As the research on COVID continues, well get a better understanding of the best ways to treat the different complexities and variations of pain problems. (May 19th, 2021), the clinical manifestations of COVID-19 in feet, in particular, are reviewed, finding that vascular, dermatological, and neurological symptoms have been widely reported. Reducing COVID-19 burden: could Bacille Calmette-Gurin (BCG) vaccines confer protection? That research suggests that "eating small meals throughout the day, and following a low-carb diet, low in refined-grains and sweets could be beneficial, as a complementary approach," says Dr. Cyndya Shibao, a researcher at Vanderbilt University Medical Center. He currently is developing a podcast that will highlight the outstanding research, education and clinical care underway at the School of Medicine. Perhaps. That accounts for the brain fog among POTS patients. COVID-19 Treatment - Special Considerations in Cancer Patients. This is likely due to an inflammatory response affecting the blood vessel walls, blood cells or a combination of both. That way its more likely to accommodate any foot issues, including the bunions and hammertoes that often accompany arthritic joints. It can also cause problems with the digestive system, urinary tract, blood vessels and heart. And months later, in late 2020, a breakthrough: A group of cardiologists at the University of California, San Diego helped lead her to a diagnosis of a mercurial and little-known condition: postural orthostatic tachycardia syndrome, or POTS, a blood circulation disorder. Do not delay or disregard seeking professional medical advice because of something you have read on this website. The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical. "Within a couple of days, I started feeling better," she says. Gout. Weight Loss for Adults with Arthritis. POTS is a type of dysautonomia, which stems from dysfunction in the autonomic nervous system. Warm foot soaks with Epsom salt and your favorite essential oil (peppermint, wintergreen, and ginger are proven pain relievers) can be very soothing for people with arthritis, says Dr. Sutera. Two weeks later, I suffered tingling and numbness in my feet, pain in my legs, and general malaise. Only in 12.5% of those with lesions did the symptom correspond with subsequent respiratory symptoms, suggesting that they are indicative of a good prognosis. WebMD understands that reading individual, real-life experiences can be a helpful resource, but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. Another group of patients developed hematomas as a complication from the blood thinners they were treated with when they had COVID. The research team surveyed patients who were tested for COVID-19 on the Washington University Medical Campus from March 16, 2020, through Jan. 12, 2021. Leg pain is also frequently a sign of injury, such as the following: Muscle strain is a common injury that happens when the muscle fibers tear as a result of overstretching. But now, she's now on long-term disability and has stopped working as a middle school paraeducator, a job she says she loved. In skin of color, COVID toes can cause a purplish discoloration, as the toe circled in red shows. Whats frustrating about long Covid is that you may have had a pretty mild case during your actual infection and its these long-haul symptoms that are so tough to kick. La informacin contenida en el sitio web de CreakyJoints Espaol se proporciona nicamente con fines de informacin general. These inclue: Proper fit is important too, says Dr. Shevokas. Don't be surprised if you've never heard of POTS. It has all come post covid. The International Journal of Neuroscience. Is that the major sign of reactive arthritis? What about the high interleukin 6? We call it reactive arthritis, and it takes time to heal. The natural thinning of your bodys natural shock-absorbing cushion can add insult to injury. Demandez toujours l'avis d'un mdecin ou d'un autre professionnel de la sant qualifi pour toute question que vous pourriez avoir concernant une condition mdicale. yes i use to drop into a split for the bag. By clicking "Allow All" you agree to the storing of cookies on your device to enhance site navigation, Adding to a growing body of evidence that, for many, problems related to COVID-19 linger longer than the initial infection, researchers at Washington University School of Medicine in St. Louis have found that some people infected during the pandemics early months experienced symptoms of peripheral neuropathy pain, tingling and numbness in the hands and feet during and following their bouts with the virus. (2021, June 06). But this has begun to change as researchers "have shown that there is real biology behind POTS," Taub says. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. https://www.news-medical.net/news/20210606/COVID-19-symptoms-in-the-feet.aspx. POTS predates the pandemic. These symptoms tend not to be life-threatening in and of themselves, but they are often severe enough to affect your overall quality of life. All rights reserved. Foot Health Facts. COVID-19 seems to have the potential to cause pain in a variety of ways, including damage to peripheral nerves causing neuropathy-like symptoms, by affecting pain pathways inside the brain,. This is the first known publication tosummarize how these advanced imaging techniques can help physicians identify and treat nerve damage in COVID-19 patients. About the same time she developed another strange symptom that offered a clue to her condition. It's been known among POTS patients that eating high-carb meals can make you feel worse, says Stiles of Dysautonomia International. The psychological symptoms associated with long-haul COVID also play a role. Grant numbers UL1 TR000448 and P30 CA091842, an NCI Cancer Center Support Grant awarded to the Siteman Comprehensive Cancer Center. He said this finding strengthens the possibility that the virus may be involved in causing symptoms of peripheral neuropathy. Reddish purple nodes have often been observed in young adults and children with COVID-19, and dermatological complications have been found to be more common and serious in diabetic patients. In POTS patients, the nerve that regulates blood flow isn't working, Chung says, and not enough blood circulates to the brain. However, others have argued that the heterogeneity observed amongst patients and across different areas of the body indicates a common cause. CRP was 1.1 mg/L, and ESR was 2 mm/hr. Another long Covid symptom that is starting to present in more patients is muscle pain, which, like all long Covid symptoms, can be caused by several different mechanisms. hide caption. He said the same may be true now for patients with symptoms of neuropathy following COVID-19. If imaging reveals nerve damage from a hematoma, blood thinner medications would have to be adjusted immediately and the patient may even have to see a surgeon. The PT regimen emphasizes floor exercises and strength training to avoid sudden positional changes that may exacerbate her symptoms. Lets say you have numbness in your fingers. Ultrasound also can be performed on patients who are unable to tolerate MR imaging. 2021. Through review of the literature the group concludes that 66.7% of these skin lesions are located on the torso, with 19.4% presenting on the hands and feet. pain or pressure that spreads to your arm (right or left) sweating for no obvious reason sensation of an irregular heartbeat exhaustion that comes on easily Kidney disease frequent need to. What are the trends in severe outcomes among patients hospitalized with COVID-19 during the first 2 years of the COVID-19 pandemic? Jim has a bachelor's degree in English literature from the University of Missouri-St. Louis. Frequently patients come in wearing a shoe thats too narrow in the toe box and often a size too small.. 3. chilblain-like symptoms, commonly called 'COVID toes'. Consequently, many people went undiagnosed with neuropathy and untreated for the pain associated with the problem.. We may earn commission from links on this page, but we only recommend products we back. Consider consulting a podiatrist or a specialty shoe store on proper sizing and to determine if you may benefit from an orthotic for additional arch support or to change the mechanics of your foot so you experience less discomfort. Yes, even if the markers are low, they can still be active. How to get rid of post-COVID symptoms in a 78-year-old patient? My level is rather elevated. Digestive symptoms sometimes develop before a fever and respiratory symptoms. I am surprised that they advised it because we do not usually screen for it. By continuing to browse this site you agree to our use of cookies. A leading theory for why COVID-19 long-haulers develop the syndrome is that "the antibodies produced after COVID may attack the autonomic nervous system," says Taub, the UC San Diego cardiologist. Listen to your body if you start to experience pain, you want to back off. Here are some good daily stretches and exercises for arthritis foot pain. Login to comment on posts, connect with other members, access special offers and view exclusive content. (Carpel Tunnel Syndrome is an example of a nerve entrapment disorder). It is difficult to predict who may get paresthesia following COVID. cause paresthesia accompanied by pain. FDA Approved Bivalent Boosters for High-Risk COVID-19 Patients, Poor Sleep May Make Vaccines Less Effective Heres How to Get More As a Rheumatoid Arthritis Patient, FDA Considers Approval of RSV Vaccines for Older Adults, How My Dog Helps Me Thrive with Rheumatoid Arthritis. Given that POTS is a syndrome with a range of symptoms, Stanford's Miglis says he chooses medications that are tailored to each patient. Walking on hard, manmade surfaces like tile and