Upper Airway Resistance Syndrome: The Most Ignored Sleep Condition
Вставка
- Опубліковано 5 лют 2025
- If you’re still struggling to get a good night’s sleep, but your sleep doctor tells you that you don’t have sleep apnea, then you must watch this video. I’m going to describe why upper airway resistance syndrome is the most ignored sleep condition, and what you can do about it so that you can start to sleep better and wake up refreshed and feel alive again.
♦️ Virtual Coaching with Dr.Park ♦️
Want to have more energy, sleep better, have less pain, and enjoy living again? Reserve a Virtual Coaching session today with Dr. Park. tinyurl.com/4v...
----------------------------------------------------------------------------
✅ LINKS & RESOURCES MENTIONED
Prevalence of obstructive sleep apnea in the general population: A systematic review.
www.sciencedir...
Proportion of surgical patients with undiagnosed obstructive sleep apnoea
academic.oup.c...
A Cause of Excessive Daytime Sleepiness: The Upper Airway Resistance Syndrome
www.sciencedir...
From obstructive sleep apnea syndrome to upper airway resistance syndrome: consistency of daytime sleepiness. tinyurl.com/yt...
The symptoms and signs of upper airway resistance syndrome: a link to the functional somatic syndromes. tinyurl.com/24...
✅ PRODUCTS & SERVICES
Reserve a Virtual Coaching session today with Dr. Park. tinyurl.com/4v...
Totally CPAP: A Sleep Physician's Guide to Restoring Your Sleep and Reclaiming Your Life
amzn.to/3YrgvHV
Sleep, Interrupted: A Physician Reveals The #1 Reason Why So Many Of Us Are Sick And Tired
amzn.to/3YvTWlq
Want to un-stuff your stuffy nose? Read the e-book, How to Un-stuff Your Stuffy Nose: Breathe Better, Lose Weight, Sleep Great (PDF)
tinyurl.com/5n...
Your Health Transformation Workbook: Refresh, Restore, & Rejuvenate Your Life (online format)
tinyurl.com/25...
✅ CONNECT WITH DR. PARK
DoctorStevenPark.com
doctorpark@doctorstevenpark.com
For inquiries about interviews or presentations, please contact Dr. Park through his website at doctorstevenpark.com.
✅ DISCLAIMER
This video is for general educational and informational purposes only. It is not to be taken as a substitute for professional medical advice, diagnosis, or treatment. Please consult with your doctor first before making any changes to your health, exercise, nutrition, or dietary regimen.
Certain product links above will take you to Amazon.com. If you then go on to buy the product, Amazon will provide me with a small commission, which will not cost you anything.
Doctors may have a degree, but most have no common sense and no vocation.
Dr Park is the exception and we’re lucky to have him.
Because its not taught enough, it needs to change!
my personal belief is that you should not be a doctor if you don't want to continue your education after medical school. if you're not constantly trying to learn new things about whatever field you're in you become stagnant. stagnancy leads to incompetency, and incompetency leads to frustration and sometimes even harm in patients. absolutely infuriating dealing with doctors who insist that their opinion is always right. these are the people you're supposed to trust when you need help, and if they can't even do that than what good are they?
I see this upper airway resistance syndrome showing on sleep studies as RERA's (respiratory effort-related arousals ). They won't hit criteria for sleep apnea, however newer studies are showing that they may cause daytime somnolence! This is a great video bringing attention to the topic! Now if only insurance companies would allow trial on CPAP's for some of the more severe symptoms.
It began in 1982, when I had a unhappy intervention, to improve my breath, then a second, to correct the damage made by the first. Usually the left nostril is blocked...due to diferent situations: cold, wind...and I can fix it, without, medicins or chemicals. As an exemple, the last time it happened wasin a bus where all the windows on both sides were open. I tell you to learn the causes that can produce UARS...I use massage, pressopuncture, breathing exercises. If I have no time, it persist. I know I must do all that for the rest of my life, i hope to be able to. Never, anyone could convice me to try other interventions. I thank you and the 'twoo sticks' in the nostrils is a very good technique.
