Sleep Rehab Blog

The Link Between Weight Loss and Severity of Sleep Apnea

May 11, 2021

Filed under: Sleep Apnea — Tags: , , , , , , , , , , , , — drfedosky @ 10:22 pm

You may have heard by now, in your research regarding sleep apnea, that weight plays a role in why you are experiencing symptoms of sleep apnea.
In fact, being overweight or obese is considered one of the primary risk factors of sleep apnea.

According to the National Heart, Lung and Blood Institute, “Unhealthy eating patterns and lack of physical activity can lead to overweight and obesity, which can result in sleep apnea.”

So, can your sleep apnea be cured by simply losing weight? The short answer is that it’s possible, but not guaranteed.

Weight loss is a known treatment for a variety of diseases such as heart disease and diabetes. Improving your lifestyle habits like eating healthier or increasing the amount of exercise helps your body regulate chemical levels and takes the pressure off of major organs.

In the case of sleep apnea, excess weight creates fat deposits in a person’s neck called pharyngeal fat. Pharyngeal fat can block a person’s upper airway during sleep when the airway is already relaxed. (Source: The Sleep Foundation)

In a study about how weight loss affects obstructive sleep apnea (OSA) patients (OSA), the sleep quality of 72 overweight patients with mild OSA was monitored. The patients switched to a reduced-calorie diet and received counseling about their lifestyles, which resulted in a significant decrease in their BMIs. After losing weight, the subjects’ mean number of apnea events per hour decreased significantly. Post weight-loss, the number of patients with sleep apnea decreased by 75%. 

While that is a significant decrease, it’s important to remember that carrying around extra weight isn’t the only cause of sleep apnea.
People that have a large neck (over 16-17 inches), are over 40, have a nasal obstruction, or have large tonsils are more at risk of suffering from sleep apnea.

If weight loss doesn’t completely help your suffering of sleep apnea, contact Sleep Rehab today for a consultation for a non-invasive, non-surgical solution.

Sleep Apnea and COVID-19

April 14, 2021

Filed under: Sleep Apnea — Tags: , , , , , , , , , , , , — drfedosky @ 6:27 pm

It’s been a little over a year since the outbreak of the entirely too familiar COVID-19. We sincerely hope you and your loved ones have remained safe during this time, but the reality is that the disease impacted all kinds of people in different ways, and we sometimes don’t know why. However, with time and knowing what we know now, studies have come out that people diagnosed with Sleep Apnea are at a higher risk for hospitalization for COVID-19.

Why does having Sleep Apnea increase your risk of COVID-19 hospitalization?

Sleep Apnea is associated with higher body mass index (BMI), diabetes, older age and male gender, which are all risk factors for severe COVID-19. Researchers identified 445 individuals with COVID-19, and 38 (8.5%) of them with OSA of whom 19 out of 91 (20.9%) were hospitalized.

Of the patients requiring hospitalization for severe COVID-19, more than 1 in 5 had OSA (Obstructive Sleep Apnea), which was shown to be associated with COVID-19 hospitalization independent from age, sex, BMI, and comorbidities. 

The researchers in the study concluded, “We believe that our finding may help in identifying high-risk individuals for severe forms of COVID-19 infection, and therefore screening for previous indications of OSA could be beneficial among individuals testing positive for the virus.”

Vaccines are rolling out and life is getting a little bit back to normal, but that doesn’t mean you should let your guard down. If you suspect you may have undiagnosed Sleep Apnea, make an appointment to get a sleep test today so you can identify your risk factors early on and avoid hospitalization for COVID-19.

Is TMJ Causing My Headaches?

March 13, 2021

Filed under: TMJ — Tags: , , , , , , , , , , , , , — drfedosky @ 2:05 pm

Many people fall victim to headaches for a multitude of reasons. In fact, according to the WHO, “Half to three-quarters of adults aged 18–65 years in the world have had a headache in the last year and, among those individuals, 30% or more have reported migraine.”

The only way to get rid of these awful, nuisances are to get to the bottom of what is causing them. One of the causes of your headaches could be TMJ. Temporomandibular joint (TMJ) syndrome is a disorder of the jaw muscles and nerves caused by injury or inflammation to the temporomandibular joint.

How do you know if TMJ is causing your headaches or migraines? Make note of these signs next time your head is pounding.

