Millions of people around the world survive an acute viral or bacterial infection, only to develop debilitating chronic symptoms. These people are living with Infection Associated Chronic Conditions (IACC). The Cohen Center for Recovery from Complex Chronic Illness (CoRE) is a new center at the Icahn School of Medicine at Mount Sinai that recognizes the critical need for clinical innovations to treat people living with IACC. We are committed to using the latest in evidence-based medicine to assess, diagnose and treat individuals with state-of-the-art clinical interventions. In addition to clinical excellence, we are also conducting rapid, action-oriented clinical research that leads to the development of novel treatments and assessments for those living with IACCs.
Our guiding principle is that clinical CoRE offers comprehensive interdisciplinary care through a unique hybrid clinical research and education program that centers on pinpointing and addressing the root causes of diseases and managing symptoms. Our facility features an autonomic testing clinic, a skilled physical therapy team specializing in autonomic rehabilitation, professionals in non-pharmacological chronic pain interventions, dedicated social workers, and a patient care navigator to assist you through your journey. By examining and addressing these patients collectively, we can identify crucial treatment options that could benefit related patient groups. Our objective is to establish ourselves as a global authority in treating and researching complex chronic illnesses.
Conditions We Treat
CoRE was a clinic designed to specialize in treating people with Long COVID. As we learned more, we expanded to treating Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS), tick-borne/vector-borne (TB/VB) illnesses, and joint hypermobility disorders associated with PAIS.
Long COVID symptoms arise post initial SARS-CoV-2 infection. ME/CFS often starts after a viral infection, but various factors can trigger it. TB/VB illness patients develop chronic symptoms following a bacterial pathogen infection. Some connective tissue disorders worsen after an acute illness, leading to vasculature issues and unstable joints. hEDS is common in patients with long COVID, ME/CFS, and TB/VB illnesses.
Patients with long COVID, ME/CFS, TB/VB illnesses, and EDS share similar biological issues contributing to their debilitating symptoms.
Testing and Rehabilitation
All CoRE participants undergo a variety of routine testing and individualized assessments before treatment. Our routine testing and sample collection include, but not limited to validated measures of:
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Metabolic health
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Vascular/Endothelial function
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Immune function
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Viral activity and reactivation
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Hormonal health and regulation
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Autonomic nervous system
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Cognitive testing
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Tick-borne/vector-borne testing
Rehabilitation
At CoRE, we pride ourselves on providing personalized care to each patient. After our initial testing and assessment, we offer advanced rehabilitation options.
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Autonomic rehabilitation
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Breathwork
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VR/AR therapy for chronic pain
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Non-invasive brain stimulation for pain and cognition
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Electrophysical interventions
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Musculoskeletal rehabilitation for hypermobile joint disorders
CoRE also offers remote patient monitoring and telehealth services, neuropsychology and psychology support, and peer support services. The Cohen Center for Recovery from Complex Chronic Illness serves as a model for other institutions to understand and care for complex chronic illnesses.