Facial palsy therapy

The facial palsy specialist therapy team consists of three highly specialised therapists from the disciplines of physiotherapy and speech and language therapy. We work alongside a multidisciplinary team of plastic and ophthalmic surgeons and psychological therapists to provide a comprehensive service of care for all patients with facial palsy.

Your initial therapy appointment will include a comprehensive assessment being carried out. This may include surface electromyography (sEMG) and photography. An individualised treatment plan is then developed specifically for you. Sessions are up to 1 hour long and repeated every 1-3 months depending on your stage of recovery. Treatment plans are based on ongoing assessment and may include comprehensive education, massage, stretching, neuromuscular re-education, sEMG biofeedback as well as adjuncts to treatment such as chemodenervation injections (Botox®).

Why choose us?

Clinical effectiveness
Standardised, validated clinical outcome measures are used alongside photography to help measure the effectiveness of our therapy treatment.
We use three outcome measures to measure the effectiveness of therapy for facial palsy: The Sunnybrook Facial Grading System (SFGS), House Brackmann (HB) and 2 patient reported outcomes – The Facial Disability Index (FDI) and the FACE scale. These scales allow us to see how well patients facial function is improving as well as their satisfaction with pyschological and social improvements.

Recent results showed:

– an average improvement on the SFGS of 25%
– an average improvement on the FACE score of 28%
These are encouraging results and we will continue to evaluate the effectiveness of our therapies.

Clinic times, locations and how to contact us:

Facial palsy therapy clinics run on Monday, Tuesday and Wednesday in the physiotherapy department.
Therapy led chemodenervation (Botox®) clinics run on Tuesday mornings and Wednesday afternoons in main outpatients and on Thursday mornings in Outpatients 1.
The MDT facial palsy clinics led by Mr Charles Nduka, (main outpatients) run on Tuesday mornings except the 2nd and 5th Tuesday of the month.

To enquire or to make an appointment please contact us on 01342 414004. Our reception is staffed between 08:30am – 4:30pm. Referrals are accepted from health professionals such as GPs and consultants.

Feedback from patients

“Before therapy I felt isolated medically. Facial palsy therapy has given me new confidence, educated me about retraining my face and enabled me to use massage and stretches to alleviate symptoms. I always feel my therapist is listening and helping me.”

“I am very impressed by the support I have been consistently offered. I did not expect such positive results and I am pleased with the multidisciplinary approach to the clinic.”

“Feel optimistic that I can improve.”

“On each appointment I feel very relaxed and able to discuss any findings / ways forward. I always have positive appointments which make me feel motivated to continue the exercises.”

Our physiotherapists


www.facialpalsy.org.uk – Facial Palsy UK. Providing information for people living with facial palsy, their relatives, carers and medical professionals. Support groups are also available throughout the UK – contact support@facialpalsy.org.uk for more details.

For therapists specialising in facial palsy visit fts-uk.org for information on upcoming basic and advanced facial palsy therapy training days.