Dear Dr. SerVaas,

My husband showed signs of 7th cranial nerve paralysis--Bell's palsy--in January 2006. He had the one-sided smile, droopy eyelid and smooth forehead on the left side. He has been seen by his primary physician, his ophthalmologist, a neurologist, and a cosmetic surgeon, who helped by placing two little stitches to protect his eye.

In the past month he has developed pain in his Jaw area, cheek, and forehead that we can control with pain medication and hot pads.

We have not found much information on this seemingly ugly, mysterious affliction. Is it possible for you to suggest something that will help us? We will be appreciative for your assistance.

Virginia Wiley
Green Valley, Arizona

A review of the medical literature suggests that residual effects of Bell's palsy may he eased by physical therapy to stimulate the facial nerve and maintain muscle tone. Other potentially helpful strategies include acupuncture, electrical stimulation, and vitamin B therapy to promote nerve growth. Otolaryngologists with expertise in treating Bell's palsy may be able to offer additional options.

One more suggestion: most scientists believe that the herpes simplex virus is implicated in some cases. You might consider a trial of lysine, used by many to fight cold sores. Lysine is most helpful, however, when symptoms first occur.

Please cheek the lysine articles in your past Saturday Evening Post issues: November/December '95, page 50, and May/June '05, page 90.