Hi - I'm just am so relieved to hear about other scalp experiences! I just wanted to share that I too have a lot of pain in my scalp, and it began maybe 8 months ago after I'd started getting treated wtih doxycyclin again (for about 2 mos) after a long stretch of years not realizing I wasn't just aging quickly - I still had lyme! Anyhow - while it does show up off and on all day as the "high ponytail in too long" feeling, and it's pretty bad if I wait even a little while at the start of a day to wash my hair, something else happens more and more frequently where I feel like my head/brain is getting stabbed, it started in December as a "tingle" that followed the exact path each time on the left side of my head, starting at the back ending at the same point in my forehead, which really felt like it was going straight through my brain, not my scalp (but I tell myself it must be my scalp because you can't supposedly feel your brain?), and my lyme specialist had suggested I just dismiss it as a lyme symptom, to not seek any further opinion, and continue with the iv and by this point zythro. too for six months, and to just see what happens... I've been off that for about 1.5 month and according to the blood results they finally faxed, it looks like I'm more positive than before, and for about a month now it's not been the tingly distracting line that comes and goes (and ONLY on the left side of my head ever btw) - that never happens anymore. Now, out of nowhere, several times a day, I feel like I'm getting stabbed up there (only on the left). It's so weird. It makes my whole body reflex from it because it's so sudden and strong. It doesn't seem to be attributed to stress, dehydration, hunger, it's very random. It's not always in the same place as the tingly line, but it's always on the left. Has anyone had this symptom? I don't get headaches very often at all, and I wouldn't describe this as feeling as one. A few years ago when, I now understand, that my lyme was getting expressed as tingling in my extremeties and nervous system/balance problems, I had an MRI of the brain prescribed after little almost fainting spells that would randomly occur - I think they were concerned about MS? But anyway, I don't think it's something really inside my head, they checked there, they just hadn't thought to do bloodwork...but then again who knows. Hoping someone here might have some ideas...Thanks! Sorry for my long post!