How can you know if you have long COVID? What sorts of symptoms would you expect?
The list of possibilities is extensive. In one study, long COVID patients described more than 200 different kinds of symptoms. Most patients have a common constellation of symptoms, including fatigue, cognitive issues, and breathing discomfort. Whatever the exact symptoms, treatment starts with documenting the individual health challenges you are facing. Then you and your doctor (or doctors) can discuss ways to alleviate the symptoms, help you to be as functional as possible, and support the body’s recovery.
The American Academy of Physical Medicine and Rehabilitation (AAPM&R), a national group of clinicians and specialists in physical medicine and rehabilitation, has classified long COVID symptoms, diagnostic methods, and treatments into categories that capture the common aspects of the syndrome.
This report adopts the AAPM&R framework to discuss the most common symptoms and their treatment. The five areas covered are
- Fatigue
- Cognitive symptoms (mind and brain)
- Breathing discomfort
- Autonomic dysfunction (certain problems in the nervous system)
- cardiovascular complications (heart and blood vessels).
Reading through this chapter can provide a common language and understanding to help you and your doctors collaborate on your care.
You may notice that some symptoms listed occur in multiple categories, whether associated with the brain, nervous system, heart, or lungs. Experts think it’s likely that the underlying causes of long COVID are multiple and overlapping, affecting more than one part of the body.
There are other symptoms that this report does not cover in detail, but are no less important to a given individual. Make sure to tell your doctor about any symptoms you have developed since your last COVID-19 infection, not just the ones you hear about most often in the news.