fisherdvm
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Lehmann108:How can you clear your ears before you dive? You clear to equalize the pressure difference across the eardrum. If there's no pressure difference there's no way to clear other than just temporarily increasing the air pressure behind your eardrum.
I think this is simple physics. Pre dive pressurizing your ear will pressurize your inner ear, eustachian tube, and also your pharynx. This will maximize the diameter of the eustachian tube, where the obstruction in barotrauma occur.
Maintaining this slightly positive pressure as you descend slowly, will assure that your small eustachian tube is constantly opened.
On the opposite side, waiting till it hurts before you clear means that your eustachian tube had already shut down. You already have negative pressure in your eustachian tube. It is much harder to pressurize and open a clamped down eustachian tube that's got negative pressure behind it to keep it shut, then to pressurize the same tube that is already opened.
I think the key here for folks who can't clear when descending is to learn to pressurize on the surface, gain buoyancy very early, and continue to pressurize frequently as you descend. Don't wait till the pain before you pressurize your ears.