Post Decompression sickness

Post Decompression sickness

DAN medics and researchers answer your questions about dive medicine.
I am the physician of a patient who was treated for decompression sickness (DCS) in a hyperbaric chamber one year ago. The diver had complete resolution of his original symptom (shoulder pain) but is now complaining of persistent arthritis in his hands, wrists and back. Is there a causal relationship between rheumatologic symptoms and DCS? The patient’s current symptoms were not part of the original presentation, and he had no such symptoms prior to the DCS diagnosis.  
 

I am not aware of any serious attempt to link specific rheumatologic conditions and DCS. It is possible that residual sensitivity arising from the decompression insult is responsible for the subsequent symptoms. In this case the symptom development could diminish over time. It is also possible that the DCS increased inflammatory sensitivities that may remain in the future. But again no research to date supports this.
Distinguishing between these possibilities is probably not feasible, but it will be of value to follow the symptom evolution, if there is any, over time. If the diver continues to dive and alternates between cold and warmer exposures, I would be interested to learn if thermal status influences the response. It is most likely that these new complaints are coincidental given the interval of more than a year. Finally, an underlying condition such as osteoarthritis may have manifest in this patient; this warrants investigation during future follow-up evaluations.
— Neal W. Pollock, Ph.D., and James M. Chimiak M.D.

Categories

 2018 (60)
 2016 (119)
After anaesthesia Air Quality Altitude sickness Annual renewal Apnea Arthroscopic surgery BCD Badages Bag valve mask Bandaids Barbell back squat Bench press Bouyancy compensators Boyle's Law Boyle\'s Law Boyle\\\'s Law Boyle\\\\\\\'s Law Boyle\\\\\\\\\\\\\\\'s Law Brain Breast Cancer Breath hold Breath-hold Bruising Buoyancy Burnshield CGASA CO2 Camera settings Cancer Remission Cancer treatments Cancer Cape Town Dive Festival Carbon dioxide Charles' Law Charles\' Law Charles\\\' Law Charles\\\\\\\' Law Charles\\\\\\\\\\\\\\\' Law Chemotherapy Coastalexcursion Cold Water Cold care Cold Conservation Contaminants Corals Cutaneous decompression DAN Profile DAN Researchers DAN medics DAN report DCI DCS Decompressions sickness DCS DReams Dalton's Law Dalton\'s Law Dalton\\\'s Law Dalton\\\\\\\'s Law Dalton\\\\\\\\\\\\\\\'s Law Decompression Illness Decompression Sickness Decompression illsnes Diseases Dive Instruction Dive Instructor Dive accidents Dive computers Dive health Dive medicines Dive medicine Dive safety Dive staff Diveleaders Divers Alert Diving Kids Diving career Diving emergencies Diving injuries Diving suspended Diving Domestic Dr Rob Schneider EAP Ear pressure Ears injuries Emergency plans Environmental impact Equipment care Exercise Eye injuries FAQ Fatigue First Aid Equipment First Aid kits Fish Fitness Francois Burman Free diving Freediver Gas laws Gastric bypass Gordon Hiles HELP Haemorhoid treatment Health practitioner Heart High temperatures Hot Hydrostatic pressure Hypothermia Indian Ocean Inert gas Infections Instinct Instructors International travel International Irritation Kids scubadiver Labour laws Legislation Leukemis Liability Risks Life expectancy Lifestyle Low blood pressure Lung injuries MOD Maintenance Mammalian effect Maximum operating depth Medical Q Medical questionaire Medical statement Middle ear pressure Military front press More pressure Mycobacterium marinum Nitrox Non-rebreather Mask Nosebleeds O2 providers O2 servicing OOxygen maintenance Ocean pollution Orbital implants Oronasal mask Oxygen Cylinder Oxygen Units Oxygen deicit Oxygen ears Oxygen equipment Oxygen masks Oxygen supply Oxygen therapy Part 3 Plastic Pneumothorax Pool Diving Pulmanologist Pulmonary Bleb Radio communications Rashes Report incidents Rescue training Resume diving SABS 019 Safety Save our seas Science Scuba Injury Scuba children Scuba dive Scuba health Scubalearners Skin Bends Skin outbreak Skin rash Snorkeling Sodwana Bay Splits Squeezes Supplemental oxygen Surgeries Surgery The Bends The truth Thermal Notions Tides Travel tips Travel Tweezers Unconsciousness Underwater photographer Underwater pho Vaccines Vagus nerve Valsalva manoeuvers Vasvagal Syncope White balance Winter Wound dressings Wreck dive Youth diver abrasion air-cushioned alert diver altitude antibiotics antiseptics bandages bent-over barbell rows breathing air calories burn cardiovascular checklist chemo port child clearances closed circuit scuba currents cuts dead lift decompression algorithms decongestants dehydration dive injuries dive medicing dive ready child dive reflex dive tribe diver rescue dive diving attraction doctors domestic travel dri-suits dry mucous membranes dry suits dry ear spaces electroytes emergency action plans emergency assessment equalizing exposure injuries flexible tubing health hospital humidity immersion pulmonary edema (IPE join DAN longevity lower stress marine pathogens medical procedures medical risk assesment minor illness mucous membranes nasal steroids nasal newdivers nitrogen bubbles off-gassed operating theatre outgas pain plasters post dive preserve rebreather mask rebreathers risk areas saturation scissors scuba equipment scuba single use sinus infections stings strength tecnical diver thermal protection training trimix unified standards warmers water quality