Understanding Long Covid: Symptoms, Diagnosis, and Treatments
LongCovid is a condition that occurs following a Covid-19 viral infection or vaccine injury. The condition persists well beyond the expected recovery period of a few weeks, with many individuals not fully recovering after months or years. Some even report that the symptoms of Long Covid are more debilitating than the initial infection, often accompanied by new and worse symptoms. Those affected describe it as a persistent flu-like state with additional severe symptoms that can change daily. Exertion can exacerbate these symptoms, leading to post-exertional malaise (PEM). Medical professionals currently offer management for the condition rather than a cure, though mind-body healing offers an alternative perspective. This article delves into what Long Covid is, its symptoms, diagnosis, and potential treatments.
Place a hand on your heart for a moment and give yourself the message of worthiness. Close your eyes and let go of the pressure to ‘figure it all out’ right now. Take a moment for yourself, and then continue reading gently if it feels right.
What is Long Covid or PostCovid?
Long Covid is characterized by lingering symptoms that persist well beyond the typical recovery period from a coronavirus infection. Unlike the acute phase of Covid-19, where symptoms like fever and cough may resolve within a few weeks, Long Haul Covid can extend for months or even years, affecting both adults and children. This condition can emerge even after mild cases of original virus.
Mainstream medical research into Longcovid is ongoing, and while a universal definition has not yet been established, it is recognized that symptoms can appear weeks or months after the initial infection and last for a prolonged period, including potential long term effects. This makes it parallel (or possible the same as) chronic conditions such as M.E and Chronic Fatigue Syndrome – for more on this see below.
Recovering from LongCovid involves dealing with a range of symptoms and seeking specialised support and guidance. Management strategies are offered by doctors and hospitals either by telephone or in-person in dedicated post-viral fatigue and Long Covid clinics that have sprung up since the pandemic for those suffering post Covid syndrome, post acute sequelae, and this Covid-related condition.
Are Long Covid and Chronic Fatigue Syndrome the Same?
Many people suffering these symptoms visit their healthcare providers seeking a diagnosis, and it can become very confusing.
Long Covid and Chronic Fatigue Syndrome (CFS), also known as Myalgic Encephalomyelitis (M.E), share symptoms. Both conditions often present with persistent fatigue, cognitive difficulties, and a range of other pain and physiological symptoms that affect daily functioning.
There are many acronyms and different names for what appears to some to be exactly the same condition: ME, CFS, Long Covid, Post Viral Syndrome, Post Covid 19, Longhaul Covid. And historically there have been other names – including “Sleeping Sickness” which was used for the pandemic in Europe that followed World War 1, officially known as Encephalitis Lethargica – EL (which affected huge numbers of the population and lasted from 1916 to 1930).
Since no two individuals are exactly alike, no two sets of symptoms are exactly alike, so it’s difficult for doctors to definitively say that these conditions are identical. However, following a proven Mindbody healing path can lead to complete recovery, regardless of the diagnosis or label given.
So what are the typical Long Covid Symptoms and Chronic Fatigue Syndrome symptoms?
Common Symptoms of Long Covid
The spectrum of symptoms associated with Long Covid is broad and can affect various systems of the body. Common symptoms include persistent fatigue, breathlessness, and cognitive issues commonly referred to as “brain fog.” These symptoms significantly impact daily activities and quality of life, making it challenging for individuals to return to their previous life.
Many report joint pain, muscle aches, digestive issues, head pain, sinus issues, heart palpitations and insomnia, along with other symptoms. Alterations in the senses, such as loss of smell and changes in taste, are also frequent complaints in the early stages of Longcovid. The severity and duration of these specific symptoms vary widely among individuals, with some experiencing intermittent flare-ups that can make managing daily tasks unpredictable. When symptoms start, it becomes even more challenging to cope as the onset of post-exertional-malaise (PEM) adds to the array of symptoms. (You can read more about PEM here).
Fluctuating symptoms and energy levels mean people may feel better on some days and feel worse on others, complicating any type of management of the condition. Recognising these symptoms and their impact, including low mood, anxiety and depression, is essential for developing a personalised effective treatment plan and giving real support.
Here are some of the most common symptoms reported by individuals with Long Covid in list form:
Persistent Fatigue: A profound and debilitating fatigue, much heavier than tiredness, that doesn’t improve with rest and can significantly impair daily activities.
Cognitive Difficulties: Often referred to as “brain fog,” this symptom includes problems with memory, concentration, and mental clarity.
Respiratory Symptoms: Breathlessness and chest pain are frequent complaints in the early stages of Longcovid, often lingering long after the initial Covid-19 infection.
