Improving Daily Life Through Better Nasal Function

Nasal obstruction is emerging as a significant but often underrecognized factor affecting sleep, exercise tolerance, and overall quality of life, according to Michael Thielman, MD, an ear, nose and throat specialist at Aspirus Health. Dr. Thielman says patients frequently seek care only after years of mouth breathing, poor sleep, or chronic throat irritation, symptoms that can be tied directly to impaired nasal airflow. 

 

Nasal obstruction can stem from a variety of causes, including septal deviation, nasal valve collapse, turbinate enlargement, allergies, or chronic sinus issues. According to the National Institutes of Health, research shows that nearly 20 million U.S. adults experience chronic nasal breathing difficulty each year. Dr. Thielman notes that many patients first notice symptoms during exercise or sleep, when the demand for efficient airflow increases. 

 

“People often don’t realize how much better they can feel when they breathe well through their nose,” said Dr. Thielman. “The nose filters, warms, and humidifies air. When that system isn’t working, the entire respiratory process becomes less efficient, and people feel it in their daily lives.” 

 

As Dr. Thielman explains, nasal breathing plays a critical role in lung performance. Even pulmonary function tests can show improved results when patients inhale through the nose rather than the mouth. For those who do not respond to medical therapies such as nasal steroid sprays, antihistamines, or saline irrigation, office-based procedures can address structural issues like turbinate enlargement, septal nodes, or nasal valve collapse. These minimally invasive treatments often require no downtime and can significantly improve airflow. 

 

Some patients seek evaluation for suspected sleep apnea or snoring, only to learn that nasal obstruction is a major contributor to their symptoms. Dr. Thielman emphasizes that while nasal procedures do not cure sleep apnea, studies show they can dramatically improve perceived quality of life for patients living with the condition. 

 

“When someone finally experiences what it feels like to breathe clearly, day and night, it can be transformative,” he said. “It’s one of the most rewarding parts of my practice because patients often come back saying they didn’t realize how much they were missing.” 

 

Looking ahead, Dr. Thielman encourages individuals of all ages, including children, to seek evaluation if they struggle with nasal breathing. Early intervention can support better sleep, improved dental health, and long-term respiratory function. He notes that many patients adapt to lifelong nasal obstruction without realizing it, and a simple assessment can uncover treatable causes. 

 

For more information about nasal breathing concerns or to schedule an evaluation, visit aspirus.org.  

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