The psychological symptoms associated with long-haul COVID also play a role. Chronic opioid therapy with high doses may induce immunosuppression. Taking a dosage of 50100 milligrams of indomethacin has shown positive effects on pain and lung function in studies on pleuritic pain. https://doi.org/10.1097/CCM.0000000000003347. The American Association of Interventional Pain Physicians (ASIPP) and many other international associations state that more selective action should be taken in the administration of corticosteroids [9, 24, 60]. Onset of new or exacerbation of mental health concerns, including anxiety, stress, depression, and post-traumatic stress disorder, have become significant concerns. Chronic pain has a positive relationship to viral infection, psychological stress, and consequences of admission to the hospital or intensive care unit (ICU). It has been reported in 2162.5% of the patients according to different meta-analysis studies [67, 105, 106]. 2021;28(11):38205. Prevalence in non-hospitalized patients: Few reports that included long-term follow-up in non-admitted patients suggest that (3153%) still have one or several persistent painful symptoms 1 year after COVID-19 infection, which would translate to a significant number of people worldwide [21, 39, 40]. COVID-19 is having a profound effect on patients with pain. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. 2022;35(1):1421. Google Scholar. Patient weakness may contribute to rapid deconditioning and joint-related pain, which may help to explain why chronic shoulder pain has been particularly prevalent in patients who were seen in the ICU for coronavirus treatment [53, 54]. Long COVIDwhen symptoms last weeks or months after the acute infection has passedaffects about 2.5% of COVID patients. Muller JE, Nathan DG. J Clin Med. https://doi.org/10.1002/ejp.1755. Summary. .. long-term neurological complications and their management in COVID-affected people .. Read full. The use of painkillers may also be part of the therapy, regardless of the reason. Lancet Neurol. https://doi.org/10.1016/S1473-3099(21)00043-8. Collins RA, Ray N, Ratheal K, Colon A. Symptoms may be new-onset following initial recovery from an acute COVID-19 episode or persist from the initial illness. https://doi.org/10.1007/s11916-022-01038-6. After 12 weeks of symptoms Kerstin's GP referred her to a long Covid clinic. Persistent symptoms in patients after acute COVID-19. Viral arthralgia a new manifestation of COVID-19 infection? J Intern Med. Instead, it is not anxiety. However, it is important for a person to speak with a doctor about post-COVID-19 angina as soon as possible, especially if it develops suddenly. . The intensity of headache ranged between moderate and severe headache and involves the upper part of the head [27]. Myocarditis is inflammation of the heart muscle, or myocardium. PubMedGoogle Scholar. J Pain Symptom Manage. This may include angioplasty or a coronary artery bypass. The condition is also known as costosternal syndrome, parasternal chondrodynia, or anterior chest wall syndrome. McFarland AJ, Yousuf MS, Shiers S, Price TJ. Manual screening of references was also conducted, and additional references were added from sites for pain organizations, e.g., International Association for the Study of Pain (IASP) and the World Health Organization (WHO). J Pain Res. How to protect yourself and others. And we know that patients who spend a prolonged period of time immobilized or on a ventilator are likely to develop muscle atrophy, weakness, and neurologic problems, all of which can lead to persistent pain challenges. Iqbal A, Iqbal K, Arshad Ali S, et al. These factors can be some of the reasons behind your experiencing chest pain post-recovery. The search strategy was restricted to articles that were published between January 2020 and January 2023. The unprecedented pandemic has created a new face of chronic pain post COVID. Incidence, co-occurrence, and evolution of long-COVID features: a 6-month retrospective cohort study of 273,618 survivors of COVID-19. What to Know About Chronic Kidney Disease and COVID-19, Severe post-COVID-19 costochondritis in children, Long COVID risk falls only slightly after vaccination, huge study shows, Trajectory of long COVID symptoms after COVID-19 vaccination: community based cohort study, Brain fog (difficulty thinking or concentrating), Loss of or change in sense of smell or taste. A recent meta-analysis estimated that the frequency of post-COVID neuropathic pain ranged between 0.4 and 25% [81]. Furthermore, a recent comprehensive systematic review and meta-analysis estimated the prevalence of long COVID, and showed that 45% of COVID-19 survivors were experiencing a wide range of unresolved symptoms for at least 4months after a confirmed COVID-19 infection [7]. Enzyme inducers: Induction of other enzymes, such as intestinal glycoprotein P450, could also contribute to decreases in drug levels, with possible precipitation of withdrawal symptoms [130]. Ballering AV, van Zon SKR, Hartman TC, Rosmalen JGM. Pain News Network. University of Colorado Anschutz Medical Campus is part of a consortium with the University of Utah, Intermountain Healthcare, University of New Mexico and Denver Health and Hospitals involved in the initiative. Although arthralgia is less common compared to myalgia, which is more commonly described, arthralgia is associated with more severe pain [9, 67, 89]. 2020;2(12):250910. 2020;161:16947. 2022;400:45261. I have suffered from some weakness attacks for many months. Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. Telemedicine technology is a promising tool of communications when used in selected patients under certain conditions, such as post-COVID-19 pandemic [116, 117]. J Clin Med. As the virus causes inflammation and fluid to fill up the air sacs in the lungs, less oxygen can reach the bloodstream. Glucocorticoid injections for pain procedures and musculoskeletal pain may interfere with the potency and efficiency of COVID-19 vaccines. Home. Symptoms that may occur alongside this pain include: Pericarditis causes pleuritic pain that feels better when a person sits up and leans forward. 2021. New-onset fatigue was more common in COVID-19 survivors necessitating inpatient hospital care. Rabinovitch DL, Peliowski A, Furlan AD. Available in: https://mhnpc.com/2021/05/18/COVID-triggers-increased-pain-management-needs/. But opting out of some of these cookies may affect your browsing experience. Simply put, Trying to avoid infection overall is preferable, Altman said. Mild-to-moderate pain associated with post-COVID symptoms can be relieved with simple analgesics such as acetaminophen and NSAIDs [9, 16]. That highlights again the benefits of a multidisciplinary clinic and approach to care. Chest pain can be a long-term symptom of infection by SARS-Cov-2. Altman recommends staying active and exercising but within boundaries. Soreness upon touching the area is common, and specific movements such as turning or stretching the upper torso can make it feel worse. Therefore, it is vital to seek a. Find out more about Kerstin's experience of long Covid and how she manages her symptoms including fatigue, chest pain and palpitations. Doctors advise that it is dangerous to ignore any chest pain. Persistent glial activation and trigeminal-vascular activation are thought to play a role [72, 73]. However, many COVID-19-related causes of chest pain are manageable and get better over time. Blogs are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. I do have a number of patients who continue to struggle with that. However, pain itself may have an immunosuppressive effect. Saucier R. Lowering the threshold: models of accessible methadone and buprenorphine treatment. 2010;11(1):5966. Not all of these will be relevant in the treatment of COVID-19-induced angina. Do not worry. https://doi.org/10.1007/s10067-021-05942-x. The COVID-19 pandemic not only had negative effects on medical health systems but also make changes and created new services in the medical practices. In addition, some studies showed a strong correlation between the epidural volume and pain relief irrespective of the steroid dose [24, 75]. When reported, the cases have especially been in adolescents and young adult males within several days after mRNA COVID-19 vaccination (Pfizer-BioNTech or Moderna). Post-COVID musculoskeletal pain includes a higher prevalence of a generalized widespread pain as well as localized pain syndromes such as cervical pain and lower extremity pain, followed by lumbar spine and upper extremities. Int J Ment Health. explainsDr. Sanchayan Roy,Senior Consultant Internal Medicine and Critical Care,National Heart Institute, Apollo Royal Cradle. Program-directed training for self-management, rehabilitation, and physical therapy should be created and available via video tutorials and applications for smartphones [116,117,118]. Medicina. The best treatment is to increase your fluid intake and add salt to the diet. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. However, researchers are still looking at long covid and finding potential remedies. Some of these are people in their 20s and 30s who were perfectly healthy before COVID mountain bikers and hikers who are now completely debilitated. The presence of sepsis, neuro-immune response to infection, painful neurological sequelae, e.g., stroke and multi-organ dysfunction, may worsen the situation. https://doi.org/10.1002/jmv.25757. These persistent symptoms, which can change over time, confirm that post-COVID-19 chronic pain has a multi-systemic involvement even after mild infection in healthy younger individuals. Altman provides heart care for long COVID patients at the Post-COVID Clinic. doi: 10.1002/ccr3.5612. All elective consultations and interventions are cancelled or postponed. To avoid acquiring and transmitting the virus: Of note, even if you have had COVID-19, it is still important to get vaccinated. Chronic pain after COVID-19: implications for rehabilitation. 2022;24: 100485. https://doi.org/10.1016/j.bbih.2022.100485. For neuropathic pain symptoms, gabapentoids are suitable options [9, 121]. Article Consult other doctors in the same speciality >>. https://doi.org/10.1016/j.bja.2019.03.025. Updated: 20 Sep 2022, 03:23 PM IST Livemint. It may resolve after the acute phase of COVID-19. Post-infectious new daily persistent headache may respond to intravenous methylprednisolone. In severe cases, myocarditis can lead to heart failure and irregular heart rhythms. Khoja O, Passadouro BS, Mulvey M, Delis I, Astill S, Tan AL, Sivan M. Clinical characteristics and mechanisms of musculoskeletal pain in long COVID. Why do I feel weak, dizzy, numbness in face and jaws, and nasal congestion post-COVID? 2018;46(11):176974. It usually presents with clusters of symptoms, often overlapping, which can fluctuate and change over time and can affect any system in the body. Fernandez-de-Las-Penas C, Navarro-Santana M, Gomez-Mayordomo V, Cuadrado ML, Garcia-Azorin D, Arendt-Nielsen L, et al. Many evidence-based guidelines by different international pain societies with a clear plan for the management of different types of chronic pain were created. Prevalence and determinants of chronic pain post-COVID; cross-sectional study. Continuation of pain management protocols is highly recommended to avoid the negative impacts on the patients with more suffering, disability, and psychological stresses. Back pain; Brain fog; Pain in the chest; Indigestion; So, if you are also someone who has been experiencing any of the symptoms mentioned earlier, even after recovering from COVID-19, you need to . - 207.180.240.61. Pan American Health Organization. Not suitable in some areas, such as rural areas and developing countries with restricted facilities [9, 30]. Flow chart of inclusion of studies (PRISMA, 2009) [10]. 2022;11(3):771. https://doi.org/10.3390/jcm11030771. Approximately 1020% of acute infection with COVID-19 patients go on to develop prolonged symptoms that may be post-COVID-19 condition [1]. The exact connection between costochondritis and coronavirus (COVID-19) is unknown. 2021;9(6): e884. 2) Post cardiovascular sequelae leading to myocarditis, percarditis or chronic pulmonary embolism. Hong SM, Park YW, Choi EJ. Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. NPJ Vaccines. Giorgio Sodero . "Long Covid Syndrome as classically described can last from 12 weeks to 6 months and even upto a year. Altman said some long COVID patients do not have POTS per se, but do suffer from some of its symptoms, particularly an elevated heart rate when they stand up. The neuropathic pain symptoms was positively associated with the duration of post-COVID pain, anxiety levels, and kinesiophobia level. Myalgia as a symptom at hospital admission by SARS-CoV-2 infection is associated to persistent musculoskeletal pain as long-term post-COVID sequelae: a case-control study. Br J Anaesthesia. 2009;62:100612. "Long-haul COVID" refers to a condition where a person doesnt feel fully recovered from their illness, even months later, after the infection has resolved. The selected articles for inclusion were screened by two independent reviewers using the same method of evaluation. Improved access to care even for patients living in areas remote from the clinic through saving the resources and reducing costs at all levels by minimizing the use of PPE, transportation, and traveling [16, 22]. Karaarslan F, Gneri FD, Karde S. Long COVID: rheumatologic/musculoskeletal symptoms in hospitalized COVID-19 survivors at 3 and 6 months. Telemedicine is potentially less accurate in evaluation of the patients condition compared to the conventional in-person visit [16, 22]. Attala N, Martineza V, Bouhassira D. Potential for increased prevalence of neuropathic pain after the COVID-19 pandemic. Patients triaging the according to the type and severity of pain may be helpful in differentiating those who may be adequately treated by telemedicine from those who need face-to-face consultations [7, 11, 19, 41]. Pain Ther (2023). 2022;58:1500. https://doi.org/10.3390/medicina58101500. Dose escalation and before increasing the dose, it is important to differentiate between disease progression from other opioid drawbacks, e.g., tolerance and hyperalgesia. Influence of lumbar epidural injection volume on pain relief for radicular leg pain and/or low back pain. cold and flu-like symptoms. Clin Infect Dis. A mobile opioid program is an important service of particular value to underserved communities [120]. Pain Ther. A person should consult a doctor to determine the diagnosis and treatment. Such lesions often have developed weeks after the acute COVID-19 infection and have included purpura, chilblains-like lesions and more generalized rashes, often seen in patients with systemic vasculitis. Painful skin lesions in the feet have been dubbed as COVID-toe. Chest pain. Vaccination, while not 100% effective, offers further protection against those uncertainties. Cell. Pain Pract. Safety and efficacy of low dose naltrexone in a long COVID cohort; an interventional pre-post study. 2020 Aug;46 Suppl 1:88-90. doi: 10.1016/j.semerg.2020.06.006. Chest pain Shortness of breath Feelings of having a fast-beating, fluttering, or pounding heart Myocarditis and pericarditis have rarely been reported. A person should seek medical advice to receive a suitable diagnosis. 2023 Springer Nature Switzerland AG. First, Covid-19 might cause sore muscles. El-Tallawy SN, Nalamasu R, Pergolizzi JV, Gharibo C. Pain management during the COVID-19 pandemic. Centers for Disease Control and Prevention (CDC, 2021): Wide range of new, returning, or ongoing health problems people can experience 4 or more weeks after first being infected with the virus that causes COVID-19 [13]. It has changed our lives and our approach to medicine. For athletes with long COVID and ongoing cardiopulmonary symptomssuch as chest pain or tightness, dyspnea, palpitations, lightheadedness, or syncopefurther evaluation should be performed before exercise can resume. J Headache Pain. 2020;142:160911. any condition that heightens the high risk of complications from COVID, postural orthostatic tachycardia syndrome, New Anschutz Medical Campus clinic will help patients suffering from rare spinal fluid leaks. There are no shortcuts to helping patients with the problem. Verywell Health's content is for informational and educational purposes only. Prevalence of chronic pain according to the site of pain: COVID-19 pain was more frequently located in the head/neck and lower limbs (p<0.05), followed by joint pain. 2021. https://doi.org/10.1007/s12016-021-08848-3. These patients are at a higher risk of hospitalization, persistent illness and potentially death. Altman added that people with a preexisting heart condition heart failure and coronary artery disease, for example generally have a rough course of recovery from COVID-19 and can be at greater risk for lung disease, blood clots and heart attacks. The management of chronic pain during the COVID-19 pandemic is a challenging process, especially with growing evidence that COVID-19 infection is associated with persistent myalgias, referred pain, and widespread hyperalgesia [9]. https://doi.org/10.1016/j.jpainsymman.2012.08.013. 2009;9:50917. Oral or injectable steroids (e.g., used for interventional pain procedures) are immunosuppressive. 2020;60(1):E7781. It affects between 14 and 60% of patients during the acute COVID-19 phase [70, 71]. These steps help to prevent large shifts in blood when a person stands up after lying down. Severe post-COVID-19 costochondritis in children. Individuals who have recovered from Covid-19 can have symptoms similar to those of a heart attack, including chest pain and occasionally shortness of breath. Learn more about this common infection, and who has the, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Given that prospect, its vital for all people with any condition that heightens the high risk of complications from COVID to get vaccinated, Altman said. Delaying or stopping treatment for chronic pain patients will have negative consequences, including increases in pain, disability, and depression. Covid-19 might be one of the reasons for chest pain if you are experiencing that. J Clin Med. The exact mechanisms causing post-COVID pain remain unclear. Same symptoms doesnt mean you have the same problem. Mobile opioid treatment programs are designed to make the treatment of patients with opioid use disorder as easy and accessible as possible, even for the marginalized, who lack reliable transportation, live in chaotic situations, rural communities, and hard-to-reach populations [119]. They may offer the opioid agonists methadone or buprenorphine treatment [120]. The association of persistent symptoms such as fatigue, diffuse myalgia, and joint and musculoskeletal pain are all linked to mitochondrial dysfunction, oxidative