Syed Zahid Hussain Bokhari, Syeda Samina Zahid


Background: Bell’s palsy is an idiopathic, acute peripheral-nerve palsy involving the facial nerve
which supplies all the muscles of facial expression. This study was conducted to evaluate the
effects of Electro-Acupuncture on patients with Facial Palsy. Methods: This study was conducted
on patients with facial palsy at a private clinic at Peshawar during 1999–2009, and 49 cases were
included in the study. All those cases that were within first two weeks of illness or who had related
history of stroke or they had upper motor neuron lesion were not included in the study. Electroacupuncture was used as the main therapeutic technique to treat these cases. Patients were
subjected to acupuncture treatment at four major points on the face for 20–25 minutes everyday
for 10 days. Specific points were used for nasolabial fold and watering of the eye. After rest for a
week patients were again evaluated and another course of treatment comprising of 5–10 days was
sufficient in most cases. Frequency of electro-acupuncture is kept at 60–80 cycles per minute.
Results: Total number of patients studied was 49 with duration of illness as early as 3 weeks to a
year and above. Cases with duration of illness from 3 weeks onward showed rapid recovery of
palsy symptoms with electro-acupuncture. All cases showed recovery. Palsy of the angle of the
mouth did not recover completely. Conclusion: Electro-acupuncture is effective in treating facial
palsy cases.
Keywords: Facial palsy, Bell’s palsy, Electro-acupuncture

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Tiemstra JD, Khatkhate N. Bell’s Palsy: Diagnosis and

Management. Am Fam Physician 2007;76.997–1002.

Bell’s palsy. Available at:


Gilden DH. Clinical practice. Bell’s palsy. N Engl J Med


Morris AM, Deeks SL, Hill MD, Midroni G, Goldstein WC,

Mazzulli T, et al. Annualized incidence and spectrum of illness

from an outbreak investigation of Bell’s palsy.

Neuroepidemiology 2002;21:255–61.

Peitersen E. Bell’s palsy: the spontaneous course of 2500

peripheral facial nerve palsies of different etiologies. Acta

Otolaryngol Suppl 2002;549:4–30.

Bokhari Z, Zahid S. The role of acupuncture in arthritis of the

knee joint in addition to local steroid injection. J Postgrad Med

Inst 2006;20(1):36–9.

Bokhari Z, Zahid S. Pain management in Lumbago: role of

acupuncture in addition to local steroid infiltration at trigger

points. J Postgrad Med Inst 2007;21(2):141–5.

J Ayub Med Coll Abbottabad 2010;22(4) 73

Bokhari Z, Zahid S. Treatment of frozen shoulder. J Postgrad

Med Inst 2009;23(2):184–8.

Holland NJ, Weiner GM. Recent developments in Bell’s palsy:

Clinical review. BMJ 2004;329:553–7.

Gillman GS, Schaitkin BM, May M, Klein SR. Bell’s palsy in

pregnancy: a study of recovery outcomes. Otolaryngol Head

Neck Surg 2002;126:26–30.

He L, Zhou D, Wu B, Li N, Zhou MK. Acupuncture for Bell’s

palsy. Cochrane Database Syst Rev 2004;1:CD 002914.

Hato N, Yamada H, Kohno H, Matsumoto S, Honda N, Gyo K,

et al. Valacyclovir and prednisolone treatment for Bell’s palsy: a

multicenter, randomized, placebo-controlled study. Otol Neurotol


Sullivan FM, Swan IR, Donnan PT, Morrisan JM, Smith BH,

McKinstrv B, et al. Early Treatment with prednisolone or

acyclovir in Bell’s palsy. N Eng J Med 2007;357:1653–5.

Ohtake PJ, Zafron ML, Poranki LG, Fish DR. Does electrical

stimulation improve motor recovery in patients with idiopathic

facial (Bell) palsy? Evidence in Practice. Phys Ther


Li Y, Liang FR, Yu SG, Li CD, HuL X, Zhou D, et al. Efficacay

of Acupuncture and moxibustion in treating Bell’s palsy. A

multicentre randomized controlled trial in China. Chin Med J

(Engl) 2004;117:1502–6.

Nippon, Jiblin Koka, Gakkal, Kaiho. Acupuncture and

moxibustion in treating Bell’s palsy. Chin Med J (Engl)


Wang S, Hu HC, Wang DS. Randomized controlled study on

reinforcing method of acupuncture for treatment of Bell's palsy at

restoration stage.Zhongguo Zhen Jiu 2008;28:111–3.

Zhang D. A method of selecting acupoints for acupuncture

treatment of peripheral facial paralysis by thermography. Am J

Chin Med 2007;35:967–75.

Fu XH. Observation on therapeutic effect of acupuncture on early

peripheral facial paralysis. Zhongguo Zhen Jiu. 2007;27:494–6.


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