Is surgery the only option for treating sleep apnea or snoring
I do predominantly the line share of sleep apnea surgery in our department. I collaborate closely with the pulmonologists, who are the sleep medicine s. Those are the s that help diagnose and treat sleep apnea, as well. If those patients fail their, their medical or their conservative therapy, that's typically when they get sent to see me for surgical considerations to, to look at potential cures for their apnea. It's not uncommon for me to see a lot of patients for, who come in for snoring complaints and, you know, are wondering whether or not they have sleep apnea. So sleep apnea is condition where you actually stop breathing at night.
Snoring is somewhere on that spectrum, towards the more mild, you know, milder end of that spectrum. But, you know, really the only way to determine if you have sleep apnea, the gold standard of testing, is really getting a sleep study. And that's an overnight, monitored study where patients, you know, sleep in a room that's similar to a hotel room but they're being monitored and they're hooked up, you know, for sound so to speak with different monitors and cables on them. And that's really our best test to diagnose sleep apnea. The treatment for sleep apnea is typically a nonsurgical therapy; something called CPAP,
which stands for Continuous Positive Airway Pressure. And it's the patients that don't tolerate their CPAP who end up seeing me for surgical considerations. And there's a number of reasons why patients may not tolerate their CPAP. But there are some surgeries that can be helpful in patients who are not tolerant of their medical therapy. And I offer a variety of surgeries including nasal surgery, a variety of palatal surgeries for the kind of tonsil and soft pallet region and then also a variety of tonguebased procedures, as well. But we typically see a patient back after their procedure in about three weeks to recheck everything, make sure that they're healing okay.
After that, I normally recheck a sleep study in about three months after their surgery, just to give everything a chance to heal and to scar. And we, you know, make further recommendations based on the result of their followup sleep study after their surgery. We're exploring the, a new technology now which is actually a nerve stimulator for sleep apnea. It's an implantable device, very similar to a pacemaker that goes into the patient's chest. And there's an electrode that will actually stimulate the nerve that goes to the tongue to provide the tongue with a little bit of more tone when they're sleeping at night, and thereby eliminating their sleep apnea.
How to Treat Sleep Apnea Naturally
Hi, my name is Troy Giles. I am a of Chiropractic and a Natural Internist. Today I wanted to talk to you a little about apnea,and sleep apnea. This is a major issue in the world. People are having trouble sleepingand there are many reasons for apnea. One is neurologic, where the nerves, the brain,the connection to the lung is not working correctly. Also, thyroid we find, thyroiddysfunction, where low thyroid. Thyroid is what helps you control your breathing patternswhile you are asleep. If you have low thyroid, the thyroid affects the heart and the rhythmof breathing. So low thyroid can affect it as well. But, apnea is when you can't breathwell. Your sleeping and you just stop breathing.
There can be constrictive apnea as well, whereyou have enlarged tonsils, or your throat is closed down. I had a patient that had,this has been probably ten years ago, had a roto rooter, if you will, where they went in down on thetrachea, the throat, removed the tonsils and literally removed and widened the trachea,all the way down through his neck, through his throat. Extremely painful, literally hewished he could have died. That ultimately, still didn't help any. He can get better air,bit still he is on a CPAP machine. The treatment for it, medically, is to use a CPAP or a ByPAPmachine, which helps to force air into you and helps you to breathe during the evening.Another issue is that many times its body
habitus, enlarged gut. If you are laying onyour side and you have a larger tummy, you have to push your tummy up while you are breathing,sleeping at nighttime. Literally, you are having to lift up your tummy all night long.After a couple of hours or so, you become fatigued. The diaphragm becomes fatigued oflifting, pushing. So you just stop breathing for a minute. You can go 30 seconds, a minute,2 minutes. Finally, you gasp for air. This happens over and over and over. The CPAP helpsto force the air in you are just basically breathing easier. The sense of breathing isthere, but you are now lifting with forced air, in the abdomen, and in to your lungs.So to treat this, naturally, we want to look
at supporting the lung tissue. We want tosupport anything that is going to help you to get rid of inflammation through the throat.We want to treat the thyroid and the adrenal glands to have them up and running the waythey should so they are giving good information to the heart and to your breathing pattern.We would do this through supplementation. The supplementation we would want to looktowards would be the adrenal glands first, Adrenex. We would support the adrenals withAdrenex. Thyroiden to support the thyroid tissue. Thyroid again, we want to get itsmetabolism and its function the way that it should. Permalung helps to bring clarity,helps to remove sluggishness of the lungs,
bronchial congestion, mucus. A lot of timesthere is a mucus build up throughout the lung. Even with that we would want to look towardsleaky gut syndrome because when you have leaky gut, you are actually leaking toxins throughthe gut and they overwhelm the liver and its ability to detoxify. So a lot of the overalltoxins will come up and out through the lung. So you will have a lot of increased amountof toxin and production of mucus, so you will tighten up as well. So, asthma and apnea alsowork together. So, you want to see if you can't get rid of some of that tightness andcongestion that you feel. I would work with the diet, just helping, just eating more greenleafy vegetables. It is so vital to eat green
leafy vegetables every meal. So how do eatgreen leafy vegetables for breakfasté I would encourage you to get a significant blender,Vitamix is a good one, Blendtec is another one, Montel Williams I think has one thatis a good like two horsepower motor, that you can put in all the kinds of fruits thatyou want, green leafy vegetables, like kale, baby spinach, literally any vegetable thatyou want can go in there as well. If you make it correctly, it tastes very good. You haveall your fruits. You can get some of the big box stores have frozen fruit. You can putthat with a banana, maybe a protein powder of some type. The one we carry here is calledLepterra. That helps make it smoother and
Difference between CPAP and BiPAP for Obstructive Sleep Apnea Sleep Apnea Thousand Oaks Malibu
CPAP (Continuous Positive Airway Pressure)provides positive airway pressure at a constant level during both inspiration and expiration.BiPAP (Bilevel Positive Airway Pressure) provides a higher pressure during inspiration and alower pressure during expiration. The primary usefulness of BiPAP is in patients who experiencedifficulty exhaling while using CPAP. By lowering the expiratory pressure, patients are morecomfortable breathing against the positive airway pressure. Patients often ask why we don'tjust start with BiPAP if it is more comfortableé Simply, most patients do fine with CPAP andthe BiPAP units are much more expensive than CPAP. Less than 2% of my patients requireBiPAP.
Hello. I'm Ronald Popper, thanks forwatching. If you or a loved one needs more information on sleep disorders, please visitour website at sleepmd4you , where you'll find more tutorials in this series aswell as our white paper on Obstructive Sleep Apnea that is free for you to download. Fora direct consultation, you can reach us through our website or by calling the number on yourscreen. Remember, sleep well tonight for a better day tomorrow.