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Breathwork
The Nose Unblocking Exercise is a Buteyko breathing technique that uses a brief breath hold with gentle head movement to raise carbon dioxide and relieve nasal congestion without medication (Weinberger, 2017).
Last Updated
3 Jul 2026
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RECOMMENDED DOSE
No direct dose evidence; editorial synthesis. As a gentle introduction, run through one or two short cycles of the exercise, pausing between attempts, and stop if you feel lightheaded.
No direct dose evidence; editorial synthesis. Once comfortable, repeat several relaxed cycles across a single session, allowing full recovery of normal breathing between each cycle.
No direct dose evidence; editorial synthesis. For sustained practice, the exercise can be spread across two shorter sittings per day; keep effort gentle and never force breath-holds.
Session length
Session length: 2–5 minutes
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Frequency
Frequency: 3–7 days
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DAYS
The number of days per week to fit a session into your routine.
Session length
Session length: 5–10 minutes
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MIN
How long each individual practice session should last from start to finish.
Frequency
Frequency: 5–7 days
5
DAYS
The number of days per week to fit a session into your routine.
Session length
Session length: 10–15 minutes
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MIN
How long each individual practice session should last from start to finish.
Frequency
Frequency: 7 days
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The number of days per week to fit a session into your routine.
About this card. No direct dose-response literature exists for this technique. These recommendations are based on general practice conventions for gentle breathwork and breath-hold exercises and should be treated as starting points only. These recommendations are not a substitute for personalised guidance from a qualified practitioner.
Quick answers to what people most often ask. Each card links to the deeper section below.
evidence
No randomized trials test the Nose Unblocking Exercise directly; its support is indirect and mechanism-based. Structured breathing retraining reduces symptoms in people with dysfunctional breathing and vocal cord dysfunction, and in one single-session program 19 of 22 patients reported improvement. Congestion-relief effect sizes for this specific exercise remain unknown.
good for
Adults with a temporary stuffy nose who want a drug-free way to breathe more easily may benefit from the Nose Unblocking Exercise. The closest supporting evidence comes from people with dysfunctional breathing who improved with breathing retraining. It offers short-term comfort for congestion, not treatment for infection, allergy, or persistent breathing problems.
Read moresafety
Most healthy adults can practise the Nose Unblocking Exercise safely, since it uses a short, gentle breath hold rather than forceful breathing. The brief hold can bring mild lightheadedness or air hunger that settles within a breath or two. Check with a clinician first if pregnant or living with heart, blood-pressure, seizure, or panic conditions.
Read morehow it works
Briefly holding the breath raises carbon dioxide, which is thought to widen the small blood vessels lining the nose and reduce the swelling that blocks airflow, so breathing feels clearer once you release. During the hold you feel a rising urge to breathe, driven by rising carbon dioxide rather than low oxygen. This mechanism is plausible rather than proven.
Read moreA Buteyko breathing exercise that uses a brief breath hold with gentle head movement to raise carbon dioxide and ease nasal congestion without medication.
You exhale normally, pinch the nose closed, and nod the head up and down or walk a few steps while holding the breath, then release and settle into very soft, quiet nasal breathing. Holds stay short and easy rather than pushed to a maximum, and you can repeat the sequence whenever congestion returns.
This is a specific Buteyko decongestion drill, not deep-breathing, hyperventilation, or a full meditation practice. The aim is a brief, gentle hold that clears the nose, not maximal breath retention or an extended relaxation session. It eases a temporary stuffy nose and is not a treatment for infection, allergy, or any breathing condition that needs medical assessment.
Not to be confused with
Cyclic hyperventilation methods (e.g. Wim Hof style breathing)
Those methods use rounds of rapid, deep over-breathing followed by long holds, which deliberately lowers carbon dioxide. That is the opposite of this exercise, where a brief, gentle hold is used to let carbon dioxide rise and open the nose.
Saline nasal rinse or neti pot
A saline rinse flushes the nasal passages with salt water to clear mucus. This exercise uses no water at all, working instead through a short breath hold that is thought to widen the small blood vessels lining the nose.
Decongestant nasal sprays
Medicated sprays shrink swollen nasal tissue chemically and can cause rebound congestion with overuse. This is a medication-free breathing drill for temporary comfort, not a pharmacological decongestant.
