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In many cases, symptoms of Bell's palsy will begin to improve in as little as two weeks and completely go away in three to six months. When people have more severe Bell's palsy, for instance, when one side of the face is completely, rather than partially, paralyzed - it may take longer to recover.

Causes of Bell's palsy. The facial nerve controls most of the muscles in the face and parts of the ear. ... A virus - experts believe it is most likely caused by a virus, usually the herpes virus, which inflames the nerve. The herpes virus is the one that also causes cold sores and genital herpes.

The cause of Bell's palsy is not clear. Most cases are thought to be caused by the herpes virus that causes cold sores. In most cases of Bell's palsy, the nerve that controls muscles on one side of the face is damaged by inflammation. Many health problems can cause weakness or paralysis of the face.

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Although the exact reason Bell's palsy occurs isn't clear, it's often linked to exposure to a viral infection. Viruses that have been linked to Bell's palsy include the virus that causes: Cold sores and genital herpes (herpes simplex) Chickenpox and shingles (herpes zoster) Mononucleosis (Epstein-Barr)

Your physician will look at your face and ask you to move your facial muscles by closing your eyes, lifting your brow, showing your teeth and frowning, among other movements. Other conditions, such as a stroke, infections, Lyme disease and tumors can also cause facial muscle weakness, mimicking Bell's palsy.