By Carolé Dacey Young | NFL Alumni Health

Recovery Never Retires

NFL Alumni Health Perspective

Every NFL player understands the importance of recovery. Recovery was never optional during your playing career — it was part of the job.

Throughout a football career, recovery is built into the game plan. Practices end. Film study concludes. The body rests, repairs, and prepares to perform again.

Retirement doesn’t change that reality. While the competition may end, the body’s need for recovery never does.

At NFL Alumni Health, we believe healthy aging begins with the everyday choices that protect long-term health. Few are more powerful — or more overlooked — than quality sleep.

For this month’s feature story, sleep medicine expert Dr. Audrey Wells, Medical and Scientific Advisory Board for WhisperSom™ and Chief Medical Officer for SLIIIP.com, explains why improving sleep may be one of the most valuable investments former players can make for their brain, heart, metabolism, emotional well-being, and overall quality of life.

Every NFL player remembers the routine: early morning workouts, film study, weight room sessions, and recovery days. Every repetition had a purpose. Championships were built on consistency.

Small change. Big impact.

For many former players, years after the final whistle, the challenges begin to look different. Chronic pain replaces game-day injuries, weight changes become harder to manage, blood pressure climbs, and energy declines. Sleep becomes lighter, shorter, or interrupted altogether.

Many assume that’s simply part of getting older. According to sleep medicine expert Dr. Audrey Wells, it doesn’t have to be.

“Sleep is for the brain, by the brain. When sleep is disrupted, virtually every system in the body is affected.” — Dr. Audrey Wells

That may be one of the most important messages NFL Alumni can hear.

Football Changed the Conversation About Sleep

When Hall of Famer Reggie White passed away unexpectedly in 2004, it prompted broader conversations throughout football about sleep apnea and the importance of recognizing sleep disorders in athletes.

Since then, physicians have learned far more about the powerful role sleep plays in overall health. Just as importantly, today’s screening methods and treatment options have made it easier than ever to identify and manage sleep disorders before they affect long-term health.

Today, sleep is no longer viewed simply as “rest.” It is recognized as one of the body’s most important recovery systems.

During healthy sleep, the brain processes memories, regulates hormones, strengthens emotional resilience, supports cardiovascular health, and helps coordinate countless repair processes throughout the body.

Simply put — recovery doesn’t happen only in the training room. Much of it happens while we sleep.

Why Former Players Face Greater Challenges

Former NFL players often carry unique health risks into retirement: years of repetitive impacts, changes in body composition, chronic pain, cardiovascular disease, diabetes, and concerns surrounding brain health.

Each of these can affect sleep — and poor sleep can make each of them more difficult to manage.

That last point deserves special attention: years of hard hits have raised long-running concerns about chronic traumatic encephalopathy, or CTE, and Dr. Wells says sleep plays a direct role in how well the brain recovers from those impacts.

The scale of the problem is bigger than many realize. A 2026 study from the Football Players Health Study at Harvard University, conducted with Vanderbilt Health and published in the journal Neurology, found that while about 32% of nearly 2,000 former players had been formally diagnosed with sleep apnea, screening data suggested the true prevalence could be as high as 69% once undiagnosed cases were included.

Not every former player develops a sleep disorder, but many carry risk factors that make screening especially important.

One of the most common conditions affecting former players is obstructive sleep apnea. During sleep, the airway repeatedly collapses, reducing oxygen levels and disrupting the body’s ability to complete the restorative processes that normally occur overnight.

“When your airway closes repeatedly during sleep, your oxygen drops and sleep is interupted. Low oxygen and chronic sleep disruption simply aren’t compatible with good health.” — Dr. Audrey Wells

Sleep apnea is much more than loud snoring or feeling tired. Untreated, it has been associated with increased risks of heart disease, stroke, diabetes, high blood pressure, depression, and cognitive impairment.

The encouraging news? It is also one of the most treatable sleep disorders.

Recovery Is More Than Feeling Rested

Many former players focus on reducing pain, losing weight, improving cardiovascular health, or controlling diabetes. Dr. Wells believes sleep should be part of every one of those conversations.

One of the most overlooked benefits of quality sleep is the body’s remarkable ability to heal.

During restorative sleep, the brain and body perform essential maintenance that supports recovery, regulates metabolism, strengthens the immune system, and helps repair the wear and tear that naturally accumulates over time.

