Stop Chasing Pain
Perform with Dr. Andy Galpin
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The Holistic Navigator
Soaring Child: Thriving with ADHD

Buteyko Breathing Method

14 episodes B

Episodes covering buteyko breathing method — protocols, research, and expert discussions.

Breathing retraining method focused on nasal breathing, reduced breathing volume, and CO2 tolerance for asthma, sleep apnea, and anxiety

The Buteyko method is a systematic approach to breathing retraining developed by Soviet physician Konstantin Buteyko in the 1950s. The core premise: most people chronically overbreathe, which depletes CO2 and causes a cascade of issues from anxiety to asthma.

The evidence is strongest for asthma (reduced medication use, fewer symptoms) and shows promise for sleep apnea and anxiety. It's free to learn the basics, though the learning curve is steeper than simple breathing exercises. If you have asthma, chronic mouth breathing, or anxiety-related breathing issues, this is worth serious exploration.

Science & Mechanisms

Core theory:

  • Chronic hyperventilation (overbreathing) is widespread and harmful
  • Low CO2 (hypocapnia) causes smooth muscle constriction, including airways
  • The Bohr effect: low CO2 means hemoglobin holds oxygen tighter, reducing delivery
  • Breathing volume, not depth, is the key variable to optimize

Mechanisms:

  • Increased CO2 tolerance relaxes smooth muscle (bronchodilation)
  • Higher CO2 improves oxygen delivery to tissues (Bohr effect)
  • Nasal breathing filters, warms, humidifies air and produces nitric oxide
  • Reduced breathing volume lowers sympathetic activation
  • Resetting chemoreceptor sensitivity to CO2

Key studies:

  • Cowie et al. (2008): Buteyko reduced bronchodilator use by 86% vs. control
  • Cooper et al. (2003): Buteyko improved symptoms and reduced bronchodilator use
  • Bruton & Holgate (2005): Asthma quality of life improved with Buteyko training

What the evidence shows:

  • Asthma: Good evidence for reduced medication and improved control
  • Sleep apnea: Preliminary positive results
  • Anxiety/panic: Anecdotal and mechanistic support
  • Athletic performance: Limited but promising data

Effect sizes:

  • Asthma medication reduction: Large (50-90% reduction in some studies)
  • Asthma symptoms: Moderate improvement
  • Sleep quality: Small to moderate
  • Anxiety: Not well quantified

Episodes

1
Stop Chasing Pain
SCP Podcast Mini Series, Episode 42: Easy Breathing for Chillaxing and Relaxing
Stop Chasing Pain Perry Nickelston 2024-11-06

Dr. Perry Nickelston shares a simple daily breathing ritual designed to calm the nervous system and support the body's healing processes. He breaks down the top three physiologi...

2
Perform with Dr. Andy Galpin
Enhance Your Physical & Mental Resilience (HRV, Respiratory Rate, RHR)
Perform with Dr. Andy Galpin Andy Galpin 2025-04-16

Dr. Andy Galpin explains how to increase control over your nervous system for long-term physiological resilience and adaptability, going beyond basic stress management to explor...

3
Find Your Daily Calm
Relaxing Buteyko Breathing Method
Find Your Daily Calm Dr. Charles Edward Florendo 2025-05-28

This episode of Find Your Daily Calm features a guided Buteyko reduced breathing exercise led by Dr. Charles Edward Florendo, Southeast Asia's first and only physician certified...

4
Find Your Daily Calm
Listen Again: Relaxing Buteyko Breathing Method
Find Your Daily Calm Dr. Charles Edward Florendo 2024-12-19

This is a re-release of the Find Your Daily Calm episode featuring a guided Buteyko reduced breathing exercise with Dr. Charles Edward Florendo, Southeast Asia's first physician...

5
The Holistic Navigator
You're Breathing Wrong: The Buteyko Breathing Method
The Holistic Navigator 2019-06-14

Host Ed Jones of The Holistic Navigator introduces Buteyko breathing to listeners, sharing his personal journey with the technique over several years of working with a Buteyko p...

6
Soaring Child: Thriving with ADHD
127: Buteyko Breathing with Dr. Miles Nichols
Soaring Child: Thriving with ADHD Dr. Miles Nichols 2024-09-26

Host Dana Kay of the Soaring Child podcast welcomes back Dr. Miles Nichols, a functional medicine expert and founder of the Medicine with Heart Clinic, to discuss how Buteyko br...