Muscle and Joint Pain: Many experience muscle aches and joint pain, which can be persistent and disruptive.
Alterations in Sensory Perception: Changes in taste and smell are common, with some individuals reporting a complete loss of these senses.
Sleep Problems: Difficulty sleeping, insomnia, or disrupted sleep patterns.
Post-Exertional Malaise: A worsening of symptoms following minor physical or mental exertion, which can last for days or longer.
Palpitations and Dizziness: Heart palpitations and feelings of dizziness or lightheadedness are also frequent symptoms.
Gastrointestinal Symptoms: Some experience nausea, diarrhea, or abdominal pain, IBS and digestive issues including histamine intolerance and other food intolerances.
Mood Symptoms: Anxiety and depression are common symptoms, often exacerbating other symptoms.
Diagnosing Long Covid
Diagnosing Long Covid via the western medical system involves an evaluation of the person’s medical history and symptoms, often done by a General Practitioner (GP) and then a nurse or assistant at a specialised LongCovid clinic. These medical clinicians start by ruling out other potential causes of the symptoms, running tests and searching for issues.
Guidelines state that if symptoms persist for more than three months after the initial Covid-19 infection then the diagnosis is LongCovid (or Post Covid). Blood tests, imaging studies, and stool tests are used to differentiate Long Covid from other health conditions. Many evaluations are usually undertaken, especially of note when patients report persistent chest pain or respiratory distress.
Treatment Options for Long Covid
Medical treatment of Long Covid in the western medical world targets the individual symptoms. Medications may be prescribed to alleviate symptoms such as anxiety, depression, and headaches. Physical therapy is commonly suggested to improve mobility (like physiotherapy) and strong pain medications are offered to manage pain.
Innovative treatments are also being explored now in traditional medical settings to provide relief for Long Covid patients. A study conducted by Harvard University in 2023 by Dr. Michael Donnino and his research team found significant improvements in symptoms through brain retraining methods, which helped reduce fatigue and pain. This study highlighted the potential of neuroplasticity in alleviating chronic symptoms of Long Covid. By targeting the brain’s ability to reorganise itself and form new neural pathways, participants in the study experienced notable relief from persistent fatigue and pain. For those interested in exploring brain retraining within a mind-body healing context, check out this article on How to rewire the brain gently and effectively, without the need for harsh interruptions or further stress on the nervous system.
As the medical community continues to explore these treatments for Long Covid, several approaches are gaining attention in the medical world for their potential benefits. One such method is the use of vitamin C administered intravenously. This approach, initially embraced during acute Covid-19 cases, is now being considered for Long Covid patients to boost immunity and reduce inflammation. The treatment aims to replenish vitamin C levels in the body rapidly, potentially aiding in faster recovery and symptom alleviation.
Hyperbaric oxygen therapy (HBOT) is another technique being referred to Long Covid patients in mainstream medicine. This therapy involves breathing pure oxygen in a pressurized chamber, which, they suggest, can enhance the body’s natural healing processes. By increasing oxygen concentration in the bloodstream, HBOT is reputed to reduce inflammation, improve cognitive function, and alleviate fatigue, providing relief for persistent symptoms.
Additionally, the Havening Technique, a psychosensory somatic healing tool initially used in emergency rooms for trauma relief, is being explored for Long Covid management. This technique involves gentle touch to create a sense of safety and reduce stress. By calming the nervous system, the Havening Technique helps mitigate anxiety and depression associated with Long Covid.
Support for the nervous system is also being researched for managing Long Covid symptoms. Techniques such as vagus nerve stimulation, which can be achieved through breathing exercises and meditation are being explored to regulate the autonomic nervous system. These practices aim to enhance resilience, reduce stress, and promote overall well-being, aiding in the recovery process for Long Covid patients.
Ongoing Medical Research and Advances in Long Covid Treatment
Dr. Ron Davis, a prominent researcher in the field of chronic illnesses, has been at the forefront of investigating Long Covid and Chronic Fatigue Syndrome. His work is deeply personal, as he is driven by the desire to find a cure for his own son, who suffers from a severe form of Chronic Fatigue Syndrome. Dr. Davis focuses on understanding the underlying biological mechanisms that contribute to the persistence of symptoms. By employing advanced genomic and molecular techniques, the research team under Davis aim to identify biomarkers that can aid in predicting the course of the illness. His research is ongoing.
There are recent studies on the potential role of the immune system in Long Covid. Research led by Dr. Akiko Iwasaki at Yale University is exploring how immune dysregulation may contribute to the symptoms of Long Covid. Her team is investigating the presence of auto-antibodies and persistent viral particles in patients, which could offer insights in the future.
Another area of medical research involves the use of antiviral medications to address lingering viral reservoirs that are thought to possibly contribute to ongoing symptoms. Clinical trials are underway to evaluate the efficacy of these treatments in reducing the severity and duration of Long Covid symptoms.
The “RECOVER” initiative by the National Institutes of Health (NIH) is a comprehensive research endeavor aimed at understanding Long Covid. This initiative is gathering data from thousands of participants to identify risk factors, symptom patterns, and potential interventions, with the goal of developing evidence-based guidelines for future diagnosis and treatment.
the Mind-body-Spirit Healing Approach to Long Covid
The Mind-Body healing approach to treating Long Covid symptoms is distinct from conventional methods as it emphasizes the interconnectedness of mental, emotional, and physical health. This perspective recognizes that all factors can significantly influence physical symptoms and recovery. By addressing the elements of mind, body and heart, individuals create a more comprehensive and integrated healing process. Unlike traditional medical approaches that often focus solely on symptom management, Mind-Body-Spirit healing seeks to empower individuals to understand and influence their own healing journey through self-awareness, emotional exploration, and cognitive restructuring.
MindBody Treatments for Long Covid: Practical Techniques
Addressing Long Covid through Mind-Body-Spirit Healing involves embracing practical techniques that focus on somatic and nervous system healing, as well as brain rewiring and cognitive work. These methods aim to enhance emotional resilience and promote overall well-being.
Somatic and Nervous System Healing: Somatic practices involve tuning into the body’s sensations to foster a deeper understanding of how stress and emotions manifest physically. Techniques such as deep breathing, gentle movement, and mindfulness exercises help individuals reconnect with their bodies, promoting relaxation and reducing stress. Nervous system healing also includes practices like vagus nerve stimulation through exercises like yoga and meditation, which help regulate the autonomic nervous system.
Brain Retraining through Cognitive Work: Brain rewiring techniques focus on leveraging neuroplasticity to form new neural pathways, reducing persistent symptoms. Cognitive work involves examining and reshaping beliefs that may contribute to stress and hinder recovery. Awareness work encourages individuals to become more conscious of their thoughts and emotions, fostering mindset shifts and new patterns of behaviour..
Meditations for Rewiring Neural Pathways: Meditative practices that specifically target LongCovid patients are instrumental in cultivating new neural connections. People can use meditation to facilitate the brain’s ability to adapt and reorganize, potentially alleviating the symptoms of Long Covid. These practices encourage a parasympathetic state, supporting healing and recovery.
Emotional Resilience: Beginning to work with emotions is a crucial part of recovering from Long Covid. This involves various techniques, including journaling, guided visualization and more. These techniques help you begin to process emotions safely and effectively, leading to greater emotional stability.
For more insights, explore short articles on Somatic Healing Practices and Meditations for Long Covid. Additionally, understanding the Mind-Body Syndrome is crucial for recognizing how emotional and psychological factors can influence physical health. Learn more in this article on The Mind-Body Syndrome.
Healing happens when knowledge turns into action. You’re already making progress just by showing up for yourself today.
The Importance of Working with Emotions
Emotions play a pivotal role in the Mind-Body-Spirit healing process, and addressing them is essential for recovery from Long Covid. While some TMS (The Mindbody Syndrome) practitioners may view emotional work as an optional step, focusing solely on cognitive strategies like reading, studying, and pattern recognition, this approach can sometimes lead to a slow, prolonged recovery path that doesn´t uncover the root cause of their illness.
It’s important to recognize that the nervous system isn’t broken; rather, it may be responding to buried stressors from the past, stored deep within the subconscious. These unresolved stressors can manifest as symptoms, perpetuating the cycle of illness.
Engaging in emotional healing work (through Mind-Body-Spirit healing techniques) can help individuals safely process and uncover these hidden stressors. Understanding this emotional landscape allows individuals to navigate their healing journey with increased self-awareness and compassion.
Explore our article on Journaling to begin building your emotional resilience.
Self-Management Strategies for Long Covid
While self-management strategies are often recommended for people with Long Covid, I believe they fall short of addressing the root causes hidden deep within the subconscious. Many people diligently engage in courses and self-paced tools, striving to alleviate their symptoms, yet full recovery remains elusive. This struggle often leads to self-blame, as individuals feel they have not done enough to heal themselves – something which is far from true.
