concerned about flying

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  • Izzyfran
    Izzyfran Member Posts: 78
    edited January 2015

    Chloe, I second what sas-schatzi said.

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited March 2015
  • scvmom65
    scvmom65 Member Posts: 88
    edited March 2015

    I have lymphedema and elevation is my biggest trigger. However, I have never had a problem flying as of yet and my longest flight has been 6 hours straight. Here is what I do:

    Cut out salt starting the day before and that day, I normally eat low salt but I cut it out completely

    If possible, get a workout in that day. Even a walk, to get the lymph system pumping. Sometimes I have to fly super early though so then I don't do it.

    Put my compression garmet on at the airport right before I fly and I take if off after I land (usually do both in the airport bathroom)

    Most important ( I have noticed a difference if I do not do this) pump my arm every 30 mins at least 10 times. What I do it put it above my head like I am stretching and then I pump my fist open and closed about 10 times, then i bend my elbow and straighten it about 10 times. Since it is my left arm that is a problem, I try to get the aisle seat on the right side of the plane to have the space but I have been stuck more than once at the window or middle seat and it still seems to work. I am also almost 6 feet tall and have long arms so I am probably not normal in that regard,haha.


    Best of luck!

    Anna


  • Cannoli1
    Cannoli1 Member Posts: 49
    edited April 2015

    Hi everyone;

     

    I'm not new to the board, but I am to this topic.  I am a little over a year from my bi-lateral mastectomy, and about 5  weeks ago I had my TEs exchanged for my permanent implants. I plan on taking about a 4 hour flight in June, and, then, a 4 hour car ride after the flight. I was fitted for compression sleeves by my occupational therapist, but I am still extremely nervous about this first flight after my experience with breast cancer. My husband and I are going to a family reunion, and I am so worried that I will ruin it for everyone should I develop lymphedema. I have had no signs of it yet. I had 16 lymph nodes removed on my left side.

  • muska
    muska Member Posts: 1,195
    edited April 2015


    Hi Cannoli1, if you don't have lymphedema now I would not worry much about flying or driving. I fly 4 hour flights every couple of weeks and have not noticed any impact. I do not wear any compression sleeves.

  • glennie19
    glennie19 Member Posts: 6,398
    edited April 2015


    Cannoli:  prevention is a great idea.  In addition to a sleeve, it is also a good idea to wear a gauntlet to prevent fluid from being pushed into your hand.  It is also recommended to drink lots of water,watch your intake of salty food, raise your hand in the air and do fist pumps and try to avoid straining the arm.  When we travel, we tend to lift heavy loads that we may not be used to,,, putting bags in overhead compartments and so forth.  Since you are traveling with hubby,, have him do the lifting. Have luggage on wheels for strolling thru the airport. Try not to carry anything heavy on the affected side, like a heavy shoulder bag.   Keep your compression garments on for 2-3 hours after you get off the plane too.

    I was really nervous the first time I flew too. After your 4 hour plane ride,, can you take a walk around before the car ride?  Make a few stops along the way to get out and move around during the car ride?  It's easy for me to say,,, try not to worry and have a good time! But I do mean it in the nicest way. 

    Have you checked out StepUpSpeakout?  Here's a link for prevention tips.  http://www.stepup-speakout.org/riskreduction_for_lymphedema.htm

  • Chloesmom
    Chloesmom Member Posts: 1,053
    edited April 2015

    This was note I posted in Jan. Therapist showed me how to clear the lymph stations working toward my chest but doing it in sections starting at the armpit working toward the hand. Need to be taught how to do this by certified person I did it on the plane and had no problem

    Went to lymphedema therapist at Hopkins Found her on APTA website under "find a therapist" link and then link for specialty "cancer" she is awesome and showed me how to self treat the axillary swelling. Went on an airplane and worked my arm in flight as instructed . No problem! So grateful!

  • carol57
    carol57 Member Posts: 3,567
    edited April 2015

    One of the most frustrating aspects of LE is that we cannot generalize our experiences. A lot of women get it after BC treatment--estimates from the apples-to-oranges, not-very-comparable LE incidence studies do indeed range as high as 40%. Which means that at least 60% of post-treatment women do not get it. And there's no good information to explain why women with seemingly identical risk factors (especially lots of nodes removed) do not all get this stupid condition. My mother had every stinkin' node removed from her axilla in the wayback days of radical mx and wholesale node removal. She is a 46-year survivor, and she never got LE in all these years. I lost 5 nodes, and here I am.

    All of which means that some women are taking precautions (like the compression gear while flying) that they may not need. But since it's not possible to know if you're in the 40% club or the 60% club, taking the annoying precautions generally makes sense.

