The worse you case of COVID is, the higher your chances of struggling with exercise afterwards, but even those with milder cases may face an uphill battle when it comes to achieving pre-COVID levels of fitness.
compare long COVID to. Researchers and medical professionals still don’t know exactly how COVID-19 causes those symptoms. But there are some theories.Putrino says it is possible the virus enters a patient’s cells and hijacks the mitochondria – a part of the cell that provides energy. It can linger there for weeks or months – something known as viral persistence.
For a person with autonomic dysfunction, something as basic as changing posture can trigger a storm of cytokines, a chemical messenger that tells the immune system where and how to respond to challenges like an injury or infection. Many of the patients in the latter group still have symptoms 4 weeks after their first infection. “At 4 weeks, yeah, they’re still feeling symptoms, but that’s not long COVID,” he says. “That’s just taking a while to get over a viral infection.”
The unluckiest 10% to 20% won’t make any progress at all. Any type of therapy, even if it’s as simple as moving their legs from a flat position, worsens their symptoms. Ideally, that exercise will be supervised by someone trained in cardiac, pulmonary, and/or autonomic rehabilitation – a specialized type of therapy aimed at re-syncing the autonomic nervous system that governs breathing and other unconscious functions, he says. But those therapies are rarely covered by insurance, which means most long COVID patients are on their own.
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