Postural Drainage

General guidelines

• Check with your healthcare provider before trying this therapy.

• Find positions that are comfortable for you. You can lie on a bed or on the floor, using pillows. Try some of the positions that are described below.

• Stay in each position for at least 5 minutes.

• When you feel the urge to cough, sit up and do controlled coughing.

• Make sure to do postural drainage before meals or at least 90 minutes after eating. This helps prevent vomiting.

• If your healthcare provider prescribed medicines such as a bronchodilator or inhaler, ask how long to wait to do postural drainage after using the medicine.

• Sometimes postural drainage is used along with other therapies such as chest percussion, vibration, or use of a flutter valve. Talk with your healthcare provider before you combine different treatments together.

When not to do postural drainage

Always talk with your healthcare provider before starting postural drainage. Don't try this therapy if you:

• Have mild pain when you are in certain physical positions

• Are coughing up blood

• Have rib fractures

• Are using blood-thinning medicines

• Have vertebral fractures or osteoporosis

On your back

Try this position to drain the front of your lungs.

• Lie on a slanted surface with your chest lower than your hips.

• Place a small pillow under your head. Put 2 pillows under your bent knees.

• Rest your arms at your sides and breathe in through your nose and out through your mouth. Remember: Always breathe out for longer than you breathe in. This allows your lungs to empty as much as possible.

On each side

Try this position to drain the sides of your lungs.

• Place a small pillow under your head and 2 or 3 pillows under your hips.

• Lie on one side with your chest lower than your hips.

• Breathe in through your nose. Breathe out through your mouth.

• After 5 to 10 minutes, switch to the other side.

On your stomach

Try this position to drain the back of your lungs.

• Put 2 or 3 pillows under your stomach.

• Drape your body over the pillows so that your chest is lower than your hips.

• Rest your arms by your head.

• Breathe in through your nose. Breathe out through your mouth.

Follow-up care

Make a follow-up appointment as directed.

When to call your healthcare provider

Call your healthcare provider right away if you have any of the following:

• Wheezing or constant coughing 

• Symptoms get worse, or you have new symptoms

• Increased mucus

• Yellow, green, brown, bloody, or smelly mucus

• Fever of 100.4°F (38°C) or higher, or as directed by your provider

• Fast or irregular heartbeat

• Swollen ankles

• Pain

Call 911

Call 911 right away if you have any of these:

• Trouble breathing

• Confusion or trouble staying awake

• Loss of consciousness or fainting

• Chest pain or tightness

• Skin is a blue color

• Coughing up blood

• Severe pain