Can physiotherapy help with long COVID fatigue?

Long COVID can cause persistent fatigue and weakness. Physiotherapy can help rebuild stamina and function through safe, gradual movement.

If you’ve been feeling persistently tired, weak, or breathless for weeks — or even months — after recovering from COVID-19, you’re not alone. Many Canadians are experiencing what’s now commonly called long COVID, and one of the most debilitating symptoms is chronic fatigue.

The good news? Physiotherapy can play a crucial role in helping you manage your symptoms, rebuild strength, and gradually regain your quality of life.

What Is Long COVID?

Long COVID, or post-COVID condition, refers to symptoms that persist for more than 12 weeks after a COVID-19 infection, and can’t be explained by another diagnosis.

Common symptoms include:

  • Extreme fatigue
  • Shortness of breath
  • Brain fog or difficulty concentrating
  • Muscle or joint pain
  • Dizziness or heart palpitations
  • Sleep disturbances

These symptoms often worsen after physical or mental activity — a pattern known as post-exertional malaise (PEM).

How Can Physiotherapy Help?

Physiotherapists across Canada — including here in Toronto — are working with patients recovering from long COVID. While there’s no one-size-fits-all fix, physiotherapy offers structured, customized, and evidence-informed care.

1. Pacing and Energy Management

Long COVID fatigue isn’t the same as normal tiredness. Pushing through it can actually make things worse. Physiotherapy focuses on:

  • Pacing – balancing activity with rest to avoid symptom flare-ups
  • Energy conservation – managing daily activities without draining your reserves
  • Activity diaries – identifying patterns that lead to crashes

2. Breathing Retraining

Breathlessness and dysfunctional breathing are common post-COVID. Physios may introduce:

  • Diaphragmatic breathing techniques
  • Postural education to support efficient breathing
  • Pulmonary rehab methods to enhance lung capacity

3. Gentle Exercise & Movement

Once it’s safe to do so, your physiotherapist will guide you through low-intensity, tailored movements to support recovery without overloading your system:

  • Light stretching
  • Mobility exercises
  • Seated movement or gentle walking plans

4. Nervous System Regulation

Long COVID can affect your autonomic nervous system. Physios may introduce:

  • Relaxation and breath work
  • Gentle somatic-based movement
  • Education around stress and body awareness

Is Physiotherapy Safe for Long COVID?

Yes — as long as it’s delivered by a qualified provider and tailored to your current health. At our Toronto clinic, we use symptom-led care that meets you where you are — never pushing beyond what your body can safely handle.

Final Thoughts

Recovering from long COVID fatigue isn’t about bouncing back. It’s about building back — slowly, intentionally, and with support.

Physiotherapy offers a practical and compassionate path forward, helping you understand your body, rebuild safely, and regain control over your daily life.

📍 If you’re in Toronto and dealing with long COVID symptoms, our experienced physiotherapists can help. Book your assessment today — and start feeling like yourself again, one step at a time.

Share: