Frequently Asked Questions

We regularly receive questions about our services and conditions.  We have listed below some of the more frequent questions our patients ask.  If you cannot find the answer you are looking for please contact us.

Do I need a Doctor’s referral to attend for treatment?

No. Although if you have medical insurance it may be necessary to have a medical referral to enable you to claim your treatment costs.

How long do the treatment sessions last?

Our treatment sessions normally last for up to 90 minutes.

How often will I need treatment?

Our treatment is based on clinical need and following discussions with you. Generally, patients attend our clinic once every 2 to 3 months, and we provide a programme of treatment which you carry out on a daily basis at home.

Can you give me any general advice about eye care in facial palsy?

Here is a link to an advice page for care of the eye in facial palsy.  This page provides information on use of artificial lubrication, taping the eye closed at night if the eye is unable to close as well as other management strategies.

Please note that anyone with facial palsy who has an acutely red and sore eye should attend their local eye hospital A&E department as a matter of urgency.

Do you treat people with bilateral facial palsy, ie. both sides of the face affected?

Yes, we are able to treat people with bilateral facial palsy, and have treated many such patients over the years.

Do you treat people who have had surgery to the facial nerve?

Yes, we have treated many people who have had different kinds of surgery to the facial nerve, including surgical damage to the facial nerve during parotidectomy surgery, as well as various facial reanimation surgeries including Labbe Myoplasty, Facial-hypoglossal anastomosis, Cross Facial nerve graft.

Is it the same as the TENS machine I have?

No.  TENS machines work on the sensory nerve and act to block the nerve sending signals to the brain.  They do not alter the system and so when the unit is switched off the system returns to its previous state.

TES is a low frequency patterned stimulation that works on the motor nerve.  It is a therapeutic treatment i.e. it changes the system when it is used and we can predict the changes to blood, flow, muscle etc.