The exercise appears to work by briefly raising carbon dioxide during the breath hold, which widens the small blood vessels lining the nose through the Bohr effect and reduces the swelling that blocks airflow (Weinberger, 2017). In the body this may feel like a building urge to breathe during the hold, followed by a nose that feels clearer and a breath that moves more freely once you release. Repeating the hold is also thought to make that urge to breathe, air hunger, driven mostly by rising carbon dioxide rather than low oxygen, feel less alarming over time. Because this rests on respiratory physiology rather than trials of the exercise itself, the mechanism is best read as plausible, not established.
Air hunger, that urgent pull to breathe during a short hold, is driven mostly by rising carbon dioxide rather than by low oxygen. Repeating the brief nose-pinch hold in this exercise is thought to make that signal feel less alarming over time, so holds feel steadier and less likely to tip into panic (Weinberger, 2017).
During a short breath hold you may feel a rising urge to breathe that eases into a clearer, more open nose the moment gentle nasal breathing resumes. That urge is air hunger, driven by rising carbon dioxide as the hold shifts the balance of carbon dioxide and oxygen the body works to keep steady (Weinberger, 2017).
Clearer nasal airflow is the change most directly tied to this exercise. In a study of 400 adults without nose or smell complaints, higher nasal airflow tracked with better smell and taste function (Kristina et al., 2023). That study measured airflow rather than the exercise itself, so any broader shift in the balance of oxygen and carbon dioxide in the blood follows from the mechanism and was not measured here. Most people simply notice breathing feeling more open and less effortful, with smell and taste sometimes seeming a little sharper as the nose clears.
Breathing feels more open and less effortful once the nose clears, and smell and taste can seem a little sharper. In adults with no nose or smell complaints, freer nasal airflow tracked with better smell and taste function (Kristina et al., 2023); any wider shift in the balance of blood oxygen and carbon dioxide is expected from the mechanism rather than measured here.
Moderate–Indirect evidence to date supports guided breathing retraining for easing functional breathing difficulties, with the clearest signal in self-reported symptom relief from clinic breathing programs (Guglani et al., 2014), (Anaïs et al., 2012). For the Nose Unblocking Exercise specifically, support is emerging and mechanism-based, resting on respiratory physiology rather than direct trials (Weinberger, 2017). Not yet supported: randomized trials of this exact exercise, effect sizes for congestion relief, or any claim that it treats infection, allergy, or a breathing condition that needs medical care.
Structured breathing retraining reduces functional breathing symptoms in people with dysfunctional breathing and vocal cord dysfunction, with the clearest results in self-reported symptom frequency and severity; in one single-session program, 19 of 22 patients reported improvement and most kept up the exercises (Guglani et al., 2014), (Anaïs et al., 2012). The idea that this specific exercise clears the nose by raising carbon dioxide and widening nasal blood vessels comes from respiratory physiology, not from trials of the exercise itself (Weinberger, 2017). The main limit is directness: the evidence is drawn from related breathing populations, so results for the Nose Unblocking Exercise specifically remain unknown.
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Studied populations
Outcomes measured
Correlations between gustatory, trigeminal, and olfactory functions and nasal airflow.
n = 400
Finding: In 400 adults with no smell or taste problems (aged 18 to 82), researchers measured how much air each person could draw through the nose and compared it against their ability to smell, taste, and sense airflow, finding that stronger nasal airflow lined up with sharper chemical senses. In everyday terms, a clear, freely breathing nose seems to travel together with how well you pick up scents and flavours, which the researchers suggest may partly reflect shared wiring in the nervous system. This is background on how the nose works rather than a test of the Nose Unblocking Exercise itself; it did not measure any breathing practice or whether clearing congestion improves the senses, and because it only spotted a connection, it cannot tell us that better airflow causes better smell or taste.
reported narratively
Dysfunctional breathing in children and adolescents
2017
Finding: This review looked at breathing-related disorders in children and teens, such as vocal cord dysfunction and hyperventilation, and noted that deliberately changing how you breathe shifts carbon dioxide and blood acidity in ways that can ease hyperventilation symptoms. That offers a plausible reason why breath-control methods might help, but the review did not test the Nose Unblocking Exercise itself, and its focus was clinical breathing problems rather than everyday nasal congestion. Its authors also point out that no controlled trials exist for these breathing treatments, so for anyone trying this practice it should be seen as a promising principle rather than a proven fix.
