Bell’s Palsy
Vitamin B12
Vitamin B12 injections have been shown to be beneficial for people with Bell’s palsy.Dose:
Consult a qualified healthcare practitionerVitamin B12Vitamin B12 deficiency can cause nerve degeneration,4 and both oral5 and injected6,7 vitamin B12 have been used to treat many types of nerve disorders.8 One older case report described successful treatment of chronic Bell’s palsy with vitamin B12 injections of 500 to 1,000 mcg given every one to two days.9 A more recent trial compared the effect of 500 mcg of injected vitamin B12 (in the form of methylcobalamin) given three times weekly for at least eight weeks—steroid medication, or both. Researchers found significantly faster recovery in the groups given B12 injections with or without steroids, compared to those given steroids alone.10 These findings agree with earlier reports on the effectiveness of methylcobalamin injections for Bell’s palsy.11,12 It is unlikely that oral vitamin B12 would be similarly effective. People seeking B12 injections should consult a physician.
Holistic Options
Many reports claim that acupuncture speeds recovery from Bell’s palsy,13,14,15,16 but no controlled trials have been done to confirm this is neither a placebo effect nor the natural course of healing.
Hyperbaric oxygen therapy (HBT) is a procedure in which the patient breaths 100% oxygen at pressures up to three times greater than normal atmospheric pressure. A well controlled study of Bell’s palsy patients compared HBT plus a placebo tablet with fake oxygen therapy plus steroid medication.17 HBT produced significantly faster recovery (22 vs. 34 days) compared to the use of steroids.
Biofeedback techniques (using simple electronic devices to measure and report information about a person’s biological system) have been reported to help limit the deterioration of muscle function and speed recovery in Bell’s palsy.18,19 However, a controlled trial of patients with chronic facial paralysis (including some with Bell’s palsy) found that using a mirror as feedback was as effective as a mirror plus electrical biofeedback for improving facial symmetry and muscle function.20