15/10/2026
If you get through a session fine and then pay for it for two days, you do not have a fitness problem.
That delayed crash has a name. Post-exertional symptom exacerbation, and it is the thing that makes Long COVID different from being out of shape. It is also why “push through it” is the worst advice anyone can give you, and the advice almost everybody gets.
So this programme is built the other way round. It is symptom-led. It progresses on what your body actually does afterwards, on your function and on the goals you came in with, rather than on a plan written in week one and followed regardless.
In practice that means pacing and energy management, exercise tolerance that is monitored rather than guessed at, and tracking of your heart rate, your breathlessness and your symptoms as you go. Some weeks that means doing less on purpose.
It is for persistent fatigue, breathlessness, exercise tolerance that has not come back, and the struggle to get back to work and to your own life.
Michael McCarthy, our Clinical Exercise Physiologist, led a Long COVID exercise rehabilitation service in the NHS as a Band 6 Senior Exercise Physiologist. Of everything he does, this is the area he knows best.
We will not promise you a timescale. Anyone who gives you a date is guessing. What we will do is measure where you are, work inside it, and tell you honestly if this is not the right thing for you.
No GP referral needed. Speke and Seaforth. It begins with an assessment, not a programme.
Comment REHAB and I will send the detail over.
Michael McCarthy .mccarthy26
