If you are a city dweller you may not have heard of Lyme disease. It’s a slow moving disease caught from tick bites (deer ticks). You are likely to get bit walking out in the country side, working around animals or on holiday and therefore not so likely if you are hanging out in the concrete jungle. Its more common in the USA however there are 2000 – 3000 cases a year in the UK and 10-15% are picked up abroad. Symptoms can be minor and unnoticeable at first but can develop over weeks or months and sometimes even years. Lyme disease can affect your skin, nervous system and joints and, if left untreated, can have serious long term consequences such as muscle weakness, heart and nerve problems and arthritis.