Long COVID Treatment - Plano TX
Led by Dr. Robert Groysman, board-certified in Anesthesiology & Pain Medicine.
If lingering Long COVID symptoms are disrupting your life, Covid Institute in Plano offers physician-led care blending advanced treatment options—Stellate Ganglion Block (off-label), Epipharyngeal Abrasive Therapy (emerging), and home-based Vagus Nerve Stimulation (off-label)—with metabolic and gut-directed support.
Led by Dr. Robert Groysman, we help patients across Dallas–Fort Worth manage fatigue, brain fog, lingering cough, POTS/dysautonomia, and MCAS.
Treatments described may be off-label or emerging and are not right for everyone. We review potential benefits, risks, contraindications, and alternatives during your consultation; individual results vary.
What Is Long COVID?
Long COVID, medically known as post-acute sequelae of SARS-CoV-2 (PASC), affects millions of Americans who continue experiencing symptoms weeks to months after their initial COVID-19 infection.
These persistent symptoms can significantly impact daily life, work performance, and overall well-being. Common symptoms we treat include:
- Debilitating fatigue and post-exertional malaise
- Brain fog and cognitive difficulties
- Persistent cough and respiratory issues
- Chest discomfort and shortness of breath
- POTS and dysautonomia (heart rate/blood pressure irregularities)
- Mast cell activation syndrome (MCAS)
- Sleep disturbances and temperature dysregulation
Direct Answer: How long after infection do symptoms persist? Long COVID is typically diagnosed when symptoms continue for 4-12 weeks or longer after initial infection.
Symptoms We Treat at Our Plano Clinic
Chronic Fatigue
Post-COVID fatigue goes beyond normal tiredness. We address underlying metabolic dysfunction and provide pacing strategies to prevent crashes.
Lingering Cough
Persistent dry cough or throat irritation that conventional treatments haven’t resolved. We focus on upper airway inflammation and neurogenic causes. See Cough Treatment Options →
MCAS (Mast Cell Activation)
Allergic-type reactions, histamine intolerance, and inflammatory responses. Our MCAS protocols include trigger identification and targeted interventions. Explore MCAS Care →
Brain Fog
Cognitive symptoms like memory issues, difficulty concentrating, and mental clarity problems. Our approach combines neuroinflammation reduction with cognitive rehabilitation strategies.
Explore Brain Fog Solutions →
Explore Brain Fog Solutions →
POTS / Dysautonomia
Heart rate spikes, blood pressure changes, and autonomic nervous system dysfunction. We offer comprehensive autonomic rehabilitation including VNS therapy and Stellate Ganglion Block. Learn About POTS Treatment →
Advanced Treatments Available in Plano
Stellate Ganglion Block (SGB)
The stellate ganglion block is an ultrasound-guided injection that targets the sympathetic nervous system. While traditionally used for pain conditions, emerging research suggests it may help reset autonomic dysfunction in Long COVID patients, potentially addressing fatigue, brain fog, and anxiety clusters.
Important: Results vary significantly between patients.
Epipharyngeal Abrasive Therapy (EAT) – Emerging Treatment
EAT is a unique procedure that addresses chronic inflammation in the nasopharyngeal area—a region where SARS-CoV-2 may persist and trigger ongoing symptoms. This emerging treatment is not widely available and requires specialized training.
Vagus Nerve Stimulation (VNS) – Home-Based Protocol
Non-invasive VNS devices can be used at home to potentially reduce inflammation and support autonomic nervous system function. This off-label application may help with multiple Long COVID symptoms through the vagus nerve’s extensive connections.
Metabolic & Gut-Directed Care
Our comprehensive approach addresses mitochondrial dysfunction and gut dysbiosis—common underlying issues in Long COVID. We focus on nutritional support, sleep optimization, and graded activity pacing rather than pushing through symptoms.
Risks & Contraindications Overview
SGB risks: Temporary Horner’s syndrome, hoarseness, bleeding/infection risk. Avoided in patients with uncontrolled bleeding disorders or certain anticoagulation use.
