By Pacific Sleep Program
November 20, 2017
Category: Health

Is restless leg syndrome (RLS) keeping you up at night? Portland and Astoria, OR, sleep medicine specialists Dr. Gerald Rich, Dr. Radhikarestless leg syndrome Breaden and Dr. Gregory Clark share a few tips that will help you cope with RLS.

What is RLS?

RLS causes a creepy, crawly, tingling sensation in your legs that makes it impossible to stay still. Moving relieves the symptoms, but often they occur again as soon as you sit or lie down. Although the annoying symptoms of RLS can occur during the day, people tend to notice them more at night when they're trying to fall asleep.

Nobody knows why some people get RLS, but the symptoms can be worse if you don't get enough sleep, drink alcoholic or caffeinated drinks, or use nicotine products. In some cases, RLS can be caused by nerve damage, kidney failure or iron deficiency.

How can I relieve my RLS symptoms?

You may find that RLS symptoms occur less often if you:

  • Apply Heat to Your Legs: Soaking your legs in warm water or using a heating pad relaxes your muscles and may decrease your symptoms.
  • Try a Nightly Massasge: Massage also helps relax leg muscles. Spending a few minutes kneading your calf muscles before you go to bed just may help prevent those uncomfortable sensations.
  • Just Relax: Stress can make your condition worse. Any activity that reduces your stress level may be helpful. Whether you prefer exercise, yoga, meditation or listening to your favorite songs, a little stress relief may be just what you need to enjoy a peaceful night's sleep. If exercise is your favorite stress buster, be sure to indulge in a workout early in the day. Exercising too close to bedtime can make it difficult to fall asleep.
  • Maintain a Consistent Sleep Schedule: Do you go to bed at the same time every night? If you don't maintain the same schedule, you may become chronically fatigued. Although being tired may seem like the ideal way to get a good night's sleep, fatigue may increase your RLS symptoms.

If those tips don't help, give us a call at our Portland or Astoria, OR office. Our sleep medicine specialists can offer recommendations and medications that will help you sleep better and eliminate those unpleasant sensations in your legs.

Restless leg syndrome treatment can relieve your discomfort. If you're troubled by RLS, schedule an appointment with sleep medicine specialists Dr. Gerald Rich, Dr. Radhika Breaden and Dr. Gregory Clark by calling (503) 325-3126 for the Astoria, OR, office or (503) 228-4414 for the Portland, OR, office.

By Pacific Sleep Program
September 26, 2017
Category: Health
Tags: sleep apnea  

Find out why you should treat your sleep apnea if you suffer from this disorder.sleep apnea

Are you wondering whether your tossing and turning nights and exhausting days are just the cause of everyday stressors or if there is something more at hand? Could you be suffering from sleep apnea? While most people do feel tired at some point during the day, someone with true sleep apnea experiences extreme fatigue no matter how much sleep they get. Here at Pacific Sleep Program in Portland and Astoria, OR, we are dedicated to providing quality sleep medicine to help those with sleep apnea get the care they deserve.

So, what exactly does sleep apnea do to your sleep and how does it affect your health?

If you thought that sleep apnea only affected the quality of your sleep, you’re mistaken. Think about it: You have a disorder that stops you from breathing multiple times throughout the night. This means that each night you aren’t getting the necessary amount of oxygen that your brain requires. Sure, you’ll feel groggy and zombie-like when waking up in the morning, but that’s just the tip of the iceberg.

Untreated or unmanaged sleep apnea is linked with a slew of health problems such as:

  • Stroke
  • Hypertension (high blood pressure)
  • Diabetes
  • Heart attack and heart failure
  • Headaches
  • Depression

On top of these serious and potentially life-threatening health problems, sleep apnea can also affect your work performance and increase your chances of car accidents or work-related injuries due to extreme fatigue.

If you wake up feeling extremely tired all the time despite getting a full night’s sleep, if you find it difficult to concentrate at work, if you notice frequent headaches in the morning or if you are a loud snorer, then these are problems that need to be properly evaluated by a Portland and Astoria sleep medicine specialist.

If you want to learn more about the sleep medicine services we offer in Portland and Astoria, OR, then turn to the experts at Pacific Sleep Program to help you achieve the quality sleep you need to wake up feeling refreshed. Don’t let sleep apnea dictate your sleep schedule.

By Pacific Sleep Program
September 13, 2017
Category: Health
Tags: sleep apnea   snoring  

What your doctors in Astoria and Portland, Oregon, want you to knowsnoring

Snoring is a common problem. In fact, according to the National Sleep Foundation, 37 million people in the United States snore regularly. There are several reasons you might be snoring. Your doctors at Pacific Sleep Program in Portland, Oregon want to share the facts about snoring and what you can do about it. They have offices in Portland, and Astoria, Oregon to help you.

Snoring is caused when your soft palate, tongue, and throat relax completely during deep sleep. The soft tissues begin to vibrate causing snoring. The sounds will become louder as your airway narrows. If your airway is blocked completely, you may have sleep apnea which can be serious. According to the National Sleep Foundation, about half of people who snore regularly have sleep apnea.

