Foam Collar vs Chinstrap

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
nanwilson
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Re: Foam Collar vs Chinstrap

Post by nanwilson » Sun Mar 24, 2013 9:06 am

[quote="avi123"]In my case I can be treated adequately WITH or WITOUT a chinstrap.




My opinion about Nate's post:

=> headaches in the mornings are from other reasons than chinstraps
=> air force pilot's usually don't complain of headaches from their helmets
=> that chinstraps are constricting blood flow inside the brain is most likely absord
=> having dry mouth could come from other sources such as Rx, getting old, etc.
also, having drymouth indicates that the chinstrap IS working and it does not depend on the humidifier setting, just accumulation of Bacteria. use mouthwash
=> shave off your messy beard and maustage and then try again. Even if you're a sort of a Rabbi or just a Bolshevik
=> Since you're using nasal pillows mask try this mask without a chinstrap:
(I plan to try adding such a chinstrap support to my present mask)
[quote]


OOOOOPPPPPS Mouth in motion, mind at stop by Avi AGAIN.
Started cpap in 2010.. still at it with great results.

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chunkyfrog
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Re: Foam Collar vs Chinstrap

Post by chunkyfrog » Sun Mar 24, 2013 9:18 am

Nan: +1
Another point avi has gotten wrong:
(maybe pilots are issued better equipment than infantry)
http://www.operation-helmet.org/

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Sun Mar 24, 2013 10:56 am

chunkyfrog wrote:Nan: +1
Another point avi has gotten wrong:
(maybe pilots are issued better equipment than infantry)
http://www.operation-helmet.org/
Thanks very much for bringing this to our attention, chunky frog:
Government Issue (GI) military helmet pads are much too hard and cause severe headaches under the weight of the combat helmet. As a result, combat troops on patrol or convoy take their helmets off or release the chins strap for pain relief. Hard to concentrate on a dangerous job when you have a migraine-type headache.
I have accordingly made a donation. I hope you make one too, avi.

Regards, Nate

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avi123
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Re: Foam Collar vs Chinstrap

Post by avi123 » Sun Mar 24, 2013 11:04 am

chunkyfrog wrote:Nan: +1
Another point avi has gotten wrong:
(maybe pilots are issued better equipment than infantry)
http://www.operation-helmet.org/
Reply,

Aircraft pilot headache in this one but from incorrectly fitted helmet:

http://www.medind.nic.in/iab/t08/i1/iabt08i1p20.pdf

Excerpt:

"Reviewing the case in its entirety, the diagnosis
of migraine or vascular headache was found to be
incorrect; instead the individual was suffering from
external compression headache due to an ill fitting
helmet. Use of a new, well fitting, proper sized
helmet removed all his headaches."


But others have differenet thoughts about chinstraps:

http://www.bing.com/search?q=headaches% ... owAppsUI=1

I agree with this reply:

I have a chin strap (Topaz adjustable, from Tiara Medical Systems), but I've never had symptoms like you describe. In fact, I think my strap doesn't put enough pressure on my jaw (even though it's adjustable, I've got it to the edges of the velcro - and I don't have what you'd call a small head).

I do have frequent headaches since being on CPAP, but the worst ones come on about mid-day. Any headache I have after waking up usually goes away in an hour or so.


it's elastic and its force can be adjustable

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Last edited by avi123 on Sun Mar 24, 2013 11:28 am, edited 2 times in total.

