For the last 20 years, whenever patients asked me about exercising while recovering from a viral illness like the flu, I gave the same advice: Listen to your body. If exercise usually makes you feel better, go for it.Early in the pandemic, as the initial wave of patients with COVID-19 began to recover and clinically improve, my colleagues and I noticed that some of our patients were struggling to return to their previous activity levels.
In those early months of the pandemic, my colleagues and I learned of a New York City mental health worker in her early 30s, a dedicated athlete with no underlying health problems, who developed symptoms of COVID-19. Her low-grade fever and congestion went away, but she continued to feel “sluggish.” As she had done many other times after getting over an illness, she went for a run to feel better.
To help patients safely return to activity after mild to moderate COVID-19 infection, my colleagues at Hospital for Special Surgery and I published an evidence-based set of guidelines based on the existing medical literature and our evolving understanding of the disease. Our “return to activity” guidelines urge far more caution than in the past, based on the unpredictable nature of how the virus affects each person.
Slowly return to exercise. Even if you had only mild symptoms, with no chest pain or shortness of breath, you should still wait until you have at least seven days with no symptoms before returning to exercise. Start at just 50% of normal intensity. A gradual, step-by-step and slow return to full activity is recommended.
Get tested. If you have cold or flu symptoms, get tested for COVID-19 before you return to exercise. If you think you might have had COVID-19, a test might help you and your doctor make decisions about safely returning to exercise.
I think you mean pulmonologist, since cardiologists handle the heart. Pulmonologists handle the lungs.
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