cement, as we often do in our daily lives, is especially hard on your joints. After a POTS diagnosis, there are a few treatment routes. Photo Editing by Steve Kelly; Ildar Imashev/Getty Images In a recently. Because the study was conducted at a single center, Haroutounian said more research will be needed to replicate the findings. It will definitely settle down. Like many of my own patients, you may be interested in doing more to treat to pain than just relying on medications, but you arent sure where to start. "I definitely felt a sense of relief," she says, "somehow we could explain what was going on." Sore throat. Michael graduated from Manchester Metropolitan University with a B.Sc. Though there can be benefits to occasionally going barefoot (some health care providers recommend it for building foot strength), its considered a definite dont for people with arthritis. The best treatment is exercise. Consider getting a gel mat for your kitchen, standing desk, or any other place where you tend to stand in one place a lot, suggests Dr. Sutera. Minhas, with her 8-month-old puppy Murphy, says she felt relief after getting diagnosed with POTS, a blood circulation disorder, and her health is improving slowly with treatment. This was continued for another two to three weeks with pain in the buttocks while sitting and hip pain at night. American College of Foot and Ankle Surgeons.https://www.foothealthfacts.org/conditions/osteoarthritis-of-the-foot-and-ankle. Tendonitis Another diagnostic test is a cutaneous nerve biopsy to look at the small fiber nerve in the skin which makes up the autonomic nervous system to look for nerve damage. Many never develop other, more common symptoms of COVID-19, such as a dry cough, fever, and muscle aches. This work is supported by the National Cancer Institute, and the National Center for Advancing Translational Sciences of the National Institutes of Health (NIH). Yes, but the findings are chronic. Important: The opinions expressed in WebMD Blogs are solely those of the User, who may or may not have medical or scientific training. Another recommended treatment for POTS patients is to drink lots of fluids. And we know that patients who spend a prolonged period of time immobilized or on a ventilator are likely to develop muscle atrophy, weakness, and neurologic problems, all of which can lead to persistent pain challenges. If youre generally healthy and thought .css-16acfp5{-webkit-text-decoration:underline;text-decoration:underline;text-decoration-thickness:0.125rem;text-decoration-color:#d2232e;text-underline-offset:0.25rem;color:inherit;-webkit-transition:all 0.3s ease-in-out;transition:all 0.3s ease-in-out;}.css-16acfp5:hover{color:#000;text-decoration-color:border-link-body-hover;background-color:yellow;-webkit-transition:all 0.3s ease-in-out;transition:all 0.3s ease-in-out;}coming down with Covid-19 and recovering after several days was all you need to worry about, as the pandemic rages on, think again. The drug has helped Minhas, the nurse in San Diego, although she pays for it out of pocket because her insurance company denied coverage. Importantly, almost three-quarters of those with lesions presented this symptom in the seven days prior to positive a COVID-19 test and only 6% in the week following, with the lesions taking on average around ten days to heal. These include difficulty getting through normal activities . Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Before the pandemic, the average age of those suffering from Guillain-Barr Syndrome was 40, and individuals with COVID-19 that have developed this syndrome exhibit more severe manifestations. Wear-and-tear osteoarthritis (OA), the most common type of arthritis, also commonly affects the feet pain and stiffness in the big toe are often the first symptoms, though OA can also affect the midfoot and the ankle, says the American College of Foot and Ankle Surgeons. The upshot: People with arthritis can feel like theyre walking on skin and bone, says Dr. Sutera. Alternating between a variety of shoes helps you avoid repetitive stress injuries, she says. I think the active sacroiliac inflammation will go down and disappear. She spends much of the day in bed or on the sofa, because the fatigue, headaches and lightheadedness have been so intense. In this episode of omg OMx, Bruker's science-driven podcast, Kate Stumpo interviews Daniel Hornburg, the VP of Proteomics at Seer, as they discuss the innovative technologies in plasma proteomics. In some cases, leg pain can be treated at home with lifestyle changes . Odozor CU, Kannampallil T, Abdallah AB, Roles K, Burk C, Warner BC, Alaverdyan H, Clifford DB, Piccirillo JF, Haroutounian S. Post-acute sensory neurological sequelae in patients with SARS-CoV-2 infection: an observational cohort study. +91-99-432-70000+1 (844) 432-0202 (Toll free for US & Canada). Understanding the Role of Epigenetics in Cancer, Understanding