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Long COVID is not just lingering fatigue. For many people, it rewires how the nervous system processes pain. After the infection clears, the immune and nervous systems can stay stuck in a high alert state. That can show up as burning nerve pain, deep muscle aches, chest wall pain, or widespread sensitivity, even when scans and labs look normal. This is not weakness, anxiety, or deconditioning. It is a biologic change in how pain signals are generated and amplified. When we understand that long C
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