Welkom bij het Lymeforum

Irene schreef:Sinds 1 1/2 week aan de Doxycycline.
Heb over mijn hele lichaam uitslag wat op galbulten lijkt. Ook een dikke onderlip.
Wordt helemaal gek van de jeuk.

..De tweede keuze oraal antibioticum is amoxicilline en wordt bijvoorbeeld gegeven bij zwangerschap of een allergie voor doxycycline; de derde keuze antibioticum is azitromycine..

Despite antibiotic treatments, patients will NOT return to normal unless they exercise, so therefore an
aggressive rehab program is absolutely necessary. It is a fact that a properly executed exercise program can
actually go beyond the antibiotics in helping to clear the symptoms and to maintain a remission.
Although the scientific basis for the benefits of exercises is not known, there are several reasonable theories. It
is known that Bb will die if exposed to all but the tiniest oxygen concentrations. If an aggressive exercise
program can increase tissue perfusion and oxygen levels, then this may play a role in what is being seen.
Also, during aggressive exercise, the core body temperature can rise above 102 degrees; it is known that B.
burgdorferi is very heat sensitive. Perhaps it is the added tissue oxygenation, or higher body temperature, or
the combination that weakens the Lyme Borrelia, and allows the antibiotics and our defenses to be more
effective. Regular exercise-related movements can help mobilize lymph and enhance circulation. In addition,
there is now evidence that a carefully structured exercise program may benefit T-cell function: this function will
depress for 12 to 24+ hours after exercise, but then rebound. This T-cell depression is more pronounced after
aerobics which is why aerobics are not allowed. The goal is to exercise intermittently, with exercise days
separated by days of total rest, including an effort to have plenty of quality sleep. The trick is to time the
exercise days to take advantage of these rebounds. For an example, begin with an exercise day followed by 3
to 5 rest days; as stamina improves, then fewer rest days will be needed in between workouts. However,
because T-cell functions do fall for at least one day after aggressive exercises, be sure to never exercise two
days in a row. Finally, an in intermittent exercise program, properly executed, may help to reset the HPA axis
more towards normal. On the following page is an exercise prescription that details these recommendations.
This program may begin with classical physical therapy if necessary. The physical therapy should involve
massage, heat, ultrasound and simple range of motion exercises to relieve discomfort and promote better sleep
and flexibility. Ice (vasoconstriction) and electrical stimulation (muscle spasm and trauma) should not be used!
The program must evolve into a graded, ultimately strenuous exercise program that consists of a specific
regimen of non-aerobic conditioning- see below. Have the patient complete a gentle hour of prescribed exercise,
then go home, have a hot bath or shower, than try to take a nap. Initially, patients will need this sleep, but as
they recover, the exercise will energize them and then a nap will no longer be needed.
NOTE: a cardiac stress test may be necessary prior to exercising to ensure safety.

Irene schreef:Aantal dingen die je beschrijft heb ik al gedaan. Fysieke training werkt averechts voor mij, zowel met als zonder fysio. Iedere interventie op dat gebied verergert mijn klachten.