HEALTH
Understanding Orofacial Myofunctional Disorders: What You Need to Know

An Orofacial Myofunctional Disorder, or OMD for short, refers to problems with the oral and orofacial muscles. These issues vary from person to person but can range from improper swallowing, thumb-to-finger-sucking, resting the tongue in between teeth, and many other harmful oral habits.
OMD: An Overview
It is challenging for healthcare providers and researchers to pinpoint the exact causes of OMD. Experts believe there is a large physical element to OMD with causes like blocked nasal passages due to large tonsils or allergies that force people to breathe through their mouth, or anything that causes the tongue to rest in the wrong position or makes it hard to keep the lips together.
Many of the other aspects of OMD develop over time for a number of reasons, from habits to allergies. Luckily, there are a range of specialists ready to tackle the problem, from those qualified with a speech language pathology masters who are highly trained to recognize and address OMDs to dentists, orthodontists, and ENT doctors.
Signs and Symptoms of OMD
OMDs are often associated with children but can occur later in life as well; they come in a range of types and severities depending on the individual. Below are some of the key signs and symptoms according to the experts:
Mouth Breathing
People with OMD often breathe through their mouths rather than their noses. In most cases, nose breathing is superior as the nose has more structures to filter and humidify the air before it reaches the lungs; nose breathing also produces nitric oxide, a gas that increases absorption by relaxing muscles in the bronchi.
Of course, it is not always possible to breathe through the nose–while we exercise or have a cold, for instance–but mouth breathing should not be the norm in a resting state. Chronic mouth breathing during development can even change facial structures, leading to OMD later on.
Tongue Thrusting
In essence, this is when the tongue pushes too far forward in the mouth while swallowing or breathing. This can lead to improper alignment of the teeth and jaw, speech difficulties, and even changes in facial structure over time. Addressing tongue thrusting early can prevent these complications and improve overall oral health.
Speech Issues
OMD can affect the clarity of speech, particularly when producing certain sounds like “s,” “sh,” “ch,” and “j”. This can be caused by structural issues like constant tongue pressure against the teeth or airway issues.
Dental Problems
Overbites, underbites, and other dental problems can significantly interfere with proper speech production. These dental misalignments can alter the positioning of the tongue and lips, making it difficult to articulate sounds correctly.
An overbite, for instance, might cause the upper teeth to cover the lower teeth excessively, hindering the tongue’s ability to make contact with the roof of the mouth for certain sounds. In the same way, an underbite, where the lower teeth protrude beyond the upper teeth, can disrupt the natural flow of speech by affecting the placement and movement of the tongue. Other dental issues, such as crossbites or crowded teeth, can create physical barriers that impede clear speech.
Drooling
An OMD that affects the muscles of the jaw and face can cause drooling, while problems like chronic mouth breathing and leaving the mouth open can further worsen instances of drooling. At the same time, many OMDs affect the swallowing process, which can lead to a build-up of saliva in the mouth.
Diagnosis and Assessment of OMD
As you can see, the range of symptoms is broad, but there are plenty of specialists out there who have a keen eye for the details that matter. Specialists like speech-language pathologists (SLPs), dentists, orthodontists, and/or medical doctors are trained to conduct a comprehensive evaluation that looks at speech, tongue position, jaw structure, and much more.
SLPs are trained to evaluate speech patterns, swallowing, and respiration for symptoms like tongue thrusting, mouth breathing, and articulatory difficulties. Dentists and orthodontists can be called in to assess dental occlusion and jaw alignment, identifying whether there are any problems with overbite or underbite that could be responsible for OMDs. Medical doctors like an ENT (ear, nose, and throat) specialist are able to examine nasal passages, tonsils, and adenoids for underlying medical conditions that may be affecting oral function.
Treatment Options for OMD
Of course, the exact treatment varies depending on the exact OMD. However, common treatments include myofunctional therapy, which is based on a set of exercises specifically designed to enhance the facial, mouth, and tongue muscles.
The therapy helps address issues like incorrect tongue placement, mouth breathing, and the inability to seal one’s lips; techniques can be used to enhance chewing, swallowing, and speech.
