As tick populations grow (thanks, climate change) and tickborne diseases like Lyme become more widespread, tick checks have become routine for a lot of us. But do you really know what it means to “check yourself for ticks”? Chances are, you’re missing some important parts of the process.
Ticks live in grassy, brushy, and wooded areas, the CDC notes. Growing up in Pennsylvania, I always thought of the woods and farm fields as the places you pick up ticks. But years later, I now know there are ticks in my own backyard, as well as parks and other areas that don’t fit the stereotype I had in my head.
Mistake 2: Skipping the shower
If you think of a "tick check" as an isolated chore, it's easy to forget. But if you make sure to take a shower after you've been outdoors, that both gives you an opportunity for a thorough check as you're undressing, and may wash off ticks even if your check wasn't so thorough (or if you forgot to do it entirely).
Ticks crawl around for a few hours before they find a place to attach, so there’s a good chance that un-attached ticks will wash off during the shower whether you see them or not. As a bonus, you also have several hours to wash off the oils from poison ivy before it begins to trigger a rash. A shower is always on my to-do list after coming home from a trail run.
The first place I always check is my lower legs. Ticks need to stay close to the ground while they’re waiting for a person to walk by, so you won’t find them climbing trees and dropping down from above—that’s a myth. They chill on the ground, then climb a stalk of grass, then if they haven’t found a victim they will return to the ground to rehydrate for a bit.
But over the course of the next few hours, they’ll climb upwards. It’s not uncommon to find ticks on your upper body or even in your hair. So check these harder-to-see spots, which I’ll list from bottom to top:
Between your legs (use a mirror...sorry)
In your armpits
In your hair
Mistake 4: Not knowing what you're looking for
Look up the species of ticks that live in your area, and make sure you know how big they are and what they look like. Ticks grow as they go through their life cycle, with the smallest being about the size of a poppyseed. Adult ticks can be anywhere from the size of a sesame seed to a corn kernel, depending on what species they are and whether they have fed.
You may find an attached tick during your check—or, if you’re unlucky, sometime the next day after you should have done your check. An attached tick doesn’t hurt. You might just notice a little scab or mole where there wasn’t one before, and when you take a closer look at it, it’s got legs. Ew. Go get the tick tweezers or your handy-dandy tick removal device. (I’m partial to the TickKey.)
Mistake 5: Not having a plan for what to do when you find a tick
If you find a tick crawling on you, that's easy—wash it off, brush it off (if you're outside), or squish it and throw it in the trash. But what if you find one that's already attached? That's when you have to know the right way to remove a tick.
Forget the blown-out matches, soap, or alcohol. You don't want to do anything that makes the tick release itself, since they'll vomit their stomach contents into your bloodstream, which worsens the risk of catching a tickborne disease. Instead, pull the tick off your skin with fine-tipped tweezers, or with a specialized device like a TickKey or Tick Twister. I keep a TickKey in my bathroom at home, and bring another with me when I travel. You just slip the little keyhole slot over the tick, and pull—something even most squeamish folks can handle.
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