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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 A

DOI: 10.12659/AJCR.937511

Am J Case Rep 2022; 23:e937511

Table 1. Cases of Bell’s palsy responding positively to chiropractic spinal manipulation.

AuthorYearPatient ageSexSymptoms other than facial paresis*Symptom duration (months)Region of spinal manipulation**
Alcantara200349FPhonophobia, TMJ and neck painNRUpper cervical/occipital
Cotton201147FFacial paresthesia, sinus pressure, neck tension60Upper cervical, cervical, thoracic
Current case202252FNeck and facial pain, facial paresthesia36Upper cervical, thoracic
Frach199218FAgeusia, TMJ and neck pain0NR
Frach199237MRetroauricular and neck pain, headaches, sensitivity to cold0NR
Kessinger199939MFacial numbness, neck, occipital, and jaw pain0Upper cervical
Kessinger199916FRetroauricular, jaw, zygomatic and facial pain0Upper cervical
Leuke198840FPhotophobia, sinus, and neck painNRCervical
Ng201446FNeck, periorbital, and perioral pain24Upper cervical/occipital
Nguyen201353MOccipital/cervical pain24Upper cervical
Shrode199317MFacial paresthesia0Cervical
Rubis201340MBurning eye sensation0Upper 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.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923