When you're eating a snack and watching this video before bed and get slapped with tip #1
I’ve seen anecdotes that UARS in some cases is made worse from CPAP. Cases like a floppy eppiclotis or the tongue falling back. In both cases the continuous positive air way pressure further worsens the obstruction
Yes because it makes you have to breathe harder
Find an ENt that does DISE you could need epiglottis surgery
Thank you, Dr. Park.
Great updated info. Thank you
My 12 yo is so sick with POTS and chronic fatigue. I think she has UARS - her sleep study says she is "fine" but she's clearly not find and barely gets any REM or deep sleep and moves around a lot in her sleep, waking up exhausted every day.
Does she month breath ?
Did she have early tooth extraction?
Thank you with love.
I always love how your explanations of these commonly overlooked conditions . Too bad you didn't mention any functional training such as breathing education beyond mouth taping and orofacial myofunctional therapy to assist in addressing UARS.
I have UARS and am considering revision mma or a tonsilectomy. My tonsils are reasonably big, probably a grade 2, but do not show much obstruction on my DISE. Such a minefield trying to figure out the right next step, whether it's an issue relating to oversized furniture or an undersized room.
Hi dr. Park
I would like to reach out to schedule a virtual coaching session but the link is not working. Could you please tell me how to contact you? Thank you very much :)
Last night was my third night of mouth-taping. It really works! I slept all night again. No more waking up with a dry mouth from snoring. I am absolutely thrilled! Thank you Dr. Park for your incredibly informative videos.
Great to hear! Thanks for sharing.
Virtual session link is not working. how do I get in touch with you Dr Park?
Have you every heard of using Low Level Laser Therapy for enlarged nasal turbinates? I'd really hate to have a second turbinate surgery. And i know a doctor who has the laser and uses it for a variety of conditions. But I'd probably be the first using it for that!
Ive had surgery on my septum and turbinate's, made no difference, im sure its my jaw thats the issue
Dr. Park, I have been struggling with CPAP for about a year. I believe that in addition to clear nasal passage, you also need a good and natural tongue-soft-palate seal. Without this, the incremental pressure in your mouth will be problematic causing puffy cheeks and leakage. Some people seem to have this natural seal and thus have an easier time with PAP. Any thoughts on this?
thelankylefty27 had a video on how bipap may be better than cpap for people with UARS. bipap will decrease the pressure on exhalation and increase tolerance for people struggling to breath against the constant pressure of cpap.
@@MrDutto Thanks for taking the time to reply! Yeah, I follow Jason (thelankylefty27) and I have seen that video. Most people, even sleep doctors, do not really understand PAP. When running at constant pressure (CPAP), the baseline pressure in your lungs will exactly balance the pressure of the CPAP. This increased baseline pressure (same in both the CPAP tube and your lungs) should not be felt at all. Because it is greater than ambient (room) pressure, your airway will expand, thus helping clear obstructions. Breathing should feel natural!
I cannot emphasize this enough, breathing with CPAP should feel very natural! A big part of what makes this work for some and not others is a good natural tongue-soft-palate seal. Without this, the increased baseline pressure will also need to be handled in your mouth. This WILL cause puffy cheeks and much more difficulty preventing air leaks. I was hoping that Dr. Park had come to this realization and would give his thoughts on the implications. He may not be there yet...
Using a BiPAP does not change what I have said above. I have heard several people suggest BiPAP might be beneficial for UARS, but have also heard otherwise. To me, step one is being able to tolerate PAP. Then finding the optimal pressure, using EPR or BiPAP or APAP, mouth taping, mask selection, or other enhancements are refinements on the therapy.
Thanks again to you and anyone taking the time to read this reply. I'm still hoping for advancements in sleep therapy and wish all a good night's sleep.
I have false upper teeth. I take out the false teeth every night and I believe that is why I am breathing
from my mouth and waking up many times in the night. I always get up around 3 am every night (or morning) and thirsty. Thank you for your thoughts.
Just tape your mouth closed if your nose is working alright.
Dog ear one side of the tape, using a little extra tape to fold back onto itself.
