Evidence regarding treating Bell’s palsy condition
Bell palsy is an acute, idiopathic and commonly unilateral, peripheral facial paralysis. It has been a common believe that patients with Bell’s palsy can not be treated however this believe has been disregarded. This is due to evidence which shows that this condition can be treated once and for all. There is some indication that those suffering from the Bell’s palsy may get some benefit from a holistic chiropractic approach that does not only include the focus of examination and care of the primary regional areas of the complaint which include the face but also from the vertebral subluxation concomitants.
Those suffering from this problem need to be assessed with a thorough history which includes the onset, course and duration of the complaint.The use of corticosteroid for the anti-inflammatory effects and management of pain are some of its medical management. There should be some surgical intervention to decompress the nerves and also to restore the tone of the muscle also work.
Use of acupuncture as described by Jaskoviak et al. can also be used to treat the disorder. It shows some patients who were provided with the acupuncture and at the end of some period one of them showed no signs of the disorder.Ulrich also shows how the oesopathic cranial manipulative treatment for the patients with the disease can be done. This was to be done with the intervention of chiropractic.
High voltage pulsed galvanic current also was described to work in the treatment by Frach. This care consisted of prove which was held with a hand with an intensity to the prove of the patient. The outcome was positive for these patients in where it was used. Bell palsy could occur as a result of dental care. This indicates that if these linked treatments could be done keenly this problem could be solved once and for all. Manual adjustments of the spinal and the extraspinal subluxants using the gonstead technique is also a workable management of the problem.
Adjustments of the cervical spine is supported to have given good results. Utilizations of the upper cervical spine according to Kessinger et al is the best. According to Peterson the rate of recovery was estimated to be 80-85%. It is also notable that 94% of the recovering patients did so without any intervention and the complete recovery was given at 71%. It is essential to consider the role played by the history of Bell palsy in the recovery of the presented patients.
Comparing and Contrasting the “Chiropractic Care of a Patient with Vertebral Subluxation and Bell’s Palsy”
Patients with both disorders have utilized the use of adjustments. These ones cause the muscle to relax hence increasing the motion range which is within the articulations in addition to the overall; analgesic effects. These help in increasing the regional blood flow to the areas which are involved. Specifically the upper cervical spine; this improves vascular drainage and the edema resorption hence leading to compression to the facial nerve. This shows that it works for both disorders.
Holistic chiropractic approach which does not only include a focus regional areas of the complaint like the neck and the neck but also potentially from significant vertebral subluxation concomitants can also be used for both problems. This is because it has an emphasis on the examination of the nervous system as well as the articular biomechanics.The way in which these two conditions are approached in order to treat is not described in many literature.
Shortcomings found in case reports and a doctor’s clinical observations of treatment results in the Hartman’s paper
In this paper there are some notable shortcomings from the clinical observations of treatments results by the doctors.There has been a problem with the bias in the confirmation. For example people have diagnosed with some disorder but the medical practitioners go ahead to tell them what they would most likely want to hear but fail to disclose the reality of the matter. They end up not considering some of what they had got as the results for treatment.
Unpleasant psychological state which may be resulting from some elements of the cognitive system is a common problem among the doctors where there is inclination to avoid some cognitive disagreement.
The desire among the patients to be healed has been a problem where most of them fail to disclose their problems due to some fear that if they say their real conditions they will be viewed to be mismanaging money and time. This makes the practitioners not to interrogate them more and therefore end up not taking their illness serious although they may be seriously sick.
Since the role of the doctors is to heal they may be tempted to confirm success in their treatments even though it is true. This will be as a way of gaining their professional esteem in their work.It has been a common practice that if a doctor foresees that the patient will be healed from their treatments and they at times fail to tell them the truth but instead tell them what they had told them earlier to avoid contradiction.
How treatable the disorder of the Bell palsy is
This disorder can be treated using the high voltage pulsed galvanic current which is at 80peaks per second and the low amplitude to avoid fixation. This method is said to be very effective in the treatment due to the intensive technique used.
