Emma A
Emma’s elder daughter developed leg pain (in her hips, knees, and ankles) a couple of weeks after having Covid in January 2022. Tests have not shown any cause for her pain, but Emma believes it may be due to reactive arthritis (when joints swell up following a viral disease) as her daughter has had this in the past. Emma has felt her daughter’s symptoms have been dismissed by health professionals, who said things like ‘There’s nothing wrong with her so it must be in her mind.’ Emma has found the lack of belief upsetting and unhelpful and wishes health professionals would focus more on rehabilitation. They have had one online session at a Long Covid clinic and a physiotherapy assessment – they were waiting for the report at the time of the interview. Four months on from her Covid infection, Emma’s daughter cannot walk more than a few steps and is using a wheelchair to aid mobility; she continues to have knee pain, leg weakness and fatigue. Emma was interviewed in April 2022.
In January 2022, Emma’s daughter’s school was rife with Covid cases and her daughter caught it and had mild cold/flu like symptoms, aches, and dizziness. She tested negative a couple of days later. Soon after, her daughter started suffering pain and fatigue in her legs after walking short distances and she had trouble with the stairs at school. She then developed chest pain so was taken to the children’s hospital. After waiting many hours to be seen, she became unable to stand, fainted, and threw up while having an X-Ray due to pain, but was told there was nothing wrong and was discharged. She was unable to walk out of the hospital and Emma had to find a wheelchair to get her to the taxi.
A week later her daughter was still unable to walk, and the GP said she needed to go back to the hospital. They got a referral letter from the doctors to lessen the wait. After tests came back normal and the hospital said there was nothing they could do, Emma pushed to be seen by a physiotherapist as “I don’t know how to move her I, you know, every time I touch her legs it hurts, I’m worried her muscles are wasting, I don’t know what to do.” Her daughter had to be admitted to hospital so she could be seen by a physiotherapist. They stayed in hospital for two nights—isolating in one room due to Covid restrictions—during which her daughter’s immobility became worse. When they were seen by the physiotherapist she was asked to move to the end of the bed, but she was unable to move due to the pain. The physio said, “that she was choosing not to move and there was nothing they could do for her” but that she needed to see a psychologist (Healthy Minds). They were discharged from hospital. The GP checked in a week later, and a couple of weeks after that, but her daughter was still unable to walk. Emma said, “I kept phoning the GP asking for advice, asking for physio referrals, asking, you know, what pain relief can I give.” The hospital had thought that if she gave her daughter regular pain medication, she might “break the pain barrier and start walking again.” But the GP was unhappy for her daughter to be taking ibuprofen for such long periods of time and she was weaned off it. Emma tried to increase her daughter’s mobility, but she still needed carrying, dressing, and helping to the toilet. Three weeks after being discharged from the hospital, the hospital said she needed to return as she wasn’t getting better. They saw a different doctor who suggested having an MRI, as well as a referral to a psychiatrist and the Long Covid clinic.
The following week they saw a psychiatrist. Emma recalls the visit and said “that was just awful, it was really one of the most negative experiences of my entire life, everything I said, she kind of twisted the answers.” Again, the view was “There’s nothing wrong with her so it must be in her mind.” Emma tried to convince the psychiatrist that her daughter was a normally happy, healthy, well-balanced child but as a young child her daughter had had several episodes of reactive arthritis (when joints swell up following a viral disease) and Emma thought this might be a reason for her daughter’s symptoms even though the test for inflammation came back negative. Emma said, “When I explained all of this to the psychiatrist, she put it all in quotation marks like I was making it up.” The psychiatrist insisted her daughter’s symptoms must be due to the stress of catching Covid, SAT exams, and changing school. The psychiatrist told them that they needed to “find out what she was subconsciously worried about and then she’d be able to walk again.” Emma was told “unless I refuse to accept the relationship between mind and body and accept a diagnosis [my daughter] wouldn’t get any better.” Emma was told that by using a wheelchair and giving pain relief to her daughter she was just reinforcing the idea that she could not walk. On the way out of the interview her daughter said, “Mummy, the pain is real.” Emma recalled, “…and I knew she’d heard all of that and taken it all in and I just felt so upset.”
Emma wanted to complain about the psychiatrist but didn’t want to jeopardise her treatment at the Long Covid clinic. She said, “I feel that it’s wrong to have something that’s incorrect on a medical record.” A week later they saw three clinicians from the Long Covid clinic in an online appointment. The occupational therapist thought Emma needed a hoist to help lift safely and that her daughter should see a physio. A week later her daughter was assessed by a physio at the hospital. They were still waiting for the report at the time of the interview.
Emma says “the working argument seems to be that because we’ve done some tests and the tests have all come back negative, then it must be in your head and therefore this is a psychological problem. And I don’t understand why it can’t be, we’ve done some tests, but we haven’t done one that shows us anything, we don’t know what’s causing this, let’s focus on rehabilitation, you know.”
Emma’s mum has been able to give basic advice about physio and hydrotherapy from her experience of working with disabled children and although they have only had three private hydrotherapy sessions, she feels this has made a difference to her daughter’s mobility.
Her daughter’s pain is now mainly in her knees, and she can now walk a few steps, but tires quickly and can overdo it easily. Her daughter is happy to be back at school with her friends, but she still uses a wheelchair and has a teaching assistant to help in class and push her around. The school have been supportive and have moved her year group to ground floor classrooms. Emma has been able to work flexibly from home during this time and says her colleagues have been understanding, but she hasn’t officially told work. Her daughter’s pain and mobility problems have had a real impact on the family and Emma feels guilty her other daughter isn’t getting enough attention. Emma still has hope for her daughter’s recovery; “Moving was a huge part of what she, it was her identity and now it’s awful it really is. But you have to believe she’ll get better.” She says the hardest part has been “not to be believed.”