Long haul flight ~ compression sleeve?
I have 2 upcoming flights ~ one to FL and one to Europe.
I've heard mixed opinions regarding compression sleeves ~ especially since I've had sentinel nodes removed (1 / 2) and not axillary nodes.
I will ask my PS on my next visit (I'm spitting stitches at the moment) but would like ladies with experience to advise.
Thanks in advance
Comments
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I have lymphedema (mild does not bother me much) I always wear compression sleeves as a precaution. My PT said to do so and I always sit on the outside so I can strech my lymphedema arm.
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you should wear your sleeve is what my therapists recommend.
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hi tigger,
For what it is worth, most oncs and PS know zip about LE, and/or minimize it. Do wear your sleeve. There are great resources in the LE forum, with links to guidelines for travel.
my fitter told me the biggest mistake women make is to NOT wear their sleeve during flights. I am flying soon too and will be doing all my LE prevention.
Safe travels
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Thanks for all the responses ~ which will lead me to the next question of where can I purchase one / does it have to be fitted?
My BS wasn't overly helpful either on this front and believes that I'm at such a low risk that I shouldn't worry. Unfortunately my aunt who also had BC had severe LE and the images are still quite vivid now.
Is there somewhere specific that I should go?
Thanks again
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Medical device companies can measure you and fit you, or if you have a LE PT they can measure you, determine level of compression that is appropriate, and you can order off the internet if you feel confident about it. I found that even the same size and compression level differed between companies - my first sets of compression had to be exchanged for another manufacturer because they were too tight. Also, don't wear a sleeve without hand protection - it can force swelling down into your hand which can be difficult to get rid of. You should always wear a gauntlet or glove with your sleeve.
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I should state that I do not have lymphedema ~ but looking to avoid it.
Do I need to wear sleeves/gauntlet on both arms/hands or just the BC side where the sentinel nodes were removed?
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I had No issues on a round trip about two hours in length. Then flew Germany to LA for RT ( long story), and had no issues with that either. Surgeon pulled 3 nodes he thought, was the group of nodes that "lit up" with the tracer. 26/30 rads done and so far no LE. Good luck with your trips!!
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My understanding is the side with nodes removed, but anyone who has had breast related surgery also has a danger of developing breast or truncal LE, so some wear an Underarmour type tank or shirt as well when flying. I wear bi-lat sleeves and gauntlets, but had bi-lat SNB, right side ALND, and have bi-lat LE.
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OK I am going to throw something out there. If you don't have LE and have never worn a sleeve, a long flight is a poor time to start.
The first sleeve I was given did not fit at all, but I did not even realize it since I didn't wear sleeves.
Then you have the whole glove issue, gauntlets don't work for me.
So I guess I am saying, you could actually do yourself some harm flying with a poorly fitted sleeve.
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Cookiegal ~ totally right.
My first flight will be in 3 weeks to Florida with my son ~ so only 2.5 hrs.
My second flight will be in November and that's to London/Paris/Brussels (we keep adding countries).
I don't have LE but am terrified of it. My aunt did have it for years to which I now have a phobia.
I'm going to contact my BS in the morning to discuss it with her since I don't go back to her until December and see what she recommends. I would like to be properly fitted and have time to get used to it.
Thank you again to everyone who took the time to respond ~ I really appreciate it.
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Tigger - I think you should have your BS give you a recommend for a physical therapist who specializes in LE. My BS, PS & MO all pooh-poohed LE as something rare & we know that's not true. From my own research, I insisted on an LE consult after BMX. I had to take a short flight so got sleeves & gauntlets fitted at a medical supply store. They were not custom "made to measure" but they did take some time to find what I needed from their 'ready to wear' stock. I always wore them on planes even though I just mild truncal LE on one side after SLND. Then 2 years later I had ALND surgery with a recurrence. This time after radiation I went to an LEPT who taught me what I need to know. Fortunately my LE is still only truncal (although now the other side) but serious enough that I have to wear a compression bra 98% of the time. She ordered custom "made to measure" sleeves & gauntlets and would like to see me wear them much more than I do - again as a preventative - but at least I do wear them with repetitive exercise and always when I fly.
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I just asked my lymphedema-specialist physical therapist this question the other day. She said that if you do not already have lymphedema and are not at a high risk (normal weight, few nodes removed, no signs of lymphedema), she does not recommend wearing a sleeve during flights. She said that it can actually CAUSE issues because you tend to sit there with your arm bent and fluid accumulates at the elbow. She did say to try to find a hotel with a pool or access to a pool during your trip because swimming helps with fluid accumulation in the arms.
