David C. Brodner, MD: The Center for Sinus, Allergy & Sleep Wellness

Products And Services

• Allergies Treatment

  What are Allergies? Allergic rhinitis, known commonly as Hay Fever, is the inflammatory reaction of the nose and sinuses caused by exposure to airborne irritants like pollen. There are two common types of Hay Fever: seasonal which occurs during the time of year when pollination occurs, and perennial which occurs all year long. If you typically suffer from allergies during the springtime, chances are that you are simply allergic to common tree pollens. If your allergies are most prominent in the summer, you’re likely allergic to varieties of grass and weed pollens, and the winter/fall weeds and fungus spores. However, if you are one to experience allergies on an all year basis, there could be a variety of airborne irritants you could be allergic to--dust mites, dander, mold, pollen, etc. Whether your allergic rhinitis is seasonal or perennial, seeking our allergies treatment in Boynton Beach is essential. Allergies Common in Boynton Beach Oak is a common allergy in Boynton Beach, but other flowering plants that produce pollen can also cause problems. Spring is a rough time for allergy sufferers because everything blooms at the same time. The amount of pollen in the air makes it difficult to escape from the seasonal allergies that bother you. However, because the weather in Boynton Beach is always warm, the flowers, trees, and grasses never go dormant. Consequently, pollen and other environmental triggers are always present, making it even more important to see an allergist if you have problems. Asthma and allergies often go hand-in-hand. If you struggle to breathe as well, you may need to seek the help of a Boynton Beach asthma specialist, who may practice in the same office as an allergist. Allergies Treatment in Boynton Beach Since allergic rhinitis is one of the most common illnesses in America, people often mistakenly believe that since everyone has allergies, there’s nothing that needs to be done. This is highly incorrect. When you have allergies, your immune system struggles greatly. Your system will react to the contaminants in your body and fill your bloodstream with inflammatory chemicals like leukotrienes and histamine that swell the lining of your nasal passages, eyelids, and sinuses. Left untreated, patients can suffer a reduced quality of life and experience severe restrictions in their daily activities which results in excessive time away from school or work. These are important reasons to seek allergies treatment from an accredited Boynton Beach/Boca Raton allergist. An allergist specializes in the diagnosis and treatment of allergies. Allergies can include seasonal or environmental sensitivities as well as reactions to foods, medication, or other substances. Some allergists also concentrate on the treatment of asthma and other ear, nose, and throat disorders. If you suffer from allergies, you may find help with a Boynton Beach Allergy Doctor. Allergy Testing in Boynton Beach Allergy testing in Boynton Beach involves skin testing to identify your reaction to common allergens to determine if you are suffering from seasonal allergies or something else. A nurse will inject small bubbles of allergens under your skin and then check your reaction after twenty minutes. If the bubbles turn red, swell, or start to itch, the nurse will measure the severity of your allergic reaction based on a scale. The Boynton Beach allergy doctor will use this information to determine a course of treatment that could include daily antihistamines for temporary relief or allergy shots for a long-term treatment plan. Allergy Specialist in Boynton Beach/Boca Raton An allergy specialist in Boca Raton/Boynton Beach area can provide a consultation, recommend testing, and then determine a course of allergies treatment that works for you. Presented with all your options, you can make an informed decision about moving forward with the help of an allergist. Your allergist may also treat you for asthma or other ear, nose, and throat trouble or refer you to another specialist who can work in conjunction with them to develop a comprehensive treatment plan. Pediatric Allergist in Boynton Beach Diagnosing allergies in children can be difficult because their bodies aren't fully developed. Generally, allergy testing is not recommended in children younger than two years of age. Their airways are narrow and very sensitive to environmental factors, even without the presence of allergies. Same-Day Appointments for ENT Doctor If you suffer from allergies, you may also need to see an ENT specialist. An ENT can work in conjunction with an asthma and allergy doctor in Boynton Beach to help alleviate the symptoms of allergies like difficulty breathing, scratchy throat, or runny nose. For help diagnosing and treating your seasonal allergies, contact Dr. Brodner today!

