Lyme Disease

Lyme Disease: Can the Root Cause of Chronic Symptoms Be Treated?

Michael Bauerschmidt, MD, root-cause physician treating chronic Lyme disease at Deeper Healing in Charleston, SC
Reviewed by Michael Bauerschmidt, MD

Quick answer: Lyme disease is a tick-borne infection caused by Borrelia bacteria that can leave lasting fatigue, joint pain, and brain fog long after treatment. At Deeper Healing in Charleston, SC, we look beyond a single antibiotic course to the root drivers of chronic Lyme — persistent infection, co-infections, toxic body burden, and immune dysfunction — and address them in the right order.

Reviewed & updated August 2026 by Michael Bauerschmidt, MD

Key takeaways

  • Lyme disease is the most common vector-borne illness in the United States, with an estimated 476,000 people diagnosed and treated each year, according to the CDC.
  • A short course of antibiotics resolves many early cases, but a subset of patients have lingering symptoms known as Post-Treatment Lyme Disease Syndrome (PTLDS), recognized by the NIH.
  • Ticks often transmit more than Lyme — co-infections such as Babesia and Bartonella can drive symptoms that standard Lyme treatment misses.
  • Toxic body burden and immune dysfunction can keep patients unwell even after the initial infection is treated.
  • A root-cause, functional and environmental medicine approach looks for persistent infection, co-infections, and immune drivers rather than stopping at a single test or drug.

What is Lyme disease?

Lyme disease is a bacterial infection caused by Borrelia burgdorferi (and related species) transmitted through the bite of an infected blacklegged tick. Early infection often produces a rash, fever, and flu-like illness; when it is not caught and cleared, the bacteria can spread to the joints, nervous system, and heart, producing long-lasting symptoms. It is the most common vector-borne disease in the United States — an estimated 476,000 people are diagnosed and treated each year, according to the Centers for Disease Control and Prevention — and cases are concentrated in the Northeast, mid-Atlantic, and upper Midwest.

What are the symptoms of chronic Lyme disease?

Because Lyme and its co-infections can affect many systems, symptoms are wide-ranging and often persist or return after treatment:

  • Persistent fatigue and low stamina
  • Migrating joint and muscle pain
  • Brain fog, memory problems, and poor concentration
  • Headaches and light or sound sensitivity
  • Nerve pain, tingling, or numbness
  • Sleep disturbance and unrefreshing sleep
  • Heart palpitations or air hunger
  • Mood changes, anxiety, or depression
  • Night sweats and temperature dysregulation

What causes chronic Lyme — and why standard treatment often misses it

Conventional care usually diagnoses Lyme with two-tier antibody testing and treats it with two to four weeks of antibiotics. That clears many early infections, but it does not answer the deeper question: why do some patients stay sick after treatment? The NIH recognizes Post-Treatment Lyme Disease Syndrome, in which symptoms persist for months or longer after standard therapy. In our experience, the drivers are frequently a combination of persistent or deep-seated infection, unrecognized co-infections such as Babesia and Bartonella, a heavy toxic body burden, and a dysregulated immune system. The National Institute of Allergy and Infectious Diseases notes that some patients continue to experience symptoms after treatment. When those drivers go unaddressed, patients can cycle through repeated antibiotic courses while never feeling truly well.

The root-cause pathway in chronic Lyme Tick-borne infection (Borrelia burgdorferi) Co-infections (Babesia, Bartonella) Toxic body burden & immune dysfunction Persistent infection & immune dysregulation Symptoms: fatigue, joint pain, brain fog Deeper Healing targets these root triggers — in the right order
How infection, co-infections, and body burden drive chronic Lyme — and where root-cause treatment intervenes.

How Deeper Healing treats chronic Lyme

Deeper Healing takes a root-cause approach built on detailed intake and comprehensive lab analysis — not a single antibody test. Dr. Bauerschmidt and our team look for persistent infection, the specific co-infections, toxins, and immune imbalances driving your symptoms, then treat them in a deliberate order using environmental medicine, light and oxygen therapies, and targeted detoxification and immune support. The goal is to lower the total infectious and toxic burden, calm the immune system, and help patients regain energy and quality of life.