  • doxie
    doxie Member Posts: 1,455
    edited April 2015

    Just a thought. We write about using a sleeve and gauntlet when flying, but I think adding a compression garment might also be a good idea for prevention of truncal LE. Though if using one with a sleeve, you want to make sure that the sleeve of the shirt worn doesn't constrict the upper arm.

  • carol57
    carol57 Member Posts: 3,567
    edited April 2015

    Good thought, Doxie. I almost always travel in a compression T shirt or cami. The shirt is more helpful, because it compresses the axilla.

  • muska
    muska Member Posts: 1,195
    edited April 2015

    Agree that we cannot generalize our experiences, but this is what this website is for - personal experiences. In terms of prevention, I found regular exercise might be in fact very helpful for both restoring range of motion and keeping lymphedema at bay for those of us who don't have it (yet.) Regular exercise should include small weight lifting and preferably be done with an instructor or coach (at the beginning.) I am not talking heavy weights, one would start with no weights and very gradually add small weights 1->2->3->5 lb. I am at 5 - 10 lb depending on the type of exercise. Found it to be very helpful. Still, I check all my luggage in when I fly alone to avoid lifting anything heavy when boarding.

  • hugz4u
    hugz4u Member Posts: 2,781
    edited April 2015

    cannoli, try building up wearing gloves and sleeves well before flight Incase they don't fit right.start off with one hour a day. If fingers go ugly blue remove. If elbow crease hurt use anti friction product from a running store, I use it daily as I have sensitive elbow crease.

  • carol57
    carol57 Member Posts: 3,567
    edited April 2015

    muska, I sure do agree that this website is for the wonderful opportunity to share our experiences.

    Here's a link to a document that gives lots of details underlying the great start-low advice muska gave about weightlifting, which indeed has been shown to have some benefits for LE risk reduction: http://stepup-speakout.org/Handout%20doc%20for%20S...

  • windgirl
    windgirl Member Posts: 340
    edited May 2015

    carol - did you get radiation? my aunt who had full auxiliary dissection did not get LE either but she never did radiation. I did a snb, was told I would never get LE, but swelling in my hand and arm started during the last week of rads. I think rads is what triggered it by damaging the tissue. Now I have a sleeve and glove and wear it when I work out with no problems. I did deadlifts yesterday without it and housework today, and now have a swollen now hand :(

    I travel to Europe in 10 days, will wear my sleeve and glove and take the arm movement advice here. If the swelling does not go down completely by then, do you think it is risky to travel at all? I don't plan on canceling my trip but a bit worried. Thank

  • carol57
    carol57 Member Posts: 3,567
    edited May 2015

    windgirl, I did not have rads, and go figure, but my mother did, and in doses that would never happen today. If you still have a bit of arm swelling before your trip, well...you gotta live your life, too, so I'm hoping you know how to do manual lymph drainage on yourself, which could come in handy when you arrive in Europe and may need to nudge the bugger lymph along.

    Also, a few days ago I had some surgery, and when I awoke I found my arm was in a blissful state of no ache, no burning, no swelling, which I think may just be the super amount of hydration I was getting through the IV (nicely inserted in my other arm). That's my reminder that hydration really does make a difference, and now that I'm home and drinking my normal coffee, and not getting all the water I really should, and wine with dinner, I'm back to LE arm issues. I remember someone else long ago posting a similar experience about a happy arm after an IV. For you, windgirl, maybe there's a take-away--hydrate to the max as you travel, and avoid alcohol and caffeine because they tend to dehydrate. Well, avoid during the actual travel time, as once you arrive at your destination, 'you gotta live your life' most certainly applies, especially if this is a trip for fun!

    Carol

  • windgirl
    windgirl Member Posts: 340
    edited June 2015

    wanted to share my experience. Over the past 3 weeks I have flown three 9 hour flights and three other short flights. I wore my sleeve and glove during all of them. I had absolutely no effect from the shorter flights. I did keep my sleeve and glove on for 4-5 hours after each of the longer flights. While my hand did look swollen after I took off the compression, that I think was from the glove pushing all fluid to the top middle partof my hand. For all three pretty much within a day my hand was almost back to normal and in fact better than how it was prior to me starting the trips.

    I did avoid alcohol and drank more water than usual and tried to get up a few times. So, flying, while a bit more inconvenient, was a nonevent. I have one more 9 hour flight coming up in a few days and hope to have the same experience. Hope this helps others who may be looking for this info. however my LE is very mild so maybe for others it may be differen

  • carol57
    carol57 Member Posts: 3,567
    edited June 2015

    windgirl, that's great news! Maybe fist pumps up in the air every hour or so will help prevent the hand from catching fluid. Good luck on the flight coming up this week!

