prior injury make it more difficult to equalize?

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kat.hayes

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I injured myself over a year ago while free diving and did not equalize properly and caused some trauma to my ear. I saw a ENT and there was no permanent damage, though it did bleed, and took a while to heal.

I just went back and had a bit of a hard time equalizing at around 10-14ft. Can a prior injury to an ear such as this make it more difficult to equalize?

Thanks.
 
Depends on the extent of the injury. Some ear injuries will make it so you can't dive period. There's a professor at my university who wasn't cleared to dive anymore due to an ear injury.

Even if there's no permanent damage, it may take a LONG LOOONG while for it to heal fully.
It really depends
Just remember to take it real easy, nice, and slow.

What did your ENT say about the matter? Was he/she knowledgeable on diving aspects?
 
A year after my nasty ear infection on a liveaboard, my ear still doesn't clear well. I don't know if it will ever fully recover, but it's clear it takes time.
 
Last year, my oldest son had a bad ear infection and had to quit diving just before he was to take his OW cert. It wasn't until the end of this past summer that he could dive again and get his OW. Even then, he had to descend carefully as he sometimes still has problems equalizing.

Just take it slow and easy and don't push it.
 
I injured myself over a year ago while free diving and did not equalize properly and caused some trauma to my ear. I saw a ENT and there was no permanent damage, though it did bleed, and took a while to heal.

I just went back and had a bit of a hard time equalizing at around 10-14ft. Can a prior injury to an ear such as this make it more difficult to equalize?

Thanks.

Hi Kat,
A few questions:
1. Can you be more specific as to your original diagnosis?
2. When you say "just went back", I assume that's to free diving. Is that the case?
3. What kind of free diver are you (i.e. casual snorkeling, spearfishing, competitive deep free diving, etc)?
4. Do you also SCUBA dive? If so, do you have equalization problems in SCUBA or just while free diving?
 
I had Barotrauma to my right ear and it caused me to cough up blood.

Sorry, should have been more clear -- I just went "back" while practicing skills in a pool on SCUBA. I am actually not a free diver, when I injured my ear, it was while free diving, though I didn't realize it was really injured until I went on SCUBA afterwards, to about 50-ft and apparently caused more injury to it while I had a hard time equalizing.

Thank you.
 
I practiced in the pool again yesterday, and had a hard time equalizing, at around the 12-14ft range. A couple times after ascending, I felt a bit dizzy and maybe even vertigo for a second or two as I as getting out.

I also felt off later in the afternoon, like there was water trapped in my ears, and when I blew my nose it seemed like I felt fluids in my ears.

Is this a sign that I may have to end my diving career before it really even started?

Thanks.
 
Hi Kat,

I had Barotrauma to my right ear and it caused me to cough up blood.

Sorry, should have been more clear -- I just went "back" while practicing skills in a pool on SCUBA. I am actually not a free diver, when I injured my ear, it was while free diving, though I didn't realize it was really injured until I went on SCUBA afterwards, to about 50-ft and apparently caused more injury to it while I had a hard time equalizing.

Thank you.
It sounds like you had some sinus barotrauma as well - the amount of blood produced by ear barotrauma probably wouldn't be enough to cause blood to come out of your mouth. This makes me wonder if you had some sort of underlying condition like a cold or allergies before the dive where you had the initial injury.

I practiced in the pool again yesterday, and had a hard time equalizing, at around the 12-14ft range. A couple times after ascending, I felt a bit dizzy and maybe even vertigo for a second or two as I as getting out.

I also felt off later in the afternoon, like there was water trapped in my ears, and when I blew my nose it seemed like I felt fluids in my ears.

Is this a sign that I may have to end my diving career before it really even started?

Thanks.
It sounds like you experienced what's known as alternobaric vertigo. It happens when one ear clears before the other one does, typically on ascent, and the different pressures on the semicircular canals (the organs of balance in your ears) causes a feeling of vertigo. It probably went away when your ear cleared itself.
The Eustachian tube is the small tube that runs from your nasopharynx to your middle ear. Because of its anatomy, it's easier to equalize your ears on ascent than on descent. If you experienced alternobaric vertigo on ascent during this dive, it means that your Eustachian tube is blocked enough that its ability to allow air to escape from the middle ear is compromised, which would likely make equalizing on descent even MORE difficult. The feeling of fullness that you experienced in your ear may mean that you had another incident of middle ear barotrauma and pulled some blood or serous fluid into the middle ear. Without knowing more details, I'd say there are a few possibilities:

1. You have allergies or other ongoing sinus issues that make it difficult for you to equalize.
2. Your first incident of barotrauma was severe enough to cause scarring in that ear.
3. You have some kind of mechanical obstruction that's causing your problems.
4. You are not actively equalizing your ears enough on descent and may need training on different equalization techniques.

The first three of the above call for a visit to an ENT specialist. Your diving may not necessarily be over, but I'd recommend putting together a thorough history of all of your ear issues and consulting with an ENT before you dive again. The fact that you had problems almost a year after your previous injury, coupled with the fact that you experienced alternobaric vertigo, makes me worried that you'll cause more severe injury to your ear if you dive again without treating whatever is going on with you.
 
Maybe you already know this, but I gathered you hadn't dove much before the original injury, so I'll risk stating the obvious, hoping it might help.

Going back to basics, are you equalizing often enough? I wasn't sure if your "12-14ft" was the first attempt, or just where problems set in. Especially with possible pre-existing conditions either resulting from or contributing to your previous injury, you might need more frequent equalization than others. One comparison I've used with new divers is airplanes and tall buildings. Most people will feel like equalizing at least once going up or down in an elevator in a fifty story building. This pressure change is equivalent to about 8 inches of water. Most people equalize at least a couple of times during a jet's descent from altitude. That's equivalent to a little over 8 feet of water, implying that you may want to make sure you equalize at least every couple of feet, until you have a better sense of what you can tolerate over multiple dives without experiencing problems. Also if you did multiple practice runs in the pool and you weren't equalizing quite as often as your ears would like, I understand the Eustachian tubes can sometimes start to swell a bit, further decreasing your ability to equalize.
 
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