Re: Good news plus some lyme arthritis questions
Yay, you are running, that's fantastic! I wish I could do that, but my hips flare up when I do. I am so happy for you though, this is good news.
As for your questions, they are complicated and very good questions which I've tried to answer for myself in the past, unfortunately we can only speculate. There are no definitive answers, but some theories which make sense. Here's the one that made the most sense to me:
The antibiotics can reach the synovial fluid, but may not necessarily destroy the Bb when it gets there, due to the morphing and lack of cell wall the Bb may potentially present. Over time, the antibiotic should be able to take care of the majority Bb (something like 85%), while the hope is that the immune system will address the remaining 15% of them. Unfortunately, even when the Bb is destroyed, there often remains undegraded antigenic materials which create inflammation of the joint. This can go on for long periods, even coming and going over many years as the body reacts to the antigens. So that even when living spirochetes are no longer present, undegraded antigenic material may still keep the inflammation going.
In my experience, the bacterial components can co-exist for decades, usually causing immune response flare-ups in times of stress to the body. Our bodies are designed to fight anything when working properly, however most people's bodies are not working to prime capacity due to one reason or another, usually toxicity of the digestive system, lymph system or entire body systems.
I know plenty of people who have gone through rigorous lyme treatement and then endured a time of "chronic residual" joint pain and then finally gotten well with no signs of lyme. I guess living in Connecticut, I am exposed to more lyme than some, so I get to witness a lot of success stories, but also plenty of sickness too. If you're wondering if you'll ever be completely free of all lyme symptoms, I certainly believe you can.