{"id":24084,"date":"2023-03-29T10:33:17","date_gmt":"2023-03-29T14:33:17","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=24084"},"modified":"2023-04-27T09:37:19","modified_gmt":"2023-04-27T13:37:19","slug":"joint-pain-and-diving","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/fr\/alert-diver\/article\/joint-pain-and-diving\/","title":{"rendered":"Douleurs articulaires et plong\u00e9e"},"content":{"rendered":"

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Q : Je souffre d'une spondylarthrite axiale non radiographique et j'esp\u00e8re que le fait d'aller sous l'eau soulagera mes douleurs articulaires. Je prends du Celebrex au besoin, et mes r\u00e9cents tests d'effort et de fonction pulmonaire sont revenus normaux. Est-ce que je peux plonger en toute s\u00e9curit\u00e9 avec mon \u00e9tat de sant\u00e9 ?<\/span><\/strong><\/p>\n\n\n\n

A :<\/strong> Nonradiographic axial spondyloarthritis (nr-axSpA) is not well understood in rheumatology. The symptoms vary in each person, so doctors must evaluate everyone individually.\u202fBack pain is often the first sign of the disease and may be problematic for diving.\u202fDivers carry between 40 and 50 pounds (18 to 23 kilos) of weight, including gear and cylinders.\u202f<\/p>\n\n\n\n

Divers should be able to don and doff their gear unassisted, move around on rocking boats, perform shore entry and egress (often under challenging conditions), and climb dive ladders with gear on. Any of those scenarios could potentially exacerbate your symptoms.\u202fAlthough the shoulders bear much of the gear weight, it can also transfer to your back and hips. You should also consider if the condition is affecting your other joints, which often occurs with nr-axSpA.\u202f\u202f <\/p>\n\n\n\n

Your effort to relieve joint pain involves achieving neutral buoyancy, but that requires some physical exertion. Additionally, nr-axSpa often progresses into ankylosing spondylitis with inflammation where tendons, ligaments, or joint capsules enter the bone, which can lead to spinal fusion and reduced mobility. It can take years for the disease to progress that far, or it may never progress, but it is still a consideration.\u202f<\/p>\n\n\n\n

Votre m\u00e9decin doit \u00e9galement prendre en compte d'autres sympt\u00f4mes tels que les plaques de psoriasis, les troubles gastro-intestinaux et les inflammations oculaires qui sont souvent associ\u00e9s \u00e0 la spondylarthrite lorsqu'il d\u00e9termine votre aptitude m\u00e9dicale \u00e0 la plong\u00e9e. <\/p>\n\n\n\n

Guidelines for diving may exceed the exertion required for land-based sports.\u202fDAN can provide those guidelines to help you and your physician make an informed decision about your fitness to dive.\u202f\u202f <\/p>\n\n\n\n

The most crucial factor is your ability to handle diving\u2019s physical demands.\u202fIf the medication manages the disease and your physician considers the condition well-controlled, diving may not be an issue. Experiencing side effects \u2014 such as dizziness, nausea, vomiting, or abdominal pain \u2014 is reason enough not to dive.\u202fPain should be controlled so it won\u2019t confuse the presence of pain-only decompression sickness (DCS), should it occur. <\/p>\n\n\n\n

Anything that compromises your safety is an absolute contraindication for diving.\u00a0Since this condition involves inflammation, it is important to understand that dive medicine experts believe inflammation plays a significant role in the pathophysiology of decompression illness. We don\u2019t know if someone with an underlying inflammatory condition has a significantly higher risk of DCS. If you decide to dive, it would be prudent to be conservative.<\/p>\n\n\n\n

\u2014 Lana P. Sorrell, MBA, EMT, DMT <\/em><\/p>\n\n\n\n

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Q: I have Holmes-Adie syndrome and have had a CT scan, an MRI, and visits to an optometrist and ophthalmologist. My pupils are different sizes, and the tendons behind them don\u2019t respond, so they do not contract as they should in sunlight. Can I dive, or will diving make it worse?  <\/span><\/strong><\/p>\n\n\n\n

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\"optom\u00e9triste
\u00a9ISTOCKPHOTO\/MINGAZITDINOV<\/figcaption><\/figure>\n\n\n\n

A :<\/strong> The primary manifestation of the neurological disorder Holmes-Adie syndrome is unequal pupil size resulting from the eyes\u2019 slow reaction to direct light. Potential causes vary, but many cases result from inflammation or damage to the nerves that carry the signals that help control the body\u2019s involuntary functions, such as the pupil\u2019s response to stimuli. <\/p>\n\n\n\n

Les sympt\u00f4mes les plus courants sont une vision floue, des pupilles in\u00e9gales, une photophobie (sensibilit\u00e9 \u00e0 la lumi\u00e8re vive), des maux de t\u00eate, des douleurs faciales et un ralentissement des r\u00e9flexes tendineux. Certains de ces sympt\u00f4mes peuvent imiter ceux du SCD et peuvent rendre difficile l'\u00e9valuation par un m\u00e9decin d'un probl\u00e8me que vous rencontrez lors de la plong\u00e9e. Envisagez d'obtenir une note, une image ou une description de votre m\u00e9decin qui documente votre \u00e9tat de sant\u00e9 actuel et la pr\u00e9sentation des sympt\u00f4mes de base. Gardez cette note avec vous pour la pr\u00e9senter au personnel m\u00e9dical en cas de suspicion de SCD.<\/p>\n\n\n\n