Is it possible to need Septoplasty but then it no longer being necessary once jaw surgery (to fix recessed jaw) has been performed or can jaw surgery not resolve a septic deviation?
You need septoplasty for the nose, jaw surgery will do nothing
Do you think the IQoro device could be effective in treating UARS?
Either left side or right side of my nose airway is always restricted when i wake up exactly at 2am . dont smoke , dont drink , walk for 1 hour a day and eat healthy once a day plus a few fruits , no snaking . People tell me I snore . what can i do .
See an ENT to take care of your nasal congestion first. If you have any weight to lose, start with this first. Also, see a sleep doctor to test for obstructive sleep apnea. Good luck.
Turbinates
Hello dr. Park how would i get in contact woth you
My contact information is in the description area for each video, near the bottom.
Ive heard that using a CPAP can hinder your breathing thus making UARS worse
Just like any medical device or pill, it can help many people but can cause more problems in others. It's all about working with your doctors and equipment providers, as then proper troubleshooting. Your question reminds me of the fact that in a small percentage of patients, long-term CPAP use can cause weight gain. My explanation is that although all the severe apneas are controlled, CPAP can cause lots more microarousals, leading to sleep fragmentation, and a stress response, leading to weight gain.
What about bi-level when regular CPAP doesn't work?
Before thinking about switching to bi-level, make sure to fully optimize your nasal breathing since having a stuffy nose can prevent CPAP use. Mouth breathing will lead to CPAP air leaks and various other problems. Your question has many different answers, depending on your particular circumstances. My feeling is that most people give up on CPAP (and other xPAP devices) too prematurely, without going through all the troubleshooting steps. There are lots of good resources on UA-cam, in addition to my book, Totally CPAP: A Sleep Physician's Guide to Restoring Your Sleep and Reclaiming Your Life. Good luck!
@@stevenpark5218 Thank you for your response. I actually fully optimized every PAP factor (mask, nasal breathing, leaks etc) but regular CPAP was simply not resolving my flow limitations despite perfect compliance. Raising the pressure didn't do anything to stop my airway collapsing. Bi-level actually seems to resolve my flow limitations by virtue of having pressure support, and I'm not using a high pressure either. I don't fully understand the physics of why having two alternating pressures seems to open up the throat better than a single pressure for subtle flow limitations. Dr Barry Krakow is a proponent of bi-level and bi-level ASV therapy for UARS patients. I'm going to guess that most people with UARS would probably do better on bi-level compared to CPAP. I'd like to hear your opinion about bi-level and UARS.
@@stevenpark5218 UARS survivor here, self-titrating BiPAP and ASV since '21. Actually I managed to tame my congested nose with BiPAP. Moderate amounts of PS compensated for nasal resistance, and allowed me to sleep better. When I started to sleep better, all nasal congestion (swollen turbinates etc.) resolved by itself. I can now breathe easilly through the nose, even during strenuous exercise. Last week I spent 7 hours on my recumbent bike in a single day :)
@@cebruthius How do you mean tame the nose with BiPAP?
@@APN34Z That's what I explained after, PS compensates for nasal resistance.
sir i am from India i have a problem when I breathe I feel like it's going in stomach, and also my neck always panfull, and my vission is also not good, i have seen lots of dentist and ent specialist, but they cant tell any thing, when i am walking i feel like floating, what should i do, i am getting suicidal day by day,, i am suffering from 7-8 yr, now my age is 22, what should I do!
Are you better now my friend? How are you doing? Did you figure out what it was?
What about myofunctional therapy?
Theres only so much you can do with this
Would apnea training help UARS?
Yes. Anything you can do for apnea will also help with UARS.
maybe! new...nowhwere, nothing about mucus, why? an ignored cause of...
"upper airway resistance syndrome is the most ignored sleep condition" …Doctor Park, could you describe this syndrome?
He just did
Its where you are basically breathing way to hard and fast at night, your body is having to work harder, the arousals are triggering you to wake so you never get deep/rested sleep, hope that helps a little :)
Usually it's the neighbor
What is the treatment?? I got my cpap it doesn’t help :(( I am even more tired 🥱