stress, and reduced antioxidants [56]. More emphasis on program-directed self-management, rehabilitation, and physical therapy. A patient with chronic fatigue will need different services than one with, say, abnormal heart rhythms. Initially right after covid, I only had chest pain, but after having the flu really badly a month later, that might have triggered my long covid and the shortness of breath began. No. Google Scholar. Patients with post-COVID musculoskeletal pain showed a greater number of COVID-19 symptoms at hospital admission, with a greater prevalence of myalgia and headache, longer stay of hospitalization, and higher incidence of ICU admission than those not reporting long-term musculoskeletal post-COVID pain [43]. Interaction between treatment of chronic pain and COVID-19 pandemic: [16, 26]. Pleuritic pain is a sharp pain that worsens whenever a person breathes in. These are the patients who can really benefit from seeing us in the multidisciplinary clinic. People tend to exercise hard, then crash and have a huge setback, Altman said. You can take Pantoprazole 40 mg twice a day one hour before food instead of Nexium (Esomeprazole Sodium) for ten days. It does appear like post-COVID myalgia or post-COVID fatigue syndrome. The following examples are based on exercise, antioxidant supplements, and other pharmacological approaches. Pleuritic pain can develop due to inflammation of the pleura, a layer of cells between the lungs and the chest wall. Colchicine is typically used to prevent or treat gout. Edition 124. https://www.who.int/publications/m/item/weekly-epidemiological-update-on-COVID-19---4-january-2023. Shamard Charles, MD, MPH is a public health physician and journalist. It is hard to estimate an overall prevalence in the era of the omicron variant, Altman said. Stable opioid-tolerant patients have permitted opioid prescriptions via telemedicine to reduce the risk of withdrawal [11, 16]. Crit Care. PubMed Retrieved February 28, 2023 . OMahoney LL, Routen A, Gillies C, et al. No funding or sponsorship was received for this study or publication of this article. Nightmare pain in my head broke my dream, and I felt like dying, but I just took pills and tried to sleep again. They can vary across different age groups. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. 2020;395(10242):19678. Painful myositis numbers are escalating in long-COVID-19. SN Compr Clin Med. Chest discomfort can occasionally accompany a SARS-CoV-2 infection, despite not being the most common sign. Post-COVID-19 is associated with worsening of previous pain or appearance of de novo pain. The overuse of imaging as a result of the pandemic and its sequel. editors. No updated clinical practice guidelines to accommodate the rapid changes of the health care services in response to the pandemic [16]. The potential contribution of psychosocial factors and mental health problems [25, 65]. Pharmacological treatment in the form of prophylactic treatment for tension-type headache and this includes the tricyclic antidepressant amitriptyline is considered the drug of choice, followed by venlafaxine or mirtazapine [72]. A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population. 2020;395:14178. 2021;73(3):e8269. He served as a writer and editor for the Marketing and Communications team at University of Colorado Hospital and UCHealth from 2007 to 2017. Pain. Persistent neuromuscular and neurophysiologic abnormalities in long-term survivors of prolonged critical illness. Pain. Corticosteroids reduce the bodys immune response, while IVIG, which a doctor administers directly into the veins, reduces inflammation and controls the immune response. Myalgia was commonly experienced at the acute phase and persists as a component of long COVID in some patients [61, 109]. Cuthbertson BH, Roughton S, Jenkinson D, Maclennan G, Vale L. Quality of life in the five years after intensive care: a cohort study. COVID-19, nuclear war, and global warming: lessons for our vulnerable world. The long-term benefits of telemedicine have been evaluated after 1year post-COVID. 2003;37:47682. Post-COVID headache can present in the form of worsening of a preexisting primary headache or de novo daily headache. 