Reduction of Post-Covid Pulmonary Fibrosis and Bronchiectasis by Physiotherapy

Abstract

SARS COV2 infection causes lung lesions characterized by the appearance of ground glass opacities, and a significant percentage of patient's present persistent symptoms and changes in CT scan represented by fibrotic lesions, traction bronchiectasis, and persistence of ground glass images. Laser therapy has anti-inflammatory effects, stabilizes the vascular endothelium, has antifibrotic effects, being a useful therapy both in the acute phase of SARS COV2 pneumonia, as well as in the post-acute and chronic phase, rapidly reducing the symptomatology and being able to prevent and even to reverse the sequelae. I will present the case to a 65-year-old patient with massive lung damage (75%) who began the recuperative treatment one month after being discharged from the hospital. After the completion of the treatment (MLS laser therapy, shortwave, magnetotherapy and kinetic therapy), patient's condition has improved considerably. A control CT scan performed after 5 months revealed complete remission of arciform and multidirectional fibrotic bands, cvasicomplete remission of the "ground glass"areas, remission of reticular pattern changes in the subpleural fields in the upper lobes and especially in the lower lobes, remission of traction bronchiectasis, dimensional decrease of mediastinal and hilar lymphadenopathy.