Trigeminal Thermal Neuromodulation
Healing the Autonomic Nervous System Through the Breath
At Sleep and Brain, we are driven by testing, treating, and re-testing. When we evaluate a new therapy, we don’t adopt it blindly; we seek physiological proof.
For many patients, the root cause of insomnia, daytime fatigue, and brain fog is an autonomic nervous system stuck in a chronic state of hyperarousal. The proverbial “tired but wired.” Trigeminal Thermal Neuromodulation is our cutting-edge, non-invasive protocol that acts as a physical “reset switch” for your brain’s arousal centers.
In traditional sleep medicine, applying continuous, high-flow air or oxygen to treat insomnia is a flawed concept. Standard continuous-flow devices such as CPAP can create friction, dry out the nasal mucosa, and act as a physical irritant. Rather than calming the brain, they can potentially trigger the body’s stress response and disrupt sleep architecture. We utilize a unique oxygen delivery system that respects the breath cycle and nasal cycling to precisely target the trigeminal nerve with the minimal effective oxygen dose
Precise Oxygen Delivery System
Specific Anatomical Target
We aren’t just delivering air; we are targeting the Sphenopalatine Ganglion and the trigeminal nerve, the master switches for the parasympathetic (i.e., rest and digest) nervous system.
Micro-Dose
The device utilizes an ultra-low flow rate of just 0.4 LPM. It is virtually imperceptible, eliminating the friction and mucosal damage associated with standard oxygen therapies.
Precise Breath Cycle Delivery
At the millisecond you begin to inhale, the device delivers a microscopic pulse of naturally cooled air. This rhythmic cooling stimulates the trigeminal nerve, mimicking the “mammalian dive reflex.” This instantly signals your brain to lower your heart rate, quiet racing thoughts, and transition into a state of deep relaxation.
Patent Nasal Delivery
The system continuously monitors your natural nasal cycle and delivers a gentle pulse of air only to the most open nostril. This preserves your delicate nasal tissue and prevents the irritation that can occur when forcing air through a congested airway.
By combining these variables, we realized we were no longer looking at an “oxygen therapy.” We were looking at a highly precise, breath-synchronized thermal trigger. Trigeminal thermal neuromodulation uses the natural cooling properties of micro-dosed expanding gas to stimulate a parasympathetic nerve hub, bypassing the need for pharmaceuticals or electrical currents.l neuromodulation
The Trigeminal Thermal Neuromodulation Protocol
To effectively rehabilitate your nervous system, we might, for instance, prescribe a highly targeted 20-minute protocol to bookend your day:
20 Minutes at Sleep Onset): Used as you get into bed, trigeminal thermal neuromodulation acts as a somatic anchor for your breath. It cools your core body temperature and halts nighttime hyperarousal, allowing you to cross the threshold into sleep.
20 Minutes Upon Waking: Used as you start your day, trigeminal thermal neuromodulation gently stimulates the parasympathetic nervous system to blunt the morning cortisol spike, setting a calm, resilient baseline for your nervous system.
What can you Expect?
At Sleep and Brain, we measure your success objectively. Trigeminal thermal neuromodulation is designed to create quantifiable improvements in both your sleep architecture and your daytime cognitive function.
Trigeminal Thermal Neurmodulation Benefits
Faster Sleep Onset
By lowering core temperature and quieting the mind, trigeminal thermal neuromodulation reduces the time to fall asleep.
Fewer Awakenings
By reducing systemic adrenaline and opening the nasal airway, the brain experiences fewer micro-arousals, protecting the continuity of your rest.
Deeper Sleep
By removing the roadblock of sympathetic stress, your brain is free to descend into slow-wave sleep, which is when your brain clears metabolic waste and neurotoxins.
Reduced Brain Fog
Quality sleep dictates daytime performance. With brain fog, your daytime brain map often reveals excess slow-wave activity.. As trigeminal thermal neuromodulation restores your natural sleep architecture, we look for a shift in your daytime brain map: a reduction in delta and theta waves, and a resurgence of alpha waves, which reflect a calm, clear, and focused mind.
Nasal Decongestion
Airway resistance is a massive disruptor of sleep. Trigeminal thermal neuromodulation gently shrinks swollen nasal turbinates via thermal vasoconstriction. Unlike chemical nasal sprays that cause dependency, trigeminal thermal neuromodulation naturally opens your airway for approximately 30 to 90 minutes, the time window you need to comfortably transition into sleep.
A Safe, Sustainable Solution
Because trigeminal thermal neuromodulation relies on a natural physiological reflex rather than chemical receptor binding, it is safe for long-term use. You cannot build a chemical tolerance to a thermal nerve reflex. The micro-dosed delivery preserves your nasal mucosa, and the ultra-low flow rate ensures safety for daily use.
You can test your breathing in various ways to establish how it reacts to stimuli and whether it is dysfunctional. Dysfunctional breathing habits may include irregular breathing, like sighing or gasping, aborted breathing, and deep inhales. Some of these habits may only be detected using capnography.
Frequently Asked Questions
-
Hardshell case
CapnoTrainer Unit
CapnoTrainer charger
Two Cannulas
Two water Water Traps
One USB drive (allows your unit to be Bluetooth enabled)
One oxygen ring
Ring charger
-
Open the “Welcome to the CapnoLearning System” email that comes from instruments@betterphysiology.com
Follow the email’s instructions to complete your profile and change your password.
Download the necessary software with your CapnoTrainer for either MAC or WINDOWS at https://www.betterphysiology.com/go-download
Follow the website’s step-by-step instructions on how to connect your CapnoTrainer to the software by entering the Serial Number that comes with your
unit.
Once you have completed your profile and synced your CapnoTrainer to the software; proceed to assemble the CapnoTrainer unit.
-
Open the CapnoTrainer software page and log in
Power on your unit by pressing the top power button and waiting for all lights to turn on.
Take a Water Trap and connect it to the top by making a quarter turn to the right, and then it's locked in.
Connect a cannula to the water tap by making a quarter turn to the right.
Insert your blue USB to your computer BEFORE putting on your cannula.
Make sure USB flashes red and is ready to calibrate with software.
Calibrate your unit by pressing the bottom button until it’s flashing and then letting go.
Connect your device by clicking the top left paper clip logo “connect capno”.
Put on your oxygen ring and click on Bluetooth
Proceed by putting on your cannula. Allow the hose to hang in front, cannula in
the nose, and then over the ears like glasses.
Put on your oxygen ring. It should immediately power on, and your oxygen saturation
will appear on the screen.
As you begin to breathe in through your nose, you should see exhale and inhale graphs on the screen, and you will be ready to proceed!
-
When calibrating your unit, look at your Bluetooth; it should go from red to green to blue.
Red is the initial light,
Green means it’s ready to pair.
Blue means it has paired.
-
Water Traps are not to be thrown out.
Switch them out about every 3 hours of use.
Never leave Water Traps in the machine overnight, nor allow any moisture to collect.
Remove Water Traps after usage and set them to dry overnight.
-
Change your cannula after one usage hour.
-
When storing your unit, remove your cannula to air dry, remove the water trap, unplug your USB, and, most importantly, store your unit UPWARDS, not flat, due to moisture draining.
-
Navigate to www.sleepandbrain.com and click the Book an Appointment tab
Choose the Saratoga Location
Choose Capnotherapy Session 1 hour
-
If you need to reach Lisa and her team for clinical support or scheduling conflicts, please contact her at lisa@sleepandbrain.com.