Multidisciplinary Management Strategies for Long COVID: A Narrative Review, 2024, Qu et al

Multidisciplinary Management Strategies for Long COVID: A Narrative Review
https://www.cureus.com/articles/233...rategies-for-long-covid-a-narrative-review#!/

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has caused millions of infections to date and has led to a worldwide pandemic. Most patients had a complete recovery from the acute infection, however, a large number of the affected individuals experienced symptoms that persisted more than 3 months after diagnosis. These symptoms most commonly include fatigue, memory difficulties, brain fog, dyspnea, cough, and other less common ones such as headache, chest pain, paresthesias, mood changes, muscle pain, and weakness, skin rashes, and cardiac, endocrine, renal and hepatic manifestations. The treatment of this syndrome remains challenging. A multidisciplinary approach to address combinations of symptoms affecting multiple organ systems has been widely adopted. This narrative review aims to bridge the gap surrounding the broad treatment approaches by providing an overview of multidisciplinary management strategies for the most common long COVID conditions.

 

Not sure how important this CureUs thing is, but this review is mostly the same old, recommending exercise, CBT and pacing, with generic rehabilitation as the overall model. There is talk of activities being symptom-titrated, but with the goal of increasing intensity as a treatment, which defeats the purpose of pacing. I don't think they understand what those words mean.

In some places it advises GET, in others it cautions about it, always framed around PEM/PESE, but clearly not understanding what it means.

There is discussion of other various aspects like renal or lung problems.

You take Garbage In, you process it a little, and you get Garbage Out. This methodology isn't capable of dealing with Garbage In any other way than outputting it.