My (unqualified) guess is that you may have some vascular damage from Bartonella and/or Babesia.
Bartonella, especially, can cause vascular problems, most commonly in the legs/feet. Though you'll be lucky if you find any vascular docs around who are familiar with that fact. It could be that some Herxing is going on, also, with some autoimmune stuff also contributing. I'm including a link down below, that Girlie posted a while ago, with photos depicting the variety of rashes and skin/vascular problems that can be caused by Lyme and the co-infectors. Some of the photos are extreme examples (yuck warning!).
I'm on Rifabutin,
right now (pulsing), as part of a Bartonella/Borrelia protocol. And Rifabutin, like Rifampin, will be hurting and killing Bart.
I've had to get myself to a vascular specialist (even though the guy knows next to nothing about
Lyme), because of having seriously swollen feet and toes after a major Herx I had last December. I also noticed a couple of enlarged veins on my feet & ankles--and wound up having bluish/black spots on my toes that turned out to be blood clotting there in the farthest extremity from the heart. The vascular Doc found that I had blood clots in both legs, in the upper thigh areas--and compromised blood flow back to the heart. Which also could be caused by long-term Lyme, though we'll probably never know for sure. It's possible that I've had Lyme for decades, since I lived for several years in Connecticut when Lyme was rearing it's head in the mid-80s. And was tick-bit a number of times, there.
I've needed to have (along with the new blood-thinner, Eliquis) a couple of unpleasant vascular procedures done, in order to prevent future blood clots. And the Eliquis (along with exercise, in my opinion) eventually dissolved the three clot areas I had in the upper thighs.
Personally, if I were you I'd keep an eye out for any sores or hematomas below the skin, in your feet & toes.
But you may very well be on the right track, treating for Bart.
Post Edited (BlueRidgeDave) : 9/14/2020 9:43:16 PM (GMT-6)