Sleep Solutionsof Fredericksburg
☎(540) 372-6430
Compassionate, evidence-based sleep testing primarily for adults, with services available for patients age 13 and older—seven nights a week.
✓ Talk with your physician or contact our sleep center to discuss whether a sleep study may be appropriate for you.
Repeated breathing interruptions can disturb restorative sleep and reduce oxygen levels. Taking the warning signs seriously and seeking evaluation early can lead to earlier treatment—and help protect alertness, safety, and long-term health.
During normal sleep, the airway behind the tongue and soft palate remains open.
In obstructive sleep apnea, relaxed tissues can narrow or block the oropharyngeal airway until the brain briefly restores breathing.
Simplified illustration for patient self-awareness; individual anatomy and the location of obstruction can vary.
Untreated obstructive sleep apnea is associated with important health and safety concerns:
CPAP, APAP, or bilevel pressure helps keep the airway open and is the most common treatment.
A custom-fitted device may be considered for mild-to-moderate apnea or selected patients who prefer it or cannot tolerate PAP.
An implanted option for certain patients with moderate-to-severe obstructive apnea who cannot tolerate PAP and meet eligibility criteria.
Weight management, positional therapy, lifestyle changes, or surgery may also be appropriate after evaluation.
Sleep Solutions of Fredericksburg—also known as the Sleep Disorder Center of Fredericksburg—was established by local physicians on June 11, 2006, in response to the region’s growing need for timely, reliable sleep-disorder testing. We help patients and referring physicians evaluate obstructive sleep apnea, narcolepsy, periodic limb movement disorder, REM sleep behavior disorder, and other sleep-related conditions.
Accredited by the American Academy of Sleep Medicine since 2010, our center was part of the early growth of accredited sleep medicine in the Fredericksburg area. Our established facility reflects nearly two decades of focused experience and long-standing relationships with patients and referring providers throughout the region. We emphasize proven diagnostic systems, careful equipment maintenance, experienced personnel, attentive overnight monitoring, and a commitment to dependable results.
Our physicians bring advanced training in pulmonary, critical care, and sleep-related medicine to the evaluation process.
Physician · Sleep Medicine
Dr. Rehm's clinical background includes internal medicine, pulmonary medicine, critical care, and sleep medicine. He attended the University of Maryland for medical school, completed his internal medicine residency at the University of North Carolina, and continued at UNC for fellowship training in pulmonary and critical care medicine.
Physician · Pulmonary & Critical Care
Dr. Goyal's clinical background spans internal medicine, pulmonary medicine, and critical care. He attended West Virginia School of Medicine, completed his internal medicine residency at Lenox Hospital, and pursued fellowship training in critical care medicine at St. Vincent's Hospital.
The people behind your care
Our administrative and technical staff help coordinate patient care and support each sleep study from scheduling through completion.
Carefully performed testing provides your physician with meaningful information to guide your care.
Comprehensive in-lab monitoring used to evaluate breathing, sleep stages, heart rhythm, movements, and nighttime behaviors.
The collected signals are reviewed together so the interpreting physician can understand what occurs while you sleep.
Overnight adjustment of prescribed therapy to identify settings that support breathing, oxygenation, and comfortable sleep.
The therapy mode and final settings are determined from the physician’s order, the patient’s medical history, and the breathing patterns observed during testing.
A portable Type III study for eligible patients to complete in familiar surroundings at home.
HSAT is designed primarily to evaluate suspected obstructive sleep apnea. Because it does not record EEG sleep stages, it does not provide the same breadth of information as an attended overnight polysomnogram.
Watch the HSAT instructional video →An attended overnight study used to evaluate and adjust an already implanted Inspire hypoglossal nerve stimulation system.
Inspire titration takes place after surgical implantation, activation, and appropriate healing. It does not determine candidacy for implantation.
Patients interested in Inspire® therapy may consult local otolaryngologist Stephen Bakos, MD, PhD, who performs Inspire implantation, or another qualified Inspire implanting physician. Patients wishing to consult Dr. Bakos may contact the Ear, Nose and Throat & Facial Plastic Surgery Center of Fredericksburg to request a consultation.
Sleep Solutions of Fredericksburg and the ENT practice are separate, independently operated organizations with no financial, ownership, or corporate affiliation. This information is provided for patient convenience and does not represent an endorsement, exclusive referral arrangement, or restriction on patient choice. Patients are free to select any qualified healthcare provider.Coverage and patient responsibility vary by plan. Please contact our office or your insurer to confirm benefits and authorization requirements before testing.
Our private testing rooms are arranged to feel more like a comfortable bedroom than a clinical environment.
Answer a few questions about common signs of obstructive sleep apnea. Your answers stay on this device and are not submitted or stored.
This self-awareness checklist is not a diagnosis or a validated screening instrument. A sleep study interpreted by a qualified clinician is needed to diagnose sleep apnea.
