Long COVID with Parosmia and Exertional Malaise: A case report

A 66-year-old retired military officer suffered symptoms of long COVID including dizziness, exercise intolerance, olfactory deficits, and ‘pins and needles’ paresthesia. Exercise tolerance as measured by steps per day progressed from 3,000 steps per day at presentation to 5,000 by the time of this report. Reported sense of smell was almost normal by the end of the study, and episodes of parosmia had become infrequent. These significant improvements were noted after less than three months of chiropractic care (16 visits). Care included Chiropractic Adjustments and instruction in cervical post-isometric relaxation and oropharyngeal exercises. Possible complications include the side-effects of Paxlovid™, emotional distress related to his father’s illness and subsequent death, and possible reactivation of obstructive sleep apnea.