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Sun Mar 24, 2013 11:13 am

Helmet Headaches – Wearing a Helmet Can Cause Pain, Red Mark on Forehead Typically, or a Rash
August 19, 2010

Helmets can create points of pressure and shear loading on the head. The head doesn’t have a lot of fat for padding. Especially for those of us (like me) who have oddly shaped heads – mine is long and narrow – prolonged helmet wearing can be uncomfortable and even cause headaches. This is especially true for workers who have to wear helmets on the job. There has even been a study on this: “Helmet-Related, External Compression Headache Among Police Officers in Rio de Janeiro.”
http://insidetamarack.wordpress.com/201 ... or-a-rash/

External compression headaches
Mayo Clinic Staff
External compression headaches can occur when any head wear puts continuous pressure on your forehead or scalp.
Common culprits of external compression headaches include tight hats, helmets, headbands and goggles. These headaches are sometimes known by other names that are specific to the type of equipment causing your headache, such as "swim-goggle headache" or "football-helmet headache."
With external compression headaches, the solution is as obvious as the cause. Simply remove the head wear causing the pressure.
http://www.mayoclinic.com/health/extern ... es/DS00642
MedGenMed. 2004; 6(2): 45.
Published online 2004 May 17.
PMCID: PMC1395783
Helmet-Related, External Compression Headache Among Police Officers in Rio de Janeiro
External compression headache is an infrequently cited cranial neuralgia resulting from continued stimulation of the cutaneous nerves caused by the application of pressure over the forehead or scalp. The headache can result from wearing a tight band around the head, a tight hat, or sports goggles, for example. The diagnostic criteria for external compression headache are summarized in the Table 1.[1] They include a constant nonpulsating head pain felt in the area subjected to pressure that increases over minutes, is not associated with other symptoms, and often disappears within 1 hour after removing the causative stimulus. If the causative stimulus is prolonged, external compression can lead to a more severe, migrainous headache or to a full-blown migraine attack in predisposed patients. This is a primary-type headache, not associated with organic cranial or intracranial disease, and thus does not require further investigation when the diagnostic criteria are fulfilled and the intermittent presentation is clear.[1,2] The goal of this study was to evaluate headache in police officers subsequent to wearing helmets during ordinary patrolling assignments.
US National Library of Medicine

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1395783/

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Last edited by NateS on Sun Mar 24, 2013 11:54 am, edited 1 time in total.
Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Sun Mar 24, 2013 11:34 am

avi123 wrote:Nate, in my case I can be treated adequately WITOUT a chinstrap or more adequatly WITH it.

Giving up my chinstrapnow I account for using one for a year and getting used to keeping my mouth shut.

I am a plain OSA sufferer who had about a 42 for AHI before CPAPing, three years ago.

Here are my results from last night with NO chinsrap. Notice the one time leak above the redline:

My opinion about Nate's post:

=> headaches in the mornings are from other reasons than chinstraps
=> air force pilot's usually don't complain of headaches from their helmets
=> that chinstraps are constricting blood flow inside the brain is most likely absord
=> having dry mouth could come from other sources such as Rx, getting old, etc.
also, having drymouth indicates that the chinstrap IS working and it does not depend on the humidifier setting, just accumulation of Bacteria. use mouthwash
=> shave off your messy beard and maustage and then try again. Even if you're a sort of a Rabbi or just a Bolshevik
=> Since you're using nasal pillows mask try this mask without a chinstrap:
(I plan to try adding such a chinstrap support to my present mask)
Avi, it looks like you have been successful in training your mouth to stay closed while you are asleep. I congratulate you and hope to someday achieve that too, but for now I have to address the issue. I know that my dry mouth is caused by mouth-breathing. Before my chinstraps stopped working and started hurting, I did not have dry mouth. And my girlfriend assures me that I do not have bad breath. (In addition, she likes my beard and mustache.)

You are taking my avatar far too seriously, and should not assume that my beard and mustache actually looks like that. Just my sense of humor at play.

What is the name of that chinstrap in your illustration, and where does it apply compression at the other end? I assume it relies on putting pressure somewhere and, if so with all due respect I am not interested. I am happy to have eliminated all that compression by using my foam collar as a simple posture-lift instead.

Regards, Nate

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Mask: DreamWear Nasal CPAP Mask with Headgear
Additional Comments: ResMed AirCurve 10 ASV; Dreamwear Nasal Mask Original; CPAPMax Pillow; ResScan & SleepyHead
Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx

nanwilson
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Re: Foam Collar vs Chinstrap

Post by nanwilson » Sun Mar 24, 2013 1:54 pm

Nate
You are just too nice of a gentleman to give Avi the reply he deserves. " Beards rule!!!!!!!" Quote from Duck Dynasty
Started cpap in 2010.. still at it with great results.

