The country singer, 54, spoke candidly to PEOPLE about her return to music and the ailments she faced during her time off.
“I thought it was just fatigue or burnout. But no — Lyme disease commonly affects your nerves,” she said, explaining that the condition affected her vocals cords.
“I had a problem with my voice; I was avoiding doing something about it,” she admitted.
As RadarOnline.com readers know, Twain jumped back on stage in 2017, after what she calls a “long sabbatical.” That year, she dropped Now, her first album in 15 years.