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About IQoro and the treatment

How hard should I pull?

During training and when pulling IQoro, do not pull harder than you can press your lips together throughout the training.

When you pull hard enough, you will feel a slight tension in your tongue. However, if the muscles in your mouth are very weakened, it may take some training before you feel that tension.

At the beginning of the training, it’s always a good idea to focus on getting the technique right, rather than focusing on how hard you’re pulling.

Treatment with IQoro

How do I know if I’m pulling too hard?

  • If you focus more on holding back with your neck than with your lips, you’re probably pulling too hard.
  • Some people who pull too hard on their IQoro complain of neck pain.
  • If you feel that you can’t keep your lips closed around IQoro, you are also pulling too hard.
  • A fourth sign that you are pulling too hard is that the shape of your lips changes during training.

The key thing about IQoro training is to activate the muscles and nerves in the lips and mouth. Do not resist with your neck, instead focus on resisting with your lip muscles.

Is it dangerous to pull too hard?

The main thing is that it is not effective to pull too hard. If you pull using your neck muscles more than with your lips, the wrong muscle groups will be worked and you may not see the effect of your training as quickly.

Contact us if you are unsure

Do not hesitate to contact our customer service if you still feel unsure about how hard to pull. We can help you with advice and recommendations so that you can train correctly and effectively.


What shape should the mouth have?

Close your lips around IQoro as if smiling with closed lips.

Smile instead of pursing your lips

When pulling IQoro outwards, the mouth should be shaped like a smile in which the teeth are not visible.

A common misunderstanding is to purse your lips instead of smiling. That doesn’t give you the same results.

The smile should be tight around the handle of IQoro while pulling the device outwards. If you have difficulty keeping your lips closed around IQoro, you or someone close to you can help by holding the lips with the fingers of the other hand in a so-called jaw grip.

Read more about it under “How you exercise with assistance”.


Should I hold my breath?

Yes. When using IQoro, hold your breath for the 10 seconds when you pull IQoro outwards.

Not everybody can hold their breath for 10 seconds. Then it’s perfectly fine to hold your breath for as long as you can.

Do as follows:

  1. Place IQoro inside your lips.
  2. Breathe in normally.
  3. Hold your breath for 10 seconds while you pull IQoro outwards according to our instructions.
  4. Relax your lips, exhale and then inhale again during the three-second break to get ready to pull IQoro out again.

Read more: How to train

Should my teeth be touching each other?

Your teeth can either touch each other, or there may be a small gap between the teeth in the upper and lower jaw when using IQoro.

It differs because everyone has a different shape mouth.

Relax the jaw

Even if the teeth touch each other when pulling IQoro outwards, it is important that you don’t bite your teeth.

Your lips should be tensed but your jaw relaxed.

Read more: How to train

Where should my tongue be positioned when training?

Your tongue will automatically end up where it is supposed to when you pull the IQoro outward according to our instructions.

If you feel at all unsure, it is good to know that the tip of the tongue will end up in the lower part of your mouth, behind the front teeth of the lower jaw. Your tongue will, moreover, become hard and tense.

Your tongue naturally ends up in the right place

We usually calm anxious customers with the fact that even young children can be treated with IQoro – and they don’t think about where the tongue ends up at all. Therefore, you shouldn’t overthink the location of the tongue. It will end up in the right place naturally.

In addition, if the muscles in your mouth and your pharynx are very weakened and you just started training with IQoro, then it’s perfectly normal that your tongue may not end up in the intended position to start with. You will feel a difference after a few months of training.

Should I create a vacuum in my mouth when training?

No. You’re not supposed to swallow to create a vacuum in your mouth before pulling IQoro outward.

Your lips should create the resistanse against IQoro when pulling the device outward. If you create a vacuum in your mouth by swallowing, your lips won’t have to exert when you pull IQoro. This will result in a poorer effect.

Can I experience muscle soreness from using IQoro?