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• Sinusitis Therapy

  Sinusitis therapy in Boynton Beach can be offered to you by Dr. Brodner if you experience any of the sinusitis symptoms. Rhinosinusitis is the preferred term describing inflammation of the nasal passage and one or more of the paranasal sinuses. Acute Sinusitis is swelling and irritation lasting less than 4 weeks, while Chronic Sinusitis symptoms last more than 12 weeks. It is important to realize that every bout of Sinusitis is not an infection. Allergy and environmental irritants play a huge role in causing sinus ailments, so blindly treating every episode with antibiotics is not the correct solution. HOW WILL DR. BRODNER TREAT MY SINUSITIS? Medical Sinusitis Therapy in Boynton Beach is typically treated first with medication. Treatment with antibiotics or topical nasal steroid sprays is often successful in reducing mucosal swelling, fighting infection, and relieving obstructions of the sinus opening (ostium). Inhaling steam or use of saline nasal sprays or drops can also help relieve sinus discomfort. However, at least 20% of patients do not respond adequately to medications. Conventional Sinus Surgery The goals of sinus surgery are to clear blocked sinuses restoring normal sinus drainage and to preserve normal anatomy and mucosal tissue. Conventional sinus surgery is called Endoscopic Sinus Surgery (ESS). With ESS, specialized instruments are placed into the nose along with a small endoscope to help the surgeon see inside the nose and nasal cavities. The procedure works by removing bone and tissue to enlarge the sinus opening. The removal of bone and tissue may lead to post-operative pain, scarring, and bleeding. Uncomfortable nasal packing may be required to control the bleeding. Dr. Brodner no longer performs this style of sinus surgery and has evolved to utilizing minimally-invasive techniques. Balloon Sinus Dilation: A new, minimally-invasive procedure, performed by Dr. Brodner in the office or the operating room, that reopens the sinus pathways and restores drainage to deliver immediate and long-lasting relief to recurrent and chronic sinusitis sufferers. In balloon sinus dilation, Dr. Brodner reshapes anatomy by inflating small balloons in key places in the nose and sinus to expand sinus pathways and restore drainage. The sinus balloon is gradually inflated to gently restructure the previously blocked nasal passage, maintaining the integrity of the sinus lining, and restoring normal sinus drainage and function. There is minimal bleeding and most patients return to normal activities within 24 hours. Clinical research has indicated that Balloon Sinus Dilation is a safe and effective tool in treating blocked sinuses. Video Player 00:00 00:31 Video Player 00:00 00:36 BALLOON SINUS DILATION: BREAK YOUR SINUSITIS ROUTINE XprESS, sinus, balloon sinus dilation, balloon sinuplasty, sinus headache, Boynton Beach Poor sinus drainage, which leads to infection and discomfort, is the source of persistent or recurring sinus pain. Antibiotics, decongestants, and steroids can be used to minimize the discomfort of symptoms, but they do not fix the underlying drainage problem. By restoring sinus drainage, balloon sinus dilation can provide lasting sinus relief to qualified patients, and the sinusitis cycle. Performed by Dr. Brodner under local anesthesia, balloon sinus dilation offers a new, in-office choice to sinusitis patients. Patients have experienced significant improvement in sinusitis symptoms. For more information visit: http://sinussurgeryoptions.com/sinusitis-treatments/balloon-sinus-dilation.php.

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• Sinus Headache Treatment

  The lining of the ducts or tubes that connect the sinuses to the back of the nose becomes inflamed, the sinuses may not be able to drain normally, and pressure may build up within the blocked sinus. There may also be associated swelling and inflammation of the lining of the sinuses, resulting in increased mucus and fluid secretion. This increase in fluid and pressure causes the pain of a sinus headache. The term sinusitis is used to describe inflammation of the sinus (sinus + itis = inflammation). WHAT CAUSES A SINUS HEADACHE While a sinus inflammation (sinusitis) may be caused by a viral infection, much like a cold that causes swelling in the nose, the inflammation and decreased ability of the sinuses to drain may also be caused by an allergic reaction like allergies. Inflammation, like anywhere else in the body, causes swelling and increased fluid production. In the sinuses, this decreases the ability of the sinuses to drain. What causes a sinus headache is the increased inflammatory fluid production (just like the weeping observed with a skin injury) combined with the decrease in drainage. SINUS HEADACHE TREATMENT PROVIDED BY DR. BRODNER Dr. Brodner utilizes minimally-invasive Balloon Sinus Dilation (aka Balloon Sinuplasty) to open the narrowed sinus passages and treat what causes a sinus headache. He is able to perform this procedure for most patients in his office using only local anesthesia. This means Dr. Brodner’s patients can come in for a 30-minute treatment, and then return immediately to their normal activities at home or to work — the very same day — without requiring narcotics or special recovery instructions. Sinus Headache Treatment in Boynton Beach For more information on what causes sinus headaches, contact us or directly call: David C. Brodner, M.D. at (561) 735-8750 today!

