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COVID-19 Pain Poses Unique Challenges

email article Treating pain in recovered COVID-19 patients poses unique challenges, a pain expert said at the American Academy of Pain Medicine virtual meeting. A lot of these patients are going to need rehabilitation or physical therapy, noted Natalie Strand, MD, of the Mayo Clinic in Scottsdale, Arizona, at the meeting. There can be quite a bit of deconditioning that occurs, especially after a prolonged ICU stay. Neuropathic pain is also quite common. Post-COVID neuropathy can be viral or may be related to positioning, including prone positioning in patients who need to improve oxygenation. Some patients may need short-term opioids or gabapentinoids and they may experience aggravation of prior underlying pain, either due to direct physical causes or to the increase in anxiety and depression that can accompany a COVID infection, Strand said.

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