Common signs
- Asymmetry of the face, difficulty smiling or closing the eye
- Leaking saliva, difficulty drinking or speaking clearly
- Sometimes a changed sense of taste or sounds that are hard to tolerate
- Later on: tension or associated involuntary movements, called synkinesis
When to see a doctor
- Emergency: sudden onset with difficulty speaking, weakness in a limb, loss of balance or another neurological sign
- See a doctor promptly for any recent paralysis; treatment of Bell’s palsy is more effective within 72 hours
- See an eye doctor promptly if the eye is red or painful or your vision changes, especially if the eye does not close fully
What physiotherapy does
Specialised rehabilitation aims at the quality of facial control, comfort and limiting associated movements. It is adapted to the stage and does not replace medical treatments or protection of the cornea.
Techniques used at the practice
Depending on the stage and the assessment: gentle facial massage and muscle relaxation techniques, massage inside the mouth to work on tension and the mobility of the tissues around the mouth, selective facial movement exercises, neuromuscular retraining and work to reduce synkinesis.
How the sessions go
Assessment of facial symmetry at rest and in movement, of eye closure, of the mobility of the lips and cheeks, as well as of tension and associated movements. A personalised programme with progression and regular reassessments.
My pain diaryFill it in every day, show it at your sessionAdvice
Follow the instructions for protecting the eye and keeping it moist. Favour gentle, precise and controlled movements, without forced grimaces or excessive contractions. Only do the exercises suited to the stage of recovery.
Sources
- Symptômes, diagnostic et évolution de la paralysie faciale périphérique (new tab)Assurance Maladie (ameli.fr), accessed October 26, 2026
- Traitement d'une paralysie faciale périphérique (new tab)Assurance Maladie (ameli.fr), accessed October 26, 2026
- Bell's palsy (new tab)NHS (Royaume-Uni), accessed October 26, 2026
Page reviewed on October 30, 2026
This page is for information and does not replace a consultation. Only a doctor can make a diagnosis.