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Lyme Science Blog

What Do I Do When Specialists Disagree?

Synovectomy for Lyme Arthritis

Synovectomy for Lyme Arthritis She had been ill for nearly two years when synovectomy for Lyme arthritis was recommended. Her knee remained swollen, painful, and limiting despite treatment for Lyme arthritis. She had completed antibiotic therapy. When the swelling persisted, she was told the infection had been treated and what remained was inflammation. Surgery was

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Spinal Tap Leak and Lyme Disease: Worse After Testing

Spinal Tap Leak After Lyme Testing: When Symptoms Worse

Spinal Tap Leak After Lyme Testing: When Symptoms Worse 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

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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

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

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Lyme alcohol intolerance

Lyme Alcohol Intolerance: Why can’t I tolerate alcohol anymore?

Lyme Alcohol Intolerance: Why Can’t I Tolerate Alcohol Anymore? Many patients describe feeling foggy, overstimulated, shaky, or unsteady after drinking—not relaxed. This mismatch is one of the earliest signs that alcohol tolerance has changed in Lyme disease, and it reveals a nervous system struggling to operate within narrower limits. In my practice, I’ve learned to

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Post-Exertional Malaise in Lyme Explained

Post-Exertional Malaise in Lyme Explained

Post-Exertional Malaise in Lyme Explained A Clinical Guide to Post-Exertional Malaise in Lyme Disease Patients often tell me they can complete a workout or a busy day without any immediate problem, only to crash hours later. This phenomenon—called post-exertional malaise Lyme patients frequently experience—is one of the most misunderstood patterns in post-infectious illness. Instead of

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