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Go Back   ScubaBoard - Scuba Diving Forums and Social Network > Scuba Diving Central > Marine Science and Physiology > Ask Dr. Decompression
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Ask Dr. Decompression Ask Dr. Deco questions concerning the scientific aspects of decompression. This forum is to provide information of a scientific nature. Dr. Deco has worked for NASA at the Johnson Space Center and was the former Head of the Environmental Physiology and Biophysics Research.


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Old May 15th, 2008, 05:05 PM   #1
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White Finger tips..

I just noticed today after diving (30 metres, 45 mins, avg depth 19.2metres, temp 16'C, on air) that when i was in the shower after my finger tips on my right hand were tingly, the shower water wasnt very warm by the way..(.i have noticed this now for a few showers after diving, maybe half a dozen or so),..today was the only time that i took notice to look at my fingers and lo and behold the two fingers furthest from my thumb on my right hand were an almost perfect white from the tip down to the first knuckle, after that they were normal, within 15 mins or so the tingling stopped and the fingers were as new, any ideas what causes this?..thanks

edit.... sorry i think i posted this in the wrong forum, maybe should go in diving medicine, thanks
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Old May 15th, 2008, 07:46 PM   #2
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I'm not a doctor but with cold temps, tingling, and white fingers Raynaud's syndrome could be a consideration:

Raynaud's Phenomenon-Topic Overview

RAYNAUD'S DISEASE

Raynaud's disease - Wikipedia, the free encyclopedia
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Old May 16th, 2008, 02:27 AM   #3
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Seayoda...you may not be a doctor but your instincts could be right, after checking the links you kindly provided it seems im a prime target for this
1) over 35...im 41
2) excessive use of power tools over the years... until recently i had spent over 20 years day in day out on the end of vibrating power tools,
3) and im a smoker...

ok the fags will have to go, (slight problem but not a mountain to climb really,)..the power tool problem is sorted as i am no longer in that business, .. alas i cant do nothing about the age thing, but 2 out of 3 aint bad...(theres a song in there somewhere)..thanks for the heads up, will look into it..
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Old May 24th, 2008, 07:04 AM   #4
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Carpal tunnel syndrome?
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Old May 25th, 2008, 07:22 AM   #5
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so what are the effects of this with deeper diving (80-120ft) with the reduced blood flow? Fingers going to take a hit from the reduced flow?
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Old May 25th, 2008, 07:39 AM   #6
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Originally Posted by Garrobo View Post
Carpal tunnel syndrome?

I dove with carpal for years. I didn't get white fingers from it. That being said, carpal tunnel release surgery took care of the numbness and lack of strength in the hands. My wife has Raynaud's and the symptoms the original poster described is what happens to her on a regular basis.

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Old June 24th, 2008, 04:15 PM   #7
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Work with a guy who experiences the same thing in cold temps. He was diagnosed with Raynaud's.
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Old June 24th, 2008, 05:13 PM   #8
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Yes, do some research on Raynaud's Syndrome and also using biofeedback in dealing with it.
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Old June 24th, 2008, 05:29 PM   #9
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Cerveza,

As others have pointed out, Raynaud's should be high on the differential.

It's curious that the paresthesia was restricted to the distal tips of your 4th and 5th digits. This distribution is pretty consistent with ulnar nerve sensory coverage. Any recent injuries to your elbow? Fractures/dislocations of the humerus? Recent history of lacerations to the affected extremity? Most of the evidence still points to Raynaud's, but it's good to rule out other causes, which may be treatable.
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Old June 24th, 2008, 09:22 PM   #10
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I agree, Raynauld and carpal tunnel syndrome should both be considered. Stop smoking, and it might goes away. If pain persists with purple discoloration, you might have to consider vasculitis (perniosis).
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