At the Center for Facial Recovery™, we provide comprehensive evaluations, a “head to toe” approach. Based on our findings, we will partner with you and all of your health providers to design a unique and individualized treatment plan. If you do not have a comprehensive medical team, we will coordinate your care with a team of experts in the field of facial palsy and/or TMD treatment. The Center for Facial Recovery’s™ services provide comprehensive evaluation and treatment plans that we customize for each of our patients, including:
Facial Rehabilitation Services
The team at The Center for Facial Recovery™ understands the physical and emotional aspects of facial palsy. We bring over 30 years of experience and a large toolbox of therapies aimed at helping our patients regain facial function. Our tools include:
• The Mirror Book and Mirror Book mobile app: ground-breaking rehabilitation devices invented by The Center’s founders that provide real-time twice reflected visual feedback of the unaffected side to encourage patients to begin therapy immediately while reducing the psychological impact of looking in the mirror.
• Neuromuscular re-education and therapeutic activities
• Cranial–sacral therapy
• Advanced therapeutic exercise
• Dry Needling
• Manual therapy
• Taping techniques
• Postural awareness/training
Physical Therapy Management of Synkinesis
Facial synkinesis is one of the most devastating effects of facial paralysis. It is defined as abnormal, involuntary facial movement that occurs with voluntary movement of other facial muscles. For example, when a person puckers or smiles, his or her eye closes. Synkinesis can cause functional limitations that impact activities such as eating, drinking, smiling and articulation. So often, our patients come to us misinformed about how to manage their symptoms. They have been doing exercises that actually make their condition worse. At the Center, we educate our patients on what they should and should not do as well as provide therapy and home exercise programs to help resolve the problems related to their synkinesis.
IBBS™ (Ibrahim Barth Stezar) procedure for Synkinesis
The Center for Facial Recovery offers a pioneering non-invasive ultrasound technique called IBBS™ to treat synkinesis. Victor Ibrahim, M.D., is one of The Center’s medical partners who works with the team to perform this procedure. IBBS™ relies on a sophisticated interdisciplinary approach to mapping out muscle restrictions and resolves contracted tissue using high definition ultrasound imaging and unique tissue expansion and release methods. The procedure is done in our clinic and requires 1-2 therapists and an interventional musculoskeletal sonographer. Results of the procedure are often seen within hours to days. Following the procedure, patients will often experience moderate swelling and bruising. Therapy is initiated immediate following the procedure and will continue on a regular basis to optimize the effects of the release. Repeat interventions are almost always needed to obtain increased gains in function. Regular use of specifically designed home therapy tools, such as the Mirror Book™, will help ensure continued functional improvement.
Botox Regimen For Synkinesis
The Center works closely with several physicians who truly understand the complexities of facial palsy and who are well versed in the use of Botox ™ to reduce the facial tightness and improve symmetry.
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Synkineedling® is a technique pioneered by Jodi Barth, PT. The treatment goal for synkinesis is to stop or decrease unwanted movements that occur with volitional and spontaneous movements. An example would be that your eye closes when you smile. Dry needling is a treatment to restore proper function to abnormally behaving muscles. These affected muscles become locked and cannot function normally. Dry Needling uses filament needles to break up minor lesions in the soft tissue (skin, muscles, fascia, tendon, ligaments, etc.) to activate healing. After working extensively with Dr. Victor Ibrahim with ultrasound diagnostics of our patients, we noted fibrotic tissue surrounding the muscles that were impacted by the synkinesis. Based on this observation we began to utilize the dry needling to shut down the over active muscles as well as to isolate and activate the weaker muscles. We also incorporate neuromuscular re-education during the process. Our results have been outstanding.
“Before synkineedling® I couldn’t whistle and now I can”. LB
“Synkineedling® allowed me to pucker without my eye closing!” KB
“Synkineedling® took away the headaches I had from my facial tightness!” HN
At the Center of Facial Recovery our internal studies have shown that our techniques and unique interventions reduce the severity of this abnormal activity by at least 50%.
Virtual Consultations for Facial Recovery
The team at The Center for Facial Recovery™ prides itself on our personal touch, but we are not limited by the walls of our clinic. We have designed innovative techniques to allow us to assist and guide our patients through their recovery. This program educates and empowers our patients to follow their treatment plans without having to travel to The Center. We leverage technology to connect with our patients, provide an individualized exercise plan and rehabilitation kit for home use and offer a mobile app for the Mirror Book™ that helps patients stay on the course to recovery.
TMJD Rehabilitation Services
Temporomandibular disorder (TMD) is a condition characterized by pain in the jaw joint and/or surrounding tissues. Because the exact cause and symptoms are not clear, identifying these disorders can be difficult and confusing. The Center’s therapists have undergone extensive training in the field of TMD. They use their expertise to determine how best to manage your symptoms in collaboration with your dental health provider. Treatment that will be incorporated into your care include the following:
1. Posture evaluation and education
2. Manual therapy to improve joint and muscle mobility
3. Therapeutic exercises to strengthen the muscles of the jaw and neck region
4. Pain management, utilizing modalities such as electrical stimulation or ultrasound
5. Dry needling techniques to decrease trigger points, muscle spasm and pain
6. Biofeedback for stress management and relaxation techniques
7. Graded Motor Imagery to assist with chronic pain symptoms
Laser Therapy accelerates the body’s own natural healing process through photo-bio-stimulation. Laser therapy can be used in treating acute , subacute and chronic phases of non surgical or post surgical conditions. Using the different lasers that we have available we are able to target the superficial structures to even the deeper structures.
Use of this particular soft tissue imaging technique provides real-time data, which allows us to visualize the muscles and different structure with functional movement compared to traditional static imaging modalities(such as Xrays, MRI ). Seeing the whole segment move during the examination allow us to see how all interdependent structures interact with each other, which allows better understanding of structural and/or functional deficits.
Negative Pressure Device
Use of the pump is a safe and effective way to mobilize fascia to help relieve muscle spasms and release restricted tissue. The pump is able to stretch stubborn areas almost anywhere in the body in a much more comfortable manner (improving fascial mobility by inducing a vertical and horizontal stretch) . Another tool that we are able to utilize to provide pain relief and improve mobility.