Myofunctional therapy has been effective for conditions associated with OMD, like obstructive sleep apnea, snoring, and tongue thrust–all of which can lead to speech and dental problems. With the use of neuromuscular re-education exercises, myofunctional therapy can also be used to reinstate normal facial and oral movement and function.
Living With OMD
Whatever the severity or specific type of OMD you or those you care for may encounter, there is always hope; progress is constant, from cutting-edge treatment and therapies to improved assessment.
Whether you work in the healthcare system and come face to face with the complications of OMD on a daily basis, care for someone in need, or simply want to know more about this pressing issue, there is plenty of research, literature, and success stories to draw hope from.
**Please note this article should not serve as medical advice; if you suspect you or someone you care about may have an OMD, contact one of the many health helplines, your GP, or your family doctor.
HEALTH
A Quick Guide to Choosing a Good Doctor: 6 Tips to Follow

Health, it has often been remarked, is wealth, and finding the perfect primary care physician is the equivalent of striking gold.
A primary care physician is your first port of call when you’re feeling unwell and is responsible for thinking strategically about your long-term health. This can involve general lifestyle appraisals: diet, drinking habits, quitting smoking, and so on – but also noticing things you might not notice about your own health, and potentially screening for early warning signs of cancer, Alzheimer’s, Parkinson’s and other degenerative diseases.
However, as with so many things, a one-size-fits-all approach to choosing a primary care practitioner would not be a sensible one – different physicians have different specialities, and it’s worth finding a doctor with the expertise that you need.
This article aims to provide you with a basic guide for making an informed decision in choosing the best primary care physician to suit your needs.
Ask Around
While you should do your own research to corroborate it, often the best way to find a good doctor is to ask your friends and family if they would recommend their primary care provider.
So much of the value of a good primary care doctor is in the personal relationship you can build with them – people with similar values, whom you trust, can be a really effective screening tool. If you are having to change doctors because you’re moving, or they’re retiring, consider asking them for a recommendation too – they will likely have access to a network of other physicians they trust and respect.
Do your due diligence
It’s crucial that you are able to receive the right care at the right time. Equally important is to be sure that your treating practitioner is suitably qualified, to the industry standards and accreditations expected of a medical professional.
Although finding a good doctor certainly goes beyond making sure they’re appropriately qualified through a post masters FNP online or similar, it’s still critical to be able to trust in your doctor’s training and competence, so that you can feel safe and secure in their hands.
Consizer any specialisms you might require
While many primary care practitioners are generalists – it makes sense, given their chief role as a kind of triage point for your healthcare – there are many types of specialist primary care providers, too.
For whole family healthcare, consider a family medicine practice, which integrates pediatric specialists into your healthcare plan; for women, it can often be helpful to have access to an obstetrician/gynecologist either as your primary care provider or closely linked to them. Geriatric specialists are another common type of specialist primary care provider, catering to the needs of the elderly.
While consulting with a specialised provider is not always necessary, it can be helpful if you have specific medical needs requiring specialised attention and care from a suitably qualified practitioner.
Play the field
Don’t be shy to shop around.
Different people have drastically different medical needs, communication preferences, and styles of interaction. Doctors know this, so they shouldn’t be offended by direct questioning.
It’s also worth casting a wide net, and taking the time to pick a doctor that you feel comfortable approaching, and who also has the appropriate experience and knowledge to successfully manage your health. Try to get a comprehensive understanding of the health centres near you, so that you can make a fully informed decision.
Check the practicalities with your insurer
Currently, the state of the American healthcare system means your options might be limited by your insurance plan. Consider contacting your insurance provider to ask for a list of participating practitioners, or approach them with a shortlist of doctors that you’ve compiled.
The bottom line is this: make sure you’re covered, so that you can ensure you have access to the non-emergency healthcare that you deserve.
Have a tete-a-tete
The most important thing when choosing a healthcare provider is that you’re able to communicate effectively.
By far the most effective way to screen for this is to meet with your prospective healthcare provider, face to face. Don’t be afraid to set up a meeting, or feel like you’re wasting medical professionals’ time – it’s a good investment in the long run to get the right doctor for you.
Personal connection is essential. While it’s important to check credentials and to make sure you’re getting the right type of medical attention, you should also go with your gut. If you feel happy with your doctor, the chances are you’ll be more honest and upfront with them (and vice versa), and you’ll experience a better overall quality of care.
