Bronchiectasis Physiotherapy

Our physiotherapists are experienced in providing a complete range of physiotherapy services.

 

Fill up the form to know more about our physiotherapy services for Bronchiectasis.

  • Therapy for general injuries
  • Therapy for sports injuries
  • Speedy recovery after surgery

Bronchiectasis Physiotherapy

Our physiotherapists are experienced in providing a complete range of physiotherapy services.

 

Fill up the form to know more about our physiotherapy services for Bronchiectasis.

  • Therapy for general injuries
  • Therapy for sports injuries
  • Speedy recovery after surgery

Physiotherapy service for Bronchiectasis

WHAT IS BRONCHIECTASIS

 

Bronchiectasis is a condition characterised by damage to the airways causing them to widen and become flabby and scarred.

Bronchiectasis usually occurs as a result of an infection or any other condition that injures the walls of your airways or prevents the airways from clearing mucus which is a slimy substance that helps remove inhaled dust, bacteria, and other small particles.  In bronchiectasis, airways slowly lose their ability to clear out mucus which later builds up and creates an environment in which bacteria can grow, which ultimately leads to serious and repeated lung infections. With every infection, there is more damage to the airways. Over time, airways lose their ability to help inhale and exhale, which prevents adequate oxygen from reaching the vital organs.

There are very many causes which account for bronchiectasis. However, in approximately 50% of cases, an underlying cause is not found. In these cases, the disease is often found in the lower lobes. It is likely though that “idiopathic”.

Bronchiectasis sometimes presents as a primary lung manifestation because of the conditions listed below, which may cause chronic inflammation resulting from an abnormality of anatomy, immunity or function.  The more common form, Secondary Bronchiectasis may occur as a complication of lung diseases as a consequence of airway traction, distortion and damage about conditions including bronchitis, bronchiolitis, COPD, emphysema,  and interstitial lung disease.

 

Post-infection:

  • Pneumonia
  • Pertussis (whooping cough)
  • Viral (measles, adenovirus, influenza virus)
  • Mycobacterial (tuberculosis and atypical NTM)

 

Primary or secondary immune deficiency:

  • Immunoglobulin G subclass deficiency – for more information go to Immune Deficiency Foundation
  • Hypogammaglobulinemia
  • Lung and bone marrow transplantation
  • Malignancy
  • HIV/AIDS
  • Human T-Lymphotropic Virus 1 (HTLV-1)
    Asthma and fungal allergy
  • Allergic bronchopulmonary aspergillosis (ABPA)

 

Mucociliary dysfunction:

  • Cystic Fibrosis
  • Primary Ciliary Dyskinesia
  • Kartagener’s Syndrome

 

Recurrent small volume aspiration:

  • Gastroesophageal reflux
  • Poor dentition/recurrent oral infection

 

Bronchial obstruction:

  • Inhalation of foreign objects such as peanuts
  • Tumour
  • Airway compression
  • Lymph node

 

Systemic inflammatory diseases:

  • Rheumatoid arthritis
  • Sjögren’s Syndrome
  • Inflammatory bowel disease
  • Sarcoidosis

 

Structural lung disease:

  • Chronic obstructive pulmonary disease
  • Bronchiolitis



Interstitial lung disease

  • Pulmonary fibrosis and pneumoconiosis
  • Silicosis

 

Miscellaneous

  • Alpha-1 Antitrypsin Deficiency
  • Yellow Nail Syndrome

 

Treatable causes of bronchiectasis:

  • Immune deficiency
  • ABPA
  • Mycobacterial infection
  • Airway obstruction
  • Inflammatory bowel disease
  • Rheumatoid arthritis
  • Aspiration

The initial airway damage begins in childhood that leads to bronchiectasis. However, signs and symptoms do not appear until months or even years until after you start having repeated lung infections.  The most common indicated signs and symptoms of bronchiectasis are:

 

  • Shortness of breath and wheezing (a whistling sound when you breathe)
  • Chest pain
  • Clubbing (the flesh under your fingernails and toenails gets thicker)
  • A daily cough that occurs over months or years
  • Daily production of large amounts of sputum, which you cough up and spit out, may contain trapped particles, mucus and pus.

 

Over time, you may have more serious symptoms. You may cough up blood or bloody mucus and feel very tired. Children report weight loss or may not grow at a normal rate.

Bronchiectasis frequently is treated with medicines, hydration etc.. Doctors recommend surgery if the bronchiectasis is isolated to a section of lung or you have a lot of bleeding.

If the bronchiectasis is widespread and causing respiratory failure, your doctor may recommend oxygen therapy.

