Hello, I am suffering from Bells Palsy since 7 days I am visiting Physio for Electrical Stimulation therapy. Now my lower Jaw is paining due to this therapy... My defect is getting to normal now day by day... There is slight weakness on forehead and unable to smile....Shall I still continue with EMS ?

Ans: Hi Gaurav, get your Vit b-12 levels checked and get yourself physiotherapy treatment for the nerve compression. Meanwhile keeping your sugar levels in control will help in healing faster

Ans: Thank you for your query regarding physiotherapy following your surgery for Flexor Tenosynovitis of the thumb. It is possible for the index finger adjacent to the affected thumb to become sore during physiotherapy. This soreness can occur due to increased use or compensation during exercises aimed at improving thumb mobility. The muscles and tendons of the hand are interconnected, and stress on one area can affect adjacent areas. Ensure that your physiotherapist is aware of the soreness in your index finger so they can adjust your exercises or provide specific techniques to alleviate the soreness.

The time it takes to regain full movement in the thumb can vary based on the severity of the initial condition, the extent of the surgery, and individual healing rates. Generally, it may take several weeks to months. Stiffness is common in the early stages of recovery, but continued physiotherapy, including range-of-motion exercises and stretching, will gradually improve flexibility and movement. Many individuals can achieve significant improvement and even full recovery of thumb movement with consistent physiotherapy, but the extent of recovery can vary.In a retrospective study of 41 patients with flexor tenosynovitis, Dailiana et al. found that the best functional outcome associated with this condition resulted from early diagnosis, drainage through small incisions, and continuous postoperative irrigation. Worse outcomes were associated with delayed treatment and infections with specific pathogens. By following these guidelines and working closely with your physiotherapist, you should be able to maximize your recovery and regain as much thumb function as possible.

Ans: I’m sorry to hear about your diagnosis. Bell's palsy can be difficult to deal with, but many people experience good recovery with proper treatment and exercises. It's crucial to follow a structured rehabilitation program, preferably under the supervision of a physiotherapist.

Incorporate various facial exercises such as raising your eyebrows, blowing air, winking, inflating your cheeks, and puckering your lips as if to whistle. Additionally, gently massage your facial muscles. If you have trouble closing your eyes while sleeping, consider using a blindfold to protect them.