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Knowing the signs of DCS and how to respond can mean the difference between a full recovery and lasting injury. DCS can appear within minutes to 48 hours after a dive, with most cases presenting within 6 hours.
| Type | Symptoms | Onset | Severity |
|---|---|---|---|
| Type I ("Pain Only") | Joint pain (shoulders, elbows, knees), skin rash, unusual itching, fatigue | Usually within 1–6 hours | Moderate — requires treatment but rarely life-threatening |
| Type II (Neurological) | Tingling/numbness in limbs, weakness, dizziness, visual disturbances, difficulty speaking, paralysis, loss of bladder control | Usually within 1–3 hours | Serious — requires urgent hyperbaric treatment |
| Pulmonary DCS ("Chokes") | Chest pain, cough, difficulty breathing | Usually within minutes to 1 hour | Life-threatening — requires immediate treatment |
Any unusual symptom after diving should be treated as potential DCS until proven otherwise. Pain that you might normally attribute to "a tough dive" or "sleeping funny" could be DCS, especially if it appeared after diving. When in doubt, seek assessment — early treatment leads to better outcomes.