EAT considerations: Nasal/throat irritation, rare nosebleeds. Not performed during acute infections.
VNS precautions: Possible skin irritation, dizziness. Caution advised with pacemakers or severe heart rhythm abnormalities.
Complete risks, benefits, and alternatives are thoroughly reviewed during your consultation.
Why Choose Our Plano Long COVID Clinic?
Dr. Robert Groysman brings unique qualifications to Long COVID care:
- Diplomate, American Board of Anesthesiology
- Diplomate, American Board of Pain Medicine
- Member: React19 & Long COVID Alliance
- Extensive experience with interventional procedures and complex pain conditions
What Sets Us Apart:
- Advanced, research-informed protocols not widely available in traditional hospital systems
- Integrated care plans combining multiple therapeutic approaches
- Telemedicine intake options for initial consultations
- Serving patients from Plano, Dallas, Fort Worth, Frisco, Allen, McKinney, Irving, and surrounding communities
Our Philosophy: We believe in addressing Long COVID’s complex, multi-system nature rather than treating isolated symptoms. Every treatment plan is individualized based on your unique presentation and medical history.
Patient Success Stories
“After the procedure I could feel my brain – like it was getting more oxygen or just opening up. It’s definitely a weird sensation.” — P.C.
“I finally found a doctor and within 3 weeks I got 3 SGBs on the right side and 3 on the left side. These were not ultrasound guided and only at the C4 level and not also at the C6 level. After every SGB I had a horners syndrome. After these SGBs I got some energy back. I was finally able to do my sport again (I am an artistic gymnast). My cardiac arrhythmias improved significantly.” — M.S.
“Immediately after the SGB, Alex could feel pain relief. One of the first things he said to me was “Mom I don’t feel pain in my legs anymore” 
“I can walk around the lake again without being in pain” It was like a weight had been lifted off the both of us.” — L.T.,
“I can walk around the lake again without being in pain” It was like a weight had been lifted off the both of us.” — L.T., Patient testimonials used with written consent. Individual results may vary.
Telemedicine & Virtual Consultations
Payment & Insurance
We do not accept insurance for Long COVID treatments. However:
- Itemized receipts provided for out-of-network insurance filing
- HSA/FSA accepted when applicable
- Flexible payment plans available
- Transparent pricing discussed during consultation
Booking Options
- Call Now: Direct physician consultation
- Online Scheduling: Book your preferred appointment time
- Telemedicine Intake: Initial consultation from home
Accessibility
- Ground-floor clinic access
- Free on-site parking
- ADA compliant facilities
- Detailed directions provided below
Frequently Asked Questions
What is Long COVID and how is it treated? Long COVID (PASC) involves symptoms persisting 4+ weeks after initial COVID-19 infection. Treatment requires a multi-system approach addressing neuroinflammation, autonomic dysfunction, metabolic issues, and immune system dysregulation. Evidence-based interventions are combined with emerging therapies based on individual patient needs.
Does Plano have a Long COVID clinic?
Yes, Covid Institute in Plano serves the greater Dallas-Fort Worth area with specialized Long COVID care led by Dr. Robert Groysman.
What treatments help with Long COVID fatigue and brain fog? Our approach includes metabolic support, pacing strategies, autonomic nervous system interventions (SGB, VNS – both off-label), and addressing underlying inflammation. Individual treatment plans vary based on symptom complexity.
How soon can I book an appointment in Plano? We typically offer same-week telemedicine consultations when available. Use our online booking system or call directly for the earliest availability.
Does insurance cover Long COVID care? Currently, we do not accept insurance for Long COVID treatments. We provide itemized receipts for out-of-network filing and accept HSA/FSA payments when applicable.
Can patients from Dallas or Fort Worth come to Plano? Absolutely. We regularly treat patients from throughout the DFW metroplex. Our Plano location is easily accessible from major highways with free parking available.
