Musculoskeletal Manifestations of COVID-19: A Systematic Search and Review

  • Moshiur Rahman Khasru
  • , Abu Bakar Siddiq
  • , Tangila Marzen
  • , Mubdiur Rahman
  • , Iffat Islam
  • , Syed Ahmed Refaie
  • , Tamjid Ali
  • , Reaz Uddin
  • , Mohammad Hasan
  • , Radia Naz
  • , Fariha Haseen
  • , Syed Shariful Islam
  • , Daniel Clegg
  • , Johannes J. Rasker (Hans)*
  • *Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    135 Downloads (Pure)

    Abstract

    Introduction: Coronavirus disease (COVID-19) started its journey from Wuhan, China and gradually became a pandemic. COVID-19 often affects the respiratory system, but symptoms may include fatigue, myalgia, arthralgia, arthritis, spine-, and bone pain as presenting complaints. In the present systematic search and review, we aim to highlight the musculoskeletal manifestations during COVID-19.

    Methods: Using PubMed Central and Google Scholar search engines, we used as key words “muscle pain”, “joint pain”, “body ache”, “fatigue”, in Covid-19 patients. Results: After screening, a total of 76 articles were included following inclusion criteria dated between January 1 and July 1, 2020. All articles were published in English comprising 36558 COVID-19 cases. In cross sectional studies, fatigue was found in 55%, myalgia in 26%, and arthralgia in 20%, respectively. In cohort studies, fatigue was found in 35%, myalgia in 15%, and arthralgia in 5%, respectively. Sporadic case reports also mention back pain, bone pain, myositis and arthritis as presenting symptoms of COVID-19.

    Discussion: Fatigue was the most frequent musculoskeletal (MSK) manifestion of COVID-19 followed by myalgia and joint pain. The frequency of the different MSK manifestations in COVID-19 may vary widely among different geographic regions.

    Conclusions: MSK like fatigue, myalgia and arthralgia are frequent symptoms in COVID-19 patients and may vary in different countries.
    Original languageEnglish
    Pages (from-to)59-80
    JournalRheumatology Research
    Volume6
    Issue number2
    DOIs
    Publication statusPublished - 21 Apr 2021

    Keywords

    • UT-Gold-D

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