Deena has been an Advanced Practice Physiotherapist in MSK and an Independent Prescriber in primary care for 6 years, with an MSc in Advanced Clinical Practice. She works in Dumfries and Galloway in Scotland. Deena has had an interest in MSK masqueraders and specifically Lyme disease for the past several years - ever since her ‘ultra marathon running’ husband developed pain and extreme fatigue, leaving him struggling to perform simple tasks, following a tick bite. She feels passionately that physiotherapists have an important role to play in identifying this disease.