For former football players, those nightly recovery processes become even more important. As Dr. Wells explains:

“Low oxygen and sleep deprivation interfere with healing. The brain and body simply can’t recover the way they’re designed to.” — Dr. Audrey Wells

That perspective changes the conversation. Sleep isn’t passive. Sleep is active recovery.

The Snowball Effect

Poor sleep rarely travels alone. Weight gain increases the likelihood of sleep apnea. Sleep deprivation alters hormones that regulate appetite. Healthy food choices become harder, and fatigue makes exercise less appealing. Pain becomes more noticeable. The cycle repeats itself.

“It’s a snowball effect. Without quality sleep, your brain’s feedback mechanisms change. You’re more likely to gain weight, become irritable, and struggle to make healthy decisions.” — Dr. Audrey Wells

Fortunately, the opposite is also true. Improving sleep often makes healthy eating easier. Exercise becomes more manageable, energy improves, and recovery accelerates. Small improvements begin building upon one another.

Think Like an Athlete Again

This may be Dr. Wells’ most powerful message for NFL Alumni. Professional athletes understand something many people never experience: great performance is trained. No one accidentally becomes an NFL player. Success requires discipline, consistency, repetition, and muscle memory. Healthy sleep follows the same principles.

Every former player knows that elite performance never happened by accident. It came from showing up every day, trusting the process, and repeating good habits until they became second nature. Better sleep is no different. It isn’t about perfection — it’s about consistency.

“Good sleep is a practice. You’re training your brain and body to recognize when it’s time to recover.” — Dr. Audrey Wells

She compares the process to landing an airplane. You don’t simply drop onto the runway. You prepare, then you slow down. You follow a sequence that allows everything to work the way it was designed.

Healthy sleep works the same way: consistent bedtimes, reduced screen time before bed, and a cool, dark sleeping environment. Small behaviors repeated night after night.

Former players also understand another important concept: measurement. Throughout their careers they measured speed, strength, body composition, recovery, and performance. Sleep deserves the same attention. A sleep evaluation provides objective information that helps physicians identify problems early and build a personalized treatment plan.

Sleep Medicine Has Changed

Many people still picture spending a night in a sleep laboratory attached to dozens of wires. Today many patients can begin with a telemedicine visit and complete an FDA-cleared home sleep study without ever spending a night in a sleep laboratory.

Treatment has evolved just as dramatically. CPAP remains one of the most effective therapies for obstructive sleep apnea, but it is no longer the only option. Depending on the individual, treatment may include custom oral appliances, weight management strategies, newer medications like tirzepatide, which the FDA approved in December 2024 specifically for moderate to severe obstructive sleep apnea in adults with obesity, implantable therapies for carefully selected patients, or combinations of several approaches.

“Sleep medicine has become personalized. We now have an entire menu of treatment options.” — Dr. Audrey Wells

You’re Not Alone

Many respected members of the football community have helped raise awareness about sleep health.

Warren Sapp and Ryan Jensen are among the players who have spoken publicly about their own sleep apnea diagnoses.

Their stories reinforce an important truth. Seeking help isn’t a sign of weakness. It’s another way of investing in your future.

The Best Return on Investment

Near the end of our conversation, Dr. Wells shared one thought that perfectly captures why sleep deserves greater attention.

“The return on investment from better sleep is enormous.” — Dr. Audrey Wells

Better sleep supports better brain health, heart health, metabolism, and quality of life. Former athletes spent decades investing in their performance. Perhaps the greatest investment they can make now is in the recovery that allows them to enjoy the years ahead.

Recovery Starts Tonight

Life after football deserves that same commitment.

If you regularly snore, wake up tired despite a full night’s sleep, experience morning headaches, struggle with daytime fatigue, or someone has noticed pauses in your breathing while you sleep, don’t assume it’s simply part of getting older. These symptoms could be signs of a treatable sleep disorder.

The first step is often the simplest: start the conversation with your primary care provider or a board-certified sleep medicine specialist. Today’s evaluations are easier than ever, with many patients beginning through telemedicine and completing a home sleep study in the comfort of their own bed.

Disclaimer: The information provided in this newsletter is for general educational purposes only and is not intended as medical advice. It should not be used to diagnose, treat, cure, or prevent any disease or health condition, and it is not a substitute for professional medical consultation. Always consult your physician or a qualified healthcare provider regarding any medical questions or conditions.


Highlights from the September 2026 Newsletter: