Can botox heal hemifacial spasms?

Question: Can botox heal hemifacial spasms?

Answer: Botox is a commonly used treatment for hemifacial spasms. However, the way it works is by paralyzing the muscles. The underlying cause of the hemifacial spasm which is likely a pinched nerve caused by physical trauma or a blood vessel compressing the nerve will still exist. Many people find that they have to undergo multiple Botox treatments as it eventually wears after after a few months and the twitching comes back. A more permanent but also more risky treatment is microvascular decompression surgery.

Other questions related to hemifacial eye twitching:

• Can hemifacial spasm ever just turn out to be a regular facial twitch?
• Can hemifacial spasm ever go away on its own?
• Can botox heal hemifacial spasms?
• Can being in a car accident worsen hemifacial spasms?
• Can a chiropractor help hemifacial spasms?