Does Lyme disease cause Bell’s palsy?

I have written in the past about how Lyme disease can seem like other illnesses.  Can Bell’s palsy be an indicator of Lyme infection?

Most recently, I wrote about how Lyme can be misdiagnosed as Alzheimer’s.  Bell’s palsy is a relatively rare condition.  There are about 200,000 known cases per year in the United States.  Some cases are not as serious as others.  Bell’s palsy results in muscle weakness in half of the face.  Those suffering from the condition, might notice pain in their ear.  Vision can also be affected.  More often, Bell’s palsy results in the inability to open or close the eyelids, or control facial expressions on one side of the face.  There is usually noticeable facial drooping.  Bell’s palsy can also result in sensitivity to taste and smell.  It is treated with anti-viral medication and steroids, but often resolves on its own within a few months.  Bell’s palsy is said to rarely occur more than one time.  But what if it does?

Can Lyme disease cause Bell's palsy?
Can Lyme disease cause Bell’s palsy?

Can Lyme disease cause Bell’s Palsy?

If you have been diagnosed with Bell’s Palsy, it could be a sign of chronic Lyme disease.  Chronic Lyme disease can attack the facial nerves.  Recurring cases of Bell’s palsy might be a sign of stage three of Lyme disease.  Seek medical attention for recurring Bell’s palsy.  Your physician might recommend Lyme testing.  You can have Lyme disease for years without knowing it.  If your doctor does not recommend Lyme testing, ask them about it.  You might also seek help from a Lyme-specialized physician for proper diagnosis.

Can Bell's palsy from Lyme go away?
Infected deer ticks transmit Lyme, which can result in Bell’s palsy in the latter stages.

Lyme disease occurs from the bite of an infected deer tick.  A tick must be attached for about 36 to 48 hours before transmitting the bacteria that cause Lyme.  Lyme disease is both the most prolific and under-diagnosed tick-borne illness at the same time.  The CDC believes that the 30,000 known cases of Lyme each year could actually be ten times higher.  This is because many cases are not properly diagnosed.

Does Bell’s palsy from Lyme go away?

About 5% of Lyme sufferers experience facial palsy.  It can occur within a few weeks of a bite from an infected tick.  This might look like Bell’s palsy, but it is not the same.  Facial paralysis caused by Lyme infection should not be treated the same as Bell’s palsy.  The bacterial infection of Lyme disease is treated with antibiotics.  Facial paralysis caused by early onset Lyme can go away with quick diagnosis and treatment.  It might take a few weeks or a few months to fully recover from facial palsy, even after treatment of Lyme is complete.

Other Causes of Bell’s Palsy

Bell’s palsy is a known result of a viral infection.  There is evidence to show that recurring viral infections can inflame facial nerves, and result in Bell’s palsy.  Some of these infections include herpes simplex, chickenpox, shingles, and infectious mononucleosis.  If you experience signs of Bell’s palsy, seek medical assistance immediately.  Facial paralysis can also be caused by stroke.

See more tick and Lyme disease questions and answers:

Avoid Lyme disease with effective tick control.

Dave Macchia, tick control enthusiast
Dave Macchia, Central Mass tick control enthusiast

The adage, “An ounce of prevention is worth a pound of cure,” aptly applies to prevention of Lyme disease.  The less chance you have of encountering an infected tick, the better.  This means at-home professional tick control, and personal tick protection when you are outdoors away from home.  Barrier tick spray can eliminate up to 95% of ticks around your home.  The best fight against Lyme and other tick-borne illnesses is by proven tick bite prevention.

Also read: What happens if you get bitten by a tick?