<search Amazon> VELPEAU Neck Brace -Foam Cervical Collar - Soft Neck Support Relieves Pain & Pressure in Spine - Wraps Aligns Stabilizes Vertebrae - Can Be Used During Sleep NOTE: Be careful with a search- at the time of this writing Amazon is NOT going to the correct product. VELPEAU makes several versions of collars be sure you get the right one (Picture) if you order one. They have four sizes of this model available.
This X-Large is used as an example with reference to my neck which is 15 3/4 inches. I will explain further below.
Brief background: Had a heart attack and two stints. At least in my mind the heart attack was brought on by sleep disturbance. <subject to argument I suppose> Miserable sleep, up about every hour to urinate. October 2017- Sleep study 38.8 AHI mixed apnea. Only thing a sleep doctor did for me was prescribe PAP machine nothing else worthy of praise. Went through trying to use four different Res-Med machines and many different masks and cervical collars. Got help and encouragement from Apnea Board after doctor and DME supplier failed miserably. What was suggested as the only remedy was an ASV machine but medical wisdom barred it from any patient who was not over 45% LVEF, I was under that threshold at the time. The best opportunity for treatment I could have prescribed to me was a B-PAP.
Several knowledgeable members kept suggesting trying cervical collars. As tinkering with machine adjustments only produced small plus/minus results I tried at least half dozen different cervical collars. Tolerable in the winter for the most part but very hot in the summer. The one used prior to this one was a soft collar (Caldera ReLEAF) which was really hot in the summer but comfortable in the winter. I would get fairly good- then poor results with it and AHI. It was so soft, my jaw would not stay in place and the OA's would jump. When I ordered the VELPEAU model reviewed here I almost sent it back- what an uncomfortable beast! I kept it and it set on the shelf until I got good and tired of the ReLeaf so I gave it a whirl.
It did take some getting used to, but I discovered using it complete with the rigid plastic overlay in place was the way to go. Mine is big enough to wear LOOSE so air can circulate somewhat behind it and its rigidity the jaw in place and the mouth mostly closed. This is why it works so well for me and luckily I got it large enough to wear it loose so it is still comfortable and much cooler.
This took FOUR (4) YEARS TO ACHIEVE, using a machine that was NOT optimal for my condition but persistence apparently did pay off.
Keep in mind that what works for one person is poison to another in this apnea realm so don't argue, just accept this as MY story.
<side-note> I must use a full face mask as it is the only way to seal my mouth and stop the always present annoying/disturbing mask squeaks and pfarts. Along the mask vein, I have used MANY trying to find one that does not leak at the high (24 in) pressures and does not irritate my face and leave red marks. I have settled on a controversial ResMed Air-Fit F30.
The key to stopping it squeaking is running a long air hose behind the headboard and over the top from behind. No more leaks at the nose seal and strap tightness is still minimal.
All this crazy journey would be catalogued in a search of zzzZorro posts on our very own APNEA BOARD should you be curious.
Cheers Z