Over-exertion of your jaw

Have you noticed that your headaches are more prominent after chewing tough food or gum, talking for lengthy periods of time, or any other intense jaw activities? Your headache may be related to TMJ. According to a study in the Journal of Pain, “Painful temporomandibular disorders were associated with a higher primary headache frequency.” Using your jaw just a little too much may trigger the headache.

 

Teeth Clenching

Do you clench your teeth before or after a headache? Let’s not rule out bruxism. Bruxism is unconsciously clenching or grinding your teeth while you’re awake or asleep. People who clench or grind their teeth (brux) during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnea).

 

Try the “Pencil Test”

Although it’s not infallible, a way to test whether or not your TMJ is the cause of your headaches is to hold a pencil in your teeth while you’re experiencing the headache. If you feel relief or a reduction in pain, it could hint that TMJ is the root cause of your head pain.

 

If one or more of these signs are hitting home or if you’re finally looking for a solution to your headaches, contact Sleep Rehab for a TMJ consultation. We’re here for you.

Is Sleep Apena Hereditary?

February 10, 2021

Filed under: Sleep Apnea — Tags: , , , , , , , , , , , — drfedosky @ 2:03 pm

A lot of health disorders originate from genetics, and you may be wondering if your Sleep Apnea is hereditary. It could be that you had a parent that struggled with sleeplessness and snoring and now that you’ve been formally diagnosed, it may have occurred to you that it could run through the family genes.

According to an article on healthline.org, “Research suggests that obstructive sleep apnea is about 40 percent attributable to genetics, which means it can be hereditary.” That is quite a large percentage, especially because the other 60 percent are attributed to environmental and/or lifestyle-related factors. In short, the more relatives you have with Sleep Apnea, the higher percentage that you will also have Sleep Apnea in your lifetime.

You may have children and are worried about passing Sleep Apnea along to them. The good news is that there is not a clear genetic link related to Sleep Apnea, but according to healthline.org, “Additionally, it’s been shown that obesity can have underlying genetic causes. Since obesity is a major risk factor for obstructive sleep apnea, this is an indirect way obstructive sleep apnea is hereditary.”

The important thing to know is that if you can keep your weight at a healthy number, the development or progress of this sleep disorder could subside. However, if you feel like you’ve tried everything and need a successful solution, at Sleep Rehab we offer a variety of non-invasive, non-surgical CPAP alternatives to treat Sleep Apnea.

You can’t choose your genes, but you can choose a solution to an inevitable problem, and we are here for you. Request an appointment at Sleep Rehab today.

Can Sleep Apnea Increase Your Chances of a Heart Attack?

January 5, 2021

Filed under: Sleep Apnea — Tags: , , , , , , , , , — drfedosky @ 9:21 pm

We won’t beat around the bush here, because coronary artery disease (a common cause of heart attacks) is a serious, and sometimes deadly, condition. So the short answer is yes, suffering from sleep apnea puts you at a greater risk of experiencing a heart attack.

But, why?

You may think it’s just a little snoring at night, but actually, being woken up multiple times throughout the night is not good for your heart. This is because when you stop breathing while you sleep, the sudden decrease in your oxygen levels causes strain on your cardiovascular system. Your blood pressure increases because your involuntary reflexes ultimately cause a micro-arousal, which elicits an accelerated heartbeat, resulting in high blood pressure.

Over time, having spiked blood pressure, low oxygen levels and increased CO2 leads to increased lifetime exposure to adrenaline. This causes stress on the heart and can lead to a heart attack, or even heart failure because too much exposure to adrenaline increases and damages your blood vessels over time.

The good news? There are effective treatments that can stop or even reverse these damages.

If your spouse or partner has let you know that you are gasping and waking up suddenly at night, it is time to seek treatment. The good news is, at Sleep Rehab, we have the tests and tools to successfully and non-invasively treat your sleep apnea. Contact us today to schedule an appointment.

3 Ways TMJ Can Disrupt Your Life

December 7, 2020

Filed under: TMJ — Tags: , , , , , , , , , , , — drfedosky @ 8:55 pm

Are you suffering from Temporomandibular joint (commonly known as TMJ) disorder (TMD)? You may have found yourself here looking for solutions, which Sleep Rehab offers. However, if you’re on the fence about seeking TMJ treatment, it is definitely worth knowing just how detrimental TMJ can be in your life.