Chronic Cough: Causes, Symptoms, and Diagnosis, Circumcised vs. Uncircumcised; Differences in the Penile Microbiome, The serious infectious threat response initiative service was essential for the efficient management of COVID-19, Unraveling Nature's Complexity with Molecular Imaging, Opening doors for broader participation in oral microbiome studies: the stability and comparability of ethanol-free mouthwash. The findings are reported online March 24 in the journal Pain. A new Northwestern Medicine study shows how advanced imaging technology can pinpoint what may have caused patients' nerve damage and help determine the . Greenwood, Michael. What is known, though, is that there is a backlog of patients waiting to be seen, Chung says. Erythema pernio, known as chilblains, have been frequently reported in younger individuals with mild COVID-19 to the extent that they have earned the moniker COVID toes. However, the reason behind their development is not yet apparent. Regular physical activity also strengthens the muscles around affected joints, so theyre better able to support them. The National Institutes of Health recently announced a $1.15 billion investment to study long-haul COVID-19. Some neurological symptoms in the lower limbs and feet have also been noted amongst COVID-19 patients, with Guillain-Barr Syndrome occurring in those aged over 60 in particular. pain that typically starts in the lower back and radiates into the legs, arms, or torso changes in sensation, such as feelings of pins and needles, burning, or numbness problems with bowel and. Is it right to say you believe that issues with my SI joint and knees will slowly go away with the NSAIDs over a period of time, and the spine changes are likely to be inactive? "I was able to stand up without feeling a racing heart. She practiced yoga four to five times a week and ran 15 to 20 miles a week. Experts say a small slice of people with long-haul COVID-19 have symptoms of dysautonomia, though its prevalence is unknown. tingling and pain in their feet with no known cause has been increasing over the last two decades . In addition to Runner's World, she has contributed health, fitness and wellness content to Women's Health, SELF, Prevention, Healthline, and the Houston Chronicle, among other publications. 4 in research funding from the National Institutes of Health (NIH). He is the medical director and co-founder of the renowned Bay Area Pain and Wellness Center and the author of Conquer Your Chronic Pain: A Life-Changing Drug-Free Approach for Relief, Recovery, and Restoration andTake Charge of Your Chronic Pain: The Latest Research, Cutting-Edge Tools, and Alternative Treatments for Feeling Better. It can happen after six weeks, but NSAIDS (non-steroidal antiinflammatory drugs) will take care of it. How is paresthesia diagnosed? COVID-19's association with lower extremity arterial thrombosis is likely related to a combination of factors, Dr. Goldman said, including an increased tendency of the blood to clot, damage to the . As for Minhas, she says pinning down a diagnosis has made her more optimistic. POTS has overlapping features with chronic fatigue syndrome, including fatigue and brain fog, and experts who treat it say POTS has had some of the same challenges as CFS in gaining recognition. https://www.mdpi.com/2077-0383/10/10/2201/htm, The prevalence and factors contributing to presenteeism with COVID-19, COVID-19 diagnosis among pregnant and postpartum individuals showed distinct patterns by rurality of residence and select pregnancy conditions, An overview of mothers lived pregnancy experiences during the COVID-19 pandemic, Vaccine component BNT162b4 enhances T-cell immunity against SARS-CoV-2 variants for reduced COVID-19 disease severity. This physical stress to your joints is aggravating, and for people with arthritis who are already prone to irritated and inflamed joints the effects can be devastating. For COVID-19 patients and survivors with neuromuscular complications or long-hauler symptoms, imaging can help reveal the problem and guide further treatment. Hearst Magazine Media, Inc. All Rights Reserved. A new Northwestern Medicine study shows how advanced imaging technology can pinpoint what may have caused patients nerve damage and help determine the best course of treatment. Even as the research continues, we still need to find more immediate ways to help those struggling to recover so they can move on with their lives. Try picking up a towel with your toes or using them to write the alphabet. A normal heartbeat for an adult ranges between 60 and 100 beats per minute. swollen hands or feet; swollen lymph nodes; If your child has any of these symptoms, call your doctor. The virus caused a cascade of events causing massive inflammation. The same goes for beta blockers, another class of drugs that also lowers heart rate, he says. These are collectively called post-COVID syndrome. Because