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• Snoring Treatment

  Dr. Brodner is Board-Certified in Sleep Medicine, which qualifies him with the expertise to perform a comprehensive Sleep Medicine and ENT examination. At your first visit, he will assess your sinonasal and upper airways to determine which anatomic levels are involved in your snoring. Utilizing the latest equipment and techniques, including flexible fiberoptic endoscopy – a tiny camera which fully visualizes the inside of your throat – Dr. Brodner will localize the sites of your obstruction. Finally, you will be sent for a sleep study (polysomnogram) to ensure your snoring does not represent the more serious medical problem, Obstructive Sleep Apnea. Dr. Brodner will personally read your sleep study and, if the data indicates the absence of Obstructive Sleep Apnea, he will notify you of the various treatment options available to improve your disruptive snoring. This may include: Lifestyle Modifications A minimally invasive in-office procedure such as Injection Snoreplasty or the Pillar Implant Treating Sinonasal problems like allergies, polyps, or a deviated septum. Lifestyle modifications involve avoidance of the many factors that exacerbate the loudness and intensity of your snoring: Weight loss is recommended to decrease bulky tissues lining the throat, due in part to excess body weight, which worsen snoring by providing more vibratory material. Do not sleep supine (on your back) – it promotes snoring as gravity positions the uvula and soft palate downward, enabling more movement. Finally, shun anything that causes a deeper sleep – alcohol, sedative medications, or sleep deprivation. These all exacerbate both snoring and sleep apnea by making you less arousable, less likely to switch body positions, and have decreased muscle tone which leads to increased vibrations. Dr. Brodner may determine that management of your nose and/or sinuses is pivotal to controlling your snoring. Nasal obstruction, with subsequent mouth breathing, worsens snoring by increasing the magnitude of soft tissue vibrations. The passageway may be obstructed by swelling of the turbinates due to allergies, a septal deviation (crookedness of the middle divider in the nose), or nasal polyps. Medication and/or surgery to address these problems can improve the flow of air through the nasal passages, thus reducing troublesome snoring. The soft palate and uvula elongate. This allows the relaxed tongue to partially block the airway. The uvula and soft palate vibrate during inhalation, creating the snoring sound. If nasal obstruction is not an issue, Dr. Brodner will determine if your anatomy is conducive to surgical correction of the snoring. He offers the latest in-office minimally-invasive procedures: Injection Snoreplasty Pillar Implant Both are performed in the office, under local anesthesia, with you awake. The concept is to stiffen the palate tissues by creating a scar, which vibrates less and therefore decreases the intensity of your snoring. If your anatomy warrants a more aggressive approach, Dr. Brodner is experienced with minimally-invasive PEAK uvuloplasty reconstruction performed in the operating room under general anesthesia

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• Sleep Apnea

  What are Snoring and Sleep Apnea? How can I get sleep apnea treatment in Boynton Beach? Snoring is the loud, bothersome noise created by vibrating soft tissues in the throat of someone who is asleep. For this you have to get sleep apnea treatment in Boynton Beach. Although sleepers are unaware of it, the sound of snoring is created by obstructed air during breathing. Ranging from soft sounds to loud snorting, snoring can be one of the first signs of Obstructive Sleep Apnea. Obstructive Sleep Apnea is a serious medical condition in which the soft tissues of the throat, known as your airway, collapse and impede breathing for 10 seconds or longer while asleep. During such an apneic episode, the oxygen levels in the bloodstream drop and eventually may lead to harmful health problems and early death. At The Center for Sinus, Allergy, & Sleep Wellness, our sleep apnea doctors in Palm Beach County provide sleep apnea treatment in Boynton Beach to help you breathe better and sleep better at night. Keep in mind, most patients diagnosed with sleep apnea snore loudly, but not everyone who snores loudly suffers from sleep apnea.

