Pop Goes the Ears – How to Equalize When Diving

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As a diver, you have almost definitely experienced that sharp pain in your ears as you descend or ascend too quickly – it not only hurts but you can cause permanent damage if you don’t address it immediately!

You probably remember, as you descend pockets of air become compressed, and as you ascend, they expand. This basic tenet of physics can be used to keep you afloat, but it also can cause pain and damage in your ear canal, where the air in your middle ear gets affected by your depth.

This air pocket is an important part of the acoustics of the ear, but it can be painful and irritating when the air isn’t cleared.

How Our Ears Work

The ear has three sections; inner, middle and outer. The eardrum separates the inner and middle from the outer ear, and transmits the vibration of sound. The air in the middle ear serves as an echo chamber. As you go up and down in elevation, air can be adjusted by opening the Eustachian tubes, which are normally closed. Manually opening these tubes are the best way to clear your ears and equalize pressure in the middle ear.

Equalization Techniques

There are a number of different ways to equalize your ears. Some are easier to perform for some people than others, so it’s best to find the method that is most effective for you. All of these are essentially ways to force air from the middle canal, and to put your head in a position to pull open the Eustachian tubes.

  • Valsalva: The most common technique taught to introductory divers. Plug your nose and blow out gently until you can feel the pressure leaving your ears.
  • Toynbee: Pinch your nose and swallow at the same time.
  • Voluntary Tubal Opening: This is the same as yawning with your mouth closed.
  • Lowry: Valsalva plus Toynbee — Pinch your nose, and blow out while swallowing at the same time.
  • Frenzel: Hold your nose and click your tongue against the back of the roof of your mouth.
  • Head Tilting: Choose the most effective technique you can, and tilt your head up and to both sides while you do it.
  • Edmonds: Jut your lower jaw forward while you contract your throat. Add Valsalva to make it even more effective.

If you have sinusitis or physical complications like a deviated septum or collapsed tubes, you may need some extra help before you can clear your tubes effectively. Sinusitis is temporary, and can be flushed with saline or combated with a decongestant. Be careful of diving deep or using Nitrox in conjunction with meds, though. They can increase your risk of oxygen toxicity.

If you don’t have congestion but still can’t clear, you may need extra help. Speak with an ear nose and throat doctor to see if they can diagnose a reason for your difficulties, and suggest intervention.

I can still hear my dive instructor in my OW course repeating, “Early and often!” when he was instructing us on clearing our ears.

By early, you really should begin before you even hit the water. Start wiggling your jaw or whatever method works best for you while you’re gearing up. Clear again on the surface and continue clearing every few feet. If you can’t clear and you feel the associated pain, ascend a few feet. Don’t continue to descend and “hope your ears will figure it out.”

Barotitis Media (middle ear barotrauma)

The damage from not equalizing can be permanent and painful. Barotitis media occurs from air pressure in the middle ear. Blood and fluid can leak into the  middle ear. You’ll need to see a medical practitioner and with drugs and time, the ear can heal, although sometimes it takes several months. Flying can be a problem until the ear heals.

Inner Ear Barotrauma

This can occur when you “blow” too hard, damaging the delicate membranes. You may vomit, feel dizzy and suffer hearing loss and tinnitus (ringing ears).

Tympanic Membrane Rupture

This is your eardrum, which can be perforated or ruptured from pressure. You need to stay out of the water or risk severe vertigo and see a doctor right away.

Need some instruction and a demonstration from an expert? Stop by Scuba Toys in Carrollton, Texas and our dive masters can help you!

What’s your tried-and-true technique for clearing your ears? Let us know in the comments section below!

Image attribution: https://www.flickr.com/photos/wwarby/

Summary
Article Name
Pop Goes the Ears – How to Equalize When Diving
Description
As divers, we've all encountered the challenge of clearing the built-up pressure in our ears. We explore the various methods so you can find the one that works for you.
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4 responses to “Pop Goes the Ears – How to Equalize When Diving”

  1. Scuba Steve says:

    I used to plug my nose and blow out, until I accidentally did it too hard one time. Since then, I stick with the yawn.

  2. Lauren Yi says:

    I was under weighted in Hawaii once and which made me up ascend too quickly near the end of the dive when my tank was almost empty. I ended up with middle ear barotrauma, but fortunately it healed before I had to fly home – it hurt a lot, so now I’m even more careful to make sure my ears are OK before ascending or descending

  3. Pat says:

    I find that I usually have to try several techniques before my ears pop.

  4. Diane says:

    I usually need to try different methods before my ears pop too. No single technique seems to be the magic answer for me.

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