Massage & Diving
I've been told not get a deep tissue massage the same day as diving because it can cause Decompression Sickness. Is this true?
You raise an interesting question about the possible association between massage and DCS risk. Some have cautioned against massage before diving. The clearest justification is to avoid muscle pain that might be attributed to DCS. A more speculative concern is to minimize the development of micronuclei. The nature and action of micronuclei have not been confirmed, but it is believed that they are the seeds from which bubbles form. There is a theoretical concern that tissue massage may induce micronuclei formation and thus precipitate bubble formation. Tissue stimulation could also increase blood flow which may either positively enhance tissue gas elimination or precipitate problematic bubble formation.
As you can see, there is no clear sense of what massage might do and this effect would likely vary depending on dive profiles and intensity of the massage. We should note that massage has not been confidently associated with any of the cases of DCS that have come to us, and we are not aware of any study done to address this question. The clearest piece of advice is that deep tissue massage should probably be avoided, so that the potential of post-dive pain and diagnostic confusion are minimized.
Dr. Nick Bird MD.
As you can see, there is no clear sense of what massage might do and this effect would likely vary depending on dive profiles and intensity of the massage. We should note that massage has not been confidently associated with any of the cases of DCS that have come to us, and we are not aware of any study done to address this question. The clearest piece of advice is that deep tissue massage should probably be avoided, so that the potential of post-dive pain and diagnostic confusion are minimized.
Dr. Nick Bird MD.
Posted in Dive Safety FAQ
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9 Comments
An interesting one, ha ha, do you mind if I share it in my blog?
There seems to be a tendency in the medical profession to advise against things as the default action when they actually do not have a clue. Why not just admit that nothing is known and refrain entirely from giving advice? This would be a more intellectually honest response.
I'm here to back up NOT getting a massage. I've dived before, never remotely getting vertigo or nausea. Yesterday I did three dives & had an hour long massage. Woke up in the middle of the night to extreme vertigo (room spinning like crazy) and committed 5 times. It immediately made sense to me as a nurse & I knew it had to be the massage causing those blood gases to create chaos.
Diving since 1995 with thousands of dives. The last 2 years I have been diving 3 times a week. During the ascension of my last night dive I got vertigo and fog. I was thinking but couldn't act and needed help on the boat. Our dive profile was 31% Oxygen on a 24m dive for 40min nothing we haven't done before. In the morning still had dizziness and shortness of breath. The only thing I did different was the morning before the night dive had a deep tissue massage to release some neck and back tension. I have never had this feeling before.. almost feels like altitude sickness when I am climbing mountains.
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The topic is so interesting that got my attention. My take and pls correct me if I’m wrong.
n
nI’ve been diving since 1997 (I’m not that old yet) as a military diver, technical diver( Trimix, wreck penetration, cavern diving and as Recreational Dive Instructor:PADI, CMAS and SSI) and it’s my routine to have massage the night after diving and dive again the following day. It replenish my energy and so far, I’m still okay.
n
nSecondly, I haven’t read yet any studies which prohibits massage before or after diving but I have to admit, I’m not a wide reader also.? What I know is that DCS occurs due to the failures of the divers to follow the diving table, usually fast ascent rate, no safety stop, not following the required surface interval, and others which are all stipulated in the diving manual, be it technical or recreational diving. Everything has nothing to do with the relaxing depth tissue massage.
n
nAgain, this is base on my little knowledge and experienced and pls educate me if I’m wrong and I’m willing to listen. There might be a new finding/studies which says otherwise…