Pain and AHI

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Barbee
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Pain and AHI

Post by Barbee » Fri May 17, 2019 4:19 pm

Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof.
Thanks in advance

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palerider
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Re: Pain and AHI

Post by palerider » Fri May 17, 2019 4:34 pm

Barbee wrote:
Fri May 17, 2019 4:19 pm
Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof.
Thanks in advance
Anything that affects sleep can affect the ahi

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Julie
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Re: Pain and AHI

Post by Julie » Fri May 17, 2019 4:35 pm

Are you taking meds for it - they're far more likely to be at fault.

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Pugsy
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Re: Pain and AHI

Post by Pugsy » Fri May 17, 2019 4:37 pm

In a round about way but not the airway itself.
Pain can cause poor sleep...lots of tossing and turning and wake ups which increases the chances of SWJ sleep/wake/junk flagged events.
Not real events. The machine doesn't know sleep status. It just knows to measure air flow and our awake breathing if often much more irregular than our asleep breathing. The machine will flag those awake irregularities as some sort of apnea events.
Usually central/CA events but can also be OA and hyponea. I have personally seen SWJ in all the categories.
One night I had an AHI of 3.6 and not a single event was real. All the events were awake or arousal related. I wasn't asleep for a single one of the flagged events.

We have to be asleep or the apnea events to matter. Awake events simply don't count.
So pain can cause elevated AHI but not because it has really compromised the airway....but because pain causes crappy sleep.
Now sometimes medications taken for pain can impact the airway but for the most part I think higher AHI numbers are just false positives.

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Barbee
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Re: Pain and AHI

Post by Barbee » Fri May 17, 2019 4:39 pm

Taking ibuprofen.
I took a couple of short naps today. Woke myself up twice snoring.

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Barbee
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Re: Pain and AHI

Post by Barbee » Fri May 17, 2019 4:43 pm

Pugsy wrote:
Fri May 17, 2019 4:37 pm
In a round about way but not the airway itself.
Pain can cause poor sleep...lots of tossing and turning and wake ups which increases the chances of SWJ sleep/wake/junk flagged events.
Not real events. The machine doesn't know sleep status. It just knows to measure air flow and our awake breathing if often much more irregular than our asleep breathing. The machine will flag those awake irregularities as some sort of apnea events.
Usually central/CA events but can also be OA and hyponea. I have personally seen SWJ in all the categories.
One night I had an AHI of 3.6 and not a single event was real. All the events were awake or arousal related. I wasn't asleep for a single one of the flagged events.

We have to be asleep or the apnea events to matter. Awake events simply don't count.
So pain can cause elevated AHI but not because it has really compromised the airway....but because pain causes crappy sleep.
Now sometimes medications taken for pain can impact the airway but for the most part I think higher AHI numbers are just false positives.
Im going to get my card out and look at sleepyhead. I noticed I am holding my breath quite a bit so it probably is SWJ.

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Barbee
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Re: Pain and AHI

Post by Barbee » Fri May 17, 2019 4:45 pm

palerider wrote:
Fri May 17, 2019 4:34 pm
Barbee wrote:
Fri May 17, 2019 4:19 pm
Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof.
Thanks in advance
Anything that affects sleep can affect the ahi
Thanks. I suspected that.

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zonker
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Re: Pain and AHI

Post by zonker » Fri May 17, 2019 5:45 pm

palerider wrote:
Fri May 17, 2019 4:34 pm
Barbee wrote:
Fri May 17, 2019 4:19 pm
Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof.
Thanks in advance
Anything that affects sleep can affect the ahi
true, dat. i don't have horrible back pain, but what little i do get every now and then can push my ahi UP.
people say i'm self absorbed.
but that's enough about them.
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palerider
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Re: Pain and AHI

Post by palerider » Fri May 17, 2019 7:02 pm

zonker wrote:
Fri May 17, 2019 5:45 pm
palerider wrote:
Fri May 17, 2019 4:34 pm
Barbee wrote:
Fri May 17, 2019 4:19 pm
Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof.
Thanks in advance
Anything that affects sleep can affect the ahi
true, dat. i don't have horrible back pain, but what little i do get every now and then can push my ahi UP.
HEY! when did you sneak back in!??!?! ;)

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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

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zonker
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Re: Pain and AHI

Post by zonker » Fri May 17, 2019 7:33 pm

palerider wrote:
Fri May 17, 2019 7:02 pm
zonker wrote:
Fri May 17, 2019 5:45 pm
palerider wrote:
Fri May 17, 2019 4:34 pm
Barbee wrote:
Fri May 17, 2019 4:19 pm
Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof.
Thanks in advance
Anything that affects sleep can affect the ahi
true, dat. i don't have horrible back pain, but what little i do get every now and then can push my ahi UP.
HEY! when did you sneak back in!??!?! ;)
i snuck in under a yellow haze.

or so someone said. :P
people say i'm self absorbed.
but that's enough about them.
Oscar-Win
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1-Win64.exe
Oscar-Mac
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1.dmg

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Muse-Inc
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Re: Pain and AHI

Post by Muse-Inc » Sun May 19, 2019 9:18 pm

Barbee wrote:
Fri May 17, 2019 4:19 pm
Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof...
It does for me. Few years ago, I fell landing on one shoulder. Then, a month or so later, other shoulder decided to be frozen :shock: . I ended up on anti-inflammatories and sleeping on my back with pillows under shoulders to position with least pain. Events quadrupled and average pressure increased. Was a miserable 6+ months healing.

