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A Study of Musculoskeletal Manifestations Among Post COVID Patients at a Tertiary Care Centre

Umesh Yadav, Chandra M Yadav, Harsh Jain, Priya Antil, Aditya Seth, Radhika Devgun, Ajay Sheoran, Ashish Devgun.




Abstract
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Introduction: Besides other multisystemic symptoms, musculoskeletal symptoms are quite common in patients with COVID-19. Post covid, there has been a rapid rise in diffuse complaints of myalgia and joint pain. This study calculated the prevalence of musculoskeletal symptoms in post-COVID-19 cases.
Material and Methods: This was a cross-sectional single-centre study at Pt. B. D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana. Patients aged more than 18 years who were diagnosed with COVID-19 without any previous history of musculoskeletal manifestations and a minimum of 21 days of negative RT-PCR report were included in the study.
Results: 249 patients with a history of Covid 19 participated in the study and presented with musculoskeletal manifestations. Lower back pain (37.3%) was the most common symptom in patients with post-covid musculoskeletal symptoms, followed by shortness of breath (34.1%), arthralgia (33.7%), myalgia (31.4%), upper back pain (26.5%) and only a few patients with post-covid reactive arthritis (1.2%). Almost all the study subjects reported fatigue.
Conclusion: Generalised fatigue and diffuse muscle and joint pain are frequently seen in post-COVID patients, which amounts to a huge patient load presenting to Orthopaedic clinics.

Key words: Covid19, Myalgia, Musculoskeletal, Arthralgia






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