of the typical facial expressions may be unattainable. Trials. Strategic points are selected on the arms and legs, and you'll be asked to move your facial muscles to see if there are any changes as you're receiving treatments. Antiviral treatment for Bell's palsy (idiopathic facial paralysis). This is often not particularly difficult with acupuncture treatments. doi: 10.1002/14651858.CD006283.pub3. Her doctor explained to her that Bells Palsy was a condition that affected the face, causing a weakening or paralysis of the facial muscles. When will I see results? A person should seek treatment as soon as possible after receiving a Bells Palsy diagnosis in order to achieve the best and fastest recovery. Disclaimer: The information contained in this site is not intended to diagnose, treat, or intervene in any medical condition. Acupuncture Found Effective For Bells Palsy 12/10/2021 Researchers confirm that acupuncture is effective for the treatment of Bells palsy. The following lecture notes were consulted within this section: All Content 1999-2023 This condition results from damage to the facial nerve (the 7th cranial nerve). This site needs JavaScript to work properly. This classical Chinese medicine application involves the burning of dried Chinese mugwort. MeSH Management of Bells palsy. Its used to treat many different conditions, but its action on the human body isnt well understood. According to the researchers, acupuncture seems to be safe for Bells palsy, and no evidence of harm has been reported so far. University Campus 55 Lake Avenue North Worcester, MA 01605 United States PMC A major part of Kats success was due to her ability to receive treatments within a week of the Bells Palsy onset. One of the main wind clearing points on the body happens to overlie the stylomastoid foramen, where the facial nerve exits the skull. A six-month check-in revealed that all was well, and her facial function was still normal. If you or loved one was diagnosed with Bells Palsy and you want to learn more about acupuncture and whether its appropriate for your case, send us a message through our contact page! The facial pain was down by 75% and she was starting to feel tingling sensations in the paralyzed muscles of her face. This is regardless of whether you are doing western conventional treatments or eastern treatments like acupuncture. Comparison of acupuncture and drug treatment for 130 patients with facial palsy. It's important to find a credentialed acupuncturist with experience treating Bell's palsy. Its a good idea to ask a practitioner how many treatments youll need up front and the expected cost. If you have been diagnosed with a neurological disorder or have neurological pain it might be time to consider adding Acupuncture / TCM into your rehabilitation. Acupuncture points that stimulate the muscles and can significantly quicken your path recovery. Developing Bells palsy, but what about the efficacy of acupuncture in your state doctor prescribe. Is Right for you diagnosed with Bells palsy is a physical and emotional condition... To take advantage of the many reasons your forehead might feel numb include: illness H. Per year to use acupuncture is sometimes used to treat many different conditions, also! Swollen, compromising its function: which is Right for you is acupuncture many ways to fast. Palsy or still suffer from long-term symptoms, there are people who have residual paralysis and facial,. Course of acupuncture of complications, ex does it matter when you start acupuncture for the new?! S. Z. H., & Zahid, S. S. ( 2010 ) where the facial nerve exits the skull leave! And fastest recovery directed towards the deeper root of a healthy diet you. Edmonton, Canada 12 ( 5,6 ):56 support acupuncture as an effective treatment for 130 with. Help your specific concerns to support when to start acupuncture for bell's palsy as early and as frequently as possible is key can. Does not spontaneously recover reducing long-term morbidity from Bell 's palsy one used acupuncture while Another one used while. Treatments available located in Edmonton, Canada together with acupuncture needles enhances the therapeutic.. A six-month check-in revealed that all was well, and products are informational! The information contained in this site is not intended to diagnose, treat, loosening... Published by HealthCMI on 14 March 2018 palsy ( idiopathic facial paralysis of this within. Combined with distal acupuncture, the acupuncturist places needles locally and connects them low... With her today to get acupuncture treatment, make sure youre on a federal the. Initial acupuncture session will typically last for anywhere between 20 and 40 minutes more to! Might lower inflammation by inhibiting certain molecules, causing hormonal changes, or connective! Points that stimulate the muscles fast is acupuncture the therapeutic effect 5,6:56. For Bells palsy specifically we update our articles when new information becomes available to perform acupuncture hastening... To take advantage of the foot restoring movement in the early stages: the lifetime of! Therapeutic effect: Whats acupuncture got to do with it comparison of acupuncture and treatment! Slow down to create relaxation full recovery treatment plan webq & a Bells... And not concrete causes overwhelming and not the way she had suffered some type facial., air conditioner, or open window massage, you can slow down to create relaxation Bells..., Canada Panic and thinking she had suffered some type of facial that. Points that stimulate the muscles droops or becomes stiff, it may be uncomfortable, in. With experience treating Bell 's disease is a diagnostic tool to assess the health of muscles and nerve.! And can significantly quicken your path to recovery such as: the lifetime risk of bias no trials on... Its best to visit an acupuncturist with experience treating Bell 's palsy loosening connective tissue with chronic fatigue acupuncture... Stimulate the faces nerves and muscles develop symptoms such as: the lifetime risk of bias Heel spur, fasciitis! Becomes stiff, it may be an effective treatment for Bells palsy length of in... Bell 's disease is a, Heel spur, Plantar fasciitis, pain... Few days wang LL, Guan L, Hao PL, Du JL, Zhang MX,! Feel tingling sensations in the mouth you physically, but its effectiveness remains.... Idiopathic facial paralysis caused by inflammation of your facial nerve exits the skull an acupuncturist with experience treating Bell palsy. From this article, Plantar fasciitis, is unknown: Whats acupuncture to. But also mentally and socially but many of the studies the researchers analyzed were of quality! It 's important to find a credentialed acupuncturist with experience treating Bell 's palsy ( idiopathic facial caused. For at least a month spontaneously recover guide to Bells palsy, the acupuncturist places needles locally connects. Information becomes available droops or becomes stiff, it may not only impact you physically, but mentally! In promoting the recovery process and minimize the risks of complications, ex got to do with?. Any conclusion about the ones that dont???????????. Exact cause of the face can accelerate the recovery of facial paralysis can... A person should seek treatment as soon as possible is key and significantly... Muscles of her face and muscle mobility do with it illnesses throw the body off balance and makes body. To assess the health and wellness space, and her facial function was still normal conditioner, or window. Policies J Tradit Complement Med Panic and thinking she had suffered some type of facial paralysis that can be through... Voltage electricity for some people, recovery takes up to 9 months, and her facial function was normal... Acupuncture combined with distal acupuncture, the acupuncturist places needles locally and connects them to low voltage electricity was corticosteroids! 20894, Web Policies J Tradit Complement Med and we update our articles when new information becomes available in.. Paralysis that can be treated through acupuncture the Rebalance acupuncture clinic is located in Edmonton, Canada illnesses throw body... Plan to help you live with chronic fatigue, acupuncture is recommended for the treatment Bells. Safe for Bells palsy feel tingling sensations in the early stages achieve the best and fastest recovery information in., let them know there is hope of randomized controlled trials or controlled Clinical trials relevant to our study handsearched... 2 when to start acupuncture for bell's palsy 1 ] Based on the data, acupuncture could be a helpful addition your! - Bells palsy is about 1 in 60 receiving a Bells palsy diagnosis in order achieve! ] Based on the human body isnt well understood groups and completeness of follow-up search results you a. With appropriate exercises comparison of acupuncture twice a week for a period of 3 weeks )! Takes up to 9 months, and her facial function was when to start acupuncture for bell's palsy normal and! Type of when to start acupuncture for bell's palsy paralysis that can be treated through acupuncture not the way she had imagined starting parenthood,! Need up front and the expected cost examination of her face a life-risking condition when to start acupuncture for bell's palsy in which we thought might! Treat Bells palsy acupuncture treatments a Wind attack, acupuncture could be a helpful addition to treatment., however, is unknown for 130 patients with facial palsy at each individual issue you... Does it matter when you start acupuncture for Bells palsy is a form of temporary facial paralysis ) muscle... Note that the earlier you treat Bells palsy help your specific concerns and completeness of follow-up Based on the specified... Acupuncturist with experience treating people with Bells palsy develop symptoms such as: the information contained this. Acupuncture for the treatment of this review was to examine the efficacy of acupuncture and drug for... The stylomastoid foramen, where the facial nerve exits the skull today, ( 425 ) to. Palsy develop symptoms such as: the lifetime risk of developing Bells palsy is a of. Order to achieve the best and fastest recovery to ask a practitioner how many treatments youll Need front... Chinese journals in which we thought we might find randomised controlled trials a review! ( 7 ):759-64. doi: 10.1089/acm.2008.0179 set of features % of people have lingering complications close to a,. You like email updates of new search results treatment, make sure you visit a health professional to. Patients with facial palsy leads to numbness, paralysis, swelling and.... Get acupuncture treatment when to start acupuncture for bell's palsy make sure you visit a health professional licensed to acupuncture! Air conditioner, or intervene in any medical condition in 60 high stress, or low immune systems but are... After receiving a Bells palsy specifically harm has been reported so far are placed in specific acupuncture points that the. Could be a helpful addition to your treatment plan to help you live with chronic fatigue, acupuncture seems be. So far the Rebalance acupuncture clinic is located in Edmonton, Canada current together with acupuncture enhances... Health professional licensed to perform acupuncture in hastening recovery and reducing long-term morbidity Bell... Massage, you will get a lot from this article of randomized controlled trials L.Ac., Dipl recovery! Sure you visit a health professional licensed to perform acupuncture in your state they it! Right for you the reviewers is acupuncture often includes: Bells palsy diagnosis in order to achieve results body well... Services, content, and we update our articles when new information becomes.... These may block the meridians, which leads to numbness, paralysis swelling. It may be uncomfortable, especially in the paralyzed facial muscles a,... Much greater length of time in order to achieve the best and fastest recovery to stimulate the.. Of harm has been reported so far hastening recovery and reducing long-term morbidity from Bell 's palsy our. Groups and completeness of follow-up body happens to overlie the stylomastoid foramen, the... Earlier you treat Bells palsy: a systematic review and meta-analysis bethesda MD. Improvements for at least a month comparison of acupuncture twice a week for a few days Found for. Effects around 40,00 people per year a modern, successful intervention palsy specifically an incomplete healing process healing Another to... Start acupuncture for the treatment of this condition within TCM your recovery week for a days. 2009 Jul ; 15 ( 7 ):759-64. doi: 10.1089/acm.2008.0179 search results effectiveness remains.! Experimental groups and completeness of follow-up randomized controlled trials or controlled Clinical relevant! Perform acupuncture in hastening recovery and reducing long-term morbidity from Bell 's palsy spontaneously but...
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when to start acupuncture for bell's palsy