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The Doctor Speaks

Understanding Long Covid: What You Need to Know

Long Covid symptoms, diagnosis, treatment, and support.

Dr Shashank Sharma

10/1/20252 min read

When the world first faced Covid-19 in early 2020, most of the focus was on acute infections — how people caught the virus, how it spread, and how to treat those who became severely ill. However, by mid-2020 doctors and researchers began to notice a troubling trend: some patients were not fully recovering weeks or even months after their initial infection. This condition came to be known as Long Covid, or Post-Covid Syndrome.

What Exactly is Long Covid?

Long Covid refers to a collection of symptoms that continue for weeks or months after the initial Covid-19 infection has passed. While many recover within a few weeks, some experience ongoing or new symptoms that interfere with daily life.

Common Symptoms of Long Covid

Long Covid doesn’t look the same for everyone, but the most reported symptoms include:

  • Persistent fatigue

  • Shortness of breath

  • Brain fog (difficulty concentrating or remembering things)

  • Chest pain or tightness

  • Muscle aches and joint pain

  • Loss of taste or smell

  • Sleep disturbances

  • Anxiety and low mood

Who is Affected the Most?

Research is ongoing, but evidence suggests Long Covid can affect anyone — young or old, healthy or with pre-existing conditions. However, studies show it is more common among:

  • Adults aged 35 to 69

  • Women more than men

  • People with underlying health issues (such as asthma or diabetes)

  • Those who had more severe Covid-19 symptoms during their initial illness

How is Long Covid Diagnosed?

There isn’t a single test for Long Covid. Instead, diagnosis is usually based on:

  • A history of confirmed or suspected Covid-19 infection

  • Ongoing symptoms lasting more than 12 weeks

  • Exclusion of other possible medical causes through clinical tests

In the UK, patients can be referred to specialist Long Covid clinics, such as ours, where multidisciplinary teams assess and support recovery.

What Can Patients Do?

If you’ve been diagnosed with Long Covid, it can feel overwhelming. While there’s no “quick fix,” there are practical steps you can take:

  • Pace yourself – balance activity and rest to avoid worsening fatigue.

  • Track your symptoms – keeping a diary can help identify patterns and support conversations with healthcare professionals.

  • Seek support – join patient support groups or NHS recovery programmes.

  • Focus on gradual recovery – improvements are often slow, but progress is possible.

Medication and Treatment in the UK

Currently, there is no specific medication that cures Long Covid. Treatment in the UK is focused on managing individual symptoms, which may include:

  • Pain relief (for muscle or joint pain)

  • Inhalers (for breathing difficulties)

  • Sleep aids (for insomnia, prescribed by doctors where appropriate)

  • Physiotherapy and rehabilitation exercises

  • Mental health support (counselling, cognitive behavioural therapy, or medication if required)

The NHS provides personalised treatment plans through Long Covid clinics, often involving a combination of medical, psychological, and physical therapies.

Final Thoughts

Long Covid is a reminder that recovery from Covid-19 can look very different for each person. While research is ongoing, the important message is that support and treatment are available. If you think you may have Long Covid, speak with your GP or healthcare provider to get the right help for your journey to recovery.