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Diving Question

Posted By: KaraokeJoe

Diving Question - 02/04/11 09:18 PM

I'm having orthroscopic surgery on my shoulder 18 Feb, coming to AC 19 Mar. Looking to possibly get scuba certified. I'm wondering if there would be any problems with diving that soon after surgery, or what the criteria are?
Posted By: champion

Re: Diving Question - 02/04/11 09:26 PM

Good luck with that after surgery! You think 1 mo is enough healing time?
Posted By: SP Daily

Re: Diving Question - 02/04/11 09:30 PM

Get your doctor/surgeon's advice...not this message board!
Posted By: kathyw

Re: Diving Question - 02/04/11 09:30 PM

Is it your rotator cuff? If so you won't be ready. That takes months to heal.
Posted By: KaraokeJoe

Re: Diving Question - 02/04/11 09:38 PM

According to the doctor I should have between 90 and 100% recovery after 1 month, and activities could be determined by what I felt up for. That's why I wanted to ask people that know far more about diving than I do, based on what they know about range of motion and strength issues required for diving. Just trying to plan in advance as much as possible.
Posted By: seashell

Re: Diving Question - 02/04/11 10:00 PM

Which shoulder and which is your dominant arm?
Posted By: KaraokeJoe

Re: Diving Question - 02/04/11 10:02 PM

Surgery will be on left arm. Dominant arm tends to be right, except for writing and pistols.
Posted By: seashell

Re: Diving Question - 02/04/11 10:25 PM

In my not so humble opinion, you won't be ready. First let me tell you that I have suffered shoulder problems off and on for a number of years. Diving activity has on occasion aggravated that, and on other occasions, my shoulder problems have made my diving activity difficult and that is with significant number of dives/years of diving under my weight belt.

Let us not even discuss what can be involved with rotation, getting in and out of wetsuits, and BCD,s. It is your left arm that you will have to use to manage your power inflation hose. At a minimum, that will require you to raise your left arm almost straight up.

Assuming you will be boat diving, a more significant issue, is managing the ladder upon entering the boat from the ocean. If you were an experienced diver, you may be able to remove all of your gear in the water, without the necessity of ever holding onto the ladder, and then, use only your good shoulder to assist yourself on climbing the ladder, and all this in ideal conditions. Should the seas be rough, the pull of the ladder on your shoulder, as the boat rises, falls, bobs and weaves, could be very bad for you.

Again, I'm not a doctor, and I'm not trying to play one on the internet . . . just a dive fanatic, who's had her share of shoulder problems, and I'm saying wait until you are completely healed. Give it six months at least. If you are going to be living on the island and haven't dived yet, that shouldn't be a hardship, whereas, messing up your newly constructed shoulder . . . well . . .
Posted By: KaraokeJoe

Re: Diving Question - 02/04/11 11:08 PM

Thanks, I really appreciate the advice. Looks like we'll stick to snorkeling this trip! smile
Posted By: MathieusDeli

Re: Diving Question - 02/07/11 04:22 PM

contact DAN (Diver's alert network) - there has been recent research into diving after surgery, concerning the ability of healing scar tissue to eliminate the nitrogen. Check out with DAN.
Posted By: KaraokeJoe

Re: Diving Question - 02/09/11 01:35 AM

Thanks, the DAN site said almost exactly what seashell posted, looks like I'll be waiting until much later this year to dive. Oh well, the water's not going anywhere! grin
Posted By: seashell

Re: Diving Question - 02/09/11 03:09 AM

Thanks for that, but Mathieu's Deli makes a very good point too, about scar tissue and off-gassing. This is also addressed by DAN.
Posted By: DocVikingo

Re: Diving Question - 03/09/11 06:09 PM

Originally Posted by MathieusDeli
contact DAN (Diver's alert network) - there has been recent research into diving after surgery, concerning the ability of healing scar tissue to eliminate the nitrogen. Check out with DAN.


