Ronin Sleep Solutions

Types of Sleep Disorders

The International Classification of Sleep Disorders (ICSD) is a comprehensive clinical resource for diagnosing sleep disorders. The most recent edition, the ICSD-3-TR, was released in June 2023. It organizes sleep disorders into six major categories:

Insomnia Disorders: These involve difficulties falling asleep, staying asleep, or experiencing non-restorative sleep.
Sleep-Related Breathing Disorders: Conditions like sleep apnea that affect breathing during sleep.
Central Disorders of Hypersomnolence: Disorders characterized by excessive daytime sleepiness.
Circadian Rhythm Sleep-Wake Disorders: These relate to disruptions in the body’s internal clock, affecting sleep patterns.
Parasomnias: Abnormal behaviors or experiences during sleep, such as sleepwalking or nightmares.
Sleep-Related Movement Disorders: Conditions involving involuntary movements during sleep.

There are over a hundred sleep disorders classified, however the most common are: Obstructive Sleep Apnea, Central Sleep Apnea, Insomnias, Hypersomnia's, Restless Leg Syndrome, Periodic Limb Movement Syndrome, Narcolepsy, Shift Work Disorder, REM sleep Behavior Disorders, and Advanced/Delayed Sleep Phase Disorders.

Sleep Disorders Details

The American Academy of Sleep Medicine has a comprehensive list of sleep disorders and information for patients and their families. Follow the link below for great information on sleep disorders

Sleep Disorders Info

Sleep Testing Options

Polysomnography Testing

Home Sleep Apnea Testing

A Polysomnography sleep study provides a sleep doctor with the most complete evaluation of your sleep. You will be required to stay overnight at a sleep center. A sleep study records your brain waves, heartrate and breathing as you sleep.

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Home Sleep Apnea Testing

A home sleep apnea test provides a sleep doctor with information to diagnose obstructive sleep apnea. It allows you to sleep at home wearing equipment that collects information about how you breathe during sleep. You will usually set up the testing equipment yourself.

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Sample Polysomnography Study

Baseline PSG Pre-CPAP

In this example we see the baseline pre-treatment portion of a PSG study. Looking at the lower breathing channels we see frequent breathing pauses separated by a group of large rapid breaths and pauses again. This cyclic pattern is common in more severe sleep apnea cases. Note the Oxygen drops with each breathing pause and the noise in the brain waves in the top channels with each breathing pause.

Titration with Therapy

In this example, we see the same patient treated with CPAP therapy and the breathing pauses have been eliminated and breathing is smooth and regular. Oxygen saturations are now stable, and the brain wave activity is more relaxed. Treatment of sleep apnea, regardless of therapy device should strive for similar results.

Treatment Options for Sleep Apnea

Positive Airway Pressure

Positive Airway Pressure is a "first line" treatment of Sleep Apnea as it is quick, and results can be seen quickly.

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Oral Appliance Therapy

Positive Airway Pressure

Dental Appliances are very popular for helping treat Sleep Apnea and Bruxism. Dentists may be Board Certified in Dental Sleep Medicine

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Surgical Interventions

Positive Airway Pressure

Cognitive Behavioral Therapy

Many surgery or implant options may be available for various sleep disorders. Surgeries can be extreme or minor outpatient procedures.

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Cognitive Behavioral Therapy

CBT-I teaches individuals to identify and replace dysfunctional beliefs about sleep with positive thoughts. CBT-I is directed by trained professionals (psychologists, psychiatrists, or another medical doctor) with experience treating sleep disorders.

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Sleep Hygiene

Cognitive Behavioral Therapy

Preventative Sleep Medicine

Sleep Hygiene is critical to keeping healthy and limiting your chance of getting yourself into trouble with some basic sleep problems.

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Preventative Sleep Medicine

Cognitive Behavioral Therapy

Preventative Sleep Medicine

Preventative Sleep Medicine is a Ronin Sleep Solutions plan of care to have patients regularly monitor sleep and use tools to manage their health to prevent getting severe sleep disorders that may cause health problems in the future. Ronin Sleep Solutions offers Sleep Medicine Education, Polysomnography education, to those seeking Health and Medical information.