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Sun Mar 24, 2013 2:22 pm

nanwilson wrote:Nate
You are just too nice of a gentleman to give Avi the reply he deserves. " Beards rule!!!!!!!" Quote from Duck Dynasty

"Hey!"


Regards, Nate

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Mask: DreamWear Nasal CPAP Mask with Headgear
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Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Sun Mar 24, 2013 2:30 pm

Just relaxing on a Sunday afternoon after writing War and Peace:

Image

Regards, Nate

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Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx

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avi123
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Re: Foam Collar vs Chinstrap

Post by avi123 » Sun Mar 24, 2013 2:58 pm

Dostoevsky:

Respironics OptiLife CPAP mask

http://www.amazon.com/s/?ie=UTF8&keywor ... ctzmbs74_p

Make two tzepes with your beard and try tying them to your pyes.

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Last edited by avi123 on Sun Mar 24, 2013 3:07 pm, edited 1 time in total.

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chunkyfrog
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Re: Foam Collar vs Chinstrap

Post by chunkyfrog » Sun Mar 24, 2013 3:02 pm

Not a chinstrap; just a mask stabilizing strap.
same as on the P/R full life.
Total pain in the hiney.
Of course, you could line it with hook side Velcro, so it will snag onto the chin fur.

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Sun Mar 24, 2013 3:19 pm

avi123 wrote:Dostoevsky:

Respironics OptiLife CPAP mask

http://www.amazon.com/s/?ie=UTF8&keywor ... ctzmbs74_p

Make two tzepes with your beard and try tying them to your pyes.
You've got the wrong Russian!

Tolstoy wrote War and Peace, not Dostoevsky.

And I would not give up my Aloha for that Respironics thing. Sorry.

I'll try your other suggestion. It may be helpful when eating my soup.

Regards, Nate

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Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx

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StuUnderPressure
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Re: Foam Collar vs Chinstrap

Post by StuUnderPressure » Sun Mar 24, 2013 3:37 pm

Video on how to measure for the proper fitting for a soft cervical collar
https://www.youtube.com/watch?v=FGexSRSMpv0

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Sun Mar 24, 2013 3:42 pm

StuUnderPressure wrote:Video on how to measure for the proper fitting for a soft cervical collar
https://www.youtube.com/watch?v=FGexSRSMpv0
Excellent video! Thanks!

Regards, Nate

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Mask: DreamWear Nasal CPAP Mask with Headgear
Additional Comments: ResMed AirCurve 10 ASV; Dreamwear Nasal Mask Original; CPAPMax Pillow; ResScan & SleepyHead
Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx

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NateS
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Re: Foam Collar vs Chinstrap

Post by NateS » Mon Mar 25, 2013 11:00 am

Update - my four-inch foam collar arrived from Amazon yesterday. Used it last night, and it seems to be an improvement over the three-inch one I had been using. Better support for my chin and keeping my mouth closed during the night. Very comfortable lying down with it on. Cost less than ten dollars - $9.20.

http://www.amazon.com/gp/product/B000FZ ... UTF8&psc=1

Whoops - must be popular - I see the price is up to $11.20 as of tonight. Still a bargain for what it does.

Regards, Nate

_________________
Mask: DreamWear Nasal CPAP Mask with Headgear
Additional Comments: ResMed AirCurve 10 ASV; Dreamwear Nasal Mask Original; CPAPMax Pillow; ResScan & SleepyHead
Central sleep apnea AHI 62.6 pre-VPAP. Now 0 to 1.3
Present Rx: EPAP: 8; IPAPlo:11; IPAPHi: 23; PSMin: 3; PSMax: 15
"I've had a perfectly wonderful evening, but this wasn't it." —Groucho Marx