The goals of treatment are to:

• Treat any underlying conditions and lung infections.
• Remove mucus (a slimy substance) from your lungs. Maintaining good hydration helps with mucus removal.
• Prevent complications.
• Early diagnosis and treatment of the underlying cause of bronchiectasis may help prevent further lung damage.

 

Medicines

 

Doctors usually prescribe antibiotics, expectorants, bronchodilators or mucus-thinning medicines to treat bronchiectasis.

  • AntibioticsThe main treatment for the repeated lung infections that cause bronchiectasis is Antibiotics.Oral antibiotics often are used to treat these infections.
  • Expectorants and Mucus-Thinning Medicines

    Your doctor may prescribe expectorants and mucus thinners to help you cough up mucus. Expectorants help loosen the mucus in your lungs. Mucus thinners, such as acetylcysteine, loosen the mucus to make it easier to cough up.

 

Hydration

Hydrating yourself with plenty of liquids, especially water, helps prevent airway mucus from becoming thick and sticky.

 

Oxygen Therapy


Oxygen therapy helps to raise low blood oxygen levels. For this treatment, one receives oxygen through a mask or nasal prongs Oxygen therapy can be done at home, in a hospital, or care-24 health facility.

 

Surgery

 

Your doctor may recommend surgery if no other treatments have helped and only one part of your airway is affected. Your doctor may recommend surgery if you have major bleeding in your airway,  to control bleeding or to remove a part of your airway.

HOW CAN PHYSIOTHERAPY FOR BRONCHIECTASIS HELP?

 

Chest physiotherapy for bronchiectasis (bronchiectasis physiotherapy)

 

CPT is also called physiotherapy or chest clapping or percussion. Generally, a respiratory therapist performs this technique but can be done by a trained member of the family. It involves the therapist pounding your chest and back over and over with his or her hands or a device. Doing this helps loosen mucus from your lungs so you can cough it up.  You can sit with your head tilted down or lie on your stomach with your head down while you do CPT. Force and gravity help to drain mucus from the lungs. Some people find CPT hard or uncomfortable to do.

 

Several devices can help with chest physiotherapy for bronchiectasis, such as:

 

  • A Mechanical percussor also is known as an electric chest clapper.
  • An inflatable therapy vest that uses high-frequency airwaves to force mucus toward your upper airways so you can cough it up.
  •  A handheld device that helps to breathe out through, producing vibrations that dislodge the mucus.
  • A mask that too produces vibrations to help break loose mucus from your airway walls.

Some of these methods and devices are popular with patients and doctors, but little information is available on how well they work.  Several breathing techniques also are used to help move mucus to the upper airway so it can be coughed up.

The purpose of physiotherapy treatment for bronchiectasis is to improve exercise tolerance, reduce symptoms of dyspnoea and fatigue and improve quality of life. Bronchiectasis physiotherapist may also assist in clearing secretions.

 

For individuals with bronchiectasis, the minimal requirements for exercise training are 30 minutes of moderate intensity workout, 3 times per week.

 

Aerobic training

Walking (ground-based or treadmill), cycling, swimming or rowing are options.


Resistance/strength training

Lower limb: Functional activities (Squats, stairs, sit to stand, step ups)  Equipment required: leg press, quadriceps extension Upper limb: hand-held weights (dumbbells) pull-down, pectoral press.

 

Mobility

Exercises could include:

 

  • Lying supine over a rolled towel (either horizontal or vertical to the spine, depending on the clinical signs and symptoms)
  • Exercise for Pectoralis major muscle with arms stretched, either side of a doorway
  • Thoracic rotation –arms at 90 deg to the floor,
    in standing, holding a walking stick with both hands
  • Side flexion – standing, Lying in prone, propped on elbows, arm reaching down the leg

Care-24 has a reputation based on listening, the client-centred approach and the commitment of all the team’s members.

Making the patient aware and making sure that all the steps of the treatment plan are clearly understood is essential.

This way, a relationship of trust is formed between the staff and the patient.

We often attract new clients through word-of-mouth, and these referrals are a source of great pride.

Our doctors always make a point of being a leader in terms of the use of technology. The patient is assured that he or she will receive outstanding care throughout his or her treatment.

WHAT IS BRONCHIECTASIS

 

Bronchiectasis is a condition characterised by damage to the airways causing them to widen and become flabby and scarred.

