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Insight and Health

Exercise advice for long covid may be doing more harm than good

Exercise has been touted as a tool for managing and treating long covid, but much of the evidence has neglected one of its most debilitating symptoms: post-exertional malaise

By Alexandra Thompson

22 April 2026

A woman uses outdoor gym equipment

Resistance training has been examined as a possible way to relieve covid-19 symptoms

Bailey-Cooper Photography/Alamy

In the hunt for ways to alleviate long covid – a relatively new condition with no cure, experienced by millions of people worldwide after contracting covid-19 – exercise has been a bright spot. It’s drug-free, it costs nothing and a handful of studies have suggested it boosts long covid recovery. But concern is growing that these studies aren’t robust enough to support exercise as a treatment approach, reigniting a decade-long controversy over the use of exercise in addressing other conditions, such as chronic fatigue syndrome.

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