Inability to breathe through the nose

A conversation about the nose needs to be had because of the uptick of mouth breathing.  When one cannot breathe through the nose the only option our brain has left is to mouth breath. There is only one problem with this and that is the mouth is meant to speak and eat with but not to breath with.  Mouth breathing is considered an epidemic in North America.

When a person engages in this activity many things will change.  One of the primary changes we see is orthopedic.  Our brain, which is a survivalist, will position our bodies to receive air in the most efficient way at all costs. In order to breath through the mouth a passage must be created for the air to enter into the body. This is accomplished by opening the mouth and posturing the tongue down to allow the air to pass over it as it continues first to the throat and then to the lungs. One important concept to appreciate, is that our brain will automatically position our head forward to completely clear the tongue so that it will not impede our ability to receive air.  This position places our heads in front of our skeletal frames.  I have coined the phrase “stand up CPR” to describe this.

( link to my article on Standup CPR on the neck &back pain section)

Because our heads are positioned forward of our skeletal frame, we tend to develop chronic pain in our backs and necks.  The head weighs around 10 pounds which means we are carrying this “back pack” of a head around the whole day in front of our skeletal frame. The more the head is forward, the greater pressures will be placed on our skeletal frames. Every inch forward adds 10 pounds of weight forward of our skeletal frame.  It is not surprising for patients to comment on these issues when they seek treatment.  As we promote proper breathing, many times neck and back pains are resolved.  

When evaluating a patient, it is paramount that we address the patency or the opening of the nose to ensure proper breathing. It is not uncommon to enlist the services of an ENT to help in the evaluation and treatment  of the nose.

Often, we find our patients have dealt with nose problems since childhood which creates yet another skeletal change. This change occurs as our bodies grow and develop.  The tongue, which is made of muscle, creates much of internal shape of our mouths as it pushes from the inside out to help develop the size of our oral cavity as we grow. However, when our tongues are posturing down to allow air to come into our bodies, the size of the oral cavity is compromised.  This is because the pressure the tongue exerts on the internal walls of the mouth will counter act the inward pressure from the cheek muscles as they contract  The smaller the oral cavity will result in pushing the tongue to live further back in the mouth instead of living high in the palate.  Because the internal structures and size of the mouth are not developing as it should results in a smaller than normal nasal airway. (the ceiling of the palate is the floor of the nasal passages) Of course, the smaller the nasal passages directly influences the amount of air we can receive through our nose.  This tongue positioning can cause a person, including children, to have breathing issues at night.  

There are many reasons why we are becoming are obligate mouth breathers:

• The most obvious is mentioned above where our tongues are not engaged in the development of the oral cavity which directly correlates to a smaller development of the nasal passage that causes a decrease in the amount of air we receive.  

• Previous damage to the nose

• Deviated septum which is a “crookedness” in the wall that divides the interior of the nose which can reduce the amount of air entering the body.

• Sinusitis (inflammation of the sinuses)

• Other architecture in the nose that might be abnormal such as a the nasal valve collapse or swollen turbines

Anything that can reduce the air flow into our noses will influence our ability to breathe through it.  We invite you to contact our office at (480)248-7788 if you have an interest in learning about these things or desirous to have any concerns looked into.  

Contact Us

TMJ & Sleep Therapy Centre-East Valley
9002 E Desert Cove Ave. # 101 Scottsdale, AZ 85260
Hours
Monday: by appointment only
Tuesday: 7:00am-3:30pm
Wednesday: 8:00am-5:00pm
Thursday: Online consults available
Friday: Closed
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