Can Lyme Cause Chemical Sensitivity? Heightened smell sensitivity may occur with Lyme disease Neuroinflammation and autonomic dysfunction may amplify sensory reactions Chemical sensitivity can improve as underlying drivers are addressed Why is my sense of smell so strong? Why am I suddenly sensitive to fragrances, cleaners, smoke, or chemicals? These are questions I hear from […]
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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
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When Are IV Antibiotics Needed for Lyme Disease? Many patients ask when IV antibiotics are needed IV therapy can help in selected situations The right treatment matters more than the route He sat across from me and voiced something countless patients eventually ask: Doctor… when are IV antibiotics needed for Lyme disease? The patient struggled
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Can a Tick Bite Make Me Sick Years Later? Many patients ask the same troubling question years after a hiking trip, camping vacation, or unexplained illness: Can a tick bite make me sick years later? For some individuals, the answer may be yes. Not everyone with Lyme disease becomes seriously ill right away. Some people
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Why Do I Look Normal but Feel So Sick? You look fine to others? But feel exhausted, foggy, or in pain? Lyme disease symptoms can be invisible. Many people with Lyme disease or post-treatment Lyme disease syndrome (PTLDS) appear well but struggle with symptoms that are not visible from the outside. The nervous system, immune
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Lyme Arthritis Treatment: Do You Need Surgery for Knee Swelling? Persistent knee swelling can remain after treatment Synovectomy targets inflammation, not Lyme disease itself Treatment decisions should consider the whole patient She had been ill for nearly two years when synovectomy for Lyme arthritis was recommended. Her knee remained swollen, painful, and limiting despite treatment
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Worse After a Spinal Tap? CSF Leak or Lyme Disease Progression 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 patients, the procedure itself may complicate the clinical picture
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Visual Snow Syndrome: Why Symptoms Are Missed Despite Normal Tests 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 may describe flickering dots, shimmering air, graininess, afterimages, or a haze layered across their visual field. Visual snow syndrome is often missed because
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How to Exercise in Lyme Disease When You’re Homebound “I tried to do a little more… and now I can’t get off the couch.” For many patients, exercise in Lyme disease does not mean workouts or training sessions. It may mean trying to stand, shower, or walk across a room without triggering a crash afterward.
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Lyme vs Long COVID: Why Symptoms Overlap and Get Missed Lyme vs Long COVID can be difficult to tell apart Brain fog, dizziness, fatigue, and dysautonomia may overlap Careful clinical evaluation matters when symptoms persist “Is this Lyme… or long COVID?” Patients ask me this with a mix of fear and exhaustion. They describe the
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