Skip to content
My WebMD Sign In, Sign Up

Information and Resources

Understanding Lyme Disease -- Symptoms

What Are the Symptoms of Lyme Disease?

The first sign of Lyme disease is usually a bull's-eye rash that begins from 3 to 30 days after the bite. This circular rash expands to several inches or more in diameter before disappearing after a few weeks. 

Be aware, however, that there's not always a rash, or the rash may look different than a bull's-eye shape.

Recommended Related to Arthritis

Understanding Plantar Fasciitis -- Diagnosis and Treatment

Most cases of plantar fasciitis are diagnosed by a health care provider based on your symptoms and a physical exam in which he or she will press on the bottom of your feet -- the area most likely to be painful in plantar fasciitis, inflammation of the thick, fibrous band of tissue (''fascia'') that reaches from the heel to the toes and supports the muscles and arch of the foot. He or she may suggest that you have an X-ray of your foot to verify that there is no stress fracture causing your pain.

Read the Understanding Plantar Fasciitis -- Diagnosis and Treatment article > >

Other early symptoms -- with or without the rash -- may be flu-like feelings of fatigue, headache, fever, sore throat, chills, or body aches.

You may also have vague pains in the joints, without swelling. In about 60% of people who are not treated, this joint pain returns months to years later as painful arthritis, with swelling often in one or both knees. In about 10% to 20% of these cases, Lyme arthritis becomes chronic. Some patients also experience a complex range of other symptoms, including stiff neck, headaches, sensitivity to light, memory loss, mood changes, chronic fatigue, recurring rashes, paralysis of one or both sides of the face, disruption of heart rhythm, and areas of tingling or numbness.

In summary, general symptoms may include:

  • A circular, bull's-eye rash, often with a clear center, expanding to 8 inches or more and lasting 2 to 4 weeks
  • Any type of rash following a tick bite
  • Flu-like symptoms such as headache, fatigue, fever, chills, sore throat, and aching muscles and joints
  • Paralysis, most often of the face
  • Memory impairment
  • Random areas of tingling or numbness
  • Skin sensitivities
  • Stiff neck
  • Sensitivity to light
  • Heart palpitations
  • Irregular heartbeat, chest pain, or dizziness
  • Psychological changes, including depression

If untreated, you may develop a generalized, painful kind of arthritis, with swelling, weeks later.

 

See Your Doctor About Lyme Disease If:

You think you may have contracted Lyme disease, especially if you notice a bull's-eye rash or if you suddenly develop knee pain and swelling without previous injury or arthritis. Delaying treatment can result in more serious neurological symptoms that can be difficult and sometimes impossible to cure.

WebMD Medical Reference

Reviewed by Melinda Ratini, DO, MS on March 23, 2014

Hot Topics

WebMD Video: Now Playing

Click here to wach video: Dirty Truth About Hand Washing

Which sex is the worst about washing up? Why is it so important? We’ve got the dirty truth on how and when to wash your hands.

Click here to watch video: Dirty Truth About Hand Washing

Popular Slideshows & Tools on WebMD

hands on abdomen
Can you catch one?
Woman sitting in front of UV lights
Is yours working?
woman using breath spray
What's causing yours?
womans hand on abdomen
Are you ready for baby?
MS Overview
Recognizing symptoms.
bowl of yogurt with heart shape
Eat for a healthy heart.
woman doing pushups
To help you get fit.
Colored x-ray of tooth decay
Know what to look for.
Woman sitting with child
Do you know the symptoms?
mosquito
Stings, bites, burns, and more.
Allentown, PA
Are you living in one?
Thyroid exam
See how much you know.

Women's Health Newsletter

Find out what women really need.