In your usual day-to-day life…
A clinician considers the sleep-study findings, severity, anatomy, other health conditions, and your preferences before recommending treatment.
CPAP, APAP, or bilevel therapy uses pressurized air to keep the airway open during sleep. PAP is a common first-line treatment and settings are individualized.
A custom-fitted dental device can move the lower jaw forward to help maintain an open airway. It is often considered for selected adults with mild-to-moderate apnea or those who cannot tolerate or prefer an alternative to PAP.
An implanted system stimulates the nerve controlling tongue movement during sleep. It may be an option for certain patients with moderate-to-severe obstructive apnea who cannot use PAP and meet additional eligibility criteria.
These descriptions are provided for self-awareness and do not determine treatment eligibility. Testing and evaluation by qualified medical professionals are required.
These short educational videos can help patients prepare for testing and better understand selected sleep-apnea treatments and related health concerns.
A step-by-step introduction to applying and using the home sleep apnea testing equipment.
An overview of hypoglossal nerve stimulation and how it helps keep the airway open in appropriately selected patients.
Heart-rhythm specialists discuss the relationship between obstructive sleep apnea, AFib, and risk-factor management.
Learn how a custom-fitted oral appliance can support the jaw and airway as a treatment option for selected patients.
Videos are provided for general education and remain the property of their respective publishers. They do not replace evaluation, diagnosis, or individualized treatment recommendations from qualified healthcare professionals.
Explore our private sleep rooms, accessible bathrooms, welcoming interior, and the technology our team uses to monitor each study.
Select any photo to view it larger. Room furnishings and availability may vary.
Do not take a nap on the day of your test. Avoid caffeinated beverages, and minimize fluids before your appointment unless a medical condition or your clinician requires otherwise.
Wear loose, comfortable, and appropriate sleep attire, such as pajamas. Loose-fitting pants allow you to feed the leg-electrode wires through your pant legs. Leggings and tight-fitting pants should not be worn. For privacy and professional standards, sleeping nude or only in underwear is not permitted in the sleep lab.
Please do not apply lotion, cream, or oil to your body on the day of the study, particularly on your face, chest, and legs. These products can prevent sensors from adhering properly.
Yes. Acrylic nails and nail polish should be removed so the pulse-oximetry sensor can accurately monitor oxygen levels. When necessary, a toe with no acrylic nail or polish may be considered as an alternative sensor location.
Do not use hair spray, oil, gel, or other styling products because they can interfere with electrode contact and create signal artifact. Hairpieces, extensions, and accessories that restrict access to the scalp must be removed before the study.
Scalp electrodes monitor sleep stages and brain activity. They are secured with electrode paste, which washes out with regular shampoo and warm water. Please arrive with dry hair; a hair dryer is available if needed because electrodes will not adhere properly to a wet surface.
Smoking and vaping are prohibited inside the facility. Once you enter the building, you may not smoke or vape at any time.
Take routine prescribed medications at their regular times unless your physician has instructed you otherwise. If a medication is likely to make you fall asleep immediately, please wait until the technologist has completed your sensor setup before taking it. This helps prevent you from falling asleep during setup or falling from the chair. Bring the medication with you and take it only as prescribed; sleep technologists cannot dispense or administer medication.
Television is available while you are waiting to be set up. Once the study begins and “Lights Out” is called, television, reading, and phone use must stop or be limited as directed by the technologist. Lights Out marks the beginning of the evaluation, and following instructions helps ensure a valid study and prevent unnecessary repeat testing.
Guests are permitted only when the patient is a minor or when an attendant is required to provide necessary caregiving assistance. Please notify the sleep center in advance so appropriate arrangements can be confirmed.
Sleep technologists have limited ability to provide physical assistance and are not trained or permitted to push, pull, roll, transfer, or help patients get up. They also cannot administer medications. A patient who requires these services must arrange for a capable caregiver or nurse aide to remain with them.
No. Weapons of any kind are prohibited inside the facility and should be left at home before your appointment.
Your ride may arrive between 6:00 and 6:30 a.m. to pick you up after the study. Please coordinate the pickup time in advance and follow any specific instructions provided by the sleep technologist.
No. Night staff do not collect copays or other payments on the night of the study. Billing and payment questions are handled by the daytime administrative staff.
Still have a question before your study?
Call our daytime office so we can help you arrive prepared.
Enter your starting address and choose your preferred navigation app for turn-by-turn directions to our sleep center.
Sleep Solutions of Fredericksburg
Fredericksburg, VA 22401
Hours:
Monday–Friday, 8:00 a.m.–4:30 p.m.
Thank you for your interest in Sleep Solutions of Fredericksburg. Please check this page again for future employment opportunities.
Patient forms are currently being prepared and will be available here soon. Please call our office if you have a question about paperwork for an upcoming appointment.