See full citation in referencesThe Nose Unblocking Exercise comes from the Buteyko method, a breathing system developed by physician Konstantin Buteyko in the 1950s around the idea that gentler, lower-volume breathing improves the body's tolerance to carbon dioxide. These roots help explain the practice's form, the brief hold and the soft nasal breathing that follows, not that the tradition proves a clinical effect.
For most healthy adults, the Nose Unblocking Exercise is a low-risk way to ease a stuffy nose. It uses one short, gentle breath hold rather than any forceful or prolonged breathing, so the demand on the body is small. Because that brief hold deliberately lets carbon dioxide rise, it can bring on air hunger, the urgent pull to breathe, or mild lightheadedness, sensations that usually settle within a breath or two of releasing. This caution is practice-informed and mechanism-inferred, not drawn from safety trials of this specific exercise, because none exist (Weinberger, 2017). Keep every hold short and easy, and treat the practice as a comfort measure for a blocked nose, not a treatment for infection, injury, or a breathing problem that needs medical care.
Check with a clinician before trying this exercise if you are pregnant or live with a heart condition, uncontrolled high blood pressure, a seizure disorder, or panic that spikes around breath sensations. For these groups, the air-hunger feeling from even a brief hold may be harder to tolerate or unwise. This is a mechanism-inferred caution rather than an evidence-based one, since no safety study has examined this specific exercise in these populations (Weinberger, 2017), (Guglani et al., 2014). And if your nasal congestion or breathing difficulty is persistent, seek a medical assessment rather than relying on repeated self-directed breath holds.
The brief hold deliberately lets carbon dioxide rise, so it can bring on air hunger, the urgent pull to breathe, or mild lightheadedness. These sensations usually settle within a breath or two of releasing into gentle nasal breathing. Keep every hold short and easy, and let go the moment the urge to breathe becomes strong rather than pushing for a long retention.
| Technique | Best for | Use with care | Evidence strength | Distinction |
|---|---|---|---|---|
| Buteyko Breathing Method (full program) | People who want an ongoing breathing-retraining program rather than a single in-the-moment fix for congestion. | The broader method involves sustained reduced-breathing practice that can feel like air hunger, so go gently if you are prone to panic around breath sensations. | moderate EVIDENCE | The Nose Unblocking Exercise is one specific drill inside the wider Buteyko method. The full method trains generally lighter, slower nasal breathing across the day to build tolerance to carbon dioxide, the gas that drives the urge to breathe; the nose-clearing drill borrows that same principle but aims narrowly at easing a stuffy nose in the moment through a brief breath hold. |
| Alternate Nostril Breathing (Nadi Shodhana) | Winding down and steadying attention through slow, rhythmic breathing when the nose is already clear enough to breathe through. |
It is a short Buteyko breathing drill for a stuffy nose: you exhale normally, pinch your nose shut, and gently nod your head or walk a few steps during a brief, easy breath hold, then release into soft nasal breathing. It is meant as a drug-free comfort measure for congestion, not a treatment.
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The Nose Unblocking Exercise is a decongestion drill from the Buteyko breathing method. You let out a normal breath, close your nose with your fingers, add gentle head movement or a few steps through a short, comfortable hold, then let go and breathe quietly through the nose. The idea is that a brief rise in carbon dioxide during the hold widens the small blood vessels in the nose and eases the stuffy feeling, a plausibility drawn from respiratory physiology rather than from trials of this exact exercise. Practitioners keep holds short and easy rather than pushing for maximal retention.
Unproven but plausible. No randomized trials test this exact exercise, so it can't be called proven; its rationale rests on carbon dioxide widening nasal blood vessels, with indirect support from related breathing-retraining programs (Weinberger, 2017), (Guglani et al., 2014).
