Do you snore? Are you tired? Do you want to get back to sleeping in the marital bed? We may be able to help.
What is Sleep Apnea?
Sleep apnea is a form of sleep disordered breathing which leads to periods of reduced breathing and even cessation of breathing while sleeping. There are two types of apnea:
Obstructive sleep apnea (OSA) and Central sleep apnea (CSA).
OSA sufferers experience repeated complete or partial closure of their throat (pharynx or airway) while they sleep. This blocking of the throat stops air being able to reach the lungs and breathing stops. These episodes can last for 10 seconds to over a minute.
OSA causes a disruption to the normal sleep pattern, making the sufferer often feel unrefreshed on waking. The disruption to the normal sleeping cycle can cause fatigue, headaches, difficulty focusing on daily tasks, irritation and may also be linked with medical conditions such as high blood pressure, irregular heart rhythms and diabetes.
CSA occurs due to a lack of respiratory effort during the breathing stoppages. In central sleep apnea no blockages of the airway occur, rather the message from the brain that drives breathing cease for a short time. This form of sleep apnea can occur in those with heart disease, after a stroke or head injury and when taking certain medications (e.g. strong pain relievers). The management of central sleep apnea may differ from obstructive sleep apnea but new advances have occurred resulting in effective therapies.
Signs and Symptoms
There is no universal pattern for symptoms with these varying greatly between sufferers. Symptoms may be reported by the sufferer and/or their partner. Many perceive their symptoms to be a normal part of the aging process, not realising that they have a reversible medical condition.
Symptoms can include:
- Sleepiness
- Snoring
- Tiredness
- Decreased concentration
- Reduced energy
- Decreased memory
- Unrefreshed sleep
- Frequent urination at night
- Frequent waking
- Choking out of sleep
- Excess sweating at night
- Irritability
- Decreased libido
Treatment
Treatment will vary based on a number of factors including the severity of the condition, your symptoms, your level of general health and body shape. Options may include:
- Weight loss
- Sleeping on your side (e.g Nightshift, or a repositionary device)
- Continuous positive airway pressure (CPAP)
- Mandibular advancement splint (jaw advancing splint)
- Upper airway surgery
Here at Just Breathe Physiotherapy we offer
- CPAP equipment for short term rental during a trial period
- CPAP machines and masks for purchase at competitive prices
- CPAP and APAP acclimatisation, troubleshooting and monitoring
- Portable home sleep studies
- Mask fitting and advice
- Healthy sleeping advice
- Lifestyle and risk reduction advice for those with sleep disordered breathing