of those existing health problems, many who tested negative already experienced chronic pain and neuropathy unrelated to COVID-19, he said. The imaging described in the paper includes ultra-high-resolution ultrasound and MR neurography (MRI of peripheral nerves, which impact the arms and legs). The study was published December 1 in the journal Radiology. You are not just saying all this to be kind? The COVID-19 pandemic has caused wide-reaching changes, including the temporary closure of some schools, as well as gyms, salons, bars, restaurants and other businesses. And when people walk, they may feel an uncomfortable tightness in the legs. Emilia Benton is a Houston-based freelance writer and editor. With a blood clot, "the pain often starts in your calf and can feel like cramping or soreness," says the Mayo Clinic.. Walking even in short sessions, like a 10-minute walk around your neighborhood is a simple way to sneak in activity, especially if youre not going to the gym because of COVID-19. Yikes, right? Yes, do not worry. https://www.footcaremd.org/conditions-treatments/midfoot/rheumatoid-arthritis-of-the-foot-and-ankle. In the months after she first got sick with COVID-19 in March 2020, Jennifer Minhas developed a cluster of mysterious symptoms. https://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Gout. Diabetic neuropathy most often damages nerves in the legs and feet. The BCG vaccine does not decrease the risk of COVID-19 in healthcare workers. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. For months, she and her doctors struggled to understand what was behind her fatigue and rapid heartbeat, among other symptoms. Much like tire alignment affects a car, over time, walking around barefoot can change your gait and lead to problems up the chain. Rheumatoid Arthritis of the Foot and Ankle. I am worried IL-6 is already damaging my joints, especially with this knee pain. It can be hard to push yourself to exercise when youre dealing with ongoing joint pain, but motion is lotion, as the saying goes. POTS often comes on suddenly following viral infection, though there are also other triggers, such as a concussion, for instance. Chung at Johns Hopkins agrees that the onset of POTS following COVID-19 is likely "autoimmune" in nature. Muscle soreness and achy joints are common symptoms among COVID-19 patients. on this website is designed to support, not to replace the relationship All patients in the study had tested positive for COVID-19. "COVID-19 symptoms in the feet". So you still believe in reactive arthritis? #1 SELLING EDGE CONTROL (@vibrantbeautycollection) on Instagram: "2011-15 i was a salon assistant and a dancer. From nanoparticle-based enrichment to mass spec refinements, they explore how these tools facilitate unbiased, deep, and rapid proteomics. Pain specialists use the same types of medications to treat peripheral neuropathy, whether its caused by diabetes or HIV or the cause is unclear. Interview with Adam Bitterman, DO, an orthopedic surgeon and foot and ankle specialist at Hofstra/Northwell in Hempstead, New York, Interview with Amy Shevokas, DC, a chiropractor at Crosstown Chiropractic in Chicago, Interview with Jackie Sutera, DPM, a podiatric surgeon with practices in New York City and Emerson, New Jersey, Interview with Vinicius Domigues, MD, a rheumatologist in Daytona Beach, Florida. Theycan help localize where a patients problem is, show the severity of nerve damage, how many nerves are affected and if the nerve damage also has impacted the muscles. The way in which severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) manifests clinically is under heavy investigation at the pulmonary and cardiac levels, with the virus significantly dysregulating various processes in these vital organs. American Orthopaedic Foot & Ankle Society. Recently, skin lesions have been described amongst COVID-19 patients, possibly being an indicator of mild infection amongst those previously thought asymptomatic, and additionally may be an. By continuing, you agree to our terms of use and privacy policy. For instance, our feet naturally pronate (roll inward) when we walk. It is thought that the immune response generated against SARS-CoV-2 can result in significant vascular alterations by activation of clotting pathways and endothelial dysfunction, usually affecting the extremities more severely. NIH Director Francis Collins says the goal is to "identify the causes of long COVID, to develop ways of treating individuals who don't fully recover, and, ultimately, to prevent the disorder.". It often occurs in the . "Normally I'm very active. A good rule of thumb is to make sure the shoe shape matches your foot shape. According to Dr. Gumrukcu, the most common symptoms of long COVID are fatigue, brain fog and memory issues, headaches, shortness of breath, chest pain, and cough. Exacerbated multisystem inflammatory syndrome and edema in the lower