Lymphedema and Travel

If you have had any surgical procedure that has affected your lymph nodes, travel-related activities may be of concern. During travel, there can be many physical stresses that can affect a body part that is at risk for developing lymphedema. The demand on the lymph system may cause extra swelling for long periods, perhaps permanently. Although it is important to take precautions before flying, try not to avoid traveling due to fear. There is recent research that suggests there may be no adverse effects of air travel and the development of lymphedema.

Travel in and of itself can be stressful. Stresses can include:

• Rushing to catch your plane/train or ride.
• Being jostled in a crowd.
• Lifting, pulling, or pushing baggage.
• Changes in climate and atmospheric pressure.
• Potential multