19 September 2022: Articles
Concurrent Bell’s Palsy and Facial Pain Improving with Multimodal Chiropractic Therapy: A Case Report and Literature Review
Unusual or unexpected effect of treatment, Rare coexistence of disease or pathology
Eric Chun-Pu Chu A , Robert J. Trager C* , Alan Te-Chang Chen ADOI: 10.12659/AJCR.937511
Am J Case Rep 2022; 23:e937511
Table 1. Cases of Bell’s palsy responding positively to chiropractic spinal manipulation.
| Author | Year | Patient age | Sex | Symptoms other than facial paresis* | Symptom duration (months) | Region of spinal manipulation** |
|---|---|---|---|---|---|---|
| Alcantara | 2003 | 49 | F | Phonophobia, TMJ and neck pain | NR | Upper cervical/occipital |
| Cotton | 2011 | 47 | F | Facial paresthesia, sinus pressure, neck tension | 60 | Upper cervical, cervical, thoracic |
| Current case | 2022 | 52 | F | Neck and facial pain, facial paresthesia | 36 | Upper cervical, thoracic |
| Frach | 1992 | 18 | F | Ageusia, TMJ and neck pain | 0 | NR |
| Frach | 1992 | 37 | M | Retroauricular and neck pain, headaches, sensitivity to cold | 0 | NR |
| Kessinger | 1999 | 39 | M | Facial numbness, neck, occipital, and jaw pain | 0 | Upper cervical |
| Kessinger | 1999 | 16 | F | Retroauricular, jaw, zygomatic and facial pain | 0 | Upper cervical |
| Leuke | 1988 | 40 | F | Photophobia, sinus, and neck pain | NR | Cervical |
| Ng | 2014 | 46 | F | Neck, periorbital, and perioral pain | 24 | Upper cervical/occipital |
| Nguyen | 2013 | 53 | M | Occipital/cervical pain | 24 | Upper cervical |
| Shrode | 1993 | 15 | M | NR | 0 | Cervical |
| Shrode | 1993 | 17 | M | Facial paresthesia | 0 | Cervical |
| Rubis | 2013 | 40 | M | Burning eye sensation | 0 | Upper cervical |
| F – female; M – male; NR – not reported; TMJ – temporomandibular joint. * All patients had facial paresis as a symptom; ** ”upper cervical” denotes spinal manipulation at C1 or C2 while “cervical” implies that other cervical spine segments were targeted. | ||||||