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| Exchange of Emails with DAN (Divers Alert Network) Sept. 2006 Denis thanks for the inquiry. I sent this out for comment from our research director, Dr. Vann. See response below. As for your exposure to the chamber, there is unlikely to be any problems resulting from hyperbarics provided you are medically cleared or deemed fit for the experience and properly decompressed according to the protocols consistent with the treatment. I would suggest that you be cautious to make absolutely certain that the treating physician(s) have appropriate training in hyperbaric medicine. Divers Alert Network Daniel A. Nord, EMT-P, CHT Director, DAN Medical Services Department of Anesthesiology Duke University Medical Center (919) 684-2948 ext. 232 Office (919) 493-3040 Facsimile E-mail: dnord@dan.duke.edu ----- Original Message----- It is an interesting question, Dan, to which I have no adequately supported answer. My prejudice would be to say that when a state of supersaturation and bubbles were present, it might be somewhat harmful. Also perhaps when an injury was fresh but a fair amount must be known about that from non-decompression injuries. But baring additional injury due to the massage, I wouldn't be surprised if the improved blood flow would be helpful during recompression, O2 breathing, and subsequent rehab. Interesting question. I recall hearing someone asking a similar question earlier. Original Message----- Any thoughts Dick? I doubt there's any data or studies that have looked at this... -\dnord ----- Original Message----- I am a licensed massage therapist (CN) and spend a lot of time on Isla Mujeres, MX. Last Jan. I had the opportunity to work with a number of local non-sport divers who had contracted DCI of various severities. I sometimes work at the Centro de Salud on Isla and one of my clients there told me that he was also receiving oxygen therapy under pressure in the hyperbaric chamber there. I first called DAN and spoke with someone about the safety and value of massage with DCI cases. I was told that about 50% of MDs believe that massage is contraindicated within 72 hours of onset of symptoms. The remaining 50% don't believe that massage is contraindicated. There was no available information on massage in the chamber while the patient was receiving oxygen under pressure. So the next two days, with the OK of the attending MD, I got into the chamber with the patient for almost two hours each day. While he was receiving oxygen, I gently manipulated his legs as well as applied gentle compression to his legs (primarily his quads) throughout the time we were in the chamber. Before he was discharged on the third day, he told me that he could walk easier with less pain than previously. My question: is there any information available about massage therapy with DCI patients and is there any info about massage in a chamber while under pressure? Is it OK to do this? and is it beneficial to the patient? I am a former diver (not under the water for about 10 years), male, aged 66, in OK health. Any contraindications for me in the chamber? Thanks for whatever feedback you can give me. Denis Larsen |
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