Long COVID muscle pain and body aches: Coping tips

COVID-19 can take a toll on your body, and for some, the aches and pains don’t just disappear after a few weeks. Many people with Long COVID experience lingering muscle pain, joint stiffness, and body aches that can make daily activities challenging. If you’re dealing with these persistent symptoms, you’re not alone—and there are ways to manage the discomfort.

What causes COVID body aches?

Body aches from COVID-19 are often linked to inflammation triggered by the immune system’s response to the virus. When your body fights off an infection, it releases chemicals that cause inflammation, which can lead to muscle soreness and stiffness. In some cases, this inflammation persists long after the initial infection, contributing to Long COVID muscle pain and body aches.

Also read: What are the inflammatory markers for long COVID?

What do COVID body aches feel like?

COVID-related body aches can feel different from person to person. Some describe it as a deep, flu-like soreness, while others experience sharp pains or muscle fatigue that worsens with activity. Many long COVID patients report symptoms similar to fibromyalgia, including widespread pain, tenderness, and a burning sensation in the muscles.

Does long COVID affect your muscles?

Yes. Many people with long COVID report ongoing muscle weakness, stiffness, and pain. This can make simple activities—like walking, standing for long periods, or even holding objects—more difficult. Some also experience post-exertional malaise (PEM), where physical activity leads to extreme exhaustion and worsened pain.

How long do body aches last with COVID?

For most people, body aches from an acute COVID infection resolve within a few days to weeks. However, in cases of long COVID, muscle pain and body aches can last months or even years. The severity and duration of symptoms vary widely, with some people improving gradually and others experiencing persistent discomfort.

Does long COVID cause joint pain?

Yes, joint pain is a common symptom of long COVID. Many patients experience stiffness, swelling, and discomfort in the knees, shoulders, and other joints. This may be due to ongoing inflammation, changes in immune function, or even the impact of being less physically active during illness.

How do you treat muscle pain from COVID-19?

Managing long COVID muscle pain and body aches requires a multi-faceted approach:

1. Gentle movement & stretching

• Low-impact exercises like yoga, tai chi, or swimming can improve flexibility and reduce stiffness.
• Avoid overexertion—pushing too hard can worsen symptoms.

2. Pain relief methods

• Over-the-counter pain relievers (e.g., ibuprofen) can help reduce inflammation.
• Hot and cold therapy: Warm compresses can relax muscles, while ice packs may reduce inflammation.

3. Nutrition & hydration

• Anti-inflammatory foods like fatty fish, turmeric, and leafy greens can help manage symptoms.
• Stay hydrated to support muscle function and reduce cramping.

4. Rest & stress management

• Prioritise good sleep habits, as poor sleep can worsen muscle pain.
• Practice stress reduction techniques, like meditation or deep breathing, to help calm the nervous system.

5. Supplements & alternative therapies

• Some people find relief with magnesium, vitamin D, or B vitamins, which support muscle health.
• Acupuncture, massage, or physical therapy may help reduce pain and improve mobility.

Post-COVID leg pain

Some long COVID patients experience persistent leg pain, which may be due to:

• Circulatory issues: COVID-19 can affect blood flow, leading to numbness or tingling in the legs.
• Nerve involvement: Some patients develop neuropathy-like symptoms.
• De-conditioning: Prolonged illness can lead to muscle weakness and tightness in the legs.

Treatments for COVID body aches

In addition to the methods above, some people benefit from:

• Physical therapy: A trained therapist can guide you through gentle strengthening exercises.
• Medications: In some cases, doctors prescribe muscle relaxants or anti-inflammatory drugs.
• Cognitive behavioural therapy (CBT): Helps manage the emotional toll of chronic pain.

When to contact a healthcare provider?

You should reach out to a doctor if:

• Your pain is severe, worsening, or affecting daily life.
• You have swelling, redness, or warmth in a specific area (this could indicate a blood clot).
• You experience new neurological symptoms, like weakness, numbness, or coordination problems.

How can telehealth help?

Telehealth services like Hola Health can be a valuable resource in your recovery journey. Here’s how: 

1. Telehealth appointments: Speak with a doctor about your symptoms and get personalised advice on resuming exercise. 
2. Online doctor referrals: If needed, our doctors can refer you to specialists or rehabilitation programs. 
3. Medical certificates: Obtain a medical certificate to excuse you from work or physical activities if your recovery requires more time. 
4. Online scripts: If eligible obtain COVID-19 antivirals, and online prescriptions for other medication.
5. Follow-up care: Schedule follow-ups to monitor your recovery and ensure you’re progressing safely. 

Also read: Body Aches and Pains: 10 Possible Causes and Treatment

Questions to ask the telehealth doctor

If you're seeing a telehealth doctor, consider asking:

• Could my muscle pain be related to long COVID?
• What tests (if any) should I take to rule out other conditions?
• Are there medications or supplements that might help?
• Should I see a physical therapist or a pain specialist?
• How can I manage post-exertional malaise without making my symptoms worse?

Will I need to see a specialist for my long COVID symptoms?

It depends on your symptoms. Some long COVID patients benefit from seeing:

• Rheumatologists (for joint pain and inflammation)
• Neurologists (for nerve pain or weakness)
• Physical therapists (for movement and strength issues)
• Pain specialists (for chronic pain management)

Final thoughts

Long COVID muscle pain and body aches can be frustrating, but there are ways to manage discomfort and improve your quality of life. Pacing yourself, prioritising rest, and seeking the right care can make a big difference in your recovery. If symptoms persist, don’t hesitate to reach out to a healthcare provider for guidance.