Your immune system was designed to protect you—to mount a fierce defense, then stand down. But sometimes, long after the invader has gone, your body remains at war with itself. The fever breaks, the acute symptoms fade, yet you're left in a twilight state where recovery refuses to arrive.
You might have fought COVID-19 months ago, yet still wake each day to a body that feels poisoned by its own existence. Perhaps Epstein-Barr left you with decades of crushing fatigue. Maybe a flu that others recovered from in a week has stolen years of your life.
We recognise what others refuse to see: post-exertional malaise isn't laziness but a measurable energy crisis at the cellular level. Your inability to tolerate simple activities—a shower, a conversation, a walk to the mailbox—represents genuine metabolic dysfunction, not deconditioning. When you say you feel like you have the flu every day, you're describing literal inflammatory processes.
These aren't psychological symptoms—they're the signature of a body whose fundamental energy production and immune regulation have been profoundly disrupted.
This pathway recognises that post-viral syndromes exist at the intersection of immunology, neurology, and cellular metabolism. The infectious disease specialist who declares you "recovered" based on negative acute markers hasn't understood your cellular exhaustion. The psychiatrist who suggests antidepressants for your fatigue hasn't seen your abnormal exercise tests.
We understand that your illness is as real as the infection that triggered it—and requires equally real, comprehensive treatment.
Captures viral history and onset patterns, post-exertional malaise documentation, multi-system symptom inventory, and functional impact assessment to map the full constellation of post-viral symptoms that distinguish cellular exhaustion from deconditioning.
Your specialist care coordinator conducts thorough assessment including comprehensive story collection with detailed viral timeline and functional capacity mapping, clinical measurements with active stand test and post-exertional response evaluation, autonomic symptom documentation, sleep and cognitive assessment, and integration planning for targeted medical investigations.
Systematic evaluation includes hormonal and metabolic assessment with comprehensive endocrine evaluation and advanced nutrient analysis, immune system investigation with inflammatory marker patterns and autoimmune screening, and testing for mast cell activation syndrome and connective tissue disorders when indicated.
If indicated, ambulatory assessment includes 24-48 hour Holter monitoring with heart rate variability analysis and activity correlation mapping, ambulatory blood pressure assessment with orthostatic response documentation and circadian pattern analysis, and advanced autonomic testing with COMPASS-31 correlation and cognitive-cardiovascular correlation.
Whether confirming ME/CFS, documenting Long COVID, or identifying chronic viral reactivation, you receive formal diagnostic documentation meeting IOM/WHO criteria, pathophysiology explanation, functional impact assessment, provider coordination letters, condition-specific education, pacing and energy management protocols, and treatment pathway recommendations.
Post-viral conditions demand more than conventional medicine alone—they require a comprehensive approach that addresses the complex interplay between immune dysfunction, cellular metabolism, and systemic inflammation. Our integrative practitioners combine evidence-based pharmaceutical interventions with nutritional medicine, targeted supplementation, and lifestyle modifications to address the root causes perpetuating your post-viral state. We explore advanced nutrient therapies, mitochondrial support protocols, and immune-modulating treatments that help restore the cellular energy production and immune regulation that infection has disrupted.
Post-viral syndromes often reveal underlying connective tissue vulnerabilities that were previously compensated for but are now overwhelmed by immune dysfunction. Our physiotherapists understand how viral infections can unmask or worsen joint hypermobility, creating new patterns of instability and pain. Through targeted manual therapy, breathing retraining, and carefully graded movement progression, we help restore the physical foundation that supports recovery while respecting both your post-exertional malaise limits and any underlying connective tissue variations.
When post-viral illness transforms basic activities into insurmountable challenges, occupational therapy becomes essential for reclaiming function within your new reality. Our OTs specialise in energy conservation techniques, pacing strategies, and adaptive approaches that help you navigate daily life while respecting post-exertional malaise. We focus on practical solutions for cognitive dysfunction, sensory sensitivities, and the profound fatigue that makes routine tasks feel overwhelming—helping you maintain independence and purpose while your body heals.
Exercise in post-viral conditions isn't about fitness—it's about carefully calibrated movement that supports rather than destabilises your recovering system. Our exercise physiologists understand that traditional exercise advice often worsens post-viral fatigue and develop highly individualised programs that respect your post-exertional malaise thresholds. Using heart rate variability monitoring and detailed symptom tracking, we create movement prescriptions that gradually rebuild capacity without triggering crashes, recognising that your exercise tolerance may fluctuate unpredictably.
Post-viral gut dysfunction affects far more than digestion—it impacts immune regulation, neurotransmitter production, and the absorption of nutrients essential for cellular recovery. Our dietitians understand how viral infections disrupt the gut-brain-immune axis and develop personalised nutrition protocols to restore microbiome balance and reduce systemic inflammation. We address common post-viral complications like gastroparesis, food sensitivities, and MCAS reactions while ensuring optimal nutrition to support your body's healing processes.
The cardiovascular instability that often follows viral infections requires specialised intervention beyond increasing salt and fluid intake. Our team provides comprehensive orthostatic intolerance support including targeted pharmacological interventions, compression therapy guidance, and lifestyle modifications that help your autonomic nervous system regain stability. We develop personalised protocols for managing blood pooling, heart rate abnormalities, and the debilitating fatigue that accompanies dysautonomic symptoms.
Post-viral conditions often involve disrupted communication between your brain and body, with the vagus nerve serving as a critical pathway for autonomic regulation and immune function. Our tVNS protocols use precise, gentle electrical stimulation to support vagal tone and help restore the parasympathetic regulation that viral infections can compromise. This evidence-based intervention helps modulate the inflammatory responses and autonomic dysfunction that perpetuate post-viral symptoms, supporting your nervous system's return to more balanced functioning.
Viral infections can trigger inappropriate mast cell responses that perpetuate multi-system symptoms long after the initial infection has cleared. Our MCAS specialists provide comprehensive evaluation and management for the allergic-type reactions, histamine intolerance, and inflammatory cascades that complicate post-viral recovery. Through systematic trigger identification, targeted antihistamine protocols, and lifestyle modifications, we help stabilise the immune hyperreactivity that keeps your body in a persistent state of inflammatory alert.
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