The fluid-filled eyeball attains ambient pressure with no volume change, so pressure increases at depth aren\u2019t a concern, but seeing clearly before, during, and after diving is important. If your syndrome affects your vision, you may be unable to read gauges or properly respond to a situation requiring urgent attention. Divers should be able to read a compass and pressure, depth, dive time, and decompression gauges and instruments. Your vision needs to be clear to locate and navigate entry and exit points and see and recognize your buddy.<\/p>\n\n\n\n

Avant de plonger, demandez \u00e0 votre m\u00e9decin traitant d'\u00e9valuer votre aptitude \u00e0 la plong\u00e9e. Votre \u00e9quipe m\u00e9dicale doit \u00e9valuer si votre \u00e9tat est b\u00e9nin et, si n\u00e9cessaire, \u00e9carter toute une s\u00e9rie d'affections graves qui pourraient en \u00eatre la cause. DAN peut consulter vos m\u00e9decins et les aider \u00e0 mieux comprendre vos besoins en mati\u00e8re de plong\u00e9e.<\/p>\n\n\n\n

\u2014 Anne Strysniewicz, AEMT, DMT<\/em><\/p>\n\n\n\n

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Q: I recently returned from a liveaboard trip to Turks and Caicos, where I did three dives every day for one week. My mouth began to hurt during the final two days. I assumed it was related to holding the regulator for so many hours underwater. Since I returned home, however, I\u2019ve developed a case of oral thrush. I saw my primary care physician and am now using antifungal medication. Can oral thrush be associated with diving?<\/span><\/strong><\/p>\n\n\n\n

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\"image
\u00a9SHUTTERSTOCK\/ SRUILK<\/figcaption><\/figure>\n\n\n\n

A :<\/strong> Ces infections peuvent toucher n'importe qui, et leur cause (le champignon Candida albicans<\/em>) est omnipr\u00e9sent. Dans des circonstances normales, notre syst\u00e8me immunitaire et notre flore normale le tiennent \u00e0 distance en s'effor\u00e7ant de repousser les organismes envahisseurs nuisibles. Lorsque notre syst\u00e8me immunitaire s'affaiblit en raison de l'\u00e2ge ou d'une autre cause, ou lorsque nous \u00e9liminons notre flore normale, ce germe peut devenir un agent pathog\u00e8ne opportuniste et provoquer une infection. <\/p>\n\n\n\n

Des appareils dentaires mal adapt\u00e9s, tels que les proth\u00e8ses, ont \u00e9galement \u00e9t\u00e9 associ\u00e9s \u00e0 cette affection. L'utilisation prolong\u00e9e d'une goutti\u00e8re mal ajust\u00e9e pourrait avoir eu un impact dans votre cas. <\/p>\n\n\n\n

The fungus is everywhere \u2014 including in our skin, mouth, and digestive tract \u2014 so it may be difficult to establish a cause-and-effect relationship between your recent dive history and the oral thrush. Your physician should be able to assist you and rule out a weakened immune system as a cause. Once the condition clears and you are no longer taking medication to treat it, and if no uncorrected underlying cause exists, your physician\u2019s review should establish a plan for your return to diving. <\/p>\n\n\n\n

\u2014 Shannon Sunset, NCPT, NREMT<\/em><\/p>\n\n\n\n

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\u00a9 Alert Diver<\/em> - Q1 2023<\/p>","protected":false},"excerpt":{"rendered":"

Votre effort pour soulager les douleurs articulaires consiste \u00e0 atteindre une flottabilit\u00e9 neutre, mais cela n\u00e9cessite un certain effort physique.En outre, la nr-axSpa \u00e9volue souvent vers une spondylarthrite ankylosante avec une inflammation \u00e0 l'endroit o\u00f9 les tendons, les ligaments ou les capsules articulaires p\u00e9n\u00e8trent dans l'os, ce qui peut conduire \u00e0 une fusion de la colonne vert\u00e9brale et \u00e0 une r\u00e9duction de la mobilit\u00e9.<\/p>","protected":false},"featured_media":24086,"template":"","dan_alert_diver_categories":[80],"dan_alert_diver_issues":[484],"class_list":["post-24084","dan_alert_diver","type-dan_alert_diver","status-publish","has-post-thumbnail","hentry","dan_alert_diver_categories-from-the-medical-line","dan_alert_diver_issues-q1-2023"],"acf":[],"yoast_head":"\nJoint Pain and Diving - DAN World<\/title>\n<meta name=\"description\" content=\"Your effort to relieve joint pain involves achieving neutral buoyancy, but that requires some physical exertion.\u202f Additionally, nr-axSpa often progresses into ankylosing spondylitis with inflammation where tendons, ligaments, or joint capsules enter the bone, which can lead to spinal fusion and reduced mobility.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/world.dan.org\/fr\/alert-diver\/article\/joint-pain-and-diving\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Joint Pain and Diving\" \/>\n<meta property=\"og:description\" content=\"Your effort to relieve joint pain involves achieving neutral buoyancy, but that requires some physical exertion.\u202f Additionally, nr-axSpa often progresses into ankylosing spondylitis with inflammation where tendons, ligaments, or joint capsules enter the bone, which can lead to spinal fusion and reduced mobility.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/fr\/alert-diver\/article\/joint-pain-and-diving\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-27T13:37:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2023\/04\/q1_66_medline.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"700\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"Your effort to relieve joint pain involves achieving neutral buoyancy, but that requires some physical exertion.\u202f\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/world.dan.org\\\/id\\\/alert-diver\\\/article\\\/joint-pain-and-diving\\\/\",\"url\":\"https:\\\/\\\/world.dan.org\\\/id\\\/alert-diver\\\/article\\\/joint-pain-and-diving\\\/\",\"name\":\"Joint Pain and Diving - 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