7
Meditation with Raphael
Buteyko Breathing method: Anxiety Free !
Meditation with Raphael 2020-02-28

Host Raphael of the Meditation with Raphael podcast discusses the Buteyko breathing method as a practical technique for managing anxiety. He learned about the method from a book...

8
The Connected Yoga Teacher Podcast
062: Buteyko Breathing with Steve Donald
The Connected Yoga Teacher Podcast Steve Donald 2018-04-30

Host Shannon Crow of the Connected Yoga Teacher podcast interviews Steve Donald, a Buteyko educator who took the first Buteyko educator training in Canada in 2006. Steve was dra...

9
Breathe Better Sleep Better Live Better Podcast
Buteyko Breathing with Patrick Mckeown
Breathe Better Sleep Better Live Better Podcast Patrick McKeown 2013-04-27

Dr. Stephen Park, an ENT physician specializing in obstructive sleep apnea, interviews Patrick McKeown, an internationally renowned Buteyko expert and author. The episode focuse...

10
Yoga Research & Beyond
Y&B #62 - Buteyko Breathing and Asthma
Yoga Research & Beyond Catherine Cowie 2017-11-28

Hosts Ariana Rabinovich and Catherine Cowie of the Yoga Research and Beyond podcast take a science-first look at the Buteyko breathing technique, reviewing a 2005 study publishe...

11
You Are Heroic with Brian Johnson
Interview: The Oxygen Advantage with Patrick McKeown
You Are Heroic with Brian Johnson Patrick McKeown 2017-05-12

Brian Johnson of the Optimize podcast interviews Patrick McKeown, author of The Oxygen Advantage, in what Brian calls the most life-changing practice he has adopted. Brian share...

12
Align Podcast
Patrick Mckeown: Nose Breathing, Tongue Strength, Over-Breathing | Ep. 245
Align Podcast Patrick McKeown 2019-09-23

Aaron Alexander of the Align Podcast interviews Patrick McKeown, author of The Oxygen Advantage, in a wide-ranging conversation that begins with a philosophical discussion about...

13
Age Less / Live More
192: Buteyko Breathing - Is C02 Your Friend?
Age Less / Live More Sasha Yakovleva 2016-03-03

Lucas Rockwood of the Yoga Talk Show (Age Less / Live More) interviews Sasha Yakovleva, executive director of the Breathing Center and a Buteyko breathing normalization expert. ...

14
You Are Heroic with Brian Johnson
PNTV: The Oxygen Advantage by Patrick McKeown
You Are Heroic with Brian Johnson 2017-12-11

Brian Johnson presents a Philosopher's Notes TV book review of Patrick McKeown's The Oxygen Advantage, distilling the book into five key ideas. Brian shares that this book, alon...

Related Research

Effect of Buteyko breathing technique on clinical and functional parameters in adult patients with asthma: a randomized, controlled study.
Vagedes K, Kuderer S, Ehmann R, et al. (2024)
Buteyko breathing technique significantly improved asthma control and quality of life in adults with asthma compared to controls after 3 months of training.
The Buteyko breathing technique in children with asthma: a randomized controlled pilot study.
Vagedes J, Helmert E, Kuderer S, et al. (2021)
Buteyko breathing training improved lung function (FEV1) at rest and after exercise in children with asthma, though it did not reduce medication use over 3 months.
Buteyko method for people with asthma: a protocol for a systematic review and meta-analysis.
Mendonça KMPPd, Collins S, Santos TZ, et al. (2021)
Systematic review protocol establishing rigorous methodology for evaluating the Buteyko method for asthma, covering RCTs measuring symptom control, medication use, and quality of life.
Breathing exercises for adults with asthma.
Santino TA, Chaves GS, Freitas DA, et al. (2020)
Cochrane review of 22 RCTs found breathing exercises (including Buteyko) may improve quality of life and reduce hyperventilation symptoms in adults with asthma, though evidence certainty remains low to moderate.
Buteyko Breathing Technique for asthma: an effective intervention.
McHugh P, Aitcheson F, Duncan B, et al. (2004)
Buteyko breathing reduced beta-agonist inhaler use by 85% and inhaled steroid use by 50% over 6 months, with no adverse events and no change in lung function.
Effect of two breathing exercises (Buteyko and pranayama) in asthma: a randomised controlled trial
Cooper S, Oborne J, Newton S, Harrison V, Thompson Coon J, Lewis S, Tattersfield A (2003)
Buteyko breathing technique can improve symptoms and reduce bronchodilator use but does not appear to change bronchial responsiveness or lung function in asthma patients.