Long COVID Treatment in Plano, TX

Long COVID Treatment - Plano TX

Led by Dr. Robert Groysman, board-certified in Anesthesiology & Pain Medicine.

Medically reviewed by Dr. Robert Groysman, MD, Diplomate of the American Board of Anesthesiology and the American Board of Pain Medicine | Updated July 2026

Covid Institute in Plano treats Long COVID with physician-led, mechanism-based care. Dr. Robert Groysman uses stellate ganglion block (SGB, off-label), epipharyngeal abrasive therapy (EAT, emerging), home-based vagus nerve stimulation (off-label), and metabolic and gut-directed support to address fatigue, brain fog, lingering cough, POTS, dysautonomia, and MCAS. Patients come from across Dallas Fort Worth, and telemedicine consultations are available before any in-person procedure. Treatments may be off-label or emerging and are not right for everyone. We review benefits, risks, and alternatives during your consultation. Individual results vary.

What Is Long COVID?

Not sure your symptoms fit? Try the Long COVID symptom checker

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.

Learn About Chronic Fatigue Treatment →

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 →

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.,

Patient testimonials used with written consent. Individual results may vary.

Read More Success Stories →

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

Q: What is Long COVID and how is it treated?
Long COVID, also called post-acute sequelae of SARS-CoV-2 (PASC), involves symptoms persisting 4 or more weeks after the initial COVID-19 infection. Treatment requires a multi-system approach addressing neuroinflammation, autonomic dysfunction, metabolic issues, and immune dysregulation. Evidence-based interventions are combined with emerging therapies based on individual patient needs.

Q: 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.

Q: What treatments help with Long COVID fatigue and brain fog?
Our approach includes metabolic support, pacing strategies, autonomic nervous system interventions such as stellate ganglion block (SGB) and vagus nerve stimulation (VNS), both off-label, and addressing underlying inflammation. Individual treatment plans vary based on symptom complexity.

Q: Do you accept patients from Dallas, Fort Worth, and surrounding cities?
Yes. We regularly treat patients from Dallas, Fort Worth, Frisco, Allen, McKinney, Richardson, and surrounding communities. The Plano clinic is easily accessible from major highways with free parking, and telemedicine consultations can reduce travel.

Q: Does insurance cover Long COVID care?
We do not accept insurance for Long COVID treatments. Many of these therapies are off-label or emerging and are not yet covered by insurance plans.

Q: Can I start with a telehealth consultation?*
Yes, and we encourage it. Patients can start with a telehealth consultation, which lets us review your case thoroughly and determine the best approach before scheduling any in-person procedure.

Q: How long does treatment take?
Treatment duration varies based on your symptoms and how you respond. Some patients notice improvement after a single SGB treatment; others benefit from a series of treatments combined with ongoing metabolic support. Individual results vary.

Q: Are these treatments safe?
All medical procedures carry potential risks and benefits. We conduct a thorough medical evaluation, review risks, contraindications, and alternatives during your consultation, and only proceed when a treatment is appropriate for your situation.

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.

Get Directions →

Ready to Address Long COVID Symptoms?

Don’t let Long COVID control your life. Our physician-led program combines advanced treatment options with compassionate care to help you reclaim your health.

Wondering if this approach fits your situation? Read Am I a good candidate for treatment?

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: July 3, 2026
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.
Pearson L, et al. Retrospective cohort study of stellate ganglion block for Long COVID. Cureus. 2023. PubMed ID 37711269.