In your opinion.

If I have had lyme for 10+ years then how many years of anti-biotics do I need.

Ive been on them for close to a year and now their adding flagyl,.

Do be treated for co-infections and use adjunct therapies to re-build your immune system.

I was on abx for about a year and mae little progress. Switched LLMDs and treated Babs with Mepron & abx and started to make progress. I also had parethesias and theyt didn't improve until I treated Babs and Bart.

Plaquenil is an obsolete malaria drug, and I found that while it temporarily made me feel better, it did nothing to cure either babesia or Lyme.

For a long time, slow improvement was all that many Lyme patients could expect. But there are many more treatment options these days, and while you certainly don't want to be in denial about how challenging Lyme can be, you also don't need to resign yourself to unnecessary suffering.

at this point, who can remember?!

Laughter is the best way to deter tears and it's a bad habit, but to answer your question, the doctor can view lesions on the brain with SPECT scan and MRI.

I also have the arm, pins and tingles. muscle spasms. I have also had the sensation (as when you're just about to fall asleep you fall backward?) that when sitting still, my brain is falling backwards only I'm awake. That's freaky and I would be certain that I have neuro damage.

I would say that one month is nothing. I've tried it several times until I got so sick, I'm afraid to go off abx.

Lymester

As ibrakeforticks put, you still have accumulation of biotoxin in your body - some kind of a depot and the needles you feel are likely opening cysts. In my hypothesis (to which I stick for long time in spite of some opponents) you may feel cysts opening as their contents are very toxic and irritating, even if their size is so small.

In my opinion, you need some good cyst busting medication (such as Tinidazol or Metronidazol or mega dose of vitamin C - I think vitamin C works about the same as Tinidazol or Metronidazol in destruction of cysts) and also take cholestyramine to remove toxin from your blood stream.
For a while (weeks or months) the feeling of needles will actually increase but eventually the feeling will disappear.

Some cysts may still contain living Bb so some other ABX may be indicated as well.

I have had Lyme for AT LEAST 17 years. My treatment up till this time has been on/off/on various antibiotics. I feel I am finally being treated by someone who has a good handle on how I should be treated.

My LLMD explained to me that plaquenil is not an antibiotic but changes the alkaline level of the cells, allowing the abx to penetrate more effectively.