Comfort and side effects
Ear Pain or Pressure From CPAP: What to Do
Ear pressure or pain while using CPAP can happen when you are congested from a cold or allergies, since air pressure and mucus affect the tubes linking your nose and ears. ResMed advises contacting your medical provider if you have ear pressure or ear pain on CPAP.
Signs
- Ear pressure or fullness
- Ear pain during or after use
- Popping or crackling in the ears
- Muffled hearing in the morning
Common causes
- Congestion from a cold or allergies
- A blocked nose makes it harder for your ears to equalize pressure.
- Sinus problems
- Sinus swelling can affect the middle ear.
- Strap pressure
- Tight straps pressing on the ears can cause soreness on the outside of the ear.
Fixes to try, easiest first
Check strap placement
If the pain is on the outside of your ear, adjust the straps so they do not sit on or press against your ears. Strap covers may help.
Treat congestion
Use saline spray and humidity to keep your nose open. ResMed UK suggests saline and decongestants early enough to work by bedtime. Ask your pharmacist which is safe for you.
Use a full face mask while congested
If your nose is blocked, a full face mask lets you breathe through your mouth.
Call your provider about ear pain with your clinician
ResMed advises contacting your medical provider if you have ear pressure or ear pain while using CPAP. Do not change your pressure yourself.
Get checked for an ear infection with your clinician
Ear pain with fever, drainage or hearing loss needs a doctor visit.
Call your doctor for any ear pain or pressure with CPAP, especially with fever, drainage from the ear, hearing loss, dizziness or ringing. If you have had ear surgery, ask your surgeon before using CPAP.
Supplies that can help
Salt water spray that moistens and clears the nose, a simple aid for the congestion and dryness some people get on CPAP.
Soft fabric sleeves that wrap mask headgear straps to stop red lines, rubbing and hair tangles.
Tubing with a built-in heating wire that keeps humidified air warm all the way to the mask, which is the main fix for rainout (water droplets …
Retailer links are affiliate links. We may earn a commission at no cost to you.
Mask types this applies to
Frequently asked questions
Can CPAP cause ear pain?
It can, most often when you are congested. ResMed advises contacting your provider if you have ear pressure or pain while using CPAP.
Should I use CPAP with an ear infection?
Ask your doctor. They can advise whether to continue and how to manage congestion.
Why do my ears pop with CPAP?
Popping can be your ears equalizing pressure, which is more common when you are congested. If it is painful or persistent, see your doctor.
Sources
Last reviewed October 11, 2026. How we research · Report an error