<![CDATA[Introduction: Bell's palsy is an acute, idiopathic peripheral facial nerve paralysis that commonly affects individuals between 15 and 45 years old. It is often attributed to viral reactivation, particularly herpes simplex virus type 1. The sudden onset of facial weakness or paralysis may cause significant psychological and functional impairments, especially in adolescents. Physiotherapy is considered an effective supportive treatment to restore neuromuscular function when pharmacological approaches alone are insufficient.Case Presentation: A 17-year-old female presented with progressive right-sided facial stiffness and pain without apparent cause, eventually leading to noticeable facial asymmetry. Physical examination revealed reduced facial muscle strength (MMTgrade 0-3), tenderness in facial andneckmuscles, andmoderatepain(VAS 5-6). A facial function score of 51 on the Ugo Fisch scale indicated moderate facial paralysis. The patient's condition also interfered with chewing and social interaction due to altered facial appearance.Management and Outcome: The patient received a three-week physiotherapy intervention including infrared therapy, neuromuscular electrical stimulation, manual massage techniques, and isometric facial exercises. Sessions were held twice per week, complemented by a daily home- based exercise program. Pain levels decreased steadily, and a mild improvement was observed in forehead movement and overall facial function (Ugo Fisch score increased from 51 to 54).Conclusion: Physiotherapy combining infrared, NMES, manual techniques, and facial muscle training proved beneficial in managing Bell's palsy in an adolescent patient. Consistent home exercises and long-term monitoring are recommended to optimize outcomes and prevent persistent dysfunction.]]>
