PASC

[DMBandFan86]

The AAPMR keeps sending out updates on PASC and post-covid disability. It seems to be their big marketing strategy and goal to expand the practice of PM&R.

I was just curious what peoples thoughts were. Are you seeing PASC patients in your outpatient clinic or making a practice out of it? What kind of sequalae are you treating and how are patients responding?

I treat severe post-covid patients on the inpatient side and have seen many different complications, but have not tried to market to get PASC referrals in the clinic. Actually, I'm not really sure why some of these patients would need to see a physiatrist. I certainly don't want to start a practice of patients with fatigue after covid wanting Adderall.

I always want to see and treat interesting patients, but this is new and I want to hear other perspectives.

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[rehabresident16]

We saw some in my pain fellowship and the same institution's rehab residency was seeing some too, I believe. For us it was post-COVID headaches/migraines, but sounds like the other common symptoms are fatigue, memory/focus problems, and decreased exercise tolerance.

AAPMR just launched a PASC Dashboard where they're tracking estimated PASC cases by state:

PASC Dashboard

pascdashboard.aapmr.org

 

[PMR2008]

I guess depends on your practice. In my clinic I am seeing post Covid plexopathies, neuropathies, foot drop, wrist drop, balance impairment, fatigue etc. I manage them like any other patient. When it comes to fatigue I am managing it like I would a Fibro patient. Proper nutrition, rehab/exercise and counseling. I am definitely not prescribing anything like Adderall or narcotics.

The AAPMR keeps sending out updates on PASC and post-covid disability. It seems to be their big marketing strategy and goal to expand the practice of PM&R.

I was just curious what peoples thoughts were. Are you seeing PASC patients in your outpatient clinic or making a practice out of it? What kind of sequalae are you treating and how are patients responding?

I treat severe post-covid patients on the inpatient side and have seen many different complications, but have not tried to market to get PASC referrals in the clinic. Actually, I'm not really sure why some of these patients would need to see a physiatrist. I certainly don't want to start a practice of patients with fatigue after covid wanting Adderall.

I always want to see and treat interesting patients, but this is new and I want to hear other perspectives.

 

[PMR2008]

PASC fatigue treatment recommendations

#	Statement
1	Begin an individualized and structured, titrated return to activity program.
2	Discuss energy conservation strategies.
3	Encourage a healthy dietary pattern and hydration.
4	Treat, in collaboration with appropriate specialists, underlying medical conditions, such as pain, insomnia/sleep disorders (including poor sleep hygiene), and mood issues that may be contributing to fatigue.

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