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• Insomnia Treatment

  I can't sleep. Do I have Insomnia? Insomnia is defined as difficulty falling asleep, staying asleep, or poor quality of sleep despite adequate sleep-time that results in daytime impairment. What kind of daytime impairment? What are the insomnia symptoms? Insomnia causes problems such as fatigue, malaise, impaired attention or memory, poor performance at work or school, irritability, daytime sleepiness, reduced motivation or energy, increased risk of accidents, and headaches.If you have one of these symptoms, contact Dr. Brodner for insomnia treatment in Boynton Beach. What are the Consequences of Not Getting Insomnia Treatment? Scientific research has shown that sleeping too little can not only inhibit your productivity and ability to remember, but also lead to serious health consequences and jeopardize the safety of yourself and people around you. Contact Dr. Brodner for insomnia treatment in Boynton Beach. For example, insomnia is linked with: Family history Increased risk of motor vehicle accidents -- according to the National Highway Traffic Safety Administration, driver fatigue causes over 100,000 accidents and 1500 deaths each year. Increased body mass index a greater likelihood of obesity due to an increased appetite caused by sleep deprivation. Increased risk of diabetes and heart problems. Increased risk for psychiatric conditions, including depression and substance abuse. Decreased ability to pay attention, react to signals, or remember new I Feel I Can't Sleep Enough. How Much Sleep Do I Really Need? Research cannot pinpoint an exact amount of required sleep; experts realize there is no "magic number." Not only do different age groups require different amounts of sleep, but sleep needs are also individual. Determining how much sleep you need involves an assessment of how you feel on different amounts of sleep, plus an examination of lifestyle factors affecting both the quality and quantity of your sleep, such as work schedules and stress. Another reason there is no magic number" of hours known for healthy sleep is due to two different factors researchers are just discovering. The first is called basal sleep need the amount of sleep our bodies regularly require for optimal performance. This quantity is determined by a combination of age and genetics. The second factor is known as sleep debt -- the accumulated sleep that is lost to poor sleep habits, sickness, awakenings due to environmental factors, or other causes. Sleep experts believe the average basal sleep need for adults is between seven and nine hours nightly to enjoy optimum performance, health, and safety. Getting fewer hours of sleep than this baseline requirement will create a sleep debt, which eventually needs to be replenished with additional sleep over the next few nights. Our body does not seem to get used to less sleep than it needs, so not paying it off leads to decreased mental and physical health.

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• Sleep Disorder

  You may be one of the 70 million Americans who may need a sleep disorder treatment. Of course, everyone has a night or two of poor sleep- that does not indicate a problem - but if you awaken feeling unrefreshed, experience irritability and memory problems, or struggle through your day due to fatigue, you may be risking your health and safety and you may suffer from a sleep disorder. Dr. Brodner provides effective sleep disorder treatment in Boynton Beach. A good night's sleep is vital to your well-being and should be a routine part of your life. Unfortunately, the majority of sufferers do not even realize they have a problem, self-medicate, or receive incomplete sleep disorder treatment. Many people believe "everyone snores" or "everyone feels tired" - that simply is not the case. Training as a surgeon, Board-Certification as a Sleep Medicine specialist, and serving as the Medical Director of several Sleep Labs uniquely positions, Dr. Brodner offers you the complete complement of therapeutic options available to address the myriad of Sleep Disorders. You will receive an individualized program utilizing the appropriate combination of weight loss, oral appliances, CPAP, minimally invasive in-office procedures, multi-level sleep surgery, pharmacotherapy (including clinical research protocols), and counseling on Good Sleep Hygiene, Relaxation Techniques, and Cognitive-Behavioral Therapy to ensure you finally enjoy the refreshing sleep you require and deserve. The Epworth Sleepiness Scale How likely are you to feel sleepy in the following situations; compared to just feeling tired? This refers to your usual way of life in recent times. Even if you have not done some of these things recently, try to work out how they would have affected you. Use the following scale to choose the most appropriate number for each situation: 0 = would never feel sleepy 1= slight chance of being sleepy 2 = moderate chance of being sleepy 3 = high chance of being sleepy Situation: Chance of Dozing Sitting and reading | 0 | 1 | 2 | 3 Watching TV | 0 | 1 | 2 | 3 Sitting inactive in a public place (meeting, theater) | 0 | 1 | 2 | 3 As a passenger in a car for an hour without a break | 0 | 1 | 2 | 3 Lying down to rest in the afternoon when circumstances permit | 0 | 1 | 2 | 3 Sitting and talking to someone | 0 | 1 | 2 | 3 Sitting quietly after eating lunch without alcohol | 0 | 1 | 2 | 3 In a car while stopped for a few minutes in traffic | 0 | 1 | 2 | 3 If your total equals 10 or more, then you are TOO SLEEPY and should make an appointment to see Dr. Brodner, a Board-Certified Sleep Specialist who can provide an effective sleep disorder treatment in Boynton Beach, and finally get the good night's sleep you deserve. Snoring and Obstructive Sleep Apnea Insomnia - acute and chronic Hypersomnolence, including Narcolepsy Sleep-related Movement Disorders Parasomnias Sleep-wake Timing Disorders Restless LegSyndrome

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