2013-04-16 10:05:26 +02:00

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lifecoach
8474512
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# Lifecoach: I'm worried about my tick bite
## Our experts answer your questions on tick bites and repetitive strain
injury
![Wear long sleeves and trousers if there is a high chance of ticks][1]
Wear long sleeves and trousers if there is a high chance of ticks Photo: ALAMY
12:00PM BST 27 Apr 2011
[Comments][2]
**_Q_**_ While walking in the hills recently I got a tick bite. Should I be
worried about catching an infection from this?_
**A DR DAN RUTHERFORD WRITES:**
Sheep and deer ticks can harbour the bug that causes Lyme disease (Borrelia
burgdorferi).
Although much more common in the United States and mainland Europe, we are
seeing Lyme disease more often in Britain but are still a long way from
needing to worry about every tick bite.
Look out for a rash at the bite site appearing anything up to a month later.
Eighty per cent of people who get Lyme disease have this rash. A flu-like
illness is a common feature also in this time scale.
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Blood tests can help make the diagnosis more certain if there is reasonable
suspicion of Lyme disease.Over-diagnosis and over-treatment are problems that
we need to work on as there is a fair bit of unnecessary worry going around
about Lyme.
Prevention is better than cure, so one should wear long sleeves and trousers
if walking in moorland or wooded areas where deer may roam. One should also
check carefully for ticks at the end of the day.
If removed within 24 hours, the likelihood of an infected tick passing the
organism to the host is much less. You can buy a small tick hook from outdoor
shops and pharmacies that make complete tick removal much easier.
**_Q_**_ Should people with repetitive strain injury avoid using weights?_
**A TONY GALLAGHER WRITES:**
Repetitive strain injury (RPI) is a term similar to "sports injury", since it
says more about how the injury was sustained than what it actually is.
"Musculo-skeletal disorder" is probably more accurate and is used to describe
conditions such as tendonitis, tenosynovitis (inflammation of the lining of
the sheath that surrounds a tendon) and carpal tunnel (pressure on the nerve
in the wrist).
Common symptoms are numbness, tingling, throbbing, tightness and/or
hypersensitivity to touch. In these cases your body will tell you very quickly
that having to struggle against weight is not what it wants.
Weight training for those without RPI is useful as a preventative measure but,
once you have it, pain will alert you to potential worsening of the situation.
More likely to work for you is a combination of stopping the task that caused
the problem, if possible (or you risk it turning it into a chronic condition),
physiotherapy, painkillers, massage and improving the work environment.
Having said that, it is not clear why some people develop RSI and others, who
do the same repetitive tasks, do not. It may be that stress increases muscle
tension, and/or affects how the body feels pain. For more information see:
**[www.rsi.org.uk][9]**.
**SECOND OPINION **Dr James Le Fanu
**Repairing the survival statistics**
Some time ago in this column I described how a Devon farmer owed his life to a
nasty attack of belly ache. Retiring to bed, he was rubbing his stomach in the
usual fashion when he noticed a curious pulsation just under the rib cage -
like a balloon thumping away in time to his heart beat.
He dithered for a few months before consulting his family doctor, who
organised for him to have an ultrasound scan. This revealed his pulsating
balloon to be an aneurysm of the major artery, the aorta, running the length
of the abdomen.
It was, by all accounts, a whopper, and while the operation to repair it with
a Teflon graft was not pleasant, it was, he observed, "much preferable to the
alternative".
That "alternative" could have struck at any time - when his ballooning
aneurysm would have burst with predictably dire consequences. Indeed there is
a memorable simplicity about the relevant statistics: 95 per cent of those
with a leaking aortic aneurysm succumb, while 95 per cent of those in whom it
is repaired in time will survive.
That case was almost 10 years ago. Since then, things have moved on in a
couple of ways directly relevant to my Devon farmer's experience. First, and
self evidently, it is sensible to catch an aneurysm - if at all possible -
before it bursts, and here it now appears it is advisable for all men over the
age of 65 (women are, for the most part, exempt) to have a single "screening"
ultrasound test in anticipation of detecting an aneurysm early enough for
effective treatment.
Next, the treatment itself has become vastly less traumatic thanks to a new
technique that allows the aneurysm to be repaired from the inside, without the
need for a major operation. This procedure has increased the chances of
surviving this potentially lethal condition to a staggering 99 per cent.
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worried-about-my-tick-bite.html
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