Summer Time is Lyme Time

What is Lyme Disease?

Lyme Disease is an infection spread by ticks which can produce a wide range of symptoms, some of which can impair normal function and reduce quality of life. Although curable, early treatment is important and even individuals who are no longer infected may continue to experience lingering symptoms. Symptoms of Lyme Disease include:

• Early-onset symptoms which are flu-like, including fever, aches and pains, and general malaise. 

• Middle stage symptoms (experienced by about 20% of infected individuals) which can include myalgias, facial palsies, cardiac irregularities, and lymphatic meningitis. 

• Late stage symptoms include arthritis, typically affecting the knees. Neurological symptoms similar to fibromyalgia may also manifest in this stage.

It’s recommended to take many preventative measures against being bitten by ticks. Avoidance of heavily tick-infested areas, especially in summer, is the most effective way to stay safe. If venturing into these areas, walking on cleared paths and avoiding direct contact with plants that may host ticks is the wise. Wear clothing which covers as much skin as possible (long sleeves/pants, closed shoes) when you expect to encounter ticks. Check yourself thoroughly for ticks when you return from the outdoors – prompt removal of ticks within 36 hours of attachment minimizes the risk of infection. 

How is It Treated?

Typical treatment includes a course of antibiotics which are prescribed to treat the initial infection and are taken for 14-21 days. Analgesics may be used to treat infection-related discomfort.

For lingering symptoms, the focus changes to long term pain management and treatment for specific symptoms. Physical therapy is often recommended, in part to restore an individual’s general fitness level, which may have declined during a prolonged infection and recovery. Stretching and strength training, as well as manual therapy/massage are considered effective at reducing pain and increasing a patient’s range of motion and overall quality of life. Electrical stimulation of weakened muscles (particularly facial muscles) is sometimes employed though your PT may want to wait to allow natural neurological recovery to occur first. 

Outlook

Lyme Disease is preventable, and treatable. Though some people experience long term symptoms after infection, they are manageable and most people can return to a normal quality of life.

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