How to return to training if you have had coronavirus

In the early days of the pandemic, when the first wave of patients recovered, my colleagues and I noticed that some were struggling to return to their usual level of physical activity. Some complained of severe fatigue and breathing problems, while others felt that they could not exercise as much as before.

In addition, doctors began to record cases of myocarditis more than usual. This inflammation of the heart muscle weakens the heart and, in rare cases, causes it to stop suddenly. Also, many began to detect blood clots. The most surprising thing is that these problems appeared in patients who had not previously complained about their health and suffered from COVID-19 in a mild form.

Researchers continue to study the incoming data, and in the meantime, we are increasingly hearing that even professional athletes are having difficulty getting back into shape after having been ill with coronavirus. Members of the US Olympic rowing team said that for many weeks after illness, they constantly felt tired.

Many amateur athletes complain of prolonged breathing problems. Respiratory complications can continue for weeks or even months after infection.

To help people safely return to physical activity after a mild to moderate coronavirus, my colleagues and I have compiled a list of recommendations.

We urge you to be more careful than before, as the virus affects each individual in an unpredictable manner.

Anyone who has suffered a severe coronavirus and was treated in a hospital should definitely consult a doctor before returning to sports. But even if you have had a mild or asymptomatic form of the disease, do not rush to exercise as usual. Move gradually and monitor the state of the body. Here are our top guidelines.

1. Do not exercise if you are still sick

If you have a high fever, cough, chest pain, shortness of breath, or heart palpitations at rest, refrain from exercising. With such symptoms, practicing is not only uncomfortable, but also dangerous.

2. Return to training gradually

Even if you have had a mild coronavirus and have not had breathing problems, do not rush. Wait until you have had symptoms for at least seven days in a row. Then start training at half of your usual intensity and increase it as gradually as possible, step by step.

3. Discontinue if symptoms return

If, after exercising, you develop chest pain, fever, heart palpitations, or difficulty breathing, do not risk your health. Put sports aside and see your doctor.

4. Consult a cardiologist

Be sure to see a cardiologist before returning to sports if you experience chest pains, lack of oxygen, or severe fatigue during your illness. The specialist will schedule the necessary tests to check your heart condition and help determine what level of physical activity is right for you right now.

5. Get tested for coronavirus

If you have had a cold or flu, take a coronavirus test just in case. Only then should you decide how much you can exercise.

And remember: doctors can do tests, but you are the one who has studied your body the best. You know how it usually feels like climbing stairs, running or cycling. Did you begin to exercise harder? Have you noticed any changes in your body? If so, check with your doctor before moving on to intense exercise.

Even if you have not been diagnosed with coronavirus, pay attention to how you feel. For many, the disease is asymptomatic or with general symptoms such as gastrointestinal problems, fatigue, and muscle pain. If during exercise you begin to feel somehow special, not the way you used to, slow down and consult your doctor.