Yes, you may experience muscle soreness from using IQoro.

Muscle soreness is mainly experienced in the mouth, tongue and throat and can sometimes even be experienced in the same way as when you get sick, even though it is the muscles that hurt and not an incipient throat infection.

Experiencing muscle soreness is not dangerous and it will go away on its own. You can continue to train despite the soreness, but try to reduce the number of seconds per stretch slightly over a period of time and then slowly step up to ten seconds per stretch again after a few weeks.

Here you can read more about IQoro and muscle soreness.

My symptoms have gotten worse since I started with my training, is that normal?

Changes in your symptoms are natural and occur as your internal musculature strengthens.

In some cases symptoms can temporarily appear to be worse for some people. There can be several reasons for this; these are the most common ones:

  1. You have stopped the medication that you were taking before that reduced your symptoms.
  2. Training with IQoro causes pressure changes in the oral cavity, esophagus and in the hiatal canal (the aperture that we all have in our diaphragm where the esophagus passes through on its way to join with the mouth of the stomach when it is in its correct position under the diaphragm).

This can lead to some symptoms worsening for a short period as the increased pressure temporarily leads to more reflux. It is important though that you continue to train with IQoro through this phase – it will soon get better!

Continue to take any symptom-relieving drugs that work for you as long as you wish. As your musculature strengthens you can reduce the dose successively.

Why do I get blood in my mouth when using IQoro?

Finding or tasting blood in your mouth when using IQoro is probably down to one of the following three causes:

  1. The gastric acid that comes up during a hiatus hernia may have created small ulcers in the mucous membrane of the oesophagus that then began to bleed. And when using the IQoro, increased pressure is created. This may carry this blood up to your mouth instead of down into your stomach. The blood is harmless and the wounds will heal when the hiatus hernia is treated and the amount of gastric acid that comes up into the oesophagus is reduced.
  2. An ongoing infection of the mouth or teeth can lead to a weakened and bleeding mucous membrane. If you haven’t been to the dentist for a while, it might be time for a visit.
  3. If you take medication that causes mucous membranes to weaken as a side effect, this may make the mucous membranes of your mouth and throat more sensitive to the pressure changes that training with IQoro involves.

If you feel unsure about why you are experiencing bleeding in your mouth, you can always contact our customer support, or learn more about IQoro secondary and side effects.

My partner snores, and I have swallowing difficulties, can we use the same IQoro?

No. IQoro is approved by the authorities as a CE marked, Class 1 Medical Device for use by a single person.

Can the use of IQoro be harmful?

If you are completely healthy and have not been diagnosed with any other disorders, treatment using IQoro is harmless.

Studies of IQoro show no side effects and we are required to report if any serious abnormalities should occur in any of our customers.

However, sometimes temporary secondary effects of training with IQoro can occur. For example, sore muscles or temporarily worsening or changing symptoms. This is a natural side effect that occurs when you start strengthening the muscles in the swallowing process. These side effects will pass if you just keep training according to our training instructions.

Special cases where IQoro should be avoided

However, for people with achalasia cardiae, trigeminal neuralgia, paraeosophageal hernia, tinnitus or peripheral facial paralysis, you should either avoid IQoro completely, or start treatment with caution.

When is it safe to alter my diet?

The primary rule is that it is your doctor or clinician that must decide if you can change your medication, nutrition or hydration methods, diet, or other.

In the case of swallowing, one of the greatest risks is that of aspiration. That is to say that food or drink “goes down the wrong way” and this can lead to lung infections and pneumonia. This is the reason that healthcare professionals sometimes prescribe feeding by tube through the nose, or directly into the stomach – to avoid this so-called unsafe swallow. In other cases, they prescribe drink thickeners, or modified solid foods that they know are easier for you to swallow safely.

Because of the risks of aspiration, it is important that you consult with your Speech and Language Therapist or doctor before you change from what you have been previously advised to do – even when you are experiencing good improvement from your IQoro treatment.