What is bronchiectasis?
Bronchiectasis is a permanent widening of parts of the airways. The damaged airways don't clear mucus well, so sputum builds up and infections become more frequent. Each infection causes more inflammation, which can lead to more damage. Breaking this cycle is the goal of treatment.
How respiratory physiotherapy helps
- Airway clearance technique: the active cycle of breathing technique (ACBT), huffing, autogenic drainage and positioning, matched to your chest.
- Device selection: trying PEP and oscillating PEP devices (such as the Acapella, Aerobika or Flutter) in clinic, so you know which suits you before you buy.
- Nebuliser routines: timing hypertonic saline and other prescribed nebulisers around your clearance.
- Exercise: physical activity helps move mucus and builds fitness. Pulmonary rehabilitation is recommended for people with bronchiectasis who are breathless.
- Infection plans: stepping up your clearance when your chest is worse.
We recommend a review at least once a year, or sooner after a flare-up, to check your technique and update your program.
Your first visit
- 40 minutes: a full assessment of your breathing, your chest and how you manage with activity.
- A plan from day one: we agree goals with you and start treatment on the day.
- No referral needed: Medicare GPCCMP, DVA, NDIS and HICAPS accepted.
Frequently asked questions
How long should airway clearance take each day?
It varies with how much sputum you produce. For many people it is 10 to 30 minutes once or twice a day. We work out a routine that is effective and realistic for you.
Can I buy a clearance device from you?
Yes. We stock a range of airway clearance devices and show you how to use and clean them. See our devices & products page.
Do I need a referral?
No. You can book directly. A GP referral is only needed if you want to claim a Medicare rebate through a GP Chronic Condition Management Plan (GPCCMP), or if you are a DVA client.
Can I claim on Medicare or my health fund?
Yes, in most cases. With a GP Chronic Condition Management Plan from your GP, Medicare pays $63.40 back for each visit, so a first visit costs you $45 and a follow-up $25. Private health extras are claimed on the spot with HICAPS. See our fees page.
Trusted information: Bronchiectasis Toolbox · Lung Foundation Australia