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It is unproven but plausible. No randomized trials test this specific drill, so congestion effect sizes are unknown and it cannot be called a validated treatment (Weinberger, 2017), (Guglani et al., 2014). The rationale is reasonable: a brief breath hold raises carbon dioxide, which is thought to widen the small blood vessels lining the nose and reduce swelling, and guided breathing retraining has helped people with functional breathing difficulties report relief (Anaïs et al., 2012). Treat it as a low-risk, temporary comfort measure for a stuffy nose rather than proven care.
How comfortably you can sit with rising carbon dioxide, the gas that builds during a breath hold and creates the urge to breathe. Higher tolerance means that urge feels less alarming and holds feel steadier.
Hypercapnic tolerance reflecting reduced chemoreceptor reactivity to elevated arterial CO₂; proposed to increase with repeated exposure to the urge-to-breathe sensation.
The urgent, pulling sensation to take a breath that surfaces during a hold. It is driven mostly by rising carbon dioxide rather than by low oxygen, and it tends to ease as you get used to it.
A physiological effect where a rise in carbon dioxide relaxes and widens small blood vessels. In the nose, this is thought to reduce the swelling that causes a blocked, stuffy feeling.
A temporary rise in carbon dioxide in the blood, such as the small increase produced by a brief breath hold. It is what the body registers as the urge to breathe.
The widening of blood vessels. When the vessels lining the nose widen or narrow, the nose feels more or less congested.
A measure of how freely air moves in through the nose. Higher flow means breathing feels more open and less effortful.
Peak nasal inspiratory flow, a portable measure of nasal patency correlated in adults with olfactory, gustatory, and trigeminal function.
The ability to notice and make sense of internal body signals such as breath movement, heartbeat, or tension. Building it tends to feel like being more attuned to your body and catching stress signals earlier.
A shift toward the body's rest-and-recovery branch, largely through the vagus nerve. It usually shows up as feeling more settled, less tense, and more able to relax once gentle breathing resumes.
Hernandez Anna Kristina, Walke Antje, Haehner Antje, Cuevas Mandy, Hummel Thomas (2023). Correlations between gustatory, trigeminal, and olfactory functions and nasal airflow.. https://doi.org/10.1007/s00405-023-07962-6
Cited in: What happens in the body
Miles Weinberger (2017). Dysfunctional breathing in children and adolescents. https://doi.org/10.1111/apa.14006
Cited in: Benefits
Explore guided sessions to deepen your Nose Unblocking Exercise technique.
The research is useful for setting expectations, but study methods and participant groups vary. Treat the findings as general guidance rather than a promise about any single session, and not a replacement for clinical care.
A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction
2014
Finding: This systematic review looked at psychological and behavioural treatments, including breathing exercises, for vocal cord dysfunction, a condition where the vocal folds tighten and make breathing difficult. It found no controlled trials showing that any of these approaches clearly works or works better than another, so the practical takeaway is honest uncertainty rather than proof. Importantly, this review did not test the Nose Unblocking Exercise itself or look at everyday nasal congestion, so while breathing retraining is commonly taught for functional breathing problems, we can't yet say this specific technique is clinically proven.
See full citation in referencesMultidisciplinary approach to vocal cord dysfunction diagnosis and treatment in one session: a single institutional outcome study.
n = 22
Finding: When 22 young patients with vocal cord dysfunction, a functional breathing problem, were taught breathing-retraining exercises during their diagnosis and followed up later, almost 9 in 10 (86%) said their symptoms happened less often or felt less severe, and most (91%) kept up with the exercises they were shown. For someone exploring breathing techniques, this hints that structured breathing practice can help people regain a sense of control over difficult breathing. It's worth being clear about the limits, though: this was a small, uncontrolled clinic review with no comparison group, and it looked at retraining for a specific breathing disorder rather than the Nose Unblocking Exercise or everyday nasal congestion, so it can't tell us this particular technique clears a blocked nose.
reported narratively
If you are prone to panic around the breath, the rising air hunger from even a brief hold may feel more alarming and harder to tolerate. Keep each hold very short, or speak with a clinician first, and release into gentle nasal breathing the moment panic begins to build. This caution is practice-informed and mechanism-inferred, since no safety trial has tested this exercise in panic-prone people.
