Nonsurgical Treatment Options for Hemifacial Spasm

Woman looking in the mirror touching face from facial spasms in Dallas, TX A facial twitch can be easy to ignore when it only happens once in a while. When it keeps coming back, spreads beyond the eyelid, or starts pulling at one side of your face, it can become distracting and hard to hide. Everyday moments like reading, driving, talking, smiling, or sitting across from someone in conversation may feel more stressful than they should.

Hemifacial spasm care at Texas Neurosurgery in Dallas starts with understanding the pattern of your symptoms and what may be irritating the facial nerve. The practice includes board-certified neurosurgeons Dr. Christopher Michael and Dr. Shaad Bidiwala, who care for neurological conditions involving the brain, spine, and nerves.

What Causes Hemifacial Spasm?

Hemifacial spasm involves involuntary muscle contractions on one side of the face. It often begins around the eye and may later spread toward the cheek, mouth, or lower face.

In many cases, the cause is pressure on the facial nerve near the brainstem. Sometimes a tumor or another condition may be involved. In other cases, no clear cause is found. Because symptoms can resemble other facial movement disorders, a proper evaluation is essential before treatment decisions are made.

Nonsurgical Care May Start With Injections

Botulinum toxin injections are a common nonsurgical treatment for hemifacial spasm. The medication is injected into selected facial muscles to reduce unwanted contractions. Results are temporary, so repeat treatments are usually needed to maintain symptom control.

This option may be discussed when spasms are bothersome, but surgery is not the first choice when symptoms need to be managed over time or when a person is not ready for a surgical conversation.

Your provider may also review medications, symptom triggers, imaging results, and whether another condition could be contributing to the spasms. When nonsurgical care does not bring enough relief, microvascular decompression may be discussed as a surgical option to reduce pressure on the facial nerve.

Reduce Facial Spasm Disruptions in Dallas, TX

Facial spasms can be distracting, uncomfortable, and hard to hide. Texas Neurosurgery in Dallas, TX, can help you learn what may be causing hemifacial spasm and which treatment paths fit your situation. To speak with the team, schedule a consultation or call 214-823-2052.

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