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Is This Neuropathy or Small Fiber Involvement in Lyme Disease?

Could Lyme disease be causing neuropathy?

Could Lyme disease be causing neuropathy? This question arises when burning, tingling, buzzing, or pressure appears in one area, fades, and then resurfaces elsewhere days or weeks later.  In Lyme disease, symptoms that raise concern for neuropathy or small fiber involvement are often dynamic, reflecting immune and nervous system processes rather than fixed structural nerve […]

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When Lyme Disease Mimics a Sinus Infection

When Lyme Disease Mimics a Sinus Infection

Lyme disease mimics sinus infection symptoms so closely that some patients are treated for sinusitis before the underlying cause is recognized. When Lyme disease mimics sinus infection patterns, patients may present with months or even years of facial pressure, headaches behind the eyes, ear fullness, congestion, and a heavy or foggy sensation in the head.

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Lyme Neck Pain: Why Does My Neck Hurt So Much?

Why Does My Neck Hurt So Much in Lyme Disease?

“Why does my neck hurt so much?” For many people with Lyme disease, neck pain isn’t just uncomfortable — it becomes one of the most persistent and overwhelming symptoms. Some describe aching stiffness at the base of the skull. Others feel burning along the spine, pressure behind the head, or pain that radiates into the

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Lyme chemical sensitivity

Can Lyme Cause Chemical Sensitivity?

Lyme Disease Triggers Heightened Reactions to Everyday Chemicals She came to my office frightened and exhausted — describing reactions to fragrances, cleaners, and perfumes. Her case illustrates what I often see in my practice – an abrupt onset of chemical sensitivity due to Lyme disease. Perfume in the grocery aisle triggered dizziness. Cleaning supplies set

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holidays-lyme-disease

Why are the Holidays Especially Hard When You Have Lyme Disease?

For many people, the holidays are about comfort food, celebration, and gathering around the table. But if you’re living with Lyme disease and carefully managing your diet, this season can feel less joyful — and more exhausting. Holiday Foods Can Trigger Lyme Symptoms If you have Lyme disease, the holidays can feel surprisingly difficult —

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Spinal Tap Leak and Lyme Disease: Worse After Testing

Spinal Tap Leak and Lyme Disease: Worse After Testing

When Lyme Symptoms Worsen After a Spinal Tap Lumbar puncture is sometimes performed in patients with suspected neurologic Lyme disease to aid diagnosis. However, the relationship between spinal tap leak and Lyme disease is often overlooked, particularly when symptoms worsen after testing. In some cases, the procedure itself may complicate the clinical picture rather than

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Visual Snow Syndrome: When the World Looks Like Static

Visual Snow Syndrome: When the World Looks Like Static

Visual Snow Syndrome: When the World Looks Like Static Visual snow syndrome is a neurologic condition in which people see constant visual static—often described as television-like noise—despite normal eye exams. Patients frequently struggle to explain what they see. Some describe graininess across their entire visual field. Others notice flickering dots, shimmering air, or a haze

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How to Exercise in Lyme Disease When You’re Homebound

How to Exercise in Lyme Disease When You’re Homebound

The Moment Everything Changed: Beginning Exercise in Lyme Disease My patient didn’t ask how to get back to running. She whispered, “I tried to do a little more… and now I can’t get off the couch.” Her experience is something I see often when patients try to exercise in Lyme disease—small movements feel enormous, and

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