  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited June 2015
  • sas-schatzi
    sas-schatzi Member Posts: 19,603
    edited August 2015
  • lazylizzie
    lazylizzie Member Posts: 17
    edited September 2015

    Dear all, i will be flying for the first time post-surgery and treatments. 80% of my trip will be to mountainous areas. May I ask above what altitude should i start wearing arm sleeve/glove? I'm at risk of lymphedema (stage 1) so I don't normally wear arm sleeve for long hours. The thought that i have to wear it throughout the trip sucks...

  • Jennie93
    Jennie93 Member Posts: 1,018
    edited October 2015

    Question. I understand that if you already have LE then the risk from flying is do-able. If it causes a flare, well, you know how to deal with those. But what about someone who does not (yet) have LE but is at high risk. How could they ever be brave enough to get on a plane? Knowing it is a known cause of LE and knowing that once you get it, you have it forever.

    Is wearing a sleeve/gauntlet *guaranteed* to prevent LE when flying? Or does it just put the odds a little bit more on your side?



  • glennie19
    glennie19 Member Posts: 6,398
    edited October 2015

    Jennie, I don't think there are any guarantees. I have to say that I flew 2 months after my MX,,, with sleeve and gauntlet. All went well. It was a few months later that I developed LE,, totally NOT flight related. I think it was trying to do push-ups against the kitchen counter,,, cuz ***no one told me NOT to do those types of exercises*** so I was trying to get back into my previous shape. I can't swear that's what did it,,, but that is my suspicion.

    So I flew 2 months after MX,,, sleeve and gauntlet was "prevention". I had to argue with my BS to get RX for it, cuz I was "not at risk". Then I have flown once post LE Diagnosis. Wore truncal compression, sleeve & gauntlet. Drank water. Did arm pumps. Made sure to wear sleeve at least one hour after landing. All the recommendations from StepUpSpeakOut and our friends on here. Did OK,, no problems. Did I have some anxiety? Yeah, some,,, but I wanted to go on the trip. Saw Hugh Laurie in concert and met up with my Philly friends. Totally awesome trip. About 2.5 hour trip for me.

    Suggestion: try a shorter flight the first time. I would definitely be more nervous about longer flights,, ,but I still want to go to Aus one day.

  • Jennie93
    Jennie93 Member Posts: 1,018
    edited October 2015

    I know it helps, but was hoping for a guarantee. Ha ha.

    I definitely do not have any spare $ to be taking any short flights. Lol. And if I do take the risk, it surely would only be for a once-in-a-lifetime sort of opportunity.



  • glennie19
    glennie19 Member Posts: 6,398
    edited October 2015

    how long is the flight that you are considering?

  • Jennie93
    Jennie93 Member Posts: 1,018
    edited October 2015

    About 4 hours, looks like. But you can't fly anywhere direct from here. So that would be broken up into two, maybe three, flights.



  • Jennie93
    Jennie93 Member Posts: 1,018
    edited October 2015

    I am considered high risk. Not just because they took 6 nodes and my pec muscle, but because they radiated the heck out of the remaining nodes, and also because I have cording and truncal LE. And have gained a huge amount of weight.


  • ksusan
    ksusan Member Posts: 4,505
    edited October 2015

    I have just done the trial flights suggested by my PT/LE--1+2 hours each way (two flight segments), without sleeves. No LE. Sleeves/gauntlets in my carry-on just in case. For flights of 4 hours or more, or if I develop LE, I'm to wear sleeves/gauntlets on the plane.

  • Jennie93
    Jennie93 Member Posts: 1,018
    edited October 2015

    The thing is, if you develop LE, you will be stuck with a painful, disfiguring, expensive disease forever. Just read through the "I hate LE!" threads for an idea how it destroys your life. Compression garments cost a fortune and are not covered by insurance. Same with the LE therapist. Is that really a chance you are willing to take? I guess if you had to travel for work, or something, and were low risk, then maybe.



  • ksusan
    ksusan Member Posts: 4,505
    edited October 2015

    Compression garments and LE/PT is covered by my insurance. I do travel by plane frequently. One meta-analysis suggests that compression garments can cause LE.As I said, my PT/LE suggested this trial.

    Most women I know weren't warned that LE existed. Two developed LE from innocuous activities, like raking, as far as they know. Shall we never rake? Most women I know have not developed LE over many years. We do make our own choices, and this is a discussion.

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