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Date: Thu, 17 Feb 2000 14:58:20 +0000
To: techdiver@aquanaut.com
From: Steve Orrell <subaq@be*.fr*.co*.uk*>
Subject: Re: Joint Damage and Prevention
Hi Richard Hollingworth,


 >Ibuprofen (IBF) inhibits prostaglandin synthesis (sp) which is one of the
 >mechanisms of pain associated with swelling.

I can add a little more to that. The mode of action of some prostaglandins 
in the promotion of [localised] swelling is by vasodilation, the response 
is the bodies mechanism for fighting what the body perceives as injury or 
infection; increased vasodilation to promote blood / serum flow into areas 
where these fluids normally don't flow too readily, hence the swelling. Its 
interesting to note that histamine is involved as well.

Its not a simple remedy, tho', just to take an NSAID (non-steroidal 
anti-inflammatory drug), such as Ibuprofen, because there are a number of 
different types of prostaglandin to which certain parts of the body are 
sensitive whilst others parts are not. For instance, and I don't want to 
sound gory here, but a woman's menstrual cycle is hugely affected by 
specific prostaglandins... prostaglandins that promote 
vasoconstriction/muscle contraction (just to muddy the waters even more).

The complication of different tissue sensitivities to different 
prostaglandins is compounded by the fact that each class of NSAID is 
specific against particular types of prostaglandin. That said, I don't know 
how realistic it is to consider taking any specific NSAID to counter 
expected swelling in a specific part of the body... after all the swelling 
might appear elsewhere *and* it might occur in areas of the body where 
there are no prostaglandin receptors... hence the swelling is not 
prostaglandin mediated.

Relatively speaking Ibuprofen is a 'weak' NSAID, which is why its widely 
available OTC.

HTH a bit more.

 >Some divers will take IBF pre and post dive to reduce the possible tissue
 >swelling typical of long deco dives.

I'm curious, can I ask what form the swelling takes when experienced as 
described above? Is it general "bloatedness"?  Does anyone know if this 
might be associated with fluid retention? I'm thinking along the lines that 
maintaining fluid balance is the role of the kidney in order to maintain 
blood pressure. Fluid collection in tissues, if its not 
prostaglandin-mediated, might occur because of a loss of control of blood 
pressure... Does anyone have a greater knowledge in this direction?




--

Steve...
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