Today, we’ve discussed 6 tips to follow when choosing a doctor.
From doing your own research, checking their qualifications, and trusting your gut when it comes to personal connection, finding your perfect physician is a multifaceted endeavour.
HEALTH
Does TMS Make You Tired? Exploring the Impact of TMS on Energy Levels

Many individuals considering Transcranial Magnetic Stimulation (TMS) treatment have questions about its effects on their daily energy levels. The question “does TMS make you tired?” frequently comes up during medical consultations.
Understanding TMS and Its Effects on Energy
Transcranial Magnetic Stimulation uses targeted magnetic pulses to stimulate specific regions of the brain, particularly those associated with mood regulation. The common question “does TMS therapy make you tired?” stems from the treatment’s direct interaction with brain tissue.
The full procedure, formally known as transcranial magnetic stimulation, involves the brain naturally using energy to process these signals, similar to how physical exercise requires energy from muscles.
The body’s response to TMS treatment varies significantly among individuals. Some might experience mild fatigue during the initial weeks, while others report increased energy levels as their depression symptoms improve. These variations often depend on several interconnected factors:
- Treatment timing and individual circumstances
- Overall health status and sleep patterns
- Current medication regimens
- Stress levels and daily commitments
- Dietary habits and physical activity levels
- Treatment frequency and intensity
Physical Response Patterns and Energy Management
The initial adjustment period to TMS therapy can influence energy levels in various ways. Many patients wonder why does TMS make you tired during the first few sessions. This temporary fatigue often relates to the brain’s adaptation to the treatment. The neural circuits undergo changes as they respond to the magnetic stimulation, which can temporarily affect energy levels.
Sleep patterns might shift slightly during the early phase of treatment. Some individuals notice changes in their sleep quality or duration, which typically stabilize as the body adjusts to the treatment schedule. Maintaining consistent sleep habits and regular daily routines helps support better energy management throughout the treatment course.
Regular physical activity remains beneficial during TMS treatment, though modifications might be necessary. Light to moderate exercise often helps maintain energy levels, while intense workouts may need careful scheduling around treatment sessions. The key lies in finding the right balance between staying active and allowing adequate rest.
Treatment Response and Professional Monitoring
Healthcare providers closely track patient responses throughout the TMS course. Regular assessment of energy levels and other symptoms helps optimize the treatment approach. This monitoring ensures the best possible outcomes while managing any fatigue-related concerns effectively.
The timing of TMS sessions can significantly impact daily energy patterns. Morning sessions might work better for some individuals, while others find afternoon appointments more suitable. Treatment schedules often require adjustment based on individual responses and daily routines.
Practical Strategies for Daily Management
Successfully managing energy levels during TMS treatment often involves implementing several practical approaches:
- Creating structured daily routines that allow for rest when needed
- Maintaining regular meal times and balanced nutrition
- Ensuring adequate hydration throughout the day
- Establishing consistent sleep patterns
- Planning activities around treatment sessions
- Making time for light physical activity when appropriate
Long-term Perspectives and Treatment Outcomes
Most individuals find their energy levels stabilize as treatment progresses. The initial adjustment period, which might include some fatigue, typically gives way to more consistent energy levels. This stabilization often coincides with improvements in depression symptoms, leading to better overall function.
Medical observations suggest that this temporary fatigue usually resolves within the first month of treatment. As the brain adapts to the magnetic stimulation, many patients report feeling more alert and focused throughout their day, with enough energy to resume their regular daily activities.
Understanding Normal Variations
Energy fluctuations during TMS treatment fall within an expected range. These variations often mirror natural daily energy patterns, though they might feel more pronounced during the early treatment phase. Environmental factors, daily circumstances, and personal obligations all influence how individuals experience and manage treatment-related fatigue.
The treatment environment itself can affect energy levels. A supportive, comfortable setting helps optimize the treatment experience. Creating conducive environments both at home and work facilitates better management of any temporary energy fluctuations during the treatment course.
Research Insights and Professional Observations
Current research continues to examine the relationship between TMS and energy levels. Studies suggest varying responses among individuals, with some experiencing temporary fatigue while others report increased energy as their depression symptoms improve. These different responses highlight the individualized nature of TMS treatment effects.
