Gyms are known source of infection

Dear Dr. Roach: I participated in a research study and received the Johnson & Johnson COVID-19 vaccine on Nov. 30. I have lab-confirmed antibodies. Gyms are known to be especially susceptible to the virus spreading, but is it reasonably safe to return to the gym after having the vaccine and taking normal precautions? I haven’t been to the gym in almost a year, and as a 60+ male, I know I need more cardiovascular exercise.

H.C.

Answer: It is still wise to use proper social distancing, hand hygiene and masks, even after getting any COVID-19 vaccine.

You are right that gyms are a known source of infection. Many people infected and contagious with COVID-19 feel perfectly well enough to go to the gym, but pose a risk to their fellow exercisers. Working out leads to heavy breathing, which increases the risk of infection to others. That could put you, and then anyone you may live with, at risk.

Also, YOU could be the asymptomatic person potentially spreading virus. We don’t know for 100% that the vaccine prevents transmission.

For yourself, your family, and others, it’s best to avoid places of risk until the pandemic is under better control. At the time I write this, most of North America is a high-risk zone.

Dear Dr. Roach: What can you tell me about ganglion block? My mother is 71 and has peripheral nerve damage from chemotherapy about 15 years ago. She is wondering if this type of nerve block would be appropriate for the pain she’s experiencing in her feet. She was started on pregabalin and that seems to be working.

A.A.

Answer: Neuropathy is very common. Blocking the nerve transmission of pain by injecting medication at a junction of nerves is only considered if other treatments have not worked, as the duration of pain relief is variable (weeks to years).

In your mother’s case, I would suggest that since the pregabalin seems to be working, she give that a good try before considering a nerve block.