There are several risk factors and causes of snoring. You are at greater risk of snoring due to:

  • Oral anatomy; if you have a low soft palate, your airway can become narrow or blocked
  • Structural issues with your nose; if you have narrowed nasal passages due to a deviated septum, it increases your chances of snoring
  • Excess weight; if you are overweight, you may have extra tissue in the back of your throat which can narrow or block your airway
  • Drinking alcohol; alcohol relaxes your throat, which can cause narrowing of your airway
  • Sleeping position; if you sleep on your back, it will relax your throat, narrowing your airway

There are some lifestyle changes you can do to limit snoring. You can try:

  • Maintaining a healthy weight
  • Taking a nasal decongestant before bed
  • Avoiding alcohol consumption before bed
  • Sleeping on your side


For chronic, loud snoring, it’s best to visit your doctors at Pacific Sleep Program. They may suggest a sleep study to determine your sleep patterns, snoring, or if you have sleep apnea. They may suggest several effective treatments including:

  • An oral mandibular advancement appliance, which moves your jaw and tongue forward, keeping your airway open while you sleep
  • A continuous positive airway pressure appliance, which provides a continuous flow of oxygen while you sleep
  • Tissue ablation or laser surgery to remove excess tissue


Snoring can be annoying to you and your family members, but you don’t have to put up with it. Call your doctors at Pacific Sleep Program in Portland, or Astoria, Oregon. They want to help you get a good night’s sleep, so call today!

By Pacific Sleep Program
July 14, 2017
Category: Health
Tags: Narcolepsy  

Are you worried that your sudden bouts of sleepiness could actually be narcolepsy?narcolepsy

Do you or someone you love suddenly fall asleep throughout the day, usually in the midst of your daily routine? Are you worried that these sudden attacks of sleep could be something more serious? Our Portland and Astoria, OR, sleep medicine doctors - Dr. Gerald Rich, Dr. Radhika Breaden and Dr. Gregory Clark - are here to provide a little insight into the signs and symptoms of narcolepsy.

What is narcolepsy?

This neurological condition impairs how your brain regulates sleep and wakefulness. Those who suffer from narcolepsy are prone to extreme bouts of sleepiness and will often fall asleep suddenly throughout the day. This can happen at any time. You may suddenly find yourself asleep at your desk or you may find yourself prone to these attacks while eating or exercising.

What are the symptoms?

One of the telltale signs of narcolepsy is extreme fatigue during the day. This symptom is one of the most common symptoms of narcolepsy. You may feel sleepy without warning. You may fall asleep for only a few seconds or a few minutes throughout the day. You may find it difficult to concentrate or you may feel like you’re in a brain fog right before your narcoleptic attacks.

You may also experience sleep paralysis, in which you are unable to move or talk for a few seconds before falling asleep or when first waking up. Even though your body may still be in REM sleep, you will still know that you are awake but unable to move or speak. This can often be unnerving to some and may cause them to come into our office for help.

Narcoleptics may also have trouble sleeping at night. While they are prone to sudden sleep sessions during the day, this can lead to interrupted sleep at night. As a result, you may suffer from insomnia or find yourself waking up several times a night.

What are my treatment options?

Even though there is no cure for narcolepsy, your symptoms can easily be managed through lifestyle changes and medications. Our Portland and Astoria, OR, sleep specialists may prescribe stimulants or antidepressants. Certain lifestyle modifications include:

  • Staying away from caffeine or alcohol a few hours before bedtime
  • Maintaining the same sleep schedule every night
  • Getting regular physical activity
  • Taking small naps during the day, as needed
  • Finding a support group

Pacific Sleep Program is helping those in Portland and Astoria, OR, get a better night’s sleep. Isn’t it time you got the quality, restorative sleep you’ve been looking for? We are here to help.

By Pacific Sleep Program
June 14, 2017
Category: Services
Tags: sleep problems  

If you're having trouble sleeping, you may be surprised to learn that you're not alone. According to the Center for Disease Control and sleep problemsPrevention, approximately 50-70 million American adults have sleep troubles for various reasons and the CDC has even labeled this a “public health problem.” Explore the various reasons why you may find it hard to fall asleep and how it can be resolved with the help of sleep medicine from the doctors at Pacific Sleep Program in Portland and Astoria, OR.

Are You Finding It Difficult to Sleep?
Some people sit up all night unable to nod off at all while others are completely unaware that they're not getting proper sleep. Here are a few signs that you're experiencing a sleep problem:

- You’re tired when you wake up, even after a long stretch of sleeping
- You’re unable to concentrate on your work or school assignments during the day
- You frequently nod off during waking hours
- Loud persistent snoring

Common Sleep Problems and Causes
You need sleep to function normally throughout your day. Many sleep-deprived patients would experience a significant increase in productivity if they addressed the core of the problem. If you are diagnosed with a sleep problem, these are some of the most common causes:

- Sleep apnea (an obstruction of the air passageways when sleeping that causes snoring)
- Narcolepsy (a neurological problem)
- Restless legs syndrome (tingling or itching in the legs that makes it hard to stay still in bed)
- UARS (Upper Airway Resistance Syndrome)
- Too much stress and worrying
- Lifestyle and diet (eating too late at night or consuming too much caffeine)

Sleep Treatments 
Revolutionary treatments are available at Pacific Sleep Program in Portland and Astoria that can help you get the sleep your body needs every night. Here are a few solutions to explore with your doctor:

- Sleep position therapy
- Nasal devices or surgeries
- Dental devices for sleep apnea
- Medication to help you get proper rest at night

Explore Sleep Solutions
If you are having a problem getting a good night’s rest, find out more about sleep medicine at Pacific Sleep Program in Portland and Astoria, OR. Call (503) 325-3126 today to schedule an appointment at the Astoria office or (503) 228-4414 for the Portland office.





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