Bronchiectasis usually occurs as a result of an infection or any other condition that injures the walls of your airways or prevents the airways from clearing mucus which is a slimy substance that helps remove inhaled dust, bacteria, and other small particles.  In bronchiectasis, airways slowly lose their ability to clear out mucus which later builds up and creates an environment in which bacteria can grow, which ultimately leads to serious and repeated lung infections. With every infection, there is more damage to the airways. Over time, airways lose their ability to help inhale and exhale, which prevents adequate oxygen from reaching the vital organs.

There are very many causes which account for bronchiectasis. However, in approximately 50% of cases, an underlying cause is not found. In these cases, the disease is often found in the lower lobes. It is likely though that “idiopathic”.

Bronchiectasis sometimes presents as a primary lung manifestation because of the conditions listed below, which may cause chronic inflammation resulting from an abnormality of anatomy, immunity or function.  The more common form, Secondary Bronchiectasis may occur as a complication of lung diseases as a consequence of airway traction, distortion and damage about conditions including bronchitis, bronchiolitis, COPD, emphysema,  and interstitial lung disease.

 

Post-infection:

  • Pneumonia
  • Pertussis (whooping cough)
  • Viral (measles, adenovirus, influenza virus)
  • Mycobacterial (tuberculosis and atypical NTM)

 

Primary or secondary immune deficiency:

  • Immunoglobulin G subclass deficiency – for more information go to Immune Deficiency Foundation
  • Hypogammaglobulinemia
  • Lung and bone marrow transplantation
  • Malignancy
  • HIV/AIDS
  • Human T-Lymphotropic Virus 1 (HTLV-1)
    Asthma and fungal allergy
  • Allergic bronchopulmonary aspergillosis (ABPA)

 

Mucociliary dysfunction:

  • Cystic Fibrosis
  • Primary Ciliary Dyskinesia
  • Kartagener’s Syndrome

 

Recurrent small volume aspiration:

  • Gastroesophageal reflux
  • Poor dentition/recurrent oral infection

 

Bronchial obstruction:

  • Inhalation of foreign objects such as peanuts
  • Tumour
  • Airway compression
  • Lymph node

 

Systemic inflammatory diseases:

  • Rheumatoid arthritis
  • Sjögren’s Syndrome
  • Inflammatory bowel disease
  • Sarcoidosis

 

Structural lung disease:

  • Chronic obstructive pulmonary disease
  • Bronchiolitis



Interstitial lung disease

  • Pulmonary fibrosis and pneumoconiosis
  • Silicosis

 

Miscellaneous

  • Alpha-1 Antitrypsin Deficiency
  • Yellow Nail Syndrome

 

Treatable causes of bronchiectasis:

  • Immune deficiency
  • ABPA
  • Mycobacterial infection
  • Airway obstruction
  • Inflammatory bowel disease
  • Rheumatoid arthritis
  • Aspiration

The initial airway damage begins in childhood that leads to bronchiectasis. However, signs and symptoms do not appear until months or even years until after you start having repeated lung infections.  The most common indicated signs and symptoms of bronchiectasis are:

 

  • Shortness of breath and wheezing (a whistling sound when you breathe)
  • Chest pain
  • Clubbing (the flesh under your fingernails and toenails gets thicker)
  • A daily cough that occurs over months or years
  • Daily production of large amounts of sputum, which you cough up and spit out, may contain trapped particles, mucus and pus.

 

Over time, you may have more serious symptoms. You may cough up blood or bloody mucus and feel very tired. Children report weight loss or may not grow at a normal rate.

Bronchiectasis frequently is treated with medicines, hydration etc.. Doctors recommend surgery if the bronchiectasis is isolated to a section of lung or you have a lot of bleeding.

If the bronchiectasis is widespread and causing respiratory failure, your doctor may recommend oxygen therapy.

The goals of treatment are to:

• Treat any underlying conditions and lung infections.
• Remove mucus (a slimy substance) from your lungs. Maintaining good hydration helps with mucus removal.
• Prevent complications.
• Early diagnosis and treatment of the underlying cause of bronchiectasis may help prevent further lung damage.

 

Medicines

 

Doctors usually prescribe antibiotics, expectorants, bronchodilators or mucus-thinning medicines to treat bronchiectasis.

  • AntibioticsThe main treatment for the repeated lung infections that cause bronchiectasis is Antibiotics.Oral antibiotics often are used to treat these infections.
  • Expectorants and Mucus-Thinning Medicines

    Your doctor may prescribe expectorants and mucus thinners to help you cough up mucus. Expectorants help loosen the mucus in your lungs. Mucus thinners, such as acetylcysteine, loosen the mucus to make it easier to cough up.

 

Hydration

Hydrating yourself with plenty of liquids, especially water, helps prevent airway mucus from becoming thick and sticky.