The complexity of Long Covid means that overcoming it alone can be incredibly challenging. The underlying issues may be buried deep within the system, making it difficult for self-management strategies to effectively address them. What is truly needed is co-regulation and supportive guidance. Support can begin to provide the necessary emotional and cognitive assistance to navigate the healing journey.
Without real support, people sometimes find themselves trapped in a cycle of frustration and despair. It’s essential to recognize that recovery is not solely an individual effort but a collective one, requiring the compassionate involvement of others who understand the intricacies of Long Covid.
Amari’s Perspective: Recovering from Long Covid
I remember the moment everything shifted for me. It had been years of being trapped in my body, exhausted with heavy fatigue, unable to imagine life beyond the pain of unending symptoms. When I discovered the concept of the Mindbody connection, I began to understand that I wasn’t broken, and I felt a new emotion – hope.
One evening, without planning it, I found myself moving to music in my kitchen. Just a little — just swaying, just feeling my feet on the floor. But I was standing up for a little while longer than absolutely necessary and it was movement without fear. And for someone who had been trapped in cycles of pain and fatigue, that moment of freedom was everything.
Was I completely better? No. Was I suddenly running marathons? Of course not. But that first small dance was a glimpse of possibility… the beginning of true recovery.
Conclusion
Long Covid, a condition marked by persistent symptoms following an initial coronavirus infection, continues to challenge both healthcare providers and those affected. Understanding its complex nature is crucial for developing effective strategies to manage the long-term effects of the virus. Common symptoms, such as fatigue, breathlessness, and cognitive issues called brain fog, can significantly impact one’s quality of life. Recognizing these symptoms is vital for seeking appropriate care and support.
It seems that the high risk groups for developing Long Covid include women, those over 50, and individuals with underlying health conditions like diabetes, chronic respiratory issues, or a history of mental health problems. Diagnosing Long Covid within the medical community involves evaluating a patient’s history of Covid-19, identifying symptoms persisting for more than three months, and ruling out other potential causes through medical tests.
Treatment options for Long Covid include medications and management strategies from mainstream healthcare, and brain retraining methods, somatic healing and emotional healing from Mindbody Practitioners. While conventional medical treatments may not always lead to full recovery, the techniques outlined here offer hope and demonstrate that recovery is indeed possible. By understanding and addressing the symptoms of Long Covid, individuals can find ways to manage and overcome this challenging condition.
Integration and Next Steps
If you’ve read this far, pause for a moment and place a hand on your heart. You are already doing the work. Understanding the deeper roots of Long Covid symptoms is the beginning of something powerful. True healing doesn’t come from doing more, but from listening more deeply to yourself—and honouring what your system is ready for.
💗 If you’re in bed right now, start with a Soothing Restful Meditation: These curated meditations are designed for nervous system reset and brain rewiring—created especially for people like you. You can listen while lying down. Click here to access a Soothing Meditation →
🌿 Explore a gentle somatic practice: Even a few minutes of soft touch or self-regulation can begin to shift how safe your brain and body feel. Try the Butterfly Hug or Havening to support your nervous system.
🌸 When you feel ready, begin developing Emotional Resilience: Emotional work can feel big, but you don’t need to dive in alone. My article on How to Start Journaling for Emotional Healing is a safe place to begin.
✨ Book a supportive session: Real healing happens in connection, not isolation. If you’re ready to take the next step, schedule a first session with me here →
💗 Keep coming back to these practices.
💗 Keep trusting that something inside you is already healing.
I am here when you need support.
With care,
Amari
💗 Meet The Author 💗
Amari Love
Amari Love is a coach and writer who specialises in mind-body-spirit healing for chronic illness. With postgraduate degrees in English Literature, Writing, and Film, and having completed additional studies in Somatic Healing, Trauma Recovery, Gut Health and Meditation, she brings a rare blend of intellectual insight and heart-led guidance. Drawing deeply from her own journey of recovery after decades of chronic invisible illness, cancer and Longcovid, her work is grounded in the principles of TMS (The Mindbody Syndrome), Neuroplasticity, and Emotional Integration — supported by a spiritual approach to wholeness and inner alignment.
Amari is a registered health coach with the UKI Health Coaching Association, reflecting her commitment to high standards of integrity and compassionate, science-backed care. She also cares deeply about making this path more visible — so that others, and future generations, have access to real answers that go beyond managing symptoms.
This work is here to help you rewire your brain, restore the nervous system, and reclaim a life of clarity, balance, and peace.
Disclaimer: The content in this article is shared for educational and reflective purposes only. It is not intended to replace personalised medical advice, diagnosis, or treatment. Please consult a qualified healthcare professional before making decisions about your health or wellbeing.
