Sir, last 12 yrs, I am suffering from hemifacial spasm of left side of face starting fro lowerlid of eye to neck also, Please Suggest me what type of therapy will do? I have not taken any botox also.

Dr. Julie Mercy J DavidPhysiotherapist26yrs exp

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Hemifacial spasm is a nervous system disorder in which the muscles on one side of your face twitch involuntarily. Hemifacial spasm is most often caused by a blood vessel touching or pulsating against a facial nerve. It may also be caused by a facial nerve injury or a tumor. Sometimes there is no known cause. Hemifacial spasms aren't dangerous on their own. But a constant twitch in your face can be frustrating or uncomfortable. In severe cases, these spasms can limit function due to involuntary eye closing or the impact they have on speaking. Or most people, botulinum toxin injections are the most effective treatment for hemifacial spasm. A healthcare provider uses a tiny needle to inject a small amount of botulinum toxin around affected facial muscles. These injections temporarily weaken the muscles and stop the spasms. When should I worry about face twitching? There are several scenarios in which you should consult a doctor: if your twitching doesn't resolve after several weeks, if it intensifies or interferes with your vision, or if you simultaneously experience other significant symptoms, such as a headache or muscle weakness. 

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