(This advice, of course, would not apply to someone at high risk or already diagnosed with lymphedema.)
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Mine said for me, with no LE, short flights or even trans-US flights with transfers wouldn't require a sleeve, but for non-stops and international flights I should use it prophylactically. On all flights I should do anti-LE hand/arm activities, hydrate, and get up/move around periodically; I should always have the sleeves with me. This was advice for me based on my circumstances and multiple physical evaluations and may not be adequate for others' needs--I report it to affirm that not all LE specialists recommend sleeves for all patients.
I'll also say that most people I know who had lumpectomies with SLNs got no LE education, including the fact that LE exists. My mother has been flying around for 5 years with no idea that there could be any risk, and hasn't developed LE. Not saying that's a good idea, but that there are a lot of people taking no precautions.
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Hi:
I received similar advice to SummerAngel from my PT who was a CLT-LANA in connection with my first 6 to 6.5 hour flight in 2014. I am normal weight, no sign of LE, and had 1 node and 4 nodes removed. I flew round trip Boston-San Francisco non-stop in late Feb 2014 after a Sept 2013 bilateral mastectomy (no recon) with sentinel node biopsies, and did not wear any sleeve as prevention. I have since flown Boston-Paris non-stop twice (closer to 7 hrs; in May 2014 and again in September 2014), and another non-stop round trip Boston-San Francisco In Dec 2014, all with no compression, and without incident. This is of course anecdotal by nature.
The small handbook I received in 2013 said if you don't have LE there is "no evidence" you need to wear a compression sleeve for prevention when traveling. You will appreciate that that is not the most definitive statement I have ever seen, and it seems like some people are either advised to or choose to wear compression as a precaution. I am in an LE study, and they are collecting information about flights taken.
Sooo, while I personally decided not wear compression (with 1 and 4 nodes, normal weight, and no LE), I chose to adopt some of the travel advice from this interesting video from Memorial Sloan Kettering:
https://www.mskcc.org/videos/air-travel-and-its-im...
Here is my list of common sense travel precautions/actions:
Wear loose fitting, non-bulky clothing top to bottom, including sensible shoes. I fly flat also - no bra. (My theory is to keep up my circulation and lymph flow unimpeded, as if on land.)
I wear light, removable layers to avoid overheating.
I select my travel outfit and make my packing list well ahead, and pack in advance (not at midnight the night before).
I try to get a proper amount of sleep in the days leading up to flight time.
I stay hydrated in the days before and during travel, and don't skip meals before or during flight.
Pack light and always check my suitcase (a lightweight spinner) to limit the time I have to pull/push it around.
Limit the weight of my small under-seat carry-on bag (and get my husband to carry it whenever I can!) Avoid using shoulder straps.
Get an aisle seat when possible, so I can get up and walk at intervals and freely go to the bathroom (since I am hydrating). Push up and down on my toes while waiting in line for the restroom.
Do not exceed usual activity or lifting throughout trip.
Get up and walk periodically in flight and in terminals to avoid prolonged immobility and inactivity.
Do range of motion exercises, hand elevation, pumping forearms, opening and closing fists, and deep breathing in my seat. (I try to do this subtly, like when the person next to me is sleeping.). Don't cross my legs, and try not to slouch (better breathing).
If you are wondering what I am doing in my seat, I have the Lebed Method DVD (available from Amazon), and the first segment has a series of exercises, some of which that can be done (perhaps with less aplomb) in your seat without disturbing your neighbors.
BarredOwl
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Thank you all for your responses.
I've spoken with my GP, BS & PS all told me since I've no signs of LE I do not need to wear a sleeve but to follow the guidelines provided by BarredOwl.
Seat exercise (ROM, elevation, etc) and staying hydrated during the flight.
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Tigger 969,
I had 20 lymph nodes out in January, and haven't been diagnosed with lymphedema yet. Yesterday, I was on a three-hour + flight, and I followed the advice you and Barred Owl discussed. I was fine when I got off the flight and am fine today. So, no sleeve went OK for me.
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Tigger: you must do what you feel most comfortable with. I was afraid of developing LE, so despite having only 6 nodes removed, I got a sleeve and gauntlet, cuz I figured an ounce of prevention and all that. I have developed LE,, it was not due to flying,, but I did get it, despite being low risk. If you are concerned, you should get a RX from one of your doctors (cause sometimes insurance will pay for sleeves and gauntlets if you have an RX) and find a fitter and get the garments. You may also want to go over to the lymphedema forum here, as there are a few threads about this subject.Have fun on your trips!!
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