Conventional care vs a root-cause approach

Conventional Lyme care Deeper Healing root-cause approach
Two-tier antibody test, often stops there Evaluates Lyme plus co-infections, toxins, and immune function
Two to four weeks of antibiotics Addresses persistent infection and the drivers keeping you sick
Lingering symptoms often labeled and left unexplained Treats Post-Treatment Lyme symptoms as a signal to look deeper
Rarely tests co-infections, toxins, or body burden Tests for co-infections, heavy metals, mold, and immune dysregulation

Key terms explained

Borrelia burgdorferi
The spiral-shaped bacterium that causes most Lyme disease in the United States, transmitted through the bite of an infected blacklegged (deer) tick.
Post-Treatment Lyme Disease Syndrome (PTLDS)
The NIH-recognized term for lingering fatigue, pain, and cognitive symptoms that persist for months after standard antibiotic treatment for Lyme disease.
Co-infection
A second tick-borne infection — such as Babesia, Bartonella, or Anaplasma — transmitted alongside Lyme that can drive symptoms standard Lyme treatment does not address.
Two-tier testing (ELISA and Western blot)
The standard antibody-based method for diagnosing Lyme. It can miss early or long-standing infection because it measures the immune response rather than the bacteria directly.

Patient experience

Many patients arrive after repeated antibiotic courses that never fully resolved their symptoms. Read how a holistic, root-cause detox approach is used with complex chronic infections: How holistic detox methods transform Lyme, Parkinson’s, and EBV treatment →

Frequently asked questions

Can chronic Lyme disease be treated?

Chronic Lyme cannot always be fully “cured,” but many patients improve substantially when the underlying drivers are identified and treated. By addressing persistent infection, co-infections, toxic body burden, and immune dysfunction together — rather than repeating the same short antibiotic course — the goal is to lower the total burden and help the body recover function and energy over time.

Why do Lyme symptoms persist after antibiotics?

Several factors can keep patients unwell. The infection may be deep-seated or persistent, unrecognized co-infections may remain untreated, and toxins plus a dysregulated immune system can perpetuate symptoms. The NIH recognizes this pattern as Post-Treatment Lyme Disease Syndrome. A short, single-agent antibiotic course is often not enough to reach every driver of chronic illness.

What are Lyme co-infections?

Ticks frequently carry more than one organism, so a single bite can transmit several infections at once. Common Lyme co-infections include Babesia, Bartonella, Anaplasma, and Ehrlichia. These can cause symptoms — such as air hunger, sweats, or nerve pain — that differ from Lyme itself, which is why treating Lyme alone sometimes leaves patients only partly better.

How is Lyme disease tested and diagnosed?

Standard diagnosis uses two-tier antibody testing (an ELISA followed by a Western blot). Because these measure the immune response rather than the bacteria, they can miss very early or long-standing infection. We pair clinical history and exposure with fuller testing for co-infections, toxins, and immune markers so treatment targets the actual cause.

Is “chronic Lyme” real?

Terminology is debated, but the persistent symptoms are real. The NIH formally recognizes Post-Treatment Lyme Disease Syndrome, in which fatigue, pain, and cognitive problems continue after standard therapy. Whatever the label, our focus is practical: identify what is still driving a patient’s symptoms — infection, co-infection, toxins, or immune dysfunction — and address it.

Can Lyme disease affect the nervous system and heart?

Yes. When Lyme spreads beyond early infection it can involve the nervous system, causing nerve pain, facial weakness, and cognitive symptoms, and less commonly the heart, causing rhythm disturbances known as Lyme carditis. These features underscore why lingering or worsening symptoms deserve a thorough, root-cause evaluation rather than reassurance alone.

Where can I find a Lyme-literate doctor near me?

Deeper Healing Medical Wellness Center is located at 234 Seven Farms Drive, Suite 110, Charleston, SC 29492, on Daniel Island. We see patients from across the country who travel to us for root-cause care of chronic Lyme and complex tick-borne illness after standard treatment has fallen short.

Your next step: find out what’s driving it

Because a heavy toxic body burden so often sits alongside chronic infection in Lyme, a useful first step is understanding your own “body burden.” Our free two-minute assessment helps you gauge whether accumulated toxins could be adding to your symptoms — and what to do next.

Take the Toxin Quiz

Two minutes, free, and completely confidential — see whether your body burden of toxins could be driving your symptoms.

Take the Toxin Quiz →

Sources

  • Centers for Disease Control and Prevention — Lyme Disease
  • National Institute of Allergy and Infectious Diseases (NIH) — Lyme Disease

Michael Bauerschmidt, MDMedically reviewed by Michael Bauerschmidt, MD — Founder and Medical Director, Deeper Healing Medical Wellness Center. Board-certified physician specializing in functional and environmental medicine.
Last reviewed: August 2026.

Deeper Healing Medical Wellness Center · 234 Seven Farms Drive, Suite 110, Charleston, SC 29492 · (843) 253-7302

This page is for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your individual condition.