7 possible reasons for your jaw pain | Considerable

Eating is painful, which causes withdrawal from normal, social activities.

One of the most common side effects of TMJ is intense pain in your face and jaw. This can make something as simple as eating become a huge burden to endure. Because eating is such a painful activity, it may cause you to decline invitations to family dinners, lunch with friends, etc. Mealtime and eating is a large part of American social culture, and TMJ could cause you to become withdrawn socially, which then could lead to depression.

TMJ causes disruption in your sleep.

Even the tiniest bit of pain anywhere is enough to cause a bad night’s sleep. With sufferers of TMJ, an evening yawn can cause intense pain in the jaw, making it difficult to fall asleep. Clenching and grinding of the teeth at night make it near impossible to sleep through the night. And overall, not getting enough sleep at night affects productivity, happiness and so much more.

TMJ affects your ability to concentrate.

Another side effect of TMJ is headaches, because of the constant grinding or clenching of the jaw. We all know that headaches of any kind are imperative to everyday activities, especially when it concerns focusing on work. Although headaches can be subsided with over-the-counter medication, it may require more long-term solutions.

With modern medicine and the technology we have today, there’s no reason that your TMJ should negatively affect your life as much as it does. Reach out to Sleep Rehab today to see your options for simple solutions to aiding with TMJ.

Sleeping with Acid Reflux

November 11, 2020

Filed under: Sleep Apnea — Tags: , , , , , , , , , , , , — drfedosky @ 10:35 pm

Many people experience the occasional acid reflux, or more commonly referred to as, heartburn. Acid reflux can happen for a variety of reasons including smoking, drinking alcohol, ingesting a large meal or even being overweight. Those who have experienced this uncomfortable and unsettling feeling know that in time it will pass and learn how to avoid it from happening in the first place. However, if you have ongoing symptoms of acid reflux, as in more than twice a week, you may be diagnosed with Gastroesophageal Reflux Disease (GERD).

Photo credit: The Best of Health UK

GERD, a chronic form of acid reflux, can greatly impact your quality of sleep. Unlike occasional acid reflux, it can contribute to Sleep Apnea. There are a few reasons for this. One, because of your horizontal position, the reflux causes the contents of your stomach to rise as high as the throat. The acid from your stomach will cause an intense burning sensation and an unsavory awakening. Secondly, according to an article published on NCBI, “The prevalence of GERD has been shown about 58-62% of patients with OSA, however, these results may all be confounded by obesity. Apnea may increase trans-diaphragmatic pressure and decrease intra-thoracic pressure, favoring GERD.” To put it more simply, Sleep Apnea, which causes respiratory pressure to change, can make it easier for reflux to occur.

To help alleviate acid reflux, you can start out by propping up your pillow to sleep more at an angle and work with gravity to make it more difficult for the reflux to reach your throat. Another tactic is using over-the-counter neutralizing medications like Tums and Pepto-Bismol. However, neither of those is going to get rid of your Sleep Apnea. Sign up for an appointment today to get a handle on the problem before it worsens!

 

Problems with CPAP Machines & an Effective Solution

October 13, 2020

Filed under: Uncategorized — Tags: , , , , , , , , , — drfedosky @ 2:32 am

Did you know that one-third to 50% of adults who patients with a CPAP machine stop using it? There are also reports of patients that say they feel just as tired as they were before the CPAP therapy. What are some main complaints and issues with the CPAP and is there a way to avoid the CPAP all together?

 

CPAP Complaints

  • Feeling claustrophobic
  • Not feeling comfortable with the mask on
  • Difficult time adjusting to air pressure on the throat
  • Expensive
  • Loud
  • Difficult to carry around
  • Causes nasal problems

Solutions to a problem are only as effective as the amount of use they are receiving, so if half of the patients aren’t even using it, it’s not working.

Luckily, Sleep Apnea has alternatives to CPAP Machines that are more comfortable, less expensive and users report a longer use.

An Effective Alternative to CPAP:

  • Oral appliance
    • Similar to a mouthguard
    • Worn nightly
    • Holds the lower jaw forward instead of pressurized air inside of your lungs
    • Highly customized by the experts at Sleep Rehab to ensure comfortability

If you’ve been experiencing difficulty sleeping, been waking up more exhausted than usual and experiencing increased snoring, it may be time to come in for a consultation at Sleep Rehab. We have a team of highly-trained professionals that will help you get to sleep comfortably by using non-invasive or machine-oriented techniques, like an oral appliance. Contact us today!