Are these treatments safe? All treatments carry potential risks and benefits. We conduct thorough medical evaluations and discuss all options, contraindications, and alternatives during your consultation. Safety is our top priority.
Getting Here - Plano Clinic Directions
Covid Institute
6957 W Plano Pkwy, Suite 2100
Plano, TX 75093
Phone: (214) 390-7557
Convenient Location:
- Near Legacy West and The Shops at Legacy
- Close to US-75 (Central Expressway) & President George Bush Turnpike
- Free on-site parking available
Driving Directions:
From Dallas: Take Dallas North Tollway north to Sam Rayburn Tollway (121) east, or US-75 north directly to Plano.
From Fort Worth: Take TX-121/183 east to 121 east toward Plano.
From Frisco/Allen/McKinney: Use 121 or US-75 corridors for direct access.
Frequently Asked Questions
What doctor treats Long COVID near me?
Long COVID requires specialized care from physicians who understand post-viral syndromes and autonomic dysfunction. At The Covid Institute in Plano, Dr. Groysman offers advanced treatments including Stellate Ganglion Block, EAT, and VNS for patients across the Dallas–Fort Worth metroplex.
Do you accept new patients from Dallas or Fort Worth?
Yes, we welcome new patients from throughout the Dallas–Fort Worth area. While our clinic is located in Plano, patients regularly travel from Dallas, Fort Worth, and surrounding communities for our specialized Long COVID treatments.
Does insurance cover Long COVID treatment?
Currently, we do not accept insurance for our specialized Long COVID treatments. Many of our therapies represent off-label applications or emerging treatments not yet covered by insurance plans. We offer transparent pricing and payment plan options to make care accessible.
Can I book a telehealth consultation?
Absolutely. We encourage patients to start with a telehealth consultation, especially those traveling from Dallas, Fort Worth, or other distant locations. This allows us to review your case thoroughly and determine the best treatment approach before scheduling in-person procedures.
How long does treatment take?
Treatment duration varies significantly based on your specific symptoms and how you respond to therapy. Some patients experience improvement after a single SGB treatment, while others benefit from a series of treatments combined with ongoing metabolic support. We develop individualized treatment timelines during your consultation.
Are your treatments safe?
When performed by experienced practitioners, our treatments have well-established safety profiles. However, all medical procedures carry some risk. We thoroughly review potential risks and benefits during your consultation and only proceed when treatments are appropriate for your specific situation.
Ready to Address Long COVID Symptoms?
Don’t let Long COVID control your life. Our physician-led program combines cutting-edge treatments with compassionate care to help you reclaim your health.
Call Now: (214) 390-7557
Book Online: Schedule Consultation
Key Takeaways
• Physician-led Long COVID program in Plano serving the greater DFW metropolitan area
• Advanced treatment options including SGB (off-label), EAT (emerging), VNS (off-label), plus comprehensive metabolic and gut support
• Transparent safety approach with thorough risk/benefit discussions for every patient; individual results vary
• No insurance accepted for Long COVID treatments; payment plans, HSA/FSA, and out-of-network receipts available
• Flexible booking options by phone, online scheduling, or telemedicine intake
Author: Dr. Robert Groysman, MD — Diplomate of the American Board of Anesthesiology; Diplomate of the American Board of Pain Medicine; Member: React19, Long COVID Alliance.
Medically reviewed: Dr. Robert Groysman | Last updated: September 1, 2025
About the Clinic: Covid Institute, Plano, TX
Medically reviewed: Dr. Robert Groysman | Last updated: September 1, 2025
About the Clinic: Covid Institute, Plano, TX
References
- CDC. Post-COVID Conditions. Centers for Disease Control and Prevention.
- NIH RECOVER Initiative. Researching COVID to Enhance Recovery.
Autonomic dysfunction in post-acute sequelae of SARS-CoV-2 infection. Multiple peer-reviewed studies. - Mast cell activation in post-viral syndromes. Emerging research literature.
- Limited observational data on SGB, VNS, and EAT in Long COVID (emerging evidence).