Long Covid Podcast 181 - Dr David Putrino - The Multifaceted Approach to Long Covid Recovery
Dr. David Putrino shares his expertise on Long Covid, approaching it through the lens of comprehensive rehabilitation and personalized medicine rather than one-size-fits-all treatments. He explains how identifying the specific drivers behind common symptoms leads to more effective intervention strategies.
• Rehabilitation medicine encompasses far more than exercise recovery, including energy conservation strategies, mobility aids, and psychological support
• Different symptoms like fatigue can have various causes (sleep disruption, autonomic dysfunction) requiring distinct treatment approaches
• Techniques used for elite athletes to optimize mitochondrial function may benefit Long Covid patients through similar biological pathways
• Stabilizing symptoms through pacing apps and basic interventions creates a foundation for more targeted treatments
• Gender differences in Long Covid prevalence (65-70% women) may relate to protective effects of testosterone
• Treatments must be personalized based on precise understanding of underlying mechanisms rather than symptom categories alone
• Research is uncovering multiple drivers including persistent pathogens, autoimmunity, reactivated infections, and Dysautonomia
For those experiencing Long Covid symptoms, finding clinicians who understand these complex mechanisms and can identify your specific drivers is critical to receiving effective treatment.
Links:
https://icahn.mssm.edu/research/cohen
https://longcovid.physio/
https://www.youtube.com/@CoRESinai
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For more information about Long Covid Breathing courses & workshops, please check out LongCovidBreathing.com
(music credit - Brock Hewitt, Rule of Life)
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**Disclaimer - you should not rely on any medical information contained in this Podcast and related materials in making medical, health-related or other decisions. Please consult a doctor or other health professional**