Sleep Apnea TReatment in chicago

Understanding and Diagnosing Sleep Apnea: A Comprehensive Timeline for Diagnosis and Treatment

Recognizing Symptoms of Obstructive Sleep Apnea (OSA)

Many individuals with Obstructive Sleep Apnea (OSA) are unaware of their condition, as the first signs are often noticed by a bed partner. Common signs and symptoms of OSA include:

Snoring (loud and frequent)
Daytime sleepiness or fatigue
Restlessness during sleep, frequent awakenings
Sudden awakenings with a sensation of gasping or choking
Periods of not breathing during sleep
Dry mouth or sore throat upon awakening
Cognitive impairments, such as trouble concentrating, forgetfulness, or irritability
Mood disturbances (depression or anxiety)
Night sweats
Sexual dysfunction
Headaches
Gastric reflux or heartburn

Ready To Get a Great Nights Sleep?
Contact one of our offices today!

Chicago (South Loop) Chicago - South Loop Office Phone Number 312-692-0200

Orland Park Orland Park Office Phone Number 708-349-4000

Oak Lawn Oak Lawn Office Phone Number 708-425-4300

Chicago (Midway) Chicago - Midway Office Phone Number 773-229-1100

Request Appointment Online

It is important to note that while snoring is a common symptom, not all snorers have OSA. Snoring results from tissue relaxation in the throat, which causes partial airway blockage, leading to the vibration sound. OSA, on the other hand, involves repeated pauses in breathing and more significant health risks.

Understanding the Difference Between Snoring and OSA

Snoring may stem from various factors, including alcohol consumption and body weight, but does not always indicate OSA. Recognizing the difference is crucial, as it guides treatment options. Snoring treatments often include lifestyle changes like weight loss, alcohol reduction, or changes in sleep position. However, for OSA, more targeted interventions like Oral Appliance Therapy may be necessary.

What is Obstructive Sleep Apnea?

OSA is a severe condition where breathing repeatedly stops during sleep. This lack of airflow can lead to oxygen deprivation for both the brain and body. Without treatment, it can cause various health problems, such as high blood pressure, heart disease, and stroke.

Are You at Risk for Sleep Apnea?

Several factors increase the likelihood of developing sleep apnea:

Gender (more common in men)
Obesity
Age (over 40)
Large neck size (17 inches or greater for men; 16 inches or greater for women)
Large tonsils, tongue, or a small jawbone
Family history of sleep apnea
Gastro-esophageal reflux (GERD)
Nasal obstructions (e.g., deviated septum, allergies, or sinus issues)

The Impact of Untreated Sleep Apnea

Left untreated, OSA can lead to severe complications, including:

High blood pressure
Stroke
Heart disease (including heart attacks and irregular heartbeats)
Diabetes
Depression
Worsening of ADHD
Cognitive decline (e.g., memory loss, impaired concentration)
Fatigue, irritability, and poor work or academic performance

How is Sleep Apnea Diagnosed?

Diagnosis involves a thorough medical and sleep history, along with a physical exam. A polysomnogram (PSG), or sleep study, is often recommended. This overnight test monitors:

Airflow
Blood oxygen levels
Breathing patterns
Brain activity
Heart rate
Eye movements
Muscle activity

The severity of OSA is classified based on the Apnea-Hypopnea Index (AHI), which measures the number of apneas (breathing pauses) or hypopneas (partial breathing blockages) per hour of sleep:

None/Minimal: AHI < 5 per hour
Mild: AHI 5-14 per hour
Moderate: AHI 15-29 per hour
Severe: AHI ≥ 30 per hour

The findings are interpreted by a board-certified sleep physician, who will determine the best course of treatment.

Can Sleep Apnea Be Treated?

Yes, sleep apnea can be treated. Treatment goals include:

Restoring normal breathing during sleep
Alleviating symptoms like daytime fatigue
Reducing health risks, such as high blood pressure, heart disease, and stroke

Conservative Treatments

For mild cases of OSA, conservative therapies may be effective:

Weight loss and substance cessation
Positional therapy (e.g., changing sleep positions)
Treatment of allergies or sinus issues

Oral Appliance Therapy

A custom-made oral appliance is a popular treatment for OSA. This device, similar to a mouthguard, moves the lower jaw slightly forward to open the airway. It’s particularly effective for mild to moderate OSA, or for patients who cannot tolerate CPAP. These devices are FDA-approved and personalized for each patient through detailed impressions and imaging.

Continuous Positive Airway Pressure (CPAP)

For moderate to severe cases of OSA, CPAP is often the first-line treatment. It delivers a continuous stream of air through a mask, keeping the airway open.

Surgical Treatment Options

For individuals with severe OSA or those who do not respond to conservative treatments, surgery may be necessary:

Uvulectomy: Removal of excess tissue from the uvula to reduce snoring, performed using coblation therapy (low-temperature radiofrequency energy).
Maxillo-Mandibular Advancement: Surgical repositioning of the upper and lower jaws to improve airway structure.
Septoplasty: Surgical correction of a deviated septum, improving nasal airflow and reducing breathing obstruction.

Next Steps in Treatment

If you suspect you have OSA or are experiencing symptoms like loud snoring, excessive daytime fatigue, or difficulty concentrating, it’s important to consult a sleep specialist. Treatment can improve your sleep quality, overall health, and quality of life.

Ready to get a better night’s sleep? Contact one of our offices today for a consultation and diagnosis. Our team will help you navigate treatment options, including oral appliance therapy, CPAP, or surgical solutions, ensuring you get the rest and health benefits you deserve.