When your CPAP mask causes you discomfort, it can interrupt sleep and may make you reluctant to continue with CPAP therapy.¹

While mask pain is more common in people new to CPAP, it can also emerge as an issue for those more seasoned with the therapy. 

There are several reasons for CPAP mask pain or discomfort, including sizing issues, too-tight straps and irritating mask materials.¹ 

Here’s how to deal with mask issues that could be causing you pain.  

Choose the right type of mask 

A mask that’s wrong for your sleep position can dig into your face, causing pain or discomfort.² It is always advisable to give considerable thought to which of the four mask types better suit your sleeping style and preferences. See What type of CPAP mask is right for me? to explore your options. 

Get the right size 

Pain under your nose or around your mouth could mean you’re wearing the wrong size mask.³  Talk to your healthcare provider about what mask sizing is best suited to your face and sleeping style. 

Put your mask on properly 

Pain or discomfort can also be signs that your mask hasn’t been put on correctly.⁴

To get it right, loosen the mask straps and tighten them gradually. It’s a good idea to lie in your preferred sleep position while you make the final adjustments. 

Remember, mask designs may have different fitting processes so always refer to the manufacturer’s user instructions that come with your mask purchase. 
 

Get a secure seal 

Air leaking from a poorly sealed mask can cause skin dryness and skin irritation.⁴ If you notice air seeping out of your mask, try fine-tuning the fit and checking for damage. 

Avoid over-tightening 

Like too-tight jeans, an over-tightened mask can cause discomfort and pain.² Aim for a snug but comfortable fit – you should be able to slide a finger under the straps. 

Ensure your mask is user-friendly

User-friendly straps and fastenings coupled with an unobstructed field of view can ensure your mask-wearing experience is a lot more tolerable. F&P Solo™ is an example of a user-friendly compact mask designed for an easy and comfortable fit. 

Choose materials carefully 

In some cases, mask materials can cause pain or skin issues. Check that materials are soft and non-irritating, particularly if you have eczema or skin problems. Check with your healthcare provider if you can trial a mask for a few weeks as this can help identify if there are materials that cause skin irritation.

Keep your machine, mask, and face clean

Dirt and bacteria on your mask and machine parts are other causes of skin irritation.² Keep your face, mask, hose and CPAP machine clean to reduce the risk. Go to How to clean a CPAP mask and hose for cleaning information.

Replace your old mask 

If you notice pain after using your mask for some time, it could be a sign that your mask is damaged or worn out.⁴ Check for dryness, stiffness, cracking, or discoloration – and replace if needed. 

Address silicone allergies

Get tested for a silicone allergy if you’re having a reaction to silicone parts and/or pieces.⁵

Soothing creams 

These can be put on during the day but need to be washed off and removed completely before putting on your CPAP mask.²

Try a barrier 

Mask liners, gel pads for the bridge of the nose, and soothing barrier creams can all help reduce friction between your face and mask, which may reduce pain and irritation.²  

Common types of mask pain

If you are new to CPAP, some discomfort can be expected as you settle into the therapy and it’s worth remembering that persevering could pay dividends in terms of better-quality sleep. 
 
 Mask pain and discomfort can affect different parts of your face and head, including your nose and nostrils, upper lip and the back of your head.² The location of your pain or discomfort can help you work out what’s causing the issue and how to resolve it. 

Here’s what you need to know: 

Nasal dryness

Dryness inside your nose and mouth, often caused by dry air, can be uncomfortable. A CPAP humidifier adds moisture to the air in your CPAP machine, assisting with keeping the mucous membranes in your nostrils from drying out.²  

Sores inside or around the nose

These sores may be caused by pressurized air reducing moisture in the nose, or the nasal fittings rubbing against your skin. Here’s how to troubleshoot the problem:²

• Try different mask styles. 
• Switch to a different-sized nasal cushion.
• Be patient – sores and pain may disappear as you get used to your CPAP mask. 

Upper lip pain

A painful or irritated upper lip could be caused by wearing the wrong type of CPAP mask or overtightening the straps.² 

If you notice upper lip pain after using your CPAP mask, try loosening the straps. If the pain continues, talk to your healthcare professional or a sleep specialist about trying a different mask. 

Pain at the back of the head 

Head pain can be caused by overly tight mask straps or a mask with thicker straps and components that dig into your head while you sleep.¹ It may be more likely if you sleep on your back. 

You may be able to prevent this type of pain by loosening your mask straps or using a mask with minimal fastenings. 

How can Fisher & Paykel Healthcare help?

CPAP therapy can be life-changing – but if your mask causes pain or discomfort, it’s harder to stick to your treatment plan. If your current mask is causing problems, don’t be afraid to try a different model. 

Fisher & Paykel Healthcare’s range of CPAP masks is market-leading, with innovative designs and styles. View our range of CPAP masks.

The content is for educational purposes only. It should not be used as a substitute for the medical advice provided by your healthcare provider.