Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.

Treating Facial Spasms

Monday, 15 August 2011 09:08 AM

Question: I have a problem with facial nerves, especially if I am a front of people. What do you suggest?

Dr. Hibberd's Answer:

Facial spasms obviously connected with stress are easily manageable. We have excellent anti-spasm and anxiety medications, and sometimes anticonvulsant medications may be useful when there are no nutritional deficiencies.

Episodic unpredictable spasms (facial tics) tend to be more difficult to control, yet they can often be modified effectively with professional consultation and management.

Have your doctor check your basic chemistry and metabolism. In selected cases MRI imaging and further investigation for demyelinating disorders, such as multiple sclerosis, may be recommended, and see a neurologist if your doctor recommends it.

Be sure your ionized calcium, phosphorus, and magnesium levels are checked, and review the supplements you take. Consider eliminating (on a trial basis) nonlife-sustaining supplements.

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