Progress in synkinesis
Small involuntary movements may develop. These are a sign that the nerve is recovering and it is normal and unavoidable, but it is vitally important to minimise its development.
When you notice any small synkinetic movements lots of care and gentle practice at this point is vitally important to minimise the amount of synkinetic movement you develop. If you do not take care at this early synkinetic stage, you may find that you do not progress but the synkinesis actually gets worse and can have a negative impact on your muscle health.
It is difficult to get rid of synkinetic movements which are ingrained or very strong.
- Progress will become much slower once you reach the synkinetic stage and without following a rehabilitation programme you will not progress.
- You will need to actively participate in therapy on a daily basis to progress. Unless you adhere to a daily programme of muscle releases, relaxation and careful movement repatterning exercises, you may find that you will struggle to progress.
- The nerve can continue to recover albeit slowly for 12 – 18 months. You can maximise this recovery and make progress by learning as much as you can about your facial palsy and making your rehabilitation programme part of your daily routine just like brushing your teeth.
- More importantly, you may go backwards, and your facial muscles may become so stiff and tight that you notice movements are becoming even more restricted, muscles may feel even more painful and synkinesis may appear in multiple muscles during all of your facial expressions.
It is unusual not to make any progress at all especially if you are following all the advice and make your rehabilitation programme part of your daily routine. If you are in any doubt about your progress or you should ask your GP for a referral to a clinician experienced in the management of facial palsy.
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