limbs and feet are also seen in infants. According to the Zoe COVID Study App, the most common symptoms of the Omicron variant are runny nose, headache, fatigue, sneezing, and sore throat. Takeaway. Once their exercise tolerance improves, "they no longer need to rely on the drug," she says. Yet doctors could not explain what was wrong. "It's slow going," Carlton says. These symptoms can go away after the active infection and come back after a couple of weeks, or they may start with the infection, explains Serhat Gumrukcu, M.D., an infectious disease expert, research scientist and executive director at Seraph Research Institute in Toluca Lake, Calif. We call it long Covid because these symptoms dont go away for over a month and they can even last several months.. So it could still be reactive arthritis that will subside with time? It is just a marker of inflammation and will go down eventually. Even worse, walking barefoot is also likely to exacerbate foot problems that people with arthritis are more likely to develop. Absolute numbers of long-haulers aren't known, but a recent survey in the U.K. found about 13% of people who had COVID-19 continued to have symptoms three months after their initial infection. These symptoms all came quickly after what seemed like a mild covid infection. We found that nearly 30% of patients who tested positive for COVID-19 also reported symptoms at the time of their diagnosis, and that for 6% to 7% of them, the symptoms persisted for at least two weeks, and up to three months, suggesting this virus may have lingering effects on peripheral nerves.. The two most common symptoms reported in long COVID are fatigue and pain. COVID-19 symptoms in the feet. I had read achilles issues can be associated with AS, which fed my worry a bit. The viral infection can cause cell damage in the lungs or other organs, and it can also cause blood cells to clump and form clots that would impair the blood circulation to any organ that the clots go, explains Dr. Gumrukcu. Other Northwestern study authors include Dr. Colin K. Franz , Dr. Jason H. Ko, Dr. James M. Walter and Dr. Igor J. Koralnik from the departments of physical medicine and rehabilitation, neurology, plastic and reconstructive surgery, and pulmonary and critical care, respectively. Advanced imaging can diagnose nerve/muscle injuries and guide treatment decisions, December 1, 2020 When it comes to choosing a house shoe, Dr. Bitterman says to look for a good supportive sole with appropriate cushioning inside the shoe. Another [cause] is the extended activation of the immune system against the virus sometimes the immune activation doesnt stop, which leads to various auto-immune disorders.. But in many cases, POTS is a chronic condition, says Dr. Mitch Miglis, an autonomic disorder specialist at Stanford University, and patients require ongoing care. Initial reports indicate that one of the consequences of even milder COVID-19 infections can include persistent pain, including painful joints or muscles, splitting headaches, and chest pain. One factor behind the increase in COVID-19-related foot problems is that many people have been going barefoot or wearing socks at home for extended periods of time. Working from home and spending more time at home and being close to the fridge has caused many people to pack on the quarantine 15.. Meta-analysis shows phytosterol-fortified foods effectively lower LDL cholesterol levels. Some of the medications used to treat critically ill COVID-19 may further exacerbate some of these problems. It was first named in the 1990s, though it existed unrecognized long before, experts say. In addition, she continued to feel a tightness in her chest, and the brain fog was so intense at times, she says, she couldn't remember a four-digit code for her phone. 660 S. Euclid Ave., St. Louis, MO 63110-1010. For many people, there is also a good chance youll end up with long Covid, which is a wide spectrum of lasting symptoms that people experience after three to four weeks after their initial infection, even if they're technically already recovered and are now testing negative. Is still playing football at 63 regularly great? According to Dr. Gumrukcu, if youre still experiencing any symptoms after the fourth week since you tested positive for a Covid-19 infection, you should seek medical help to address long Covid symptoms. I have to wonder if there are physicians out there who are seeing these otherwise young, healthy patients, and they dont know exactly whats wrong and theyre thinking, What am I supposed to do for patients with post-COVID pain and weakness? Deshmukh said. Field T, et al. Thats where the long haul Covid clinics you may have heard about come into play often, these patients will require physical therapy with an experienced physical medicine and rehabilitation team.
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pain in legs and feet after covid