Middle Ear Barotrauma - recovery time?

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Andrew Richardson

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I was just reading Goldmember's post (Actually DocViking's response). I suffered middle ear barotrauma free diving in a swimming pool (12') Feb 18 after 8 weeks they felt almost better. I could still feel me ears but I could equalize without issue. So I went to Barbados (Apr 13) and completed by OW check out dives (from Toronto). I had to pay real close attention to my ears when diving & I so I was equalizing all the time. I had not return of symptoms after 48 hours post diving. YEAH!

However, on the way home, the plane dropped really quickly into Toronto & I had experienced a painful squeeze. Well the plane would not go back up so I had to releave the squeeze under presssure. I know this was what I did the first time & no surprise, I had barotrauma again.

Waiting, waiting, waiting. Each day the feel a bit better but gosh is it slow.

OK the flight was on 17 April. I am still waiting to start diving.

Analgesics & antihistamines help with symptoms. They also feel better in the morning and get worse during the day.

I saw a diving medicine GP & ENT the first time and was told to just wait. Had hearing tests - no hearing loss and the drums were fine (pressure test).

I am just stuck waiting or is there something I can do. Do I really have to wait to dive or do I just have to make sure I can equalize before I dive?

Drying out in Ontario....
 
Some people have more trouble than others equalizing their ears. Why is that folks? What is the explanation from the medical-minded people as to WHY this happens? Is it a lack of drugs in the diet, so the ears don't work right?

From the chiropractic perspective, we say there is often dysfunction in equalization due to vertebral subluxation. Vertebral subluxation is often a chronic condition that goes unnoticed by most people and undiagnosed by medics, because they have no education, experience or understanding of the anatomical\physiological condition. That's OK, because I don't know how to perform surgery on an ear. We each study and get good at what we know.

Andrew, if you notice you are having repeat problems with your ears, and you keep taking drugs for the condition, pre- and post-, and the problem keeps coming back, try something else.

Suspend any preconcieved notion about chiropractic and go find a good one. Find a reputable and experienced chiro and have your neck and upper back checked for subluxations. The chiro will demonstrate this to you. Take a course of treatments and then go dive again and see what happens. Barotrauma? If you have rupture, stay out of the water until you heal the ears and your medic signs off.

For information purposes only. This post does not contrue a doctor\patient relationship. Best of luck fellow diver.

page crow DC
 
I see a chiro regularly - is there some special chiro talk I should share with her so she can better understand what you are suggesting? She said there was nothing she can do for ears.
 
Hey Andrew,

If she says there is nothing she can do for ears, then she can't. Go find a chiro who CAN. Call around. Ask you colleagues and coworkers. Find the chiro who can. A chiro who confidently works on cervical\thoracic spines is gonna have no problem getting the ears to "flow better" by adjusting the neck. One way to find a good chiro is to get on the telephone and start calling around. You'll get the secretary, not the doc. The doc is busy with pts if he's good. Tell the secretary you are looking for a good chiro who really "gets in there and gets the neck adjusted", not just touchy-feely and massage, but really knowing how to move bones. Many and most of the secretaries are gonna dance around and make excuses about how their doc uses the latest techniques and low pressure, no pressure styles of adjustments. Hang up. When you find a secretary that confidently acknowledges that their doc is a real bone setter, you found your chiro. That's how to pick a chiro who is practicing the technique\style that made our work famous and got people better. Wimpy adjustments are for wanna-be's. Real bonesetting gets the job done and that's why people crowd the office around here. I like what I do... <grinning>

page crow DC
 
Dear Dr. Crow:

In October 2003 you introduced yourself to this message board with a post titled “Bone Setting to Improve Equilization (sic) Disorders”. In that post you claimed:

Thesis:
Cervical spine manipulation (chiropractic adjustments) can be utilized to dramatically improve equalization disorders.

History:
Vertebral manipulation (chiropractic adjustments) have been proven (*emphasis added*) very effective for inner ear disorders (fluid congestion, earache, imbalance, vertigo). The research regarding this subject has been properly done, valid, and repeatable.

You went on in that post to say:

I have been conducting ongoing research into this…

and:

Currently, a young member of this board is undergoing this research experiment.

(See: http://www.scubaboard.com/showthread.php?t=38067 )

In that thread, one of your chiropractor colleagues claimed that:

A major part of my education was to attempt to publish a study in any refereed journal. This is a part of the training in all 14 CCE accredited Chiropractic colleges (*emphasis added*).

If you attended an accredited chiropractic college in the US, presumably you were taught what “properly done, valid, and repeatable” research is- so I’m sure that you are aware that part of doing “valid and repeatable” research “properly” involves making the results of that research available to others- generally by publishing the research in a peer-reviewed scientific journal so that other researchers can examine the “validity” and “repeatability” of the results, and so that others can benefit from the research. In a thread from this April (See: http://www.scubaboard.com/showthread.php?t=134892 ) you even said:

I enjoy very much reading academia, from many perspectives. I enjoy my peer-reviewed paperwork, data from other health care practices, even the theoretical research stuff.

(and)
Specifically, I am certainly interested in research and studies. I read them constantly.

Hey, that’s super! So I presume that you have access to “properly done, valid, and repeatable” research and were trained to recognize it when you see it. Heck, you even formatted your original post to make it look like a scientific thesis to a lay person.

But to refresh your memory in case you’ve forgotten (it has been over 2 ½ years since you first made your claims, after all), you may recall that when Scubadoc asked you in that original thread to provide the “properly done, valid, and repeatable” research that you claim exists, rather than just answering the question you gave us some anecdotal reports from your own personal experience (very interesting, but hardly “properly done, valid, and repeatable” research), you told us to search the “Chirolars” chiropractic search engine for ourselves- a search engine that is not available to the general public best I can tell (but is presumably available to you since you referred us to it), you suggested that we travel to one of the 19 or so chiropractic schools in the US to look up the information on our own, and you gave us links to websites that were either invalid or linked to irrelevant chiropractic marketing sites that had no information to support your claims.

Finally, and most interesting of all, you might recall that you referred us to the Journal of Manipulative and Physiological Therapeutics- a peer reviewed scientific journal run by chiropractors and sponsored by the National College of Chiropractic- to find the research you claimed. When I searched this journal (abstracts from which areavailable to the general public), I was able to find only one article even remotely relevant to your claims. That article- in your own reference source- not only didn’t support your claims of “properly done, valid, and repeatable” research, it actually seemed to refute your claims of available research! (See: http://www.ncbi.nlm.nih.gov/entrez/...ve&db=PubMed&list_uids=10395431&dopt=Abstract )

When I pointed out these problems with your references to you and asked you to provide the “properly done, valid, and repeatable” research that you claimed, you said that you “couldn’t wait to get back to” me, but that you were too busy rebuilding a hot-rod engine to take the trouble to back up your statement with credible evidence! You promised to get back to me “later”. About 1 ½ years “later”, you posted again about “bone setting to improve equalization disorders” so I asked you once more for the “properly done, valid, and repeatable” research that you claimed. Perhaps you didn’t see my request for further information, because you ignored it.

I would think that someone with time to make remarkable assertions would have the time to support those assertions with the evidence that he himself says exists. It has been over 2 ½ years since you first made your statements on this board, Dr. Crow. You’ve had plenty of time to find the “properly done, valid, and repeatable” research that you claimed, or even publish your own research that you claim to be doing on an “ongoing” basis. My we have your references now please?
 
Claritin/Sudafed PE both every day, Saline Nasal Mist to flush my sinuses, and those herbal dissolving tablets for divers/pilots.
Angela
 
https://www.shearwater.com/products/teric/

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