Response patterns to TMS therapy often follow certain trends, though individual experiences vary significantly. Some notice energy changes early in treatment, while others experience more gradual shifts. Understanding these patterns helps set realistic expectations for the treatment course.
Practical Considerations for Treatment Success
Transportation planning plays a crucial role in managing energy levels during treatment. Some individuals benefit from arranging transportation assistance, especially during the early phase when energy patterns might be less predictable. This practical support helps conserve energy for essential daily activities.
Work and activity scheduling require thoughtful consideration during the treatment period. Flexible scheduling often proves beneficial, allowing for adequate rest while maintaining productivity. Many individuals find that small adjustments to their daily routines help them manage their energy more effectively throughout the treatment course.
Post-Treatment Expectations and Outcomes
The post-treatment period typically brings stabilization of energy levels. Most individuals find their energy patterns return to normal or improve compared to pre-treatment levels, especially as depression symptoms decrease. Understanding the temporary nature of treatment-related fatigue helps maintain perspective during the treatment course.
Regular communication with healthcare providers throughout the treatment process ensures optimal outcomes. Any concerns about energy levels can be addressed promptly, allowing for adjustments to the treatment approach when necessary.
This collaborative approach helps maximize the benefits of TMS therapy while effectively managing any temporary effects on energy levels.
The majority of individuals find that any temporary changes in energy levels during TMS treatment are manageable with proper support and strategies.
The potential benefits of improved mood and function often outweigh temporary energy fluctuations during treatment. With appropriate preparation and management techniques, individuals can effectively handle any energy-related changes while pursuing their treatment goals.
HEALTH
English Speaking Doctor Available 24/7 for Tourists in Spain

Visiting Spain can be an exciting adventure, full of sunshine, history, and vibrant culture. However, unexpected medical situations can quickly turn your vacation into a stressful experience. When you’re away from home, finding reliable medical assistance without language barriers can be challenging, International Doctor 24H: Immediate Medical Care When You Need It
Fortunately, International Doctor 24H provides fast, professional medical assistance for tourists across Spain, ensuring you have access to quality care without long waits or needing an appointment. With us, you can quickly find a walk-in clinic near you, open 24 hours a day, every day.
Personalized Attention During Emergencies
Your comfort and health are our priority. International Doctor 24H delivers personalized emergency services directly at your hotel, apartment, or wherever you’re staying. Our English-speaking doctors arrive in minutes, providing immediate care with our emergency doctors, saving you stressful visits to unfamiliar hospitals. Emergency services are always available, ensuring you’re never alone in an urgent emergency.
Common Situations Requiring Urgent Care
Whether you’re dealing with sudden illness, minor injuries, or more serious medical concerns, quick access to urgent care near you is essential. Common scenarios include children feeling ill suddenly, food poisoning, allergic reactions, or minor injuries from accidents. International Doctor 24H quickly addresses these situations with a doctor near your location, providing the nearest walk-in clinic or even ambulance service.
Reliable Ambulance Services at Your Location
In more serious cases, we also offer prompt ambulance services to ensure immediate transportation to a hospital or emergency room. Our ambulances include emergency medical doctors ready to deliver urgent care and stabilize your condition while traveling.
How Does It Work?
Getting medical assistance is simple:
- Just send us a WhatsApp message or call us directly at +34 678 75 20 98
- Describe your situation, and provide your location.
- Within minutes, we’ll connect you with a nearby medical professional who speaks your language and can attend to your needs promptly.
No appointment required, no waiting rooms, just fast and reliable care.
Our Medical Services Available in Major Spanish Cities
International Doctor 24H provides English-speaking doctors and prompt medical care in key Spanish tourist destinations including:
- Madrid
- Málaga
- Fuengirola
- Benalmádena
- Torremolinos
- Marbella
- Elviria
- Costa del Sol
- Valencia
- Sevilla
- Tenerife
Wherever you are in Spain, reliable medical assistance is always within reach.
Don’t Wait: Get Immediate Medical Help
Your health is crucial, especially when traveling. With International Doctor 24H, whether you require urgent medical assistance or simply want peace of mind, help is always available. Contact us now and travel confidently knowing expert care is just a message away.
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