1) [10]. Fiala K, Martens J, Abd-Elsayed A. Post-COVID Pain Syndromes. If left untreated, costochondritis may lead to anxiety and recurring episodes. Past studies have shown that nerve changes can persist for years after an ICU stay. These individuals are the victims of long COVID, defined by the CDC as conditions patients experience four or more weeks after recovering from a COVID-19 infection. J Headache Pain. pain and inflammation relief medications, including: sudden or severe chest pain that does not resolve. It showed improvements in memory, attention, and information process with post-COVID-19 symptom. Warning the health care services by the weaknesses and deficiencies during the hard times such as the pandemic and how to prioritize the services according to the available resources. Post-COVID chronic pain can be associated with any type of pain; it can be nociplastic, neuropathic, or nociceptive. Wear a mask when you are in crowded areas, especially with people of unknown vaccination status. Post Covid syndrome may restrict people from resuming their day-to-day activities with its prolonged and persistent symptoms like fatigue, problems in concentrating, anxiety issues, chest pain . Clinical spectrum of SARS-CoV-2 infection. Chest pain from costochondritis is a symptom that may be experienced after a COVID-19 infection. Gibbons JB, Norton EC, McCullough JS, et al. Global, regional, and national disability-adjusted life years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 19902017: a systematic analysis for the Global Burden of Disease Study 2017. Yes. 2020;77:101827. The discomfort in this case is not a result of a cardiac condition. 2002;6:5402. Accordingly, the main goal of this review article is to provide a broad description about the post-COVID pain and to explore the impact of long COVID-19 on chronic pain patients, and also to give brief reports about the prevalence, risk factors, possible mechanisms, different presentations, and the management tools through a systematic approach. If the SARS-CoV-2 virus affects the heart valve or muscle tissue, it can lead to heart inflammation. Moisset X, Moisset X, Bouhassira D, Avez Couturier J, Alchaar H, Conradi S, Delmotte MH, Lanteri-Minet M, Lefaucheur JP, Mick G, Piano V, Pickering G, Piquet E, Regis C, Salvat E, Attal N. Pharmacological and non-pharmacological treatments for neuropathic pain: systematic review and French recommendations. Should I get the COVID-19 vaccine if I develop costochondritis? The main causes of chest pain in Post Covid Recovery patients are: 1) Post respiratory problems like ARDS and interstitial pneumonia specially after a prolonged critical illness period. Salah N. El-Tallawy, Rohit Nalamasu, Christopher Gharibo, Kenneth Fiala, Joshua Martens & Alaa Abd-Elsayed, I. Putu Eka Widyadharma, Ni Nyoman Shinta Prasista Sari, Desak Ketut Indrasari Utami, Deepika Joshi, Vyom Gyanpuri, Neetu Rani Dhiman, Nhu Ngoc Nguyen, Van Thuan Hoang, Philippe Gautret, Sophie Juul, Niklas Nielsen, Janus Christian Jakobsen, Sadiye Murat, Bilinc Dogruoz Karatekin, Onur Incealtin, Pain and Therapy Opioids and corticosteroids used in the treatment of chronic pain and are known to have immunosuppressive effects [9, 20, 125]. Perform urgent procedures with the minimal number of personnel, to minimize the risk of exposures. Painkillers such as NSAIDs and paracetamol may mask the symptoms of COVID-19 infection, e.g., fever and myalgias. 2020;324:603. After three months, I was in the hospital because I almost lost consciousness and felt pain in the chest and heart, but my electrocardiogram was normal. Read our, Complications of Costochondritis and COVID-19. But we dont how many of those folks and which ones are going to develop long-term symptoms, she said. Medications that reduce post-COVID-19 syndrome: A warning by a European agency that NSAIDs can mask the symptoms and signs of COVID-19 infection, and this may delay the diagnosis of the disease [7, 56]. A higher prevalence of musculoskeletal pain was also reported in non-hospitalized patients than hospitalized patients [61, 93]. Increased awareness by the pandemic, methods of infection control for the general populations. Other symptoms may include: According to a 2021 study, around 2 in 10 people with acute COVID-19 report chest symptoms after recovering. Coronary micro-vascular ischemia could be the mechanism of persistent chest pain in patients that have recovered from COVID-19 [101]. Lack of physical activities, impacting patients who relied on physical therapy or exercise programs as part of their pain management regiment. A simple walk or five minutes on an exercise bike can leave people fatigued, short of breath and complaining of chest pain. 2022;11:5569. https://doi.org/10.3390/jcm11195569. Rev Neurol (Paris). 2021;162(2):61929. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. Myocarditis detected after COVID-19 recovery. Kosek E, Cohen M, Baron R, et al. Patients with chronic pain infected with COVID-19 are at higher risk for exacerbation of their symptoms, and this is attributed to many factors including social threats, discontinuation of therapy, reduced access to treatments, or associated mental health problems and concerns about health outcomes [25, 30, 31].