I am not well versed in physiology, and I've found the literature available to me confusing on this point.
Mostly I'm going off of wikipedia, mind you. The article on Decompression Sickness' Mechanism Heading states:
Under normal conditions, most offgassing occurs by gas exchange in the lungs.[53][54] If inert gas comes out of solution too quickly to allow outgassing in the lungs then bubbles may form in the blood or within the solid tissues of the body.
What I can't figure out is if the actual ambient pressure matters, if we suppose that that is separate from the pressure in the lungs. From what I've understood, in SCUBA diving the water pressure applies pressure to the air you're breathing (somehow? through the air hose? I'm not certain my understanding is correct) and thus the air you're breathing and the air in your lungs is also at a higher pressure. If I'm wrong about that, that may be the ultimate answer of my question.
I'd like to present a hypothetical, to clarify the exact focus of my question:
Let's say we can somehow form a perfect airtight seal around the waist of an otherwise naked human being. Setting aside the practicality of that, of course. The point is that the human is otherwise unaffected, but it blocks air.
That air tight seal around the person's waist makes it so that their lower body and legs are exposed to a very low pressure environment, maybe even pure vacuum. The person's upper body (and notably their nose and lungs) are in a standard sea-level terrestrial atmosphere.
Putting aside the vacuum bruising and painful swelling and other detriments caused by the low pressure environment on their lower body, my question is this: could the person in this hypothetical get the bends, simply because of the lower pressure on part of their flesh? Or would decompression sickness not be an issue because their lungs are pressurized?