Quantcast

Bookmark and Share
General Discussion on any topic relating to CPAP and/or Sleep Apnea.
LucidLight
 
Posts: 2
Joined: Fri Nov 21, 2008 8:32 pm
Gender: None specified

Can sleep apnea cause neck and back pain?

Postby LucidLight on Fri Nov 21, 2008 9:01 pm

Hi everyone, a few years ago I started waking up with really bad neck and upper back pain. There were days where I could not even turn my neck without a trip to the massage therapist. Also I started getting more and more frequent headaches, so I went to a neurologist. From there I got put in to physical therapy (2 rounds) to help with my posture and neck strength. What I never understood is how sleeping when my body is not holding up my head causing causing all this pain. Thinking it was all posture related I tried every type of pillow and sleeping position. Nothing really helped. My Neurologist said I should get a sleep study. Well I did not think I had sleep apnea. I was going to find out what the heck I was doing in my sleep every night to jack up my neck and back. Well I got diagnosed with mild sleep apnea. I think the longest apnea was over 30 secs. Well I was not completely surpised since my dad has sleep apnea, and had CPAP for years. Well I got my own CPAP now, and have had it for about 3 months. I don't have much trouble going to sleep, but I never go through the night without waking up and ripping it off. I think in 90 days I made it only once to the morning with it still on. Well I am still having alot of neck and back pain, and I am not sure if it is because I am not wearing the mask all night or that sleep apnea is not really the cause. The sleep doc seemed to believe that because I might be tensing up over and over struggling to breath is causing it. I tended to believe him, because it does not matter if I take muscle relaxants or not. One of the pain killers I took for Headaches, kept me from a deep sleep (makes me feel like I am on the verge of falling asleep all night long). The nights when I took the pain killers I woke up tired but I really was not sore. So have anyone else experinced knots and heavy soreness in the neck, shoulders, and back because of sleep apnea?

James
29 Years Old
5'11 165 Pounds

_________________
Mask Humidifier 

Ms Piggy
 
Posts: 344
Joined: Mon Sep 05, 2005 3:40 pm
Gender: None specified

Re: Can sleep apnea cause neck and back pain?

Postby Ms Piggy on Sat Nov 22, 2008 4:17 pm

Sorry to hear of your problems, I can''t help you but you could see if you
do any better by trying a different type of ma sk, a long shot maybe,
but you never know with this malady. good luck.

User avatar
echo
 
Posts: 2448
Joined: Wed Jul 18, 2007 4:20 pm
Gender: Female

Re: Can sleep apnea cause neck and back pain?

Postby echo on Sat Nov 22, 2008 4:38 pm

Hi LucidLight,

Welcome to the forum! There was a recent discussion on this thread about sore back caused by CPAP treatment: Sore back with CPAP?, but goes on to talk about CPAP being helpful for chronic pain.

And there is plenty of evidence linking Fibromyalgia and OSA.

Since you haven't been able to use the CPAP the entire night, I would NOT yet make the conclusion that the pain is unrelated to OSA.

If you register and tell us what setup you're using, (mask, machine, pressure settings, etc), and any issues you are having (mask fit, leaks, dry mouth, mouth breathing, etc), we can try to help you pinpoint why you're not able to use the machine the whole night.

If indeed your therapy is under control (no leaks, good mask, correct pressure settings, good hose management system, low AHI), then you can always try pur-sleep (scents that you can use with the CPAP, developed by one of the forum's members, SleepGuy) to induce relaxation (and some report that it helps with the mask-removal problem).
GK 420E, 10.5cm w/ HH
Activa nasal mask + mouth taping w/ 3M micropore tape + Pap-cap + PADACHEEK + Pur-sleep
Hosehead since 31 July 2007, yippie!
---
Stop the Thyroid Madness (STTM) and Recovering with T3
Circadian Sleep Disorders Network

User avatar
GumbyCT
 
Posts: 5789
Joined: Fri Sep 14, 2007 6:22 pm
Location: CT
Gender: None specified

Re: Can sleep apnea cause neck and back pain?

Postby GumbyCT on Sat Nov 22, 2008 5:40 pm

How many pillows do you use?

