Case Report on Postpartum Bell's Palsy: Successful Recovery with Integrated Unani, Steroid and Physiotherapy Regimen

Bell's palsy is a neurological condition that can occur in the general population; however, its incidence is increased during pregnancy and the postpartum period. Its pathophysiology may be linked to pregnancy-induced vascular and hormonal changes, including fluid retention and immune modulation. Due to limited evidence, there is no standardized treatment protocol for Bell's palsy in this population.

A postpartum female presented with sudden-onset unilateral facial weakness consistent with Bell's palsy. An integrative treatment approach was initiated, including a tapering dose of corticosteroids (Wysolone), Unani regimens and supportive care with an eye patch. The patient also underwent physiotherapy, which included transcutaneous electrical nerve stimulation (TENS), facial exercises, facial massage, along with supportive eye care using lubricating eye drops and eye patching, and steam therapy.

Over the course of one month, the patient demonstrated marked improvement in facial muscle function and symmetry, with substantial improvement of symptoms and no recurrence during the short-term follow-up.

This case underscores the importance of early diagnosis and a multidisciplinary management strategy in postpartum Bell's palsy. The patient showed a favourable outcome following integrated pharmacological, physiotherapeutic, and Unani management. However, more robust studies are needed to establish standardized guidelines for the treatment of Bell's palsy during pregnancy and the postpartum period.

Bell's palsy, postpartum, facial nerve palsy, physiotherapy, corticosteroids, transcutaneous electrical nerve stimulation, Unani Medicine, case report.