3 Myths About Sleep Apnea

September 15, 2020

Filed under: Sleep Apnea,Snoring — Tags: , , , , , , , , , , , , , , , , , , , , — drfedosky @ 12:40 pm

There is so much information floating around the Internet, it’s hard to know what is true and what is false. When beginning your searches about symptoms regarding sleep apnea, you may have run across some scary, but not possibly quite true, information. At Sleep Rehab, our goal is to make you well informed and confident about treating your symptoms. So, let’s bust some myths about Sleep Apnea!

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Myth 1: Obesity is the main cause of Sleep Apnea.

Yes, there is a link between Obstructive Sleep Apnea and weight gain, as we wrote about in this blog post. However, there are several factors that can affect your breathing at night and obesity is just one of them. As concluded by the Lost Angeles Sleep Study Institute, “Weight is a factor in developing sleep apnea, as the fatty tissue in the back of the throat can collapse and block the airway as the muscles relax during sleep. However, even a well-conditioned athlete who has a large, muscular neck may have a similar problem. Even a thin person can have sleep apnea if he or she has a narrowed airway or structural abnormalities of the jaw, tonsils or adenoids, septum, tongue and soft palate.”

Myth 2: Snoring means you have Sleep Apnea.

Snoring is a common symptom of Sleep Apnea patients, but just because you snore does not mean that you have Sleep Apnea. Snoring is only a clue that Sleep Apnea may be a possibility. According to the Mayo Clinic, snoring can occur with alcohol consumption, having a narrow nasal airway, a family history of snoring, or being a man (men are more likely to snore than women).

Myth 3: A CPAP machine is the most effective treatment of Sleep Apnea.

A CPAP machine has been a popular treatment for Sleep Apnea patients for decades. It delivers air pressure to keep a person’s airway open. However, there have been issues surrounding the use of a CPAP machine including claustrophobia, dry mouth, skin irritation, and nasal problems. Thankfully, the medical community is always advancing and there are as effective, or even more effective, Sleep Apnea treatments and Sleep Rehab is always on the cutting edge. We offer easy-to-wear oral appliances that are a lot of like a mouthguard and much less intrusive than a CPAP machine.

 

We hope busting these myths about Sleep Apnea puts you on a more clear path to treating your symptoms of sleeplessness and snoring. When you’re ready, make an appointment to see a specialist at Sleep Rehab to get a better night’s sleep.

Sleeping Postion for Snorers

August 12, 2020

Filed under: Sleep Apnea,Snoring — Tags: , , , , , , , , , , , , , , , , , — drfedosky @ 9:53 pm
When you turn in for the day, you probably don’t think much about what position you end up falling asleep. Maybe you move the pillow around to get comfortable, but you may not realize how you are sleeping is a subtle aid in your overall restfulness for the night. If you find yourself waking up feeling more tired than when you went to bed, it may be time to find a new sleeping position.

woman sleeping peacefully and smiling

Snoring? Try side-sleeping
If you snore, there is a chance you may be suffering from sleep apnea, which is the condition in which your airway gets blocked at night, ultimately restricting your breathing. In order to create better airflow, the best sleeping position to reduce snoring is side-sleeping. Curling up reducing you breathing too deeply, too. If this isn’t natural for you, don’t worry, you’re not alone. The good news is that you can teach yourself to become a side-sleeper.

How do you change your sleeping position?
First, make sure you have a good mattress. If you can fall asleep without interruption of feeling uncomfortable, there is less of a chance to retreating to your old habits. Next, make sure you have pillows that can essentially contour your new sleeping position. For instance, hugging a body pillow can reinforce sleeping on your side and prevent you from turning over on your stomach. But most importantly, as with changing any habit, practice makes perfect. Constantly remind yourself to get back on your side if you wake up in the middle of the night in a different position. Have a spouse help keep you in the right direction, too!

Changing your sleeping position is just one way to try and reduce your snoring due to sleep apnea. If you have tried everything and still waking up listless and exhausted, contact Sleep Rehab today for a consultation. We’re here to help!
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