Polychondritis

What is polychondritis?

Polychondritis, also known as relapsing polychondritis, is a rare autoimmune inflammatory condition that affects structures containing cartilage. It can involve areas such as the ears, lungs, heart, and blood vessels. While the exact cause remains unknown, it is seen more frequently in adults over the age of fifty.

Treatment for polychondritis often involves medication to reduce inflammation, and in more severe cases, surgery may be required if the condition has affected the structure of certain areas. After treatment, a period of rest is important to minimise the risk of long-term complications. Physiotherapy can play a key role in supporting recovery, and at acephysiosports.com, our specialist physiotherapists design tailored rehabilitation programmes to help individuals with polychondritis regain strength, mobility, and function.

What are the symptoms of polychondritis?

Because polychondritis can affect many different parts of the body, the symptoms can vary widely from person to person. Starting a physiotherapy programme early, alongside your medical treatment, can help maximise recovery and long-term outcomes. At acephysiosports.com, our physiotherapists work with you from the beginning of your treatment through to your return to full fitness and normal daily activities.

  • Ear inflammation – pain, redness, and swelling of the outer ear (while the ear lobe is often spared).
  • Nasal inflammation – pain, tenderness, and possible collapse of the nasal bridge (“saddle nose”).
  • Joint pain and swelling – arthritis-like symptoms in multiple joints.
  • Eye problems – redness, pain, blurred vision, or sensitivity to light.
  • Respiratory symptoms – hoarseness, cough, or difficulty breathing if the windpipe (trachea) is affected.
  • Cardiovascular issues – inflammation of heart valves or blood vessels in rare cases.
  • General symptoms – fatigue, fever, and weight loss.

How is polychondritis diagnosed?

The diagnosis of polychondritis depends on which parts of the body are affected. To confirm the condition and rule out other causes, your doctor may recommend the following tests:

  • Physical examination – to check for inflammation in the ears, nose, joints, eyes, or airways.
  • Blood tests – to look for signs of inflammation (e.g., ESR, CRP) and rule out other autoimmune diseases.
  • Imaging tests – such as X-rays, CT scans, or MRI to assess cartilage and joint damage.
  • Biopsy – a small sample of affected cartilage may be taken and examined under a microscope.
  • Lung function tests – to check for airway involvement if breathing difficulties are present.
  • Echocardiogram – in cases where the heart valves or blood vessels may be affected.

How will physiotherapy help with polychondritis?

Physiotherapy plays a vital role in the recovery process of polychondritis. Having a personalised rehabilitation programme in place as soon as possible after treatment is key to achieving the best outcomes. At acephysiosports.com, our specialist physiotherapists will design an individually tailored programme and work closely with you to set specific goals that guide your rehabilitation.

  • Pain management – using gentle techniques and exercises to reduce discomfort.
  • Improved joint mobility – restoring movement and flexibility in affected areas.
  • Strengthening exercises – building muscle support around weakened joints.
  • Breathing exercises – supporting lung function if the airways are affected.
  • Posture correction – reducing strain on joints and improving daily movement.
  • Fatigue management – pacing activities and balancing rest with exercise.
  • Return to daily activities – gradually restoring independence and functional ability.
  • Emotional support – helping patients cope with the physical and psychological impact of the condition.

What physiotherapy will be used for polychondritis?

The physiotherapy approach selected by your physiotherapist will depend on your specific symptoms and the goals of your treatment. Often, a combination of techniques is used to maximise rehabilitation, and these may vary according to your current condition.

  • Range of motion exercises – to maintain and improve joint flexibility.
  • Strengthening exercises – targeting muscles around affected joints for support.
  • Manual therapy – hands-on techniques to reduce stiffness and improve mobility.
  • Posture and gait training – correcting movement patterns to reduce joint strain.
  • Breathing exercises – to support lung function if the airways are affected.
  • Hydrotherapy – gentle exercises in water to reduce stress on joints.
  • Education and self-management – teaching pacing, activity modification, and strategies to manage fatigue.

Summary

Polychondritis is a condition that causes inflammation of various cartilaginous structures, including the ears, heart, eyes, and lungs. Because of its complexity, treatment often requires a period of rest after hospital care. Physiotherapy is therefore essential to optimise your rehabilitation and help you return to your normal, active lifestyle as safely and quickly as possible. At acephysiosports.com, our dedicated physiotherapists have extensive experience in managing conditions like polychondritis and will provide a personalised programme tailored to your needs. To book an appointment, call us today on +65 81535374 or schedule your session online.

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