Dr. Daniel Cameron: Inside Lyme Podcast

A 36-year-old man with severe neuropathic pain in both feet.

A 36-year-old man suffered with severe neuropathic pain in both feet. The pain was severe at a level 10 out of 10 despite methadone 5 mg every four hours as needed. The doctors elected not to treat with antibiotic under the assumption that the tick-borne infection had resolved.

I first read about this case in the journal Neuromodulation  by Karri  and colleagues.

The pain remained severe despite trials of gabapentin, duloxetine, bupropion and narcotics. The pain improved with two surgical procedures 

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 Dr. Cameron is a Lyme disease expert and the author “Inside Lyme: An expert's guide to the science of Lyme disease.” He has been treating adolescents and adults for more than 30 years.

Please remember that the advice given is general and not intended as specific advice as to any particular patient. If you require specific advice, then please seek that advice from an experienced professional.

2 Replies to "A 36-year-old man with severe neuropathic pain in both feet."

  • Graham Ledbrook
    05/13/2022 (9:22 am)

    I had Lyme tic bite in September 2019 doctors not recognised it until February 2020. Given course of 3 weeks doxycycline appeared to cure problem, then symptoms reappeared in June 2020 so another course of Doxycyline . Since then I have had very painful feet and ankles feeling like walking on sharp stones, I need walking stick to go anywhere away from home. Doctors just give me pain killer cream to rub on them every 4 hours. This is not practical as need to remove trousers and shoes and socks. I a m 88 and do have problems reaching down to my feet. I live near south coast of England close to a forest which is known as a Lyme area

    • Dr. Daniel Cameron
      05/13/2022 (5:19 pm)

      I have seen patients in my practice with severe feet pain despite care a number of great doctors who have done well the retreatment. Some of them had been told they suffered from plantar fasciitis.

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