Your posture (spinal alignment) could indeed cause the symptoms you are describing. Have someone look while you lay down in your normal sleeping position to see if your spine is straight. It is hard for us to judge ourselves.
BeganCPAP31Jan2007;AHI<0.5
I have no doubt, how I sleep affects every waking moment.
I am making progress-NOW I remember that I can't remember
;)
If this isn’t rocket science why are there so many spaceshots?
Be your own healthcare advocate!

LucidLight
 
Posts: 2
Joined: Fri Nov 21, 2008 8:32 pm
Gender: None specified

Re: Can sleep apnea cause neck and back pain?

Postby LucidLight on Sun Nov 23, 2008 9:44 am

I have put in my machine info, and use a pressure setting of 10. I used to have a Swift LT mask, but the nose "pillows" kept loosing seal. So I got the a full nose mask instead. No seal problems, but like last night I had the humidifier set to below 1 and still get water build up in my mask (so that one last nights reason for yanking it off). I have tried every concievable pillow combination before I was even diagnosed. I got soft, hard, expensive, and memory foam posture pillows. I did have some surgery where I had to sleep at a 45 degree angle and it seemed that that helped, however I was also under alot of pain meds at the time, so I can't say 100% for sure the angle helped. After that I tried to built a pillow based 45 angle, but since I am a side sleeper I always destroyed it in my sleep. What is the other thread, I would be interesting in reading it. Anyone else have neck/back problems they believed may be caused by sleep apnea?

_________________
Mask Humidifier 

User avatar
echo
 
Posts: 2448
Joined: Wed Jul 18, 2007 4:20 pm
Gender: Female

Re: Can sleep apnea cause neck and back pain?

Postby echo on Sun Nov 23, 2008 12:20 pm

lucid light - if you go back to my previous post, click the words highlighted in blue , and that will take you to the other post.

For the water in the mask, you can try a hose cover (you can buy one from snugglehose), wrapping some socks or towels around the hose, keeping the hose under the blanket with you, or the aussie heated hose. The idea is to avoid condensation by warming up the air around the hose.
GK 420E, 10.5cm w/ HH
Activa nasal mask + mouth taping w/ 3M micropore tape + Pap-cap + PADACHEEK + Pur-sleep
Hosehead since 31 July 2007, yippie!
---
Stop the Thyroid Madness (STTM) and Recovering with T3
Circadian Sleep Disorders Network

User avatar
feeling_better
 
Posts: 738
Joined: Sun Jun 01, 2008 7:08 pm
Gender: None specified

Re: Can sleep apnea cause neck and back pain?

Postby feeling_better on Sun Nov 23, 2008 6:05 pm

LucidLight, Please search for the terms 'rain out' and 'swift lt' for help in reducing one of your problems.

As for back/neck pain, you already had it before you started on cpap. For some people, they started getting this when they started getting back/neck problems when they started cpap. So we can assume, cpap may aggravate the pain too. My guesses for this, based on my experience when I stared on cpap. 1. Cpap gives you more deep sleep with less awakenings and turnings and movements, so if you are prone to stiffening/pain, it gets worse! 2. Sometimes the mask leaks increase/decrease in some neck positions. You may be unknowingly holding your neck in a particular position to reduce leaks, and that position might be aggravating your pain.
M-series Auto A-flex in Cflex mode, HOME-MADE HH (replacing the integrated HH), Swift LT nasal pillows with outport control

User avatar
Kiralynx
 
Posts: 2179
Joined: Wed Oct 08, 2008 5:42 am
Gender: Female

Re: Can sleep apnea cause neck and back pain?

Postby Kiralynx on Sun Nov 23, 2008 7:24 pm

So have anyone else experinced knots and heavy soreness in the neck, shoulders, and back because of sleep apnea?


Can't speak for the neck and shoulders. However, I have had hip pain which woke me several times every night. The pain doc I saw sent me for a sleep study because she said that chronic pain is often associated with apnea, and that when I was sleeping properly, the pain should reduce.

I was exceptionally doubtful, especially since both my sleep study and my titration were interrupted twice by hip pain so severe I could not sleep. (To the annoyance of the doctor who read the studies, and who thought I should have been given a sleeping pill. Sleeping pills only made this kind of hip pain worse.) It was this kind of hip pain which made it very difficult to rest.

To my astonishment, although my AHI and leak rate are both down significantly (but haven't yet gotten a flat leak line), my hip pain is, in fact, significantly diminished. I've cut my anti-inflammatories from 6 doses a day to two.

