Chronic facial pains and facial spasms, especially during strong emotions, cold weather and when exposed to the airco, are NOT the return of Bell’s palsy, but its complication called micro-contractures. The nature of those pains can be related to the mechanisms of cramps.
When the muscle is overloaded, especially in cold weather, it may cramp and cause pain. The whole surface of our head and neck, also behind the ears is covered with the relatively thin layer of muscles. All of them are innervated by the facial nerve and therefore, lose their connection with the brain when Bell’s palsy happens.
After the incomplete recovery from Bell’s palsy only part of facial muscle fibres restore their connection with the facial nerve. Those few recovered muscle fibres attempt to do the job of the whole muscle. Naturally, they become overloaded and eventually cramped. If the cramped condition persists, it becomes chronic, gives constant pains and may disfigure the face. Just as any cramped muscle, it can be painful to touch. The pain is then bruise-like. Sometimes it may feel like sudden bursts of pain.
When we experience strong emotions, our facial muscles receive intense signals from the brain. Those signals make the facial muscles contract, which causes more pain. That is why when you are stressed or tired or exposed to cold weather, airco, drafts etc., the pains and spasms of facial muscles worsen.
To relieve such acute facial pains and spasms I would suggest to use gentle massage on the massage oil or massage gel. Massage should be applied to the whole face, neck and head area. In the beginning it may be painful, but as you continue your massage session, the muscles will warm-up, relax and the pain will be (at least partly) relieved.
In addition, please learn to balance your emotions. When our emotions are in balance, the background contraction signals to the facial muscles are less intense and therefore will not produce pain. Some of you experience pain at night or early in the morning after waking up. These pains are related to our night dreams. As we dream, we also experience intense emotions with the same consequences as described above.
Learn to keep your emotions in balance, to relax your face consciously and to remain positive!
– Alex Pashov
Crystal Touch Bell’s palsy clinic