Lyme coupled with repetitive motion will most likely result in stiffness of the soft tissues. If you've had repetitive motion from work or athletics, you've experienced this.
Lyme and the body chemistry changes that come with it (insomnia, stress, cortisol, liver, thyroid) makes the tissue straining much more likely to happen. All of that stuff needs to work properly for tissue regeneration, lyme can wreck havoc on all of that. I've had it across my whole body from overworking my body in a demanding endurance/contact sport with lyme for many years, and I'm roughly 80% better today. After lyme tratement, I'm now successfully fixing injured tissue from 15-20 years ago using similar methods in this link, without the help of the medical system since they are clueless in the area of soft tissue.
I just ran across this site, which pretty much says all the stuff I've been preaching about
soft tissue for the last four years. this person learned this on her own studying, not a Dr as Drs are useless in this topic. She did not have lyme but must have had some other issue which led to this. Mentions tools for this. I use a thera cane, four different diameter med-hard sports balls (golf ball is smallest), and the curved edge of the bathroom counter-top.
/deeprecovery.com/how-to-treat-tendonitis/**Many people get better just treating the pathogen, lyme ect, if there was limited tissue damage. More serious or lengthy cases will benefit from the info in the link - many forms of loosening your fascia, muscles, tendons. This is deep pressure release, not you basic wimpy massage.**
No mention of Gau-Sha though. Its been very beneficial to me. I've learned to do this on many areas myself followed by topical DMSO with Arnica Montana gel "chaser".