Tip For Fatigue and Sleep Problems

I’m Dr. Richard Goodfellow.

I have an office that is completely dedicated TMJ and jaw problems, headaches and sleep/breathing disorders.

I would like to talk about one particular topic right now which is fatigue and/or sleep problems.

This often happens in females between 25 and 60 years of age, where everything else is going fine but they are just tired all the time.

Often it is a sleep and/or breathing problem.

If you interrupt sleep (sleep has a shape and architecture), you interrupt hormones.

If you interrupt the flow of hormones, you interrupt almost everything – appetite, digestion, growth, healing, and so on.

With kids, it is a growth issue.

For adults, it is a healing and maintenance issue.

It could affect appetite, weight loss, and of course, how you feel.

Here’s a tip:

Have a look at your nose. Notice how you are breathing through your nose. Do anything you can when you go to sleep to open up your nose such as using “breathing strips”, nasal spray etc. Then see how you feel over the next week when you breathe through your nose better.

If you have any other questions or if you want more tips, especially about sleep apnea or snroing, look around my website.

I’m happy to help.


Linking TMD and OSA

The results of a recent study published by the American Dental Association showed that one in six patients who went to a general dentist last year had orofacial pain – pain in the face and/or mouth. So, what was really interesting about these results? Patients in the study reported pain in the muscles and temporomandibular joint as frequently as pain in the teeth and surrounding tissue.1

Temporomandibular joint disorders (TMD) are estimated to affect between 5% and 12% of the adult population, and are at least twice as common in women compared with men.2 Remarkably, the rates of TMD are higher in young people. For example, a study of children six to eight years of age showed 35% had at least one clinical sign of TMD.3 In a study of adolescents, 25% were diagnosed with painful TMD.4

Also of interest, there is an established link between TMD and sleep-related breathing disorders, such as obstructive sleep apnea (OSA). In one study, patients with two or more of the classic signs and/or symptoms of OSA (e.g., loud snoring, daytime sleepiness, witnessed apnea, and hypertension) were 73% more likely to develop TMD.5

Why are the results of these research studies important to you? The bottom line is that patients with TMD often have OSA, and vice versa. If your dentist, doctor, chiropractor, or physiotherapist is treating you for one of these conditions, let us know so that we can determine if you need to be evaluated for the other. Because you see your dentist on a regular basis, they are the first in line to evaluate, refer, and possibly manage these issues.


  1. Horst OV, Cunha-Cruz J, Zhou L, Manning W, Mancl L, DeRouen TA. Prevalence of pain in the orofacial regions in patients visiting general dentists in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network. J Am Dent Assoc 2015;146:721-8 e3.
  2. Prevalence of TMJD and its signs and symptoms. (Accessed at http://www.nidcr.nih.gov/DataStatistics/FindDataByTopic/FacialPain/PrevalenceTMJD.htm.)
  3. Vierola A, Suominen AL, Ikavalko T, et al. Clinical signs of temporomandibular disorders and various pain conditions among children 6 to 8 years of age: the PANIC study. J Orofac Pain 2012;26:17-25.
  4. Franco AL, Fernandes G, Goncalves DA, Bonafe FS, Camparis CM. Headache associated with temporomandibular disorders among young Brazilian adolescents. Clin J Pain 2014;30:340-5.
  5. Sanders AE, Essick GK, Fillingim R, et al. Sleep apnea symptoms and risk of temporomandibular disorder: OPPERA cohort. J Dent Res 2013;92:70S-77S.


Our Services:

TMJ Assessment and Treatment

Sleep Apnea Treatment

Snoring Treatment

Call us at 416-487-9000 to book an appointment.

Our address is:

2200 Yonge Street Suite 210 Toronto ON M4S 2C6

Cities we service and get patients from includes:

Toronto, North York, Vaughan, Woodbridge, Thornhill, Richmond Hill, Scarborough, Ajax, Pickering, Etobicoke, Mississauga