I think my periodic 'much higher event' nights are likely due to pain.
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Barbee
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Re: Pain and AHI

Post by Barbee » Mon May 20, 2019 6:26 am

Muse-Inc wrote:
Sun May 19, 2019 9:18 pm
Barbee wrote:
Fri May 17, 2019 4:19 pm
Curious if pain affects AHI.
I hurt my shoulder this week and my AHI is thru the roof...
It does for me. Few years ago, I fell landing on one shoulder. Then, a month or so later, other shoulder decided to be frozen :shock: . I ended up on anti-inflammatories and sleeping on my back with pillows under shoulders to position with least pain. Events quadrupled and average pressure increased. Was a miserable 6+ months healing.

I think my periodic 'much higher event' nights are likely due to pain.
Thanks. I looked at my sleepyhead results and most of it was centrals. I believe I was awake and holding my breath a lot. Pillows under my shoulder blade and a heating pad on top of my shoulder has me feeling a little better now. This getting old crap is for the birds :lol:

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Pugsy
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Re: Pain and AHI

Post by Pugsy » Mon May 20, 2019 6:44 am

Barbee wrote:
Mon May 20, 2019 6:26 am
This getting old crap is for the birds :lol:
It is indeed but it's probably better than the alternative. :lol:
In addition to the back and pelvic stuff my left shoulder is also giving me fits and that's the one I normally sleep on for side sleeping.
Damn thing hurts like a tooth ache even if I don't try to move my arm and a bad tooth ache at that. When I try to use it there is a little SOB inside the joint with a ice pick poking around. I would like to slap the crap out of him.

I don't think that pain makes the sleep apnea issues in terms of airway patency any worse but it does mess with our sleep which can give false positives for flagging of events which makes it look like the sleep apnea is worse when it's really our sleep itself that is worse.
Now some of the meds we might take to deal with that pain might be a different story in terms of airway patency.

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Barbee
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Re: Pain and AHI

Post by Barbee » Mon May 20, 2019 7:34 am

Pugsy wrote:
Mon May 20, 2019 6:44 am
Barbee wrote:
Mon May 20, 2019 6:26 am
This getting old crap is for the birds :lol:
It is indeed but it's probably better than the alternative. :lol:
In addition to the back and pelvic stuff my left shoulder is also giving me fits and that's the one I normally sleep on for side sleeping.
Damn thing hurts like a tooth ache even if I don't try to move my arm and a bad tooth ache at that. When I try to use it there is a little SOB inside the joint with a ice pick poking around. I would like to slap the crap out of him.

I don't think that pain makes the sleep apnea issues in terms of airway patency any worse but it does mess with our sleep which can give false positives for flagging of events which makes it look like the sleep apnea is worse when it's really our sleep itself that is worse.
Now some of the meds we might take to deal with that pain might be a different story in terms of airway patency.
Lord have mercy, yes! An ice pick is a perfect description!
I cant even pick up a cup of coffee with that arm right now. It just hangs down like a useless salami.

Old people problems!

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Midwest_non_sleeper
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Re: Pain and AHI

Post by Midwest_non_sleeper » Mon May 20, 2019 8:03 am

Barbee wrote:
Mon May 20, 2019 7:34 am
Pugsy wrote:
Mon May 20, 2019 6:44 am
Barbee wrote:
Mon May 20, 2019 6:26 am
This getting old crap is for the birds :lol:
It is indeed but it's probably better than the alternative. :lol:
In addition to the back and pelvic stuff my left shoulder is also giving me fits and that's the one I normally sleep on for side sleeping.
Damn thing hurts like a tooth ache even if I don't try to move my arm and a bad tooth ache at that. When I try to use it there is a little SOB inside the joint with a ice pick poking around. I would like to slap the crap out of him.

I don't think that pain makes the sleep apnea issues in terms of airway patency any worse but it does mess with our sleep which can give false positives for flagging of events which makes it look like the sleep apnea is worse when it's really our sleep itself that is worse.
Now some of the meds we might take to deal with that pain might be a different story in terms of airway patency.
Lord have mercy, yes! An ice pick is a perfect description!
I cant even pick up a cup of coffee with that arm right now. It just hangs down like a useless salami.

Old people problems!
That is the most vivid description of someone's arm that I've ever seen. I laughed.

Yes, as answered by the resident pros, pain can cause poor sleep, which in turn can make your AHI jump. I had surgery on March 1st and for the first few days, my AHI was even higher than it was during my sleep test. Presumably, I was tossing a turning all night long while in pain.