01/04/2026
🌿 Breathing, Function & What We Might Be Missing
Today I attended a CPD meeting with the physio for breathing pattern disorders group. The planned talk was cancelled, so it became an open discussion which was really interesting.
I spent some time reflecting on a few of the themes while wandering in my garden this afternoon — always a helpful space for integration.
We explored how breathing pattern disorders (BPDs) are assessed. There’s currently no agreed gold standard.
One thing that stood out is the important of efficient, functional breathing at rest.
A bit of a bugbear of mine is breathwork being taught without considering someone’s underlying breathing pattern at rest. Things like nasal breathing, tongue position, carbon dioxide tolerance, and trauma history all matter — and can significantly influence how helpful (or not) breathwork is.
We also discussed some of the differences between training breathing for specific demands (e.g. swimming)
and supporting efficient, everyday breathing patterns outside of those contexts.
It was mentioned that BPDs are likely underestimated in the research — which aligns with my clinical experience.
Another important theme was the need for better integration between specialists and clearer, more accessible referral pathways. In my view, there are a number of overlapping challenges here:
* the lack of joined up care
* under recognition of BPDs and sleep disordered breathing (including obstructive sleep apnoea)
* limited funding impacting service pathways
I also shared that BPDs and sleep disordered breathing are common in people with ME/CFS, and I suspect they are often under recognised. There’s a need for more research in this area — particularly in ME/CFS, Long Covid, fibromyalgia, and in women more broadly. This could support earlier recognition, and improvements in care.
🌿 If you’d like to explore how your breathing may be supporting or hindering your health and wellbeing, there’s some information on my website (linked in comments), or you’re welcome welcome to get in touch to arrange a free discovery call.