10/05/2025
If rheumatoid arthritis pain and fatigue keep sneaking back, check your night breathing. Obstructive sleep apnea (OSA) creates intermittent hypoxia (oxygen dips) and micro-arousals that drive oxidative stress → NF-κB → IL-6/TNF, amplifying systemic inflammation and joint symptoms.
Quick screen (STOP-Bang): Snoring, Tiredness, Observed apneas, high blood Pressure, BMI over35, Age over 50, large Neck, Gender (male). Score greater or equal to 3? Ask your clinician about a home sleep test.
What helps:
CPAP (when indicated) or oral appliance
Side-sleeping, nasal care, treat congestion/reflux
Avoid alcohol 3+ hrs before bed; keep a consistent sleep window
Track morning stiffness, swelling, fatigue
Want a step-by-step plan to reduce triggers and calm flares? Free RA Reset → https://drbradshook.com/resources (link in bio).