Post-COVID Syndrome

About Post-COVID Syndrome

Post-COVID Syndrome is a condition where individuals who contracted SARS-CoV-2, the virus that causes COVID-19, experience ongoing symptoms lasting beyond four weeks. Recurrent and new symptoms persist, preventing the patient from restoring their pre-infection state of health. Anyone affected with the virus can develop Post-COVID Syndrome, regardless of age or severity of infection. New non-invasive therapies offer a promising drug-free remedy for treating patients with Post-COVID Syndrome.

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Dr. Lev Kalika
Dr. Lev Kalika

Clinical director & DC RMSK

About Dr. Lev Kalika, NYDNRehab
Clinical Director

For over 15 years, Dr. Kalika has been on the cutting edge of new technologies for treating a broad range of health conditions. By leveraging the latest technologies and innovative treatment methods, Dr. Kalika has been a world leader in changing the way medical conditions are diagnosed and treated.

From incorporating the highest resolution diagnostic ultrasonography to making significant contributions to research on ultrasound guided dry needling, Dr. Kalika is a frontrunner in the field of rehabilitative medicine. His NYC clinic provides patients with a broad range of state-of-the-art treatment options, rarely found in private chiropractic or physical therapy clinics.

Dr. Kalika is trained and certified in musculoskeletal ultrasonography, dry needling, extracorporeal shock wave therapy, extracorporeal magnetic transduction therapy and a plethora of other innovative and non-invasive treatment approaches.

As a resident New Yorker, Dr. Kalika has introduced new services for treating long-term symptoms of the coronavirus that has ravaged his city, offering new hope for long-term COVID sufferers.

Why Post-COVID Therapy at NYDNRehab is Superior to Other Treatment Options

The coronavirus took the world by surprise, spreading quickly and without discrimination. The severity of the virus is greatest in vulnerable populations with pre-existing conditions and those of advanced age.

Because of its unique characteristics, the medical community is still scrambling to find the best ways to treat SARS-CoV-2 and stop its spread. Multiple pharmaceutical solutions have tried and failed to improve the health of COVID victims.

At NYDNRehab, we take an alternative holistic approach to treating patients with Post-COVID syndrome. Our non-invasive drug-free therapies are backed by peer reviewed research and clinical trials, with a track record of success.

Where pharmaceuticals have failed to successfully treat Post-COVID Syndrome, our unique non-invasive therapies have provided relief and restored the health of patients with persistent coronavirus symptoms.

Why Post-COVID Therapy at NYDNRehab is Superior to Other Treatment Options

Post-COVID Syndrome Symptoms
and Risk Factors

There is a broad range of symptoms reported by long-term coronavirus patients, some due to the virus, and others arising as side effects from various treatments. In addition to respiratory symptoms, post-COVID patients are presenting with evidence of damage to vital organs.

Among the most commonly reported symptoms are:

  • Persistent cough

  • Dyspnea (shortness of breath)

  • Chronic fatigue

  • Intensified symptoms 12-24 hours after physical exertion

  • Difficulty concentrating

  • Heart palpitations

  • Myocarditis

  • Blood clots

  • Achy muscles and joints

  • Headaches

  • Tingling and numbness in extremities

  • Digestive issues

  • Depression and anxiety

  • Reduced mobility

  • Impaired sense of taste and smell

  • Irregular menstrual symptoms

  • Stillbirth and miscarriage

  • Erectile dysfunction

  • Endothelial cell dysfunction

  • Difficulty sleeping


In most cases, coronavirus symptoms are mild to moderate, much like a winter cold, and risk of hospitalization and death is a fraction of one percent in healthy people.

While the elderly, the obese and people with metabolic disease and other pre-existing conditions are at higher risk of contracting, being hospitalized and dying from SARS-CoV-2, long-term symptoms can arise in anyone who was previously infected, regardless of age, health status or severity of infection. Symptoms often appear long after a patient tests negative for the virus, post-recovery.

