Coronalgia and the Future of Pain Medicine

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There's a lot of covid anxiety that massively worsened by lock down, lack of work/socializing/exercising, etc. It is bound to exacerbate all medical issues even in healthy people but especially in the fibro prone.

Actually I think the fibro crowd will latch onto this potential etiology.
 
$he $ell$ $ea$hell$ down by the $ea $hore.
 
Gauss said:
stim stim stim
www.sciencedirect.com

Neurological manifestations of COVID-19 and other coronavirus infections: A systematic review

Increasing research reports neurological manifestations of COVID-19 patients. SARS-CoV-2 shares homology with other human coronaviruses that have also…
www.sciencedirect.com www.sciencedirect.com
Click to expand...

The pain clinic will be over-run in the 3rd and 4th waves with chronic Coronalgia patients. Just had an interesting Zoom with a personal injury lawyer. We need the R's to push through employer COVID liability reforms ASAP.

khn.org

Employers Require COVID Liability Waivers as Conflict Mounts Over Workplace Safety - KFF Health News

While Congress negotiates liability protection for reopening businesses as part of its latest pandemic bailout package, some employers are already requiring workers to sign waivers agreeing not to sue if they get COVID-19 on the job.
khn.org khn.org
 
drusso said:
The pain clinic will be over-run in the 3rd and 4th waves with chronic Coronalgia patients. Just had an interesting Zoom with a personal injury lawyer. We need the R's to push through employer COVID liability reforms ASAP.

khn.org

Employers Require COVID Liability Waivers as Conflict Mounts Over Workplace Safety - KFF Health News

While Congress negotiates liability protection for reopening businesses as part of its latest pandemic bailout package, some employers are already requiring workers to sign waivers agreeing not to sue if they get COVID-19 on the job.
khn.org khn.org
Click to expand...

any of them wcomp yet?
 
The disability lawyers must be pre-ordering their yachts..
 
Oh well opioids have been shown to decrease immune function so your chances of reinfection go up since you can’t mount an antibody immune reaction.

You should take more zinc vitamin c and dexamethasone via stellate ganglion injection just in case you develop covid ptsd.
 
Laryngospasm said:
The disability lawyers must be pre-ordering their yachts..
Click to expand...

I see lot's of IME work and tens of thousands of hours of chart review, expert witness depositions, functional capacity exams, arbitration hearings, etc.

www.vox.com

What happens if Covid-19 symptoms don’t go away? Doctors are trying to figure it out.

People with long-term Covid-19 complications are meanwhile struggling to get care.
www.vox.com www.vox.com

"Lasting health impacts can also affect a person’s ability to go back to work. In Iwashyna’s experience, many patients quickly run through their guaranteed 12 weeks of leave under the Family Medical and Leave Act, which isn’t required to be paid. Eve Leckie, a 39-year-old ICU nurse in New Hampshire, came down with Covid-19 on March 15. Since then, Leckie has experienced symptom relapses and still can’t even get a drink of water without help."
 
myrandom2003 said:
Oh well opioids have been shown to decrease immune function so your chances of reinfection go up since you can’t mount an antibody immune reaction.

You should take more zinc vitamin c and dexamethasone via stellate ganglion injection just in case you develop covid ptsd.
Click to expand...

Curious if injecting dex in stellate ganglion block helps. There is no inflammation here. Is there any benefit of adding steroids to a sympathetic block? Ive seen people do this so you are not the only one
 
cowboydoc said:
Sounds like a regional variant of what we called “aye aye algia” in residency.
Click to expand...

Yes. We called it "Fulminant aye, aye, aye's..." As in, the patient is a 19-year-old G5P4 in active labor, no prenatal care, with fulminant aye, aye, aye's...:
 
BloodySurgeon said:
Curious if injecting dex in stellate ganglion block helps. There is no inflammation here. Is there any benefit of adding steroids to a sympathetic block? Ive seen people do this so you are not the only one
Click to expand...

All of my stellates and lumbar sympathetics contain dex...Why?

That's how I was trained.

We also used Toradol in fellowship, with dex and local.

Make a difference? Probably not.
 
Ligament said:
I'm open to this idea. We still have not seen all the sequelae of covid infection. Keep an open mind.
Click to expand...

No doubt there will be sequalae similar to other viral pathogens.

The hidden burden of influenza: A review of the extra‐pulmonary complications of influenza infection - PMC

Severe influenza infection represents a leading cause of global morbidity and mortality. Although influenza is primarily considered a viral infection that results in pathology limited to the respiratory system, clinical reports suggest that ...
www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
 
NOSfan said:
No doubt there will be sequalae similar to other viral pathogens.

The hidden burden of influenza: A review of the extra‐pulmonary complications of influenza infection - PMC

Severe influenza infection represents a leading cause of global morbidity and mortality. Although influenza is primarily considered a viral infection that results in pathology limited to the respiratory system, clinical reports suggest that ...
www.ncbi.nlm.nih.gov www.ncbi.nlm.nih.gov
Click to expand...

Bilat S1 and S2 DRG's are most likely anatomical targets based upon MOA of electroanalgesia.
 
www.wxyz.com

'Everything just hurt.' Local women describe ongoing nerve pain & issues after contracting COVID-19

They survived COVID-19, only to have to face some new disturbing after-effects of the virus. Now, some local women say the coronavirus has left them with nerve pain and other problems.
www.wxyz.com www.wxyz.com

Can anyone else confirm these clinical observations? I think coronoalgia is shaping up to be a very real thing.

“My physical therapist was noticing I was getting weaker, my range of motion was [decreasing], which was strange,” said Mary.

Mary went to a neurologist. No one is exactly sure what’s wrong, but it’s believed the coronavirus has left this normally healthy mom with nerve problems.

“I try to walk at least 30 minutes a day, I do push-ups, I do yoga. Now, if I try to go into a plank position, I completely collapse,” said Mary. “I'm very weak in my arms, especially my left arm. Getting juice out of the fridge, I have to use 2 hands to hold a cup.”

“Is it possible that down the road, we will see more chronic nerve problems that maybe aren’t presenting to the hospital right now? There’s that possibility and I think everybody’s keeping an open mind about what COVID-19 can do, because it’s new,” said Dr. Elissa Fory, a senior staff neurologist at Henry Ford Hospital.
 
Curious what the EMG shows in these patients or if it’s muscular
 
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