A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT
The development of long-term symptoms from coronavirus disease 2019 (COVID-19) can lead to persistent neurological disorders. In nearly one-third of patients, these symptoms manifest as back pain syndrome and dysfunction of the autonomic nervous system. The occurrence of back pain and the formation...
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Avicenna Tajik State Medical University
2025-07-01
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| Series: | Паёми Сино |
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| Online Access: | https://doi.org/10.25005/2074-0581-2025-27-2-503-513 |
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| author | A.S. YASINSKAYA YU.O. NOVIKOV M.B. TSYKUNOV D.A. KIM A.SH. KHUZHAKHMETOVA |
| author_facet | A.S. YASINSKAYA YU.O. NOVIKOV M.B. TSYKUNOV D.A. KIM A.SH. KHUZHAKHMETOVA |
| author_sort | A.S. YASINSKAYA |
| collection | DOAJ |
| description | The development of long-term symptoms from coronavirus disease 2019 (COVID-19) can lead to persistent neurological disorders. In nearly one-third of patients, these symptoms manifest as back pain syndrome and dysfunction of the autonomic nervous system. The occurrence of back pain and the formation of trigger points in patients who have experienced coronavirus pneumonia are likely due to shared pathogenic mechanisms. These mechanisms may include damage to the musculoskeletal system, the development of fibrotic changes, and disruption of the neurotransmitter system. Case report: a 34-year-old male patient who contracted a new coronavirus infection caused by SARS-CoV-2, resulting in community-acquired polysegmental pneumonia involving 30% of the lung. After 2.5 months, he sought medical help from a neurologist due to complaints of persistent severe back pain, rapid fatigue, an unproductive cough, and malaise following physical exertion. A neurological examination, thermographic imaging, and variouslaboratory and imaging studies were conducted. The diagnosis was post-COVID-19 condition (long COVID), associated with myofascial pain syndrome of the latissimus dorsi, occurring in the setting of degenerative-dystrophic changes in the thoracic spine. This condition included severe pain and myotonic syndrome during the exacerbation period. Additionally, the patient was diagnosed with a disorder of the autonomic nervous system at the suprasegmental level, accompanied by an asthenic syndrome in the decompensation phase.
The patient underwent drug therapy and non-drug treatments, along with a course of psychological sessions. This clinical case exemplifies postCOVID-19 condition (long COVID), associated with myofascial pain syndrome. A personalized approach and multidisciplinary treatment can significantly enhance the quality of life for individuals in this patient group. |
| format | Article |
| id | doaj-art-1e83d7bcf1ca4c4d9dede132fdbdb35b |
| institution | DOAJ |
| issn | 2074-0581 2959-6327 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Avicenna Tajik State Medical University |
| record_format | Article |
| series | Паёми Сино |
| spelling | doaj-art-1e83d7bcf1ca4c4d9dede132fdbdb35b2025-08-20T02:44:27ZengAvicenna Tajik State Medical UniversityПаёми Сино2074-05812959-63272025-07-0127250351310.25005/2074-0581-2025-27-2-503-513A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORTA.S. YASINSKAYA0YU.O. NOVIKOV1M.B. TSYKUNOV2D.A. KIM3A.SH. KHUZHAKHMETOVA4Clinical Hospital of Emergency Medical Care of Ufa, Ufa, Russian FederationClinical Hospital of Emergency Medical Care of Ufa, Ufa, Russian Federation3Pirogov Russian National Research Medical University, Moscow, Russian Federation 4National Medical Research Center of Traumatology and Orthopedics named after N.N. Priorov, Moscow, Russian FederationClinical Hospital of Emergency Medical Care of Ufa, Ufa, Russian FederationClinical Hospital of Emergency Medical Care of Ufa, Ufa, Russian FederationThe development of long-term symptoms from coronavirus disease 2019 (COVID-19) can lead to persistent neurological disorders. In nearly one-third of patients, these symptoms manifest as back pain syndrome and dysfunction of the autonomic nervous system. The occurrence of back pain and the formation of trigger points in patients who have experienced coronavirus pneumonia are likely due to shared pathogenic mechanisms. These mechanisms may include damage to the musculoskeletal system, the development of fibrotic changes, and disruption of the neurotransmitter system. Case report: a 34-year-old male patient who contracted a new coronavirus infection caused by SARS-CoV-2, resulting in community-acquired polysegmental pneumonia involving 30% of the lung. After 2.5 months, he sought medical help from a neurologist due to complaints of persistent severe back pain, rapid fatigue, an unproductive cough, and malaise following physical exertion. A neurological examination, thermographic imaging, and variouslaboratory and imaging studies were conducted. The diagnosis was post-COVID-19 condition (long COVID), associated with myofascial pain syndrome of the latissimus dorsi, occurring in the setting of degenerative-dystrophic changes in the thoracic spine. This condition included severe pain and myotonic syndrome during the exacerbation period. Additionally, the patient was diagnosed with a disorder of the autonomic nervous system at the suprasegmental level, accompanied by an asthenic syndrome in the decompensation phase. The patient underwent drug therapy and non-drug treatments, along with a course of psychological sessions. This clinical case exemplifies postCOVID-19 condition (long COVID), associated with myofascial pain syndrome. A personalized approach and multidisciplinary treatment can significantly enhance the quality of life for individuals in this patient group.https://doi.org/10.25005/2074-0581-2025-27-2-503-513myofascial pain syndromemyofascial trigger pointslow back paincovid-19thermal imagingrehabilitation treatmentcase report |
| spellingShingle | A.S. YASINSKAYA YU.O. NOVIKOV M.B. TSYKUNOV D.A. KIM A.SH. KHUZHAKHMETOVA A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT Паёми Сино myofascial pain syndrome myofascial trigger points low back pain covid-19 thermal imaging rehabilitation treatment case report |
| title | A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT |
| title_full | A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT |
| title_fullStr | A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT |
| title_full_unstemmed | A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT |
| title_short | A MULTIDISCIPLINARY APPROACH TO LONG COVID ASSOCIATED WITH MYOFASCIAL PAIN SYNDROME: A CASE REPORT |
| title_sort | multidisciplinary approach to long covid associated with myofascial pain syndrome a case report |
| topic | myofascial pain syndrome myofascial trigger points low back pain covid-19 thermal imaging rehabilitation treatment case report |
| url | https://doi.org/10.25005/2074-0581-2025-27-2-503-513 |
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