So yes, it works. Ain't perfect, but then, I haven't yet gotten all my parameters where I'd like them to be.

I grumble a lot about the mask, but I'd worry about going without it now.

_________________
Machine: PR System One REMStar 60 Series BiPAP autoSV Advanced
Mask: TAP PAP Nasal Pillow CPAP Mask with Improved Stability Mouthpiece
Humidifier: REMstar Heated Humidifier
Additional Comments: Sleepyhead software, not listed.
-- Kiralynx
Beastie, 28 Oct 2008. NEW Beastie, Bipap ASV Advanced, 12 May 2014. PadaCheek Hosecover. Homemade Brandy Keg Chin Support. Also Comfortlite 2 and Aeiomed Headrest masks, discontinued.
Max Ipap = 14
Min Ipap = 10
Epap = 6

Guest
 

Re: Can sleep apnea cause neck and back pain?

Postby Guest on Fri Jan 02, 2009 3:13 pm

My back and neck pain was almost intolerable, I was even getting botox injections to stop the spasms that were causing tension headaches. Now the pain bad but not to the "I can't turn my head" level. I still can't make it through the night with out pulling it off. A lot of nights my nose may not be clear enough to even get enough air. I was using Afrin until I my nose was 100 closed off every night, and hat to quit cold turkey. I would just love to know if I finally was able to sleep a few full nights sleep with the mask on would my neck and back finally get better. Maybe I can just get pipes installed in my nose :)

drycwong
 

Re: Can sleep apnea cause neck and back pain?

Postby drycwong on Mon Jan 05, 2009 12:58 am

Dear LucidLight

I had significant sleep apnoea when I was >180 lb together with constant neck and back pain, so much so that I thought I was suffering from fibromyalgia rheumatica. I have largely recovered - CPAP is no longer mandatory to eliminate day time somnolence.

You are 156lb at 5'11, I am 5'5 at 152lb, therefore my BMI is greater than yours. Since you are a mere 29 yr old, you should be able to manage far more exercise than me at age 61 yr.

I speak from personal experience, and not as a physician (although I am one), on what I think is best for you, provided you have no predisposing factors that may prevent you from exercising or other physical disability. Presumably your doctor has cleared you of serious spinal disease such as cancerous deposits on the neck bones!

1. Weight-wise, you are Okay. No specific action on this front.
2. Intolerance to CPAP is a well recognised problem of this otherwise superb therapy involving no drugs. This is a personal preference which is probably exacerbated when you have so much pain from this, that or the other. Your persistent pain issue can not and should not be overcome by long term night sedation, risking later substance abuse.

Rx

I would suggest at least one hour of eliptical cycle training daily to train all 4 limbs with no impact on the joints, and only start purposeful stretching of the neck and back half way through the exerise session after your muscles have warmed up. The exercise machine does not need to add resistance for the initial few weeks. Don't waste your money on passive massages - be active and stay consistant at your exercise regime.

Splint your neck with a cervical spine (neck) support that fixes your head in a steady position to prevent bending the neck forwards (up when you are lying down). This support, comes in a few different sizes, is basically like a vicar's dog collar that rings around the neck but it is taller in that it is around 6 inches high. Note that if it is comfortable when you first put it on, it is too small to adequately stablise your head and neck. It must be stiff, and minimise head and neck movement throughout sleep.

Abandon what ever pillow you have and sleep on a firm, orthopaedic mattress.

Take sufficient analgesics for the first 10 days, together with adequate muscle relaxant before bed. Note muscle relaxants are nearly all addictive tranquillisers, therefore your doctor should limit your use of these "relaxants".

If you have significant day time somnolence which may cause you danger, e.g. falling asleep at the wheel whilst dring, then you might be better off to continue the CPAP machine for now.

It is entirely possible that you may resolve your present perdicament before Easter. I would be delighted to hear how you got on in a couple of months' time. The collar may be a little hot in the summer, therefore you should try this regime out over the current winter of the Northern Hemisphere.


Return to CPAP and Sleep Apnea (CLICK HERE TO READ POSTS)

Who is online

Users browsing this forum: beautifuldreamer, chunkyfrog, DDD, sc0ttt, tmr and 41 guests