 

Oxygen Therapy


Oxygen therapy helps to raise low blood oxygen levels. For this treatment, one receives oxygen through a mask or nasal prongs Oxygen therapy can be done at home, in a hospital, or care-24 health facility.

 

Surgery

 

Your doctor may recommend surgery if no other treatments have helped and only one part of your airway is affected. Your doctor may recommend surgery if you have major bleeding in your airway,  to control bleeding or to remove a part of your airway.

HOW CAN PHYSIOTHERAPY FOR BRONCHIECTASIS HELP?

 

Chest physiotherapy for bronchiectasis (bronchiectasis physiotherapy)

 

CPT is also called physiotherapy or chest clapping or percussion. Generally, a respiratory therapist performs this technique but can be done by a trained member of the family. It involves the therapist pounding your chest and back over and over with his or her hands or a device. Doing this helps loosen mucus from your lungs so you can cough it up.  You can sit with your head tilted down or lie on your stomach with your head down while you do CPT. Force and gravity help to drain mucus from the lungs. Some people find CPT hard or uncomfortable to do.

 

Several devices can help with chest physiotherapy for bronchiectasis, such as:

 

  • A Mechanical percussor also is known as an electric chest clapper.
  • An inflatable therapy vest that uses high-frequency airwaves to force mucus toward your upper airways so you can cough it up.
  •  A handheld device that helps to breathe out through, producing vibrations that dislodge the mucus.
  • A mask that too produces vibrations to help break loose mucus from your airway walls.

Some of these methods and devices are popular with patients and doctors, but little information is available on how well they work.  Several breathing techniques also are used to help move mucus to the upper airway so it can be coughed up.

The purpose of physiotherapy treatment for bronchiectasis is to improve exercise tolerance, reduce symptoms of dyspnoea and fatigue and improve quality of life. Bronchiectasis physiotherapist may also assist in clearing secretions.

 

For individuals with bronchiectasis, the minimal requirements for exercise training are 30 minutes of moderate intensity workout, 3 times per week.

 

Aerobic training

Walking (ground-based or treadmill), cycling, swimming or rowing are options.


Resistance/strength training

Lower limb: Functional activities (Squats, stairs, sit to stand, step ups)  Equipment required: leg press, quadriceps extension Upper limb: hand-held weights (dumbbells) pull-down, pectoral press.

 

Mobility

Exercises could include:

 

  • Lying supine over a rolled towel (either horizontal or vertical to the spine, depending on the clinical signs and symptoms)
  • Exercise for Pectoralis major muscle with arms stretched, either side of a doorway
  • Thoracic rotation –arms at 90 deg to the floor,
    in standing, holding a walking stick with both hands
  • Side flexion – standing, Lying in prone, propped on elbows, arm reaching down the leg

Care-24 has a reputation based on listening, the client-centred approach and the commitment of all the team’s members.

Making the patient aware and making sure that all the steps of the treatment plan are clearly understood is essential.

This way, a relationship of trust is formed between the staff and the patient.

We often attract new clients through word-of-mouth, and these referrals are a source of great pride.

Our doctors always make a point of being a leader in terms of the use of technology. The patient is assured that he or she will receive outstanding care throughout his or her treatment.

Conditions We Treat

bronchiectasis physiotherapy, Bronchiectasis

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bronchiectasis physiotherapy, Bronchiectasis

Locations

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How We Made A Difference

  • bronchiectasis physiotherapy, Bronchiectasis  I got good experience wt dr Dhrita she is v good in physiotherapy n nice while talking n explains v nice

    bronchiectasis physiotherapy, Bronchiectasis Sujata Rao
    6/19/2019
  • bronchiectasis physiotherapy, Bronchiectasis  The worst experience I've had of my life. I normally never really write reviews, but I had to write this because this agency is the worst company I've dealt with till now. Their customer service is terrible, most of their attendants are not competent for taking care of elderly patients. Please do not use their service.

    bronchiectasis physiotherapy, Bronchiectasis Radhika Kulkarni
    6/27/2019
  • bronchiectasis physiotherapy, Bronchiectasis  My father had a hip bone surgery in January. I have been using Care24 services ever since. The attendants that cane were good in the beginning. However their services have become good to bad to worse to worst in the last 15 days. They changed the night attendant without informing me personally just 6 hours before the time. My father had just settled down with the last attendant and now they were sending a replacement tonight. To add to my frustration the guy didn’t turn up and did not answer the calls. When I called their call centre - they said they can’t help me at this hour. Well- I can’t help but call them CARELESS CARE24.

