Long COVID Care in Needham, MA
Long COVID rarely fits one label. You might have some features of POTS, some of post-exertional malaise, plus brain fog, dizziness or trouble with your eyes that neither label quite explains. When symptoms don't fit a single box, care built for that box can miss part of the picture.
We start by measuring the whole picture, then build care around what your testing actually shows, working alongside your physicians.
What we often find
In our experience, people with long COVID tend to show a few things together:
Eye movement patterns that point to the brainstem. Eye movements are controlled largely by the brainstem and cerebellum, so recording them in detail, in the dark, gives a window into how those areas are working.
Autonomic dysregulation that doesn't fit one pattern. Responses to standing, breathing and effort can be off in ways that look partly like POTS and partly like something else.
A mix of symptoms across systems: dizziness, brain fog, fatigue and trouble being upright, often all at once.
Why we test broadly
Because long COVID crosses systems, we don't look for one thing. Your first visit includes computerized balance testing, video eye-movement testing, tilt testing with brain blood flow and CO2 monitoring, and a hands-on neurological exam. Read together, they show where to focus.
A normal tilt test doesn't rule out a problem with blood flow to the brain. See what standard POTS testing can miss.
How care works
Your plan follows your results, so two people with long COVID may do very different work:
Eye movement and balance training, targeted to the patterns found in testing
Monitored training on the tilt table or a recumbent bike, with CO2, brain blood flow and symptoms watched throughout, and sessions eased or stopped at the first warning signs, so you aren't pushed into a crash
Breathing work, when over-breathing is part of the picture
Most programs start with frequent, short sessions close together, then taper to check-ins. We repeat the first-day tests at the end so you and your physicians can see what changed.
If your symptoms lean toward one pattern, see POTS and dysautonomia care or ME/CFS and post-exertional malaise care.
Tilt testing with brain blood flow and CO2 monitoring (demonstration).
Questions people ask
Do I need a long COVID diagnosis to come in? No. Many people come with lingering symptoms after an infection that haven't been explained yet.
Will this replace my long COVID clinic or physician? No. We work alongside your physicians and medications and share our findings with them.
Do you take insurance? We're a cash-pay clinic. We give you a superbill you can submit to your insurance for possible reimbursement.
Get started
Pro Performance Care, 464 Hillside Ave, Suite 211, Needham, MA 02494. Call (978) 429-8952 or request a consultation online.