Lyme disease is an infectious disease caused by bacteria transmitted to humans through the bite of infected tick, sometimes referred to as deer ticks. These ticks are typically found in wooded or grassy areas, and the disease is most commonly reported in the United States, particularly in the northeastern, north central, and Pacific coastal regions. The disease can lead to a wide range of symptoms, including fever, headache, fatigue, and a distinctive, bull’s-eye type rash. If left untreated, Lyme disease can cause severe complications, affecting the joints, heart, and nervous system. While Lyme disease is treatable with antibiotics, prevention remains the best way to protect oneself from contracting this disease.
How Lyme Disease is Contracted
Lyme disease is caused by a bacterium known as Borrelia burgdorferi, and in some parts of the world, Borrelia mayonii. These bacteria are primarily transmitted to humans through the bite of an infected tick, which is often too small to notice when the initial bite occurs. While many people associate Lyme disease with being in rural or wooded areas, it is important to remember that ticks can also be found in suburban and urban areas, especially in gardens, parks, and even yards.
1. The Tick Bite Process
The process of contracting Lyme disease begins when a tick carrying the Borrelia bacterium attaches to the skin to feed on the blood of its host. The tick generally needs to be attached for 24-48 hours to transmit the bacteria. Ticks are most active during warm months, from late spring through early autumn, although some can remain active during milder winters.
Ticks are very small, especially in their nymph stage, making them very difficult to spot. They can range in size from a pinhead to a small pea, and their bites are often painless, so individuals may not realize they’ve been bitten until the disease symptoms appear. The longer the tick remains attached to the skin, the higher the likelihood of transmission.

2. Geography and Risk Factors
Lyme disease is most commonly reported in certain areas of the United States. According to the Centers for Disease Control and Prevention (CDC), states in the northeastern, north central, and Pacific coastal regions are at the highest risk for Lyme disease. These areas include parts of Connecticut, Massachusetts, New York, Pennsylvania, Wisconsin, and Oregon. However, Lyme disease can occur anywhere that ticks are present.
Prevention of Lyme Disease
Preventing Lyme disease involves minimizing exposure to ticks, particularly in high-risk areas. There are several strategies and methods to reduce your chances of contracting the disease.
1. Wear Protective Clothing
When spending time in areas with dense vegetation or tall grasses, it’s important to wear protective clothing. This includes items such as:
- Long-sleeved shirts and long pants to cover as much skin as possible.
- Tucking pants into socks or boots to prevent ticks from crawling up your legs.
- Wearing light-colored clothing, which makes ticks easier to spot.
- Wearing a hat and covering the neck area to reduce exposure.
2. Use Tick Repellents
Applying insect repellent can significantly reduce the risk of tick bites. The CDC recommends using repellents that contain at least 20% to 30% DEET (for skin) or permethrin (for clothing and gear). Permethrin is especially effective in repelling ticks and can be sprayed onto clothing before heading into tick-prone areas. Visit your local Bass Pro Shopfor a variety of repellent choices!
3. Avoid Tick Habitats
Avoid spending time in areas where ticks are commonly found, such as tall grasses, brush, and wooded areas. If you do venture into these areas, try to stay in the center of trails and away from vegetation. By reducing your exposure to tick habitats, you can minimize the risk of getting bitten.
4. Tick Checks and Showering
After spending time in tick-prone areas, do thorough tick checks on yourself, your family members, and your pets. Ticks often attach to hard-to-see areas like the scalp, armpits, groin, and behind the knees. Showering within two hours of coming indoors can help remove ticks before they attach. If you find a tick, remove it immediately using fine-tipped tweezers and make sure to disinfect the bite area.
Symptoms of Lyme Disease
The symptoms of Lyme disease can vary widely, and not everyone experiences the same warning signs. The disease typically progresses in three stages:
1. Early Localized Stage (average 3-30 Days After Tick Bite)
- A characteristic circular, red rash, often with a “bull’s-eye” appearance, appears at the site of the bite.
- Flu-like symptoms such as fever, fatigue, headache, muscle and joint aches, and swollen lymph nodes.
2. Early Disseminated Stage (Weeks to Months After Bite)
The bacteria spreads to other parts of the body, and symptoms may include additional rashes, facial paralysis (often affecting one side), severe headaches, heart palpitations, and dizziness.
3. Late Disseminated Stage (Months to Years After Bite)
- Chronic joint inflammation, commonly in the knees, may occur.
- Neurological problems such as memory problems, difficulty concentrating, and peripheral neuropathy (tingling or numbness in limbs).
Living with Lyme Disease
For those who contract Lyme disease and do not receive timely treatment, or for those who continue to experience symptoms after treatment (a condition sometimes referred to as “Post-Treatment Lyme Disease Syndrome” or PTLDS), managing Lyme disease can be a lifelong challenge. Symptoms like chronic fatigue, joint pain, cognitive issues, and sleep disturbances can significantly impact quality of life.
Here are some strategies to manage the negative side effects of Lyme disease:
1. Physical Therapy and Exercise
Physical therapy and gentle exercise can help improve joint function, reduce stiffness, and build strength. Low-impact exercises such as swimming, yoga, or walking can help manage pain without overloading the body.
2. Pain Management
For chronic pain or joint inflammation, medications like NSAIDs (nonsteroidal anti-inflammatory drugs) or, in some cases, stronger pain relievers can help manage symptoms. It’s important to work with a healthcare provider to develop a comprehensive pain management plan.
3. Mental Health Support
Chronic conditions like Lyme disease can take a toll on your mental health. Depression, anxiety, and other mood disorders can develop due to the ongoing challenges of dealing with the disease. Seeking professional mental health support, whether through therapy or medication, can improve emotional well-being.
4. Diet and Lifestyle Changes
A balanced diet rich in anti-inflammatory foods may help support the body’s immune system. Many people with Lyme disease find that supplements such as vitamin D, magnesium, or probiotics can also help improve overall health and energy levels.
Current Statistics and Resources
According to the CDC, Lyme disease is the most common vector-borne illness in the United States. In 2019, nearly 35,000 confirmed cases were reported, though estimates suggest that the actual number of cases may be much higher. The CDC also reports that Lyme disease has expanded into new regions in recent years, with rising numbers of cases in states like Colorado, Arizona, and California, largely due to changes in tick populations.
For those seeking more information on Lyme disease, the following resources are available:
- Centers for Disease Control and Prevention (CDC): www.cdc.gov/lyme
- Lyme Disease Association: www.lymediseaseassociation.org
- American Lyme Disease Foundation: www.aldf.com
Lyme disease is a serious health concern that can have lifelong consequences if left untreated. By understanding how the disease is contracted, taking proper preventive measures, and seeking early treatment, individuals can significantly reduce their risk of suffering from the disease. If diagnosed early, most people fully recover, although some may experience long-term symptoms that require ongoing management. With the right care, support, and lifestyle changes, people living with Lyme disease can manage their symptoms and lead fulfilling lives.