Diagnosing Post-COVID Syndrome

No test currently exists to accurately diagnose Post-COVID Syndrome. Patient history of coronavirus infection and reported symptoms are the primary indicators of Post-COVID Syndrome.

At NYDNRehab, we use the highest resolution diagnostic ultrasonography to view damaged organs and vessels. Our research-grade equipment gives us capabilities for superior microvascular imaging, to assess the impact of Post-COVID Syndrome on vascular endothelium and blood clotting, and to monitor patient response to treatment.

Ultrasound is also effective for examining lung tissue. Coronavirus disease is caused by severe acute respiratory syndrome, affecting the lungs and airway. In some patients with persistent long-term symptoms, fibrosis and residual abnormalities may be present in lung tissue. Ultrasound gives us a simple non-invasive tool with no side effects for detecting abnormalities and monitoring progress.

Diagnosing Pain in the Shoulder Blade
Best Post COVID Treatment Options

Best Post COVID Treatment

In addition to helping our patients improve their respiratory function with physical therapy breathing techniques, we are experts in extracorporeal shockwave therapy (ESWT).

Research has shown ESWT to provide fast and effective results in dramatically reducing respiratory symptoms in Post-COVID patients, with complete reversal of symptoms in as little as four days. ESWT treatment quickly relieved pain and restored normal breathing in research test subjects, improving patients’ overall quality of life.

Another respiratory therapy we use is the Super Inductive System, a cutting-edge technology based on high-intensity electromagnetic fields. The treatment induces intense but gentle contractions of the respiratory muscles, including the diaphragm and intercostal muscles. It also enhances blood circulation throughout the thoracic region.

Preventing COVID-19

While most people were unaware of the impending spread of the coronavirus until February or March of 2020, we now know that outbreaks occurred in the United States as early as November 2019. In addition, evidence is nearly irrefutable that Sars COV-19 was engineered and released from a laboratory in Wuhan, China, generously supported by funding by the US National Institutes of Health (NIH).

Despite widespread efforts to stop transmission of the disease by mask-wearing, social distancing and experimental mRNA therapy, the risk of spreading and contracting the coronavirus and being hospitalized persists, especially for high-risk populations.

There are many proactive measures you can take to reduce the risk and severity of COVID-19

  • Get regular exercise to optimize your cardiovascular health and manage your weight. Obesity and associated metabolic disorders are among the greatest risk factors for contracting and being hospitalized for coronavirus.

  • Support your immune system with Vitamins C and D, zinc, magnesium, NAC, quercetin and glutathione supplements.

  • Steer clear of sugars, grains and processed foods, and switch to an organic whole-foods diet.

  • Manage stress through meditation, yoga, exercise and hobbies that help you relax, and get plenty of sleep. Chronic stress undermines your immune function and causes systemic inflammation, a key risk factor for COVID.

There are many proactive measures you can take to reduce the risk and severity of COVID-19

At the end of the day, your health is in your hands. Medications are designed to treat symptoms, but they rarely promote recovery from disease, and their side effects can sometimes be worse than the condition they were used for.

At NYDNRehab, we leverage all the technological tools at our disposal to help our patients obtain optimal health and restore pain-free function. Whether you are a COVID long-hauler with persistent symptoms, or you contracted the virus despite taking every available precaution, post-COVID therapy can put you on the road to full recovery, so you can get back to healthy symptom-free living.

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    In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

    Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

    The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

    Dynamic ultrasonography examination demonstrating
    the full thickness tear and already occurring muscle atrophy
    due to misdiagnosis and not referring the patient
    to proper diagnostic workup

    Demonstration of how very small muscle defect is made and revealed
    to be a complete tear with muscle contraction
    under diagnostic sonography (not possible with MRI)


    Complete tear of rectus femoris
    with large hematoma (blood)


    Separation of muscle ends due to tear elicited
    on dynamic sonography examination

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