CPAP is a powerful tool for many patients, but it’s not right for everyone. For some, the mask is uncomfortable or the air blowing in their eyes can irritate them. Fortunately, Penn sleep doctors offer a variety of cpap alternatives. Getting treatment for obstructive sleep apnea is important because untreated it can lead to depression, diabetes, high blood pressure and even motor vehicular accidents.
1. Oral Appliances
Unlike bulky CPAP machines, which require masks and hoses, oral appliances (also known as mandibular advancement devices) are custom-fitted mouthpieces that gently reposition the jaw and tongue to prevent airway obstruction during sleep. They’re comfortable, discreet and easy to use.
Studies support the efficacy of oral appliance therapy (OAT) to reduce apnea episodes, improve oxygen levels and suppress snoring in patients with mild to moderate OSA. They’re also portable, compact and quiet-perfect for people who can’t tolerate CPAP.
They look similar to an athletic mouth guard or orthodontic retainer and slip into a protective case for convenient travel. They also provide a much higher compliance rate than CPAP machines and are more easily tolerated.
2. Sleep Positioning Devices
For individuals who suffer from snoring and mild sleep apnea, positional therapy might be an alternative to the CPAP machine. Sleeping in a more comfortable position might improve snoring and reduce acid reflux.
The device is worn on the neck and chest and vibrates when it detects supine sleeping. It has been shown to significantly reduce esophageal acid exposure and reflux events.
Oral appliances move the jaw or tongue to prevent airway collapse, and are best for those with mild to moderate sleep apnea. Surgery is another option for those with mild to severe sleep apnea. It includes elevating the upper body, reducing the size of the soft palate and tongue through radiofrequency treatment and removing excess turbinate tissue. This procedure can be performed in-office and takes just ten minutes.
3. Muscle Stimulation Devices
For those looking for a more natural way to manage sleep apnea, muscle stimulation devices can help. These devices are worn around the abdomen, chest or arms and emit pulses that encourage muscle contractions. They are often used in physical therapy and rehabilitation clinics to help strengthen weakened muscles due to injury or illness.
Look for a device that offers multiple modes and programs for strength training, pain relief, recovery, or relaxation, says Kyle Sanchez, PT, DPT, CSCS. It’s also important to find one that is lightweight, portable and easy to use. You want to be able to easily adjust the settings for a comfortable fit without burning your skin. It’s also a good idea to get a machine with TENS capabilities, which offer lower voltages that stimulate sensory neurons and reduce pain signals.
4. Weight Loss
Obesity has been linked to sleep apnea, and losing weight can significantly mitigate symptoms, or even cure them in some cases. The CPAP machine pushes a constant stream of air pressure into your throat and nasal passages. This can be difficult to tolerate, but losing weight can help.
Similarly, oral devices and surgery can also treat obstructive sleep apnea by repositioning or reshaping tissue in your mouth and throat. Unlike the mask-based CPAP, these treatments are less restrictive and more comfortable.
Managing sleep apnea can improve energy levels and promote better overall health, which can help people stick to a healthier diet and weight loss plan. The right treatment will be tailored to your specific needs and preferences. Our team at Sleep Cycle Center can recommend a range of alternatives to CPAP, so you can find the solution that works best for you.
5. Exercise
Performing regular physical activity helps control blood pressure, and transient stress on muscles through exercise can strengthen them. These two factors can help improve breathing and airflow through the nose.
Studies show that drinking alcohol can increase the risk of developing OSA and that reducing alcoholic intake can significantly improve symptoms of OSA. This is a simple, yet effective treatment option.
Obstructive sleep apnea is a serious disorder that causes snoring and poor sleep quality in millions of people worldwide. CPAP is a popular treatment, but it doesn’t always work for everyone. In some cases, the mask may be uncomfortable or claustrophobic, and in others, the patient doesn’t see improvement with this treatment. Penn’s Alternatives to CPAP Clinic can identify the cause of these issues and provide a more personalized solution.