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Respiratory physiotherapy in Lugano-Paradiso

Respiratory physiotherapy: breathe better, move more

When you are short of breath, even everyday activities become tiring. Respiratory physiotherapy combines breathing exercises, techniques to clear the airways and gradual exercise training, to reduce breathlessness and help you regain independence. You will be looked after by Claudia Pavlovic, a physiotherapist trained in respiratory physiotherapy.

Fisiosmart practice gym

What we treat

We always start with an assessment: understanding what limits your breathing and what you want to get back to.

  • Chronic lung conditions COPD, emphysema, asthma, bronchiectasis: to manage breathlessness and stay active.
  • After pneumonia or a hospital stay Rebuilding strength and stamina after a chest infection or time in hospital.
  • Before and after surgery Before and after chest or abdominal surgery, to support your lungs and get moving again soon.
  • Secretions and cough Techniques to help clear the airways when mucus builds up.
  • Breathlessness and fatigue that won't go away Also after an infection such as COVID-19, when your breath and energy are slow to return.

How we work

  1. 01 Assessment We listen to your story, look at how you breathe and measure breathlessness, oxygen saturation and exercise tolerance, for example with a walking test.
  2. 02 Breathing techniques You learn to breathe more efficiently and manage breathlessness, including positions that help you recover your breath.
  3. 03 Clearing the airways If needed, we teach you airway clearance and effective coughing techniques you can also use at home.
  4. 04 Exercise training Aerobic and strength exercises, carefully dosed and progressed: this is what improves breathing, energy and quality of life the most.
In agreement with your doctor We follow the instructions of your GP or respiratory specialist and keep them updated on your progress. If you use oxygen, we take it into account during exercise.

Three myths

People say "If I'm short of breath, I should avoid exertion" In fact Well-dosed, supervised exercise is safe and, in chronic lung conditions, reduces breathlessness and fatigue. Avoiding movement makes you lose strength and stamina.
People say "Respiratory physiotherapy is only about clearing mucus" In fact Airway clearance is only one part. The core of the programme is exercise training, together with learning how to manage your breathing and activities.
People say "After a flare-up it's better to wait" In fact Starting rehabilitation in the weeks after a COPD flare-up improves quality of life and may reduce readmissions to hospital.

Sources: Spruit et al., ATS/ERS Statement, American Journal of Respiratory and Critical Care Medicine, 2013 · McCarthy et al., Cochrane Review, 2015 · Puhan et al., Cochrane Review, 2016 · Osadnik et al., Cochrane Review, 2012

When to see a doctor straight away

Call your doctor or 144 if you have:

  • sudden breathlessness, or much worse than usual, even at rest
  • chest pain
  • bluish lips or fingernails
  • high fever, or phlegm that increases and changes colour
  • blood in your phlegm
  • unusual confusion or drowsiness

Frequently asked questions about respiratory physiotherapy

Content by Claudia Pavlovic, physiotherapist · Updated October 2026

Do I need a doctor's prescription?

For reimbursement, yes: with a medical prescription, respiratory physiotherapy is covered by basic health insurance, minus your deductible and co-payment.

How many sessions will I need?

It depends on your situation. Studies on pulmonary rehabilitation show benefits with programmes of about 6–12 weeks, with two or three sessions a week. After the assessment we suggest a plan.

Can I exercise if I use oxygen?

In many cases, yes. We adjust the intensity and monitor your saturation during the session, following your respiratory specialist's instructions.

Can you come to my home?

Yes. If getting to the practice is difficult, we come to you, with a prescription specifying home treatment.

What should I bring to the first session?

Your prescription, any reports (for example spirometry), your list of medicines, the inhalers you use and comfortable clothes.

You might also be interested in

Physiotherapy at home Older adults Before and after surgery Costs and insurance

Short of breath in everyday life? Let's talk.

Write to us on WhatsApp: we will get back to you to find a day and time together.

All we need to book is your name and availability: we discuss your health in person at the practice.

Write to us on WhatsApp 079 331 00 92