Buteyko Breathing: A Complementary Technique By Angelica Bottaro Updated on August 20, 2024 Medically reviewed by Emily Dashiell, ND Table of Contents View All Table of Contents The Essentials How to Practice Developing a Daily Practice History and Cultural Significance Apps and Resources to Consult Buteyko breathing, developed in the 1950s by Ukrainian doctor Konstantin Buteyko, is a breathing technique that involves taking deep breaths through the nose to improve health. The method utilizes the diaphragm when breathing, leading to fuller breaths and the body getting the proper amount of oxygen. The breathing technique is designed to stop people from taking shallow chest breaths, which can lead to reduced oxygen levels and the overproduction of carbon dioxide. In many cases, Buteyko breathing can help manage asthma and respiratory issues in addition to other potential health benefits. Today, the technique is considered pseudoscience in many circles, and it is not an accepted complementary therapy for any condition, including asthma. Photo composite by Joules Garcia for Verywell Health; Getty Images Buteyko Breathing Method: The Essentials Buteyko breathing is thought to be beneficial for people who can't typically get full breaths because of the way this technique uses the diaphragm. Many benefits are associated with this type of breathing method, but there may also be some risks. Possible Benefits While results of many of the studies on Buteyko breathing have not been replicated, research does show that the technique may help with the following: Asthma: Research shows that Buteyko breathing is a clinically effective tool for managing asthma and asthma attacks. Ear problems: Eustachian tube dysfunction (ETD), a condition that affects pressure in the ear due to issues with the tube connecting the middle ear to the back of the throat has shown improvement after using Buteyko breathing. Studies have found that it can help treat symptoms of ETD. Anxiety: Buteyko breathing may be beneficial in reducing anxiety symptoms in people living with anxiety disorders by controlling breathing, which, in turn, can help to control heart rate and blood pressure. When people experiencing anxiety can control their blood pressure and heart rate, it brings on feelings of calm. Buteyko Breathing and Lifestyle Changes Some evidence suggests that people who practice Buteyko breathing may also implement other positive lifestyle changes to improve their overall health, including eating better, managing stress, and avoiding allergy triggers. Possible Risks While Buteyko breathing can be beneficial in some ways, there are risks in certain populations. For example, those with chronic obstructive pulmonary disease (COPD) should avoid the exercise because of how it calls for holding one's breath. Other Risks Unknown There is very little research surrounding the risks of Buteyko breathing. If you have a chronic health condition, you should always check with your healthcare provider before starting Buteyko breathing. COPD Exercise How-to: Pursed Lip Breathing Buteyko Breathing Techniques: How to Practice You should perform Buteyko breathing on an empty stomach or at least two hours after finishing a meal. This breathing technique helps you develop slower and deeper breaths, which can balance your breathing rhythms. The steps to Buteyko breathing should be followed in this order: Sit on the floor or chair with your spine in an aligned, upright position, relaxing your respiratory muscles and breathing normally.Check and record your pulse and how long you can hold your breath.Release any tension in your shoulders or body.After you have relaxed, inhale and exhale, holding your breath at the end of the exhale and plugging your nose.Hold this no-breathing position until your body urges you to breathe.Resume normal breathing for 10 seconds and repeat the process for up to 20 minutes. Once well-versed with the technique, you can increase the difficulty by holding your breath for as long as possible or until you feel moderate discomfort. Cardinal Rules for Buteyko Breathing The guidelines for Buteyko breathing are:Keeping the mouth closedKeeping the back straightBreathing gently and silently Breathing Techniques Just About Anyone Can Try Developing a Daily Practice According to the Buteyko Breathing Association, to get the maximum benefits from this breathing technique, you should perform the exercise for 15 to 20 minutes three times daily for at least six weeks. This will help you form a habit of the technique. The goal is to make Buteyko breathing a part of your daily life. History and Cultural Significance In the early 1950s, Dr. Konstantin Buteyko developed the breathing technique to address respiratory health. Buteyko was monitoring terminally ill patients before they died as a medical school assignment. He noticed that the closer a person came to death, the heavier their respiration became. Eventually, Buteyko could predict how many days or hours a person had left simply by monitoring their breathing patterns and respiratory rate. This laid the foundation for his experiments and, eventually, the development of Buteyko breathing. Buteyko realized that breathing too quickly, or hyperventilating, made symptoms worse in patients whereas breathing slower relieved symptoms. He also used his own diagnosis of high blood pressure to test his theories and found that when the level of carbon dioxide in his body was too low, he could remedy that by correcting his breathing patterns. Buteyko Breathing Today Even though Buteyko provided sound and promising results for the breathing technique, the research surrounding it dried up in the 2000s. Buteyko breathing is not considered a valid health treatment for any condition. Apps and Resources to Consult Many apps are available for people looking to get started with Buteyko breathing. Each offers different features, depending on the type. Some include: Advanced ButeykoButeyko ProButeyko Breathing Daily Log Understanding Diaphragmatic Breathing Summary Buteyko breathing is a controversial technique with some evidence to support its benefits for people with asthma and anxiety. However, the method has some drawbacks, such as a lack of clinical evidence surrounding its benefits. Talk to a healthcare provider before undertaking Buteyko breathing. This is especially important for people with chronic breathing conditions like COPD. If you’re living with asthma or anxiety and want to try Buteyko breathing, ensure that you’re aware of its benefits and risks and have the go-ahead from your medical care team. Read more: Health A-Z Lung Health 7 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Illidi CR, Romer LM, Johnson MA, Williams NC, Rossiter HB, Casaburi R, Tiller NB. Distinguishing science from pseudoscience in commercial respiratory interventions: An evidence-based guide for health and exercise professionals. Eur J Appl Physiol. 2023 Aug;123(8):1599-1625. doi:10.1007/s00421-023-05166-8 Boston Medical Center. Podcast: The Buteyko breathing method. Vagedes K, Kuderer S, Ehmann R, Kohl M, Wildhaber J, Jörres RA, Vagedes J. Effect of Buteyko breathing technique on clinical and functional parameters in adult patients with asthma: a randomized, controlled study. Eur J Med Res. 2024 Jan 11;29(1):42. doi:10.1186/s40001-023-01634-1 Zeng H, Chen X, Xu Y, Zheng Y, Xiong H. Buteyko breathing technique for obstructive Eustachian tube dysfunction: Preliminary results from a randomized controlled trial. Am J Otolaryngol. 2019 Sep-Oct;40(5):645-649. doi:10.1016/j.amjoto.2019.05.018 Maleki A, Ravanbakhsh M, Saadat M, Bargard MS, Latifi SM. Effect of breathing exercises on respiratory indices and anxiety level in individuals with generalized anxiety disorder: a randomized double-blind clinical trial. J Phys Ther Sci. 2022 Apr;34(4):247-251. doi:10.1589/jpts.34.247 Hassan EEM, Abusaad FE, Mohammed BA. Effect of the Buteyko breathing technique on asthma severity control among school age children. Egypt J Bronchol. 2022;16(1):45. doi:10.1186/s43168-022-00149-3 Buteyko Breathing Association. Buteyko breathing technique. By Angelica Bottaro Bottaro has a Bachelor of Science in Psychology and an Advanced Diploma in Journalism. She is based in Canada. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Helpful Report an Error Other Submit