What's the cause of this scuba diver's shoulder pain?

A healthy long-term diver can’t shake off his shoulder pain

Damien, a previously fit and healthy 54-year-old abalone diver, presented with a 10-year history of increasing bilateral shoulder pain and restricted movement.

scuba diver

The pain was relieved by a combination of paracetamol, NSAIDs and rest.

He first noticed the pain after an occupational dive that caused decompression sickness, despite the fact he’d followed diving protocols and stayed inside the appropriate dive length time frame.

At the time he complained of intense pain in both shoulders, wrists and his right elbow (unrelieved by morphine), and