What is pulmonary fibrosis?
Interstitial lung disease (ILD) is a group of conditions that cause inflammation and scarring (fibrosis) of the tissue around the air sacs. The scarring makes the lungs stiff, so it is harder to take a deep breath and oxygen passes into the blood less easily. Idiopathic pulmonary fibrosis (IPF) is one type, where the cause is unknown. Others are linked to conditions such as rheumatoid arthritis or scleroderma, or to environmental exposures.
How respiratory physiotherapy helps
- Pulmonary rehabilitation, which is recommended for people with ILD to improve exercise capacity, breathlessness and quality of life.
- Monitored exercise: we check oxygen levels during exercise and adjust intensity, including for people who use supplemental oxygen.
- Breathlessness strategies including pacing, positioning and breathing techniques.
- Cough management for the dry cough that often comes with fibrosis.
- Education and support for you and your family.
Frequently asked questions
My oxygen drops when I walk. Is it safe to exercise?
Many people with ILD have oxygen levels that drop with activity. We measure this during your assessment and set exercise at a safe level, liaising with your respiratory specialist about oxygen needs if required.

