Long COVID · Post-viral symptoms
Still not yourself after COVID-19 or another virus? A careful, paced approach.
For some people, the infection passes but the symptoms don't. Brain fog, dizziness, a racing heart on standing and exhaustion can linger for months. We provide careful neurological rehabilitation for the brain-based parts of that picture, alongside the medical care you need.
Look closer. Recover forward.
Sounds familiar?
- Brain fog, memory lapses or slowed thinking
- Racing heart or lightheadedness when standing
- Dizziness or unsteadiness
- Fatigue, or crashes a day or two after activity
- Headaches or sensitivity to light and noise
- Trouble reading or using screens
- Poor sleep
You're not imagining it, and you're not alone. These symptoms are real, and many of the systems behind them can be measured.
Why symptoms can persist
The World Health Organization defines post-COVID-19 condition as symptoms that continue or develop after a COVID-19 infection, last at least two months and can't be explained by another diagnosis. Researchers are still working out the causes, and they likely differ from person to person.
Some of the most common symptoms involve the nervous system: autonomic problems similar to POTS, dizziness, visual and processing difficulties, and brain fog. Other viral illnesses can trigger similar patterns. These are areas we can measure and, when appropriate, gently train.
We're careful about what we claim. We don't treat the infection or its immune or lung effects, and your physicians remain in charge of your medical care.
What we'll evaluate
Testing is chosen for you based on your history and what you can comfortably tolerate, with rest breaks built in.
Post-exertional screening
Before anything else, we screen for post-exertional malaise, because it changes how carefully any activity must be dosed.
Active stand testing
Heart rate and blood pressure from lying to standing.
Eye movements and visual processing
Tracking, convergence and visual motion tolerance.
Balance and vestibular function
Standing and walking balance and inner-ear reflexes.
Cognition
Processing speed, attention and how quickly mental effort fatigues you.
Records review
A review of your medical workup so we don't repeat testing and can spot anything that needs medical follow-up.
Our assessments guide rehabilitation and don't replace medical diagnosis. More about our testing
How care will work
Care is paced and conservative. Depending on your findings, your program may include autonomic strategies, very gradual reconditioning that starts reclined, vestibular and eye-movement work, cognitive pacing and energy-management planning, and sleep and nutrition support as an adjunct.
If you experience post-exertional crashes, we do not use "push through" exercise. Intensity is kept low, rest is built in, and the plan is scaled back whenever symptoms flare.
Intensive program
Several shorter sessions per day, with planned rest, over a block of consecutive days. Designed for people traveling in or who want focused care in less time.
Outpatient program
Regular visits over several weeks with a home program in between. A good fit if you live nearby or prefer a gentler pace.
What to expect
- Before your visitWe review your records and prior testing, then talk on a short fit call so you know whether we're a good match before you book.
- EvaluationAn in-depth neurological exam and objective testing, paced to your tolerance.
- Report of findingsA plain-language explanation of what we found and what we recommend, with a written summary.
- Your programIntensive or outpatient rehabilitation, dosed and progressed as you respond.
- Re-test & home planWe repeat key measures to check progress and send you home with a program you can keep using.
Recovery after a viral illness is often uneven. We track your measures and daily function over time and keep your physicians informed.
When to seek urgent care
Seek urgent medical care for chest pain, shortness of breath at rest, fainting, new confusion, or new weakness, numbness or trouble speaking. If you think you are having a medical emergency, call 911.
This page is educational and is not medical advice. Please talk with your physician about your symptoms. We work alongside your medical team and never ask you to stop medications or replace medical care.
Frequently asked questions
Do you treat Long COVID?
We don't treat the infection or its effects on the lungs, heart or immune system. We provide rehabilitation for neurological symptoms such as dizziness, autonomic intolerance, visual and processing problems and brain fog, alongside your medical care.
What is post-exertional malaise?
It is a worsening of symptoms that often starts hours to days after physical, mental or emotional effort, and can last days. If you have it, standard exercise programs may make you worse, so we screen for it first and pace everything carefully.
Is this the same as your POTS program?
There is overlap, since many people develop POTS-like symptoms after a virus. Your program is built from your own testing, which may include autonomic, vestibular, visual and cognitive work.
Do I need to have tested positive for COVID-19?
No. Many people weren't tested, and other viruses can trigger similar symptoms. We'll review your history and records.
Will you coordinate with my Long COVID clinic or physician?
Yes. With your permission we'll share findings in writing and coordinate with your physicians.
Be first to know when we open
We're opening fall 2027. Join the waitlist to hear our location first, get early scheduling access and receive free education about long COVID & post-viral.
Look closer. Recover forward.
Related conditions
Many people have more than one of these. We look at how the systems interact.
Dysautonomia & POTS
Racing heart on standing, lightheadedness, fatigue and exercise intolerance with POTS or dysautonomia.
Visual & cognitive processing
Eye strain, reading trouble, screen intolerance and slow processing that make busy places exhausting.
Dizziness & vertigo
Chronic dizziness, imbalance, motion sensitivity, PPPD, or vertigo that keeps coming back.
Selected research
These sources describe the conditions and rehabilitation principles discussed on this page. They are not studies of our clinic, which is not yet open.
- Soriano JB, et al. A clinical case definition of post-COVID-19 condition by a Delphi consensus (WHO). Lancet Infect Dis. 2022;22(4):e102-e107. doi.org/10.1016/S1473-3099(21)00703-9 (opens in a new tab)
- Vernino S, et al. Postural orthostatic tachycardia syndrome (POTS): state of the science and clinical care from a 2019 National Institutes of Health expert consensus meeting, part 1. Auton Neurosci. 2021;235:102828. doi.org/10.1016/j.autneu.2021.102828 (opens in a new tab)