Acute Bronchitis Massage

An Acute Bronchitis Massage refers to supportive manual therapy aimed at improving respiratory comfort and easing muscle tension following an episode of acute bronchitis. However, massage is contraindicated during the acute/infectious phase; it may be beneficial only after recovery, when symptoms have stabilized.​

Signs & Symptoms

• Persistent cough, often productive with mucus

• Chest discomfort or pain

• Wheezing and shortness of breath

• Fatigue, mild fever, chills, and malaise

• Sore throat and nasal congestion frequently present

• Tight or achy muscles from coughing and labored breathing.​

Contraindications

• Absolute contraindication: massage is not indicated during acute or infectious phase (active cough, fever, malaise, or shortness of breath)​

• Massage should be postponed until recovery; never during active respiratory infection​

• Local contraindications include skin breakdown, infectious lesions, or chest pain of unknown origin​

• Caution in elderly, immunocompromised, or those with severe breathing difficulties.​

Assessment

• Confirm that the client is past the acute stage: no fever, cough resolved or improving, medical clearance obtained if needed

• Check for residual chest pain, muscle soreness, and breathing limitations

• Ask about recent medications (antibiotics, bronchodilators), length of illness, and other risk factors (smoking, asthma)

• Assess for muscle tightness in the chest, back, and accessory breathing muscles

• Rule out red flag symptoms: hemoptysis, severe shortness of breath, chest pain, or tachypnea.​

Treatment

• After recovery: Gentle massage to chest, back, neck, and shoulders to relieve muscle tension from coughing

• Techniques: effleurage, gentle kneading, and myofascial release to the intercostals, diaphragm, serratus anterior, trapezius, rhomboids, and rotator cuff​

• Postural drainage and tapotement can help mobilize mucus if congestion is present (used only if clinically indicated and with proper training)​

• Gentle stretching of pectorals and upper back muscles

• Avoid deep pressure, vigorous techniques, or aggressive mobilization until full recovery.​

Self Care

• Rest, fluids, and warm humid air support recovery

• Use self-massage to neck, shoulders, and chest only after infection resolves, to ease muscle soreness​

• Gentle diaphragmatic breathing exercises can promote lung expansion

• Avoid smoke exposure and strenuous activity while recovering

• Use prescribed medications as directed, and seek medical care if symptoms worsen​

• Incorporate supportive postures and cough hygiene to reduce muscular strain