Is there Medication for Sleep Apnea?

November 16, 2021

Filed under: Sleep Apnea — Tags: , , , , , , , , , , , , , , , — drfedosky @ 12:44 am

Sleep is arguably the most important activity to allow our bodies to function at the highest ability, so it should be startling that 50 to 70 million adults in the U.S. are affected by a sleep disorder (American Sleep Association [ASA], 2021). Even more shocking, 25 million of those Americans are diagnosed with Obstructive Sleep Apnea, also known as OSA. Not receiving the proper amount of sleep is a nationwide issue.

Sleep Rehab Plano

Uncontrolled, there are a lot of health risks associated with Sleep Apnea including heart attacks, high blood pressure, and stroke, just to name a few. Aside from those, drowsiness during the day can affect your life in negative ways. When exhausted, you can’t work at your highest potential, you’re irritable around family and friends, and you put your physical health on the backburner. Shouldn’t there be a magic pill to make all of this go away?

Medication is generally used to treat issues that can change physiologically in your body like high blood pressure, cholesterol, and infection. Unfortunately, you can’t anatomically alter your existing body parts with medication. In the case of Sleep Apnea, your narrow airway is the problem, and only devices and surgery can assist with opening up this passageway.

We wish there was a magic pill for Sleep Apnea as much as everyone else. But until that happens (if ever!) we’re going to have to rely on the cutting edge techniques at Sleep Rehab. We offer a variety of products that we tailor to you to make sleeping as effortless as possible, without requiring invasive surgery or heavy machinery. Contact us today for a consultation and start sleeping better.

How TMJ Affects Us As We Age

September 16, 2021

Filed under: TMJ — Tags: , , , , , , , , , , , , , , , , , — drfedosky @ 12:59 am

The temporomandibular joints (TMJ) are defined by Johns Hopkins Medicine as “the 2 joints that connect your lower jaw to your skull. More specifically, they are the joints that slide and rotate in front of each ear, and consist of the mandible (the lower jaw) and the temporal bone (the side and base of the skull).”

As you can tell, these are complex joints that can cause complex issues, which we call Temporomandibular disorders (TMD). These disorders of the jaw and muscle can cause intense facial pain. And usually, this doesn’t just happen overnight. These issues can appear as a result of activities and changes over time, beginning as early as our teens.

Teens and TMJ

Sleep Rehab TMJ Solution

Any stressor on the jaw can contribute to TMD. This can be processed foods, high-impact sports like football or cheerleading, and chewing on pen caps or gum. These activities push our jaw backward, which puts stress on the joint, causing tension until our late teens or 20s when the jaw reaches adult size.

Adults and TMJ

Between demanding jobs and daily obligations, adult life can be stressful. For the people that didn’t begin to develop TMD as a teen, the start of TMD can happen from teeth grinding and clenching, causing the jaw to misalign. Car accidents, falls and facial trauma can all be causes of TMD development as well.

Environmental Evolution

Another interesting consideration is that TMD is likely a cause of the industrial revolution. Our teeth and jaws have shifted and changed as a result of how our diets and accents have evolved over time.

Whether you started developing TMD in your early life or as an adult, there are solutions. Contact Sleep Rehab today to request an appointment to help relieve your facial pain!

The Link Between Sleep Apnea and Hypertension

August 9, 2021

Filed under: Sleep Apnea — Tags: , , , , , , , , , , , , , , — drfedosky @ 10:18 pm

In the last few decades, scientists have concluded that there is a relationship between having Sleep Apnea (with the most common being Obstructive Sleep Apnea or OSA) and having Hypertension. But before we get into what that is, let’s talk about what each disease is.

Sleep Apnea Solutions Dallas

According to the definition from the Mayo Clinic, “Sleep apnea is a potentially serious sleep disorder in which breathing repeatedly stops and starts.”

The definition of hypertension, also from the Mayo Clinic, “High blood pressure (hypertension) is a common condition in which the long-term force of the blood against your artery walls is high enough that it may eventually cause health problems, such as heart disease.”

So how does a disorder that has to do with breathing affect high blood pressure? Research indicates that patients who have sleep apnea are more likely to develop high blood pressure at some point in the future.

Research done by Johns Hopkins Hospital School of Public Health studied more than 6,000 adult men and women age 40 or older. Sleep Apnea was confirmed in participants by using polysomnography, which records brain waves, heart waves, blood oxygen levels, and breathing rate while a person sleeps. Participants were connected to a sleep monitor, and the average number of breathing pauses per hour of sleep was used to measure the severity of Sleep Apnea.

The results of the study showed that people with more than 30 pauses per hour of sleep were more than twice as likely to suffer from high blood pressure than those with no breathing pauses. An increased risk of high blood pressure was found even at moderate levels of sleep apnea. Since sleep apnea is more common in overweight individuals–who are already at a higher risk of high blood pressure–additional statistical analyses were conducted to control for body weight and waist circumference. Even after controlling for these variables, however, sleep apnea was associated with an increased frequency of high blood pressure.

When you come to Sleep Rehab, we’ll give you a sleep test to determine whether or not you have Sleep Apnea through studying your breathing patterns. Once we determine your sleep issues, we can create a customized oral appliance for you, which will eliminate or reduce the effects of your sleep apnea and may help you avoid the life-threatening consequences of hypertension and other conditions. Book an appointment today!

Oral Appliance Spotlight: Whole You™ Respire Blue

July 13, 2021

Filed under: Sleep Apnea — Tags: , , , , , , , , , , , , , — drfedosky @ 11:19 pm

Feeling exhausted in the morning and throughout the day, despite getting an adequate amount of sleep, is a common side-effect of Obstructive Sleep Apnea (also known as OSA). There are a lot of modern solutions available, but it’s important to find the solution that best fits your needs.

Sleep Rehab prides itself on providing non-invasive and non-surgical solutions for sufferers of OSA. Dr. Fedosky and his team of highly skilled medical professionals provide top-of-the-line products to get you back to a more comfortable life. This month, we’re highlighting an oral appliance, the Whole You™ Respire Blue.

Respire Blue | Whole You Whole You

This product is an alternative solution for something more robust like a CPAP machine. As a customized, personalized mouthpiece, it features a dual block design with interlocking wings. It works by keeping the airway open in any sleep position and allows for a wide range of mouth movements.

The Respire Blue has mesh support that is welded and placed inside the acrylic mouthpiece. This improvement offers one of the strongest dorsal fin designs on the market, it’s easily adjustable, and it has more room in the anterior area which allows the patient to open and close as they please. It is also open in the front to add comfort by increasing the tongue space allowing the patient to inhale and exhale more air per breath.

More details:

  • 4-Wing dorsal fin appliance
  • Dual-block design with more freedom for vertical mouth movement
  • Additional support for lateral movement
  • 1-year manufacturer’s warranty

It should be noted that the Whole You™ Respire Blue is not available for purchase on its own. A sleep test and diagnosis are required, which can be done at Sleep Rehab! Please fill out an appointment form here and we look forward to helping you soon.

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.

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!

 

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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