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Blood Clots and COVID-19

Please Note: Footnote Research Articles/Links

The Simple Explanation: COVID effects the lining of all vessels. This, along with the accompanying inflammation, does not allow blood cells to do their job. Oxygen, nutrients, hydration can’t get to tissues/organs/etc.
 
As well, blood thickens.* Combine these factors and a host of fallout can ensue. (*This is why it is essential to stay VERY WELL hydrated if you do have symptoms.) 

The heart works harder to try to get necessary supplies to tissue/organs. Breathing becomes difficult because the supply chain is not completed. 

If you are a COVID-19 survivor, there is a lot to consider.
First and foremost, medical consent is required in order to receive massage. 
  
Only your Doctor can determine if massage is right for you. A lighter, more superficial form of massage, like Swedish, may be recommended.  However, your Doctor may find that, at this time, massage would be contraindicated for your situation. 

Side Note: Whether you use my services or another Massage Therapist, be aware of any unusual muscle aches. Don’t assume massage is the answer. Especially if there were no causative explanations. (Ex: lifting weights/exercise soreness, falling/notable explanations, anything pointedly out of their norm.) 

COVID-19 Safety Training Class Notes:
Massage In A Time of COVID and Massage Mastery Summit: Moving Past COVID-19
Followed by several in-depth reads. 

Coagulopathy
Endothelial damage leads to 
  • Loss of O2-CO2 exchange in lungs and everywhere else
  • Microvascular clotting in skin (petechiae, COVID-toe, other signs) and internal organs
  • Macrovascular clotting (stroke, heart attack, PE, other infarctions)
Heart Damage
  • People with pre-existing CVD at highest risk. Some patients develop new heart problems
  • Viral attack on myocardium, plus immune response and inflammation
  • Hypoxia and thick blood = Extra load on heart function
  • Stress cardiomyopathy, arrhythmia, heart failure
Kidney Damage
  • Viral attack on nephrons, inflammation
  • Tiny infarctions, damage to glomeruli
  • Low tissue perfusion, hypoxia
  • Can require temporary dialysis
  • May cause long-term damage
Liver Damage
Some patients show elevated enzymes that indicate damage
  • Viral attack on hepatocytes
  • Inflammatory response
  • Drug-induced liver injury (DILI)
Many cases clear without treatment 
  • Some require ongoing liver support
Muscle and Joint Pain
Severe, deep, unrelated to physical activity
Several possible factors
  • Chronic fatigue/fibromyalgia-like symptoms
  • Hypoxia, poor perfusion of muscles and joints
  • Tiny emboli
  • Rhabdomyolysis (especially with focal pain) Can lead to kidney damage
CNS Damage
Virus may access the CNS via the olfactory nerve, axonal transport
Viral particles have been found in CSF
Cerebral hypertension, encephalitis
  • Depresses respiratory drive, vicious circle
  • Dizziness, nausea, vomiting, diarrhea, headaches, seizures
  • Agitation, memory loss, poor concentration
Sensory function changes
  • Loss of taste, smell
  • Numbness, paresthesia in extremities
Risk of stroke from coagulopathy

Research Articles/Links

COVID-19-Related Coagulopathy

MASSAGE AND BLOOD CLOTS: WHAT WE KNOW (SO FAR) ABOUT DEEP VEIN THROMBOSIS & COVID-19

Pathologist found blood clots in 'almost every organ' during autopsies on Covid-19 patients 

First Comprehensive Review of COVID-19's Effects Outside the Lung Published