Hi Mathieus,

Best as I know, while it is occasionally hypothesized that since blood circulation in scar tissue is poorer than that of uninjured tissue, SCUBA-related off-gassing may be impaired, there really is no evidence to support this conjecture. Moreover, there are individuals with very substantial amounts of scar tissue, both external and internal, who dive regularly without obvious transient gas phase problems. Additionally, I know of no diving medicine physicians who advise against SCUBA based solely on the presence of scar tissue.

In any event, I usually follow such research carefully, but I seem to have missed this recent activity. And I can find nothing recent on DAN's website.

Where did you hear about it? Anything more you can tell me?

Thanks,

DocVikingo
Posted By: seashell

Re: Diving Question - 03/09/11 08:08 PM

Good to see you posting Doc. Still diving Roatan?

As for what I was referring to on the DAN website, please see here, in the second paragraph of the answer:

http://www.diversalertnetwork.org/medical/faq/faq.aspx?faqid=37
Posted By: MathieusDeli

Re: Diving Question - 03/09/11 08:17 PM

There was a talk given in Caye Caulker by two diving docs, one who runs the chamber (or one of) in Mexico, the other, also working there, was a British MD who had been doing research into diving physiology/accidents etc, and they were giving the talk to update divers / instructors on this subject. Unfortunately I don't recall the name of either of the doctors. This was over a year ago, and, also unfortunately, the only attendees at the talk were myself and three visiting foreigners. No local dive tour guides, DMs or instructors chose to attend.
Posted By: elbert

Re: Diving Question - 03/09/11 10:35 PM

I've done more than 8000 dives over a period of 35 years and
the older I get the more noisy my off-gassing seems to be.
:-)
KaraokeJoe enjoy some shallow dives and take it easy, Hol Chan is very shallow and you could dive for hours without putting a notable about of nitrogen in your system. Most of the theories about the physics of nitrogen loading and unloading are based on considerable amounts of dissolved nitrogen, which won't happen in some place like Hol Chan where to get deeper than 30 feet you have to use a shovel!
Posted By: seashell

Re: Diving Question - 03/10/11 04:10 AM

Excellent points with regard to off-gassing elbert, but all that said, there's still the stresses to the shoulder. Joe still has to get in and out of his wetsuit, gear, up and down a ladder, on and off a boat.
Posted By: KaraokeJoe

Re: Diving Question - 03/10/11 01:35 PM

Thanks everyone. Having had the surgery now and being just over a week from getting there, I can honestly say that there's no way I'd even try diving yet. I'm actually hoping to even be able to snorkel. Worse comes to worst, I'll have to wait until June/July when we move out there. I suppose I can still wade in the shallows! Hope to meet you all soon! smile
Posted By: seashell

Re: Diving Question - 03/10/11 02:34 PM

Hope all goes well with the recovery. Best to you in your future move.
Posted By: DocVikingo

Re: Diving Question - 03/10/11 04:03 PM

Originally Posted by seashell
Good to see you posting Doc. Still diving Roatan?

As for what I was referring to on the DAN website, please see here, in the second paragraph of the answer:

http://www.diversalertnetwork.org/medical/faq/faq.aspx?faqid=37


Hi seashell,

Very kind of you to say. Sadly, I haven't been to Roatan in a bit, but might do CCV again over the coming Thanksgiving week.

Thanks for the link. I was thrown off by Mathieus’ reference to “recent research” by DAN blood circulation/inert gas elimination in scar tissue as DAN isn’t doing any work on this subject.

As indicated in my initial post, best as I know the current general consensus in the diving medicine community is that scar tissue formation is basically a non-issue as far as DCS is concerned.

Hope you are well.

Regards,

Doc
Posted By: MathieusDeli

Re: Diving Question - 03/10/11 06:11 PM

Hi Doc
sorry, that was indeed misleading. The doctors who gave the talk were not representing DAN, they were hyperbaric doctors. I just assumed that DAN might have picked up the recent research.

NB. DAN Americas and DAN Europe are separate entities.

Anyway, being conservative never hurt anyone ;-)
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