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Therapies & Interventions

ExciteOSA Therapy

A daytime neuromuscular electrical stimulation device that strengthens tongue muscles to reduce snoring and mild obstructive sleep apnea.

January 2025Reviewed by: Sleep Care Directory Medical Team
OverviewBenefitsSide EffectsVariationsTips
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What is ExciteOSA Therapy?

ExciteOSA is an FDA-cleared daytime therapy device for mild obstructive sleep apnea and snoring. Unlike treatments worn during sleep, ExciteOSA is used for 20 minutes daily while awake. The device delivers electrical stimulation to tongue muscles through a mouthpiece, strengthening and toning them over time. This improved muscle function helps keep the airway open during sleep. It represents a new category of OSA treatment based on neuromuscular training.

How It Works

The device's mouthpiece contains electrodes that deliver mild electrical stimulation to the tongue during therapy sessions. This stimulation exercises the genioglossus and other tongue muscles, improving their endurance and tone. Stronger tongue muscles are better able to maintain airway patency during sleep, reducing the collapse that causes snoring and mild apnea events.

Who Is It For?

ExciteOSA is indicated for adults with mild obstructive sleep apnea (AHI 5-15) or primary snoring who want a non-invasive, daytime treatment option. It may be particularly appealing to those who prefer not to wear devices during sleep or who have trouble with CPAP or oral appliances.

Benefits

Daytime Treatment

Unlike CPAP or oral appliances, ExciteOSA is used during the day, leaving sleep unencumbered by devices.

Non-Invasive

No surgery, no implants, no devices worn during sleep. Just 20 minutes of daily training.

Easy to Use

Simple mouthpiece design with app-guided therapy sessions. Can be done while watching TV or relaxing.

New Treatment Approach

For patients who've struggled with other treatments, ExciteOSA offers a fundamentally different approach.

May Reduce Snoring

Clinical studies show significant reduction in snoring, benefiting patients and bed partners.

Side Effects & Considerations

Most side effects are minor and can often be resolved with simple adjustments.

Limited to Mild OSA

ExciteOSA is only indicated for mild OSA. Patients with moderate or severe OSA need more aggressive treatment.

Requires Daily Commitment

Benefits require consistent daily use. Missing sessions may reduce effectiveness.

Sensation During Use

The electrical stimulation creates a tingling or pulsing sensation in the tongue, which some find uncomfortable.

Gradual Results

Benefits develop over weeks of consistent use. Not an immediate solution.

Limited Long-Term Data

As a newer treatment, long-term effectiveness data is still being gathered.

Variations & Types

ExciteOSA Device

The current commercially available device with mouthpiece and control unit.

Therapy Protocols

Standard protocol involves 20-minute daily sessions for 6 weeks, then maintenance schedule.

Tips for Success

Confirm You're a Candidate

Get a sleep study to confirm mild OSA (AHI 5-15) or primary snoring. ExciteOSA isn't appropriate for moderate-severe OSA.

Commit to Daily Sessions

Consistent daily use is essential. Build the 20-minute session into your daily routine.

Start at Lower Intensities

Begin with lower stimulation levels and increase as you become comfortable with the sensation.

Track Your Progress

Use the app to track sessions and, if available, objective measures of snoring to see improvement.

Allow Time for Results

Expect to use the device for several weeks before noticing significant improvement in snoring or sleep quality.

Consider Objective Testing

A follow-up sleep study after completing the initial treatment course can verify improvement.

Additional Resources

ExciteOSA Official Website

Find Providers

Search our directory for sleep clinics that offer exciteosa therapy.

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Conditions Treated

  • Mild Obstructive Sleep Apnea
  • Primary Snoring

Related Treatments

  • Oral Appliance Therapy
  • CPAP Therapy
  • Snoring Treatment
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