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Everything You Need to Know About Lyme Disease

Sven Kramer Aug 16, 2025
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Lyme disease is the most common tick-borne illness in the United States, and it can change lives if not caught early. This infection starts when a blacklegged tick, often called a deer tick, passes bacteria into your system during a bite. Many people never notice the tick, which makes early diagnosis tricky.

This illness often begins with mild symptoms that are easy to brush off. But ignoring them can let the bacteria spread to joints, the heart, and the nervous system.

What Causes Lyme Disease and How It Spreads?

Ticks that carry the bacteria Borrelia burgdorferi are the main cause of Lyme disease. They live in grassy, wooded areas and latch onto animals like deer or mice, which then spread them into places where people live and play. When a tick bites and stays attached for more than a day, your risk of infection jumps.

These ticks are tiny, about the size of a poppy seed. That means they can bite without you feeling it. They often hide behind the knees, in the hairline, or along the waistline. Spending time outdoors does not have to be risky, but it does mean you need to check your skin carefully after being outside.

Early Symptoms

Symptoms of Lyme disease show up within 3 to 30 days. The most famous sign is the bull’s-eye rash, which spreads outward from the bite. But not everyone gets it, and that can make diagnosis harder. Other early signs include fever, chills, muscle aches, and fatigue.

These symptoms can feel like the flu, so many people dismiss them. The difference is that they do not get better on their own. If left untreated, the infection can cause swelling in joints, nerve pain, facial paralysis, or even heart rhythm problems.

Erik / Pexels / Doctors diagnose Lyme disease using your symptoms, your history of possible exposure, and sometimes blood tests.

Early on, the tests might not show the infection, which is why many doctors treat based on symptoms alone. The sooner treatment starts, the better the chances of full recovery.

It is important to see a doctor if you find a tick and have symptoms, even if they are mild. Not every tick carries the bacteria, but guessing wrong can have long-term consequences. Trust your instincts if you feel something is off after a bite.

Effective Treatments

Most cases of Lyme disease are treated with antibiotics, often for two to four weeks. In the early stages, this usually clears the infection completely. People who start treatment later might need longer courses or different medicines.

Some people still have symptoms after treatment, a condition called Post-Treatment Lyme Disease Syndrome. Doctors are still studying why this happens, but it can include lingering fatigue, pain, or trouble concentrating. The good news is that early action greatly reduces the chances of this happening.

Myths and Misunderstandings

A common myth is that all Lyme disease patients get the bull’s-eye rash. Many never do, so waiting for that sign can be dangerous. Another false belief is that you can only get it in rural areas. Ticks are now found in city parks and backyards across many states.

Some also think you can get Lyme from pets or other people, which is not true. Ticks need to bite you directly to spread the bacteria. Knowing what is fact and what is fiction helps you protect yourself without needless worry.

Freepik / The best defense against Lyme disease is avoiding tick bites in the first place. Wear light-colored clothing when in grassy or wooded areas so you can spot ticks easily.

Use insect repellent that contains DEET or permethrin. Tuck your pants into your socks to block their path to your skin.

When you get home, check your entire body, including hidden spots like behind the ears and under the arms. Showering soon after being outdoors can wash away ticks before they attach. If you find one, remove it with fine-tipped tweezers, pulling straight out to avoid leaving parts behind.

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