    bronchiectasis physiotherapy, Bronchiectasis Jasbir Basu
    4/06/2019
  • bronchiectasis physiotherapy, Bronchiectasis  worst service, they just talk as if they will send professional at our place, they give big promises at the time of starting their services, but when the attendant come at our place we realized that he was more delicate than our patient, the person whom they had sent got a small scratch in his finger and than the same day he said he wont come as he got injury, so the next day he dint turn up neither did care24 arrange for a replacement, after calling them for 4 times they said me sorry they couldn't arrange anyone today. they don not have the decency to even inform that they cannot arrange for a replacement.. please do not go for their services, its just the promises nothing to deliver

    bronchiectasis physiotherapy, Bronchiectasis Komal Patel
    4/11/2019
  • bronchiectasis physiotherapy, Bronchiectasis  We contacted care 24 for my Dad's physiotherapy. Our physiotherapist Dr Dharita is very knowledgeable and extremely patient. My Dad is showing a lot for improvement in terms of his movement.

    bronchiectasis physiotherapy, Bronchiectasis D W
    3/21/2019

bronchiectasis physiotherapy, Bronchiectasis

100,000+

Happy Patients

bronchiectasis physiotherapy, Bronchiectasis

4

Years Of Experience

bronchiectasis physiotherapy, Bronchiectasis

200+

Strong Team

bronchiectasis physiotherapy, Bronchiectasis

5

Cities We Operate In

bronchiectasis physiotherapy, Bronchiectasis

100,000+

Happy Patients

bronchiectasis physiotherapy, Bronchiectasis

4

Years Of Experience

bronchiectasis physiotherapy, Bronchiectasis

200+

Strong Team

bronchiectasis physiotherapy, Bronchiectasis

5

Cities We Operate In

Frequently Asked questions

  • When recovering from an illness or surgery, you look forward to returning to your own home and recuperating in an environment where you are comfortable, relaxed and safe. This is made possible with our in-home nursing services.
  • Care needs of those who are advanced in age and are unable to take care of themselves can be an overwhelming task for the rest of the family members. This often leads to the thought that a nursing home/care home is the only practical option left.
  • Complex care needs might make one want to consider moving to a nursing home to recover under the watch of trained professionals. Our in-home nursing services can help you recover in the comfort of your own home.
    Our in-home nursing services will help smoothen-out the transition from Hospital to Home
  • Recovery in familiar surroundings, surrounded by family, is proven to be quicker
  • Our nurses take care of your complex needs while helping you maintain your independence, lifestyle and daily routine.
  • Home care nursing helps those advanced in age too; for them home is where all their memories are, where their children and grand-children live. It is the place they feel needed and loved.
    With our home care nursing services, you can provide the best care for your loved one in the family home, without making any extra demands of your family members.

Care24’s trained nurses provide high quality home care nursing services for hospital like care at home. Whether you are looking for simple support in doing everyday tasks when recovering or need complex care that can be daunting for family members to undertake. Our nurses are highly trained medical professionals capable of providing hospital-like care in the comfort of your own home.

Our nurses are experienced in providing a complete range of nursing care specializations:

  • Taking medicines on time, monitoring blood pressure and other vitals, and fixing a diet plan
  • Oral and personal hygiene, feeding and bathroom assistance, or assistance with mobility
  • Caring and dressing wounds, handling IV infusions and other medical equipment, emptying catheter bags, colostomy bags and bed pans
  • Our nurses (females) or brothers (males) are highly qualified, experienced, and capable of providing hospital like nursing care in the comfort of your own home. All our Nurses go through a rigorous background check, a written exam and trained in all medical procedures that are listed below to ensure you get expert & professional in-home nursing services.
  • Our Nurses are medically qualified with BSc, GNM, or ANM degrees, and many years of experience with leading hospitals. Since each case is unique and may require specific skills, we also ensure that we identify and deploy which nurse will be best for your need.
  • Our nurses and brothers are discreet, and sensitive to the emotional and physical needs of the patient and other family members. Our Nurses are familiar with following a physician’s instructions when caring for a patient and empathic to offer encouragement and support to those who require our nursing care services.

You can fill a request form on our website or download our app and simply click a button to request a Nurse.

Provide us with medical details of the patient who needs nursing care, the tasks the nurse needs to do, the duration for which you need our in-home nursing services and your preferences of gender or language if any.

Our team will connect with you to confirm your requirement and send a nurse to take care of the patient. All our nurses are uniformed and carry identification to help you know that you are indeed letting a trained professional from Care24 into your home.