Check with a clinician before trying this exercise if you are pregnant or live with a heart condition, uncontrolled high blood pressure, or a seizure disorder. For these groups, the air-hunger feeling from even a brief hold may be harder to tolerate or unwise. This is a mechanism-inferred caution, not an evidence-based one, because no safety study has examined this specific exercise in these populations.
Treat the exercise as a comfort measure for a temporary stuffy nose, not a treatment for infection, injury, or a breathing problem that needs medical care. If congestion or breathing difficulty is persistent, severe, or paired with signs of infection or injury, seek a medical assessment rather than relying on repeated self-directed breath holds.
The Nose Unblocking Exercise is best approached as a gentle comfort measure for a stuffy nose, done from a calm, settled state rather than when you are already breathless or anxious. A sensible starting format keeps the single breath hold short and easy, releasing as soon as the urge to breathe grows strong, so the brief wave of air hunger stays manageable. Treat it as a quick self-help exercise, not a treatment for infection, injury, or a breathing problem that needs medical care.
Sit somewhere calm and breathe normally for a few moments, so you begin from a steady baseline rather than while already breathless or anxious.
Let a normal, unforced breath out, then close your nose with your fingers. There is no need to empty your lungs or take a big breath in first.
Keep the hold short and comfortable while you gently nod your head up and down, or walk a few steps. Release the moment the urge to breathe becomes strong, rather than pushing for a long retention.
Let go of your nose and breathe quietly and gently through it, resisting the urge to gulp a large breath. A brief wave of air hunger easing into a clearer nose is the expected feeling.
If you notice marked lightheadedness, a racing or pounding heartbeat, or rising panic, stop and let your breathing return to normal on its own. These sensations should fade quickly once you breathe gently again.
If congestion or breathing difficulty is persistent, severe, or paired with signs of infection or injury, see a clinician rather than repeating breath holds. This exercise is a comfort measure, not a medical treatment.
This information is educational and is not medical advice. This practice is not a substitute for professional care and should not replace prescribed medication or treatment for any medical or mental-health condition. If you are managing a health condition or taking medication, talk with a qualified health professional before changing your practice. If you are in distress or crisis, seek professional support.
| Alternate nostril breathing, a yogic practice, has you breathe slowly through one nostril at a time while closing the other with a finger, aiming at a calmer, more balanced state. The Nose Unblocking Exercise instead uses a short breath hold with gentle head movement to physically open a congested nose, so it is a targeted decongestion drill rather than a rhythmic breathing pattern for settling the mind. |
| Diaphragmatic (slow belly) breathing | Everyday down-regulation of stress and muscle tension through gentle, sustained breathing. | emerging EVIDENCE | Diaphragmatic breathing draws slow, low breaths into the belly to shift the body toward its rest-and-recovery state, which usually feels like the shoulders dropping and the breath lengthening. The Nose Unblocking Exercise is a brief, task-specific drill built around a short breath hold to clear the nose; one is a general calming pattern, the other a decongestion technique. |
Because a brief breath hold lets carbon dioxide rise, and that rise is thought to widen the small blood vessels lining the nose, easing the swelling that blocks airflow (Weinberger, 2017). This is a plausible physiology-based explanation rather than a trial-proven one.
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Holding your breath briefly raises carbon dioxide in the blood, which is thought to relax and widen the small blood vessels in the nasal lining through the Bohr effect, the physiological response in which rising carbon dioxide widens blood vessels. That widening reduces the engorgement that makes the nose feel stuffy (Weinberger, 2017). Because this rests on respiratory physiology rather than direct trials of the exercise itself, the explanation is best read as suggestive, not confirmed. It offers short-term comfort for congestion, not a fix for its underlying cause.
Possibly, but this isn't proven. In 400 adults, better nasal airflow was linked with better smell and taste, so easing a stuffy nose may make smell feel a little sharper as more air reaches the smell receptors (Kristina et al., 2023). That study measured airflow, not this exercise, so treat it as plausible rather than confirmed.
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Possibly, but this isn't established. A cross-sectional study of 400 adults found that higher nasal airflow tracked with better smell and taste function, which makes it reasonable that clearing a blocked nose could let scents register more clearly (Kristina et al., 2023). That study measured airflow, not this drill, and a correlation is not proof that clearing your nose causes sharper smell. So any brightening of smell is best read as a temporary side effect of easier airflow, not evidence that the exercise improves or restores your sense of smell.
Use care. Even a brief hold lets carbon dioxide rise, which can trigger air hunger, the urgent pull to breathe, or mild lightheadedness that may feel harder to tolerate if you panic around breath sensations. Keep holds very short or check with a clinician first, and stop and breathe gently if panic spikes.
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Use care. This caution is practice-informed and mechanism-inferred rather than evidence-based, since no safety trial has tested this exercise in panic-prone people. The brief hold deliberately lets carbon dioxide rise, and that rise drives air hunger and sometimes lightheadedness, sensations that can feel more alarming if you are prone to panic around the breath. The practical response is to keep every hold very short, or speak with a clinician first, and to release into gentle nasal breathing the moment panic begins to build.
Only briefly. After a normal exhale and pinching your nose, hold just until the urge to breathe becomes strong, then release into gentle nasal breathing. Keep each hold short and comfortable rather than aiming for a fixed or maximal length.
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Only briefly. Practice-informed guidance is to exhale normally, pinch the nose, and gently nod or walk a few steps through a short, comfortable interval, then release the moment the urge to breathe becomes strong. That urge is air hunger, the pull to breathe driven mostly by rising carbon dioxide. There is no proven optimal duration, because no trials of this specific exercise define one; the aim is a gentle stimulus, not a long retention. If you feel marked lightheadedness, stop and let breathing settle on its own.
As often as a stuffy nose calls for it, since no trial has set a safe frequency, so this is practice-informed comfort guidance rather than a dosing schedule (Weinberger, 2017). Keep each hold short and easy, breathe gently between attempts, and stop if lightheadedness or panic arise.
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As often as you need for temporary congestion, using short, easy holds with soft nasal breathing between attempts. No study has tested how frequently to repeat this specific exercise or set an upper limit, so any answer on frequency is mechanism-inferred and practice-informed rather than a trial-derived schedule (Weinberger, 2017), (Guglani et al., 2014). Stop if you feel marked lightheadedness or rising panic, and if congestion is persistent or severe, seek clinical care instead of relying on repeated breath holds.
The Nose Unblocking Exercise is one targeted drill within the wider Buteyko method: it uses a brief breath hold with gentle head movement to open a stuffy nose in the moment, while the full method trains lighter, slower breathing across the day to build tolerance to the carbon dioxide that drives the urge to breathe.
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The Nose Unblocking Exercise is a single decongestion drill, while the full Buteyko method is an ongoing breathing-retraining program. The drill borrows Buteyko's core idea of briefly letting carbon dioxide rise, but aims narrowly at easing congestion; the wider method applies that same principle to everyday breathing to build carbon dioxide tolerance over time. Breathing-retraining programs like this have helped people with functional breathing difficulties report symptom relief, though that evidence is indirect and no trial has directly compared the two (Guglani et al., 2014), (Anaïs et al., 2012), (Weinberger, 2017).
A pattern of breathing that feels laboured or uncomfortable without an underlying disease fully explaining it. Breathing-retraining programs are often used to help people recognise and reshape the pattern.
Loveleen Guglani, Loveleen Guglani, Sarah Atkinson, Avinash Hosanagar, Lokesh Guglani, Lokesh Guglani (2014). A Systematic Review of Psychological Interventions for Adult and Pediatric Patients with Vocal Cord Dysfunction. https://doi.org/10.3389/fped.2014.00082
Cited in: Benefits, Research, Who should use care
Rameau Anaïs, Foltz Rhonda S, Wagner Katie, Zur Karen B (2012). Multidisciplinary approach to vocal cord dysfunction diagnosis and treatment in one session: a single institutional outcome study.. https://doi.org/10.1016/j.ijporl.2011.09.017
Editorially curated. Tracks are not themselves clinically studied; evidence on the page applies to Nose Unblocking Exercise as a technique.
Beginner content for Nose Unblocking Exercise

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Healing Vibrations
How hard is Nose Unblocking Exercise?
This sits above the gentlest Buteyko drills because the hold is intentionally noticeable even though the exercise is short.
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