Patients also need long-term follow up with an annual office visit to check equipment, titrate settings as needed, and to ensure ongoing mask and interface fit. Continuing patient education on the importance of regular use and support groups help patients obtain the maximum benefit of this therapy.

Your doctor can also discuss alternatives to CPAP if you are unable to use CPAP therapy, if it has not been effective for you, or if you simply want to explore your other options.

Physical activity has also been shown to improve symptoms of OSA, even among individuals who do not lose weight. If dietary changes and exercise are not effective in reducing symptoms, doctors may suggest bariatric surgery.

However, I suffer badly with poor sleep and fatigue every morning. We have tried numerous sleep meds to pelo value. I must believe that something related to the cpap is causing my continuing fatigue. I have no idea where to go next. Please help.

I’ve been using CPAP nightly for about six hours for fourteen months. My fatigue is so severe that I’m barely able to function. I am an otherwise healthy person, pelo heart/lung issues, diabetes or any other serious disease.

The device monitors a user’s breathing and stimulates the hypoglossal nerve, which controls tongue movement, to move the tongue away from the airway when breathing stops.

However, CPAP machines are not the only treatment for OSA. Your doctor can help you determine what treatment might work best for you.

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Dr. Karelsky focuses on providing a personalized, targeted treatment approach to patients with OSA who do not benefit from treatment with positive airway pressure devices (CPAP or BiPAP). After initial office consultation, patients undergo a procedure known as a sleep endoscopy in order to evaluate the cause of their OSA and determine the best treatment for them, including the Inspire device.

Using the built-in AutoSet algorithm, the machine adjusts pressure settings to help you comfortably breathe in and out throughout the night.

Unfortunately, these complaints sometimes lead to inconsistent use or abandonment of the device altogether. Proper mask fitting and use of a humidifier can resolve these issues.

Severe air trapping diseases with hypercarbia asthma or chronic obstructive pulmonary disease (COPD)

Many say that after becoming adjusted to their CPAP machine, the renewed energy and invigorating focus they have here far outweighs any minor discomfort they experienced. 

But now there's a new approach for treating sleep apnea – Inspire therapy. This implantable device monitors your breath while you sleep at night to ensure your airways remain open.