Positives

• A long-hauler at Kaiser described their physical therapy as productive, with the therapist creating a regular routine of activity and rest, and finding the structured approach helpful for managing PEM limitations over time Reddit.
  
  

Negatives

• A long-hauler with severe fatigue reported that physical therapy caused their legs to “stop holding them up” and worsened their condition, with the physical therapist pushing exercises that were too intense for their current capacity Reddit.
  
  

Hurdles & Side Effects

• Multiple patients emphasized that physical therapy for Long COVID requires a therapist who specifically understands PEM and dysautonomia — several described being assigned therapists who used the word “deconditioning” and pushed exercise that caused setbacks Reddit.