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Lyme Disease and Exercise
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This forum is for questions and support regarding What Causes Lyme Disease, Diagnosing Lyme Disease, and Joint Pain. Topics for discussion also include Living with Lyme Disease, Babesia, Bartonella, Rocky Mountain Spotted Fever, Anaplasmosis, other Tick Borne Diseases, Nervous System issues, Prevention, Risk Factors, Skin Disorders, Symptoms and Treatments

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Lyme Disease and Exercise

The Dr. treating me said absoluetly NO sweating. He said sweating actually causes the bacteria to reproduce and I am only allowed to do light weight workouts and very slow movement on a treadmill or elliptical. I was told not to get my pulse up or break a sweat.

Was anyone else told this? What have you guys heard from your treating Drs???

I have been so weak the last 60 days that I haven't even attempted to lift weights at all until a few days ago and man lifting 5 pounds in each arm was a workout in itself.
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428506_tn?1296560999
I don't recall explicitly discussing this with my LLMD, but I know I mentioned to him in my history at our first visit and again during our recent phone consult that I do work out.

I was very sedentary before last spring.  By then, I was getting sick enough to become very concerned, but I was making little progress with doctors.  So I did a mini-lifestyle overhaul:  quit smoking, quit drinking, changed my diet a lot, and started to exercise.

I usually do aerobic exercise.  Unless I am having a very bad day symptom-wise, I usually feel much better afterward.  

I do have days/stretches where I can't exercise due to symptoms.

My energy level has been unpredictable, but is often poor.  As I've written in other posts, I have been unable to lose more weight for the last few months, and am struggling to not regain.  My TSH level has been increasing every time it is measured, but my LLMD doesn't think I should try to address that separately, yet.  I'd be very concerned for myself that I'd gain a lot of weight if I stopped my workouts.

It may all depend on how sick you are, how long you've been sick, and which doctor you see.  I'll be sure to directly ask about this at my next appt. in a couple of weeks!


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Avatar_m_tn
Since they can't even come up with a good test to detect Lyme, I seriously doubt there is any proof of the Dr.'s comment. Presumably it is a comment made based on anecdotal evidence of Lyme's patients feeling worse off after exercise. However, I still haven't heard any reference to that either in Lyme.  Typically, this comment is made with regards to CFS -- although I suppose they may be related. In that case, post-exertional effects evidently can be severe.

FWIW, in my case, exercise is difficult because of the associated pain/numbness that occurs while doing the exercise. But I do it anyway because I feel there are the usual benefits to exercise that need to be maintained for good health.
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Avatar_f_tn

Fortunately there is a spinal fluid test that apparently can diagnose CFS (google Red Labs USA for more info) and there is supposed to be a blood test that can make the diagnosis.... available in another year or so.

There are so many things that lyme patients and CFS patients have in common. I'm actually on a treatment that treats lyme disease (although I have CFS). Two-thirds of CFS patients have mycoplasma (L-form) bacteria infections.


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723952_tn?1231861132
The Dr. that is treating me has actually battled Lyme himself ad wll as his daughters and his wife. So he may be basing some of it on his experience but he said it was CDC guidelines.

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723952_tn?1231861132
I found this while searching.....This is from the treatment plan by JOSEPH J. BURRASCANO JR., M.D.
President, East End Medical Associates, P.C.
East Hampton, New York
Board Member,
International Lyme and Associated
Diseases Society

LYME REHAB-PHYSICAL THERAPY PRESCRIPTION
NAME_____________________________________________________________
D.O.B._____________________________ DATE________________________
Please enroll this patient in a program of therapy to rehabilitate him/her from the effects of chronic tick-borne diseases. If necessary, begin with classic physical therapy, then progress when appropriate to a whole body conditioning program.
THERAPEUTIC GOALS (to be achieved in order as the patient's ability allows):
PHYSICAL THERAPY (if needed):
1. The role of physical therapy here is to prepare the patient for the required, preferably gym-based exercise program outlined below.
2. Relieve pain and muscle spasms utilizing multiple modalities as available and as indicated: massage, heat, ultrasound, and passive and active range of motion. DO NOT use ice or electrical stim unless specifically ordered by our office. Paraffin baths can be quite useful.
3. Increase mobility, tone and strength while protecting damaged and weakened joints, tendons, and ligaments, and teach these techniques to the patient. Use light weights/minimal resistance but a lot of repetitions in any exercises prescribed. Aerobics are not permitted. Transition the patient slowly to the gym-based program outlined below.
4. Please see the patient two days per week- but do not schedule two days in a row!
EXERCISE Begin with a private trainer for careful direction and education.
PATIENT EDUCATION AND MANAGEMENT (to be done during the initial one-on-one sessions and reinforced at all visits thereafter):
1. Instruct patients on correct exercise technique, including proper warm-up, breathing, joint protection, proper body positioning during the exercise, and how to cool-down and stretch afterwards.
2. Please work one muscle group at a time and perform extensive and extended stretching to each muscle group immediately after each one is exercised, before moving on to the next muscle group.
3. A careful interview should be performed at the start of each session to make apparent the effects, both good and bad, from the prior visit's therapy, and adjust therapy accordingly.
PROGRAM:
1. Aerobic exercises are NOT allowed, not even low impact variety, until stamina improves.
2. Conditioning: work to improve strength and reverse the poor conditioning that results from Lyme, through a whole-body exercise program, consisting of light calisthenics and weight lifting, using small weights and many repetitions. This can be accomplished in exercise classes called "stretch and tone", or "body sculpture", or can be achieved with exercise machines, or carefully with free weights.
3. Each session should last one hour. If the patient is unable to continue for the whole hour, then modify the program to decrease the intensity to allow him/her to do so.
4. Exercise no more often than every other day. The patient may need to start by exercising every 4th or 5th day initially, and as abilities improve, work out more often, but NEVER two days in a row. The non-exercise days should be spent resting.
5. This whole-body conditioning program is what is required to achieve wellness. Simply placing the patient on a treadmill or an exercise bike is not acceptable (except briefly, as part of a warm-up), nor is a simple walking program.
PHYSICIAN'S SIGNATURE____________________________________________
MANAGING LYME DISEASE, 15th edition, September, 2005
Page 30
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Avatar_f_tn
Good post EricaO.  I do what I can as far as exercise.  It hurts.  The more I do the more it hurts.  It's not the same as just sore muscles.  It's much worse and I'm very stiff later.  I still exercise 4 times a week though despite the pain.  I was an avid exerciser prior to this.
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I guess I am different.  Except on my worst days, exercise usually makes me feel better.  I know my joint issues, which are bilateral and worse upon wakening, always feel better after I workout.  It is tough to get started, but I can usually tell within 10 minutes or so if I am doing well or not with it.  Some days, I do opt to quit.  

The rheumatologist I saw before my Lyme diagnosis could tell that my joints were swollen, and she told me it was very important given my size (I'm obese) that I continue to exercise and try to lose more weight.  She also said that with inflammation, exercise should help.  So between that advice, along with no directions to stop from my Lyme doc, I think I am ok.

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723952_tn?1231861132
I am going to attempt to go to the gym every other day this week and do "light" treadmill or elliptical. I am really struggling with the "no workouts" because during the treatment in July (abx doxy 100mg bid) I was working out daily. I felt great and looked great. I always thought it was odd though because after 35 mins of HARDCORE sweat your guys out elliptical I would have a numb right foot and I would feel like I was going to black out.

I obviously don't have the endurance that I did in July because I was very weak for several months but I am feeling  much better and I want to build up my endurance and build my muscle back and get to toning again.

Has anyone else been told to avoid FLOUR at all costs??? I am starting to question my Drs. ability to treat me and I may be heading up North for a Dr that handles Lyme every other patient!!!!
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Avatar_f_tn
I'm very much into nutrition and I can say from all my nutrition research, I think  flour is bad.  Especially white, refined flour.  It's bad for the glycemic index etc....I haven't read anything good about it anywhere.  I have read that whole grain is better.
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428506_tn?1296560999
While my Lyme doc did not give me as stern a warning, I've read elsewhere that Lymies should avoid flour/sugar to help prevent yeast overgrowth that can happen in the body when on antibiotics for extended periods.

I'm not even on probiotics right now, though I do plan to get some today as I start a 2nd antibiotic tonight, and have been on the 1st for about a month now.

So I'm guessing that is why your doctor warned you about flour.  Perhaps he foresees the need to keep you on the antibiotics for very long and is concerned about yeast?  

If you're unsure about his treatment, you should ask him to clarify.  Mine allows me to exercise and eat flour, but maybe only because I'm not as sick as other patients?  (While I feel pretty lousy, I know on the relative scale I am fortunate!)

If you are unhappy and able, I don't think a 2nd opinion is necessarily a bad idea, though.  I went to more than one neurologist while trying to figure out what was wrong with me.
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(Oh, and I do agree with patsy10 and I do avoid white flour and rice as much as possible!)
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Avatar_f_tn
My recollection of what I've read (through the brain fog and lousy memory) is that Lyme bugs hate heat, so steambaths/saunas can be beneficial by raising the body temp and frying the little buggers.  The theory behind native American sweat houses is the same.

My body temp is chronically low, which may be tied to thryoid suppression, which may in turn be tied to Lyme .... so heat would seem to be a good thing.  I find a hot shower in the morning really helps esp when I'm Herxing.
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"My body temp is chronically low, which may be tied to thryoid suppression, which may in turn be tied to Lyme ...."

Boy does that sound familiar!  My body temp isn't that low, but who knows?  I could have low grade fevers further confusing the matter, if possible, lol.  I keep meaning to get a good home thermometer to monitor.  Just for my own info.

My Lyme doc doesn't think my thyroid needs to be treated separately yet, he thinks we should re-check in a few months.  My TSH has been on a slow rise, and at one point, I have thyroid antibodies indicative of Hasimoto's in my blood.  

Hot showers can feel good on my joints, but can also makes the paresthesias/pins and needles /tingling go nuts.  Sometimes heat also makes me nauseous.  If I get too cold, my stiffness and roving pains act up.  So looks like I either need to get better, or look into living my life in a climate controlled bubble.

I did some googling, and don't know what to think about heat and Lyme.  I always take a cool off shower after a rigorous workout, and I guess I am happy with that compromise.

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362692_tn?1248642793
My LLMD also has lyme and actually said NEVER get into a cold bed and talked about how raising your internally body tempurature is a good thing when treating lyme. The spirochettes have difficulty surviving. I has also told about the sauna therapy.

I have peripehrial Neuropathy as a result of my lyme and the cold physiclly hurts me. I work out and sweat and I actually do better.  I wasn't specifically told to avoid flour ...however to eat as naturally as possible and stay away from sugars and wheat. I have friends that practice alternative medicine and they explained to me that avoiding gluten  you are allowing your body to focus on healing. The body has to work hard to break down some of theses foods.

Yeast LOVE sugar so when you eat sugar your are giving them their favorite treat!!

Rebeccah
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Avatar_f_tn
About your doctor saying never get into a cold bed -- sounds like a very practical doc!

One of my favorite possessions now is a heating pad -- $15 at Walgreens.  I toast up the bed while I'm brushing my teeth and it really feels good when I dive in, especially around my knees.

  
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723952_tn?1231861132
I got an electric throw blanket and it is fantastic. My husband is very warm natured so he is always hot so we keep it cool in the house. So I turn it on put in under the covers on me and I am good to go!
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Avatar_m_tn
Dr. Singletons book on Lyme ...
Recommends ---    Exersize as a very good thing as
part of a total lifestyle change.
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318073_tn?1197568924
my llmd had told me the complete opposite and has been doing this for years and years and well kinda cured me but she wanted me to lightly exersise if i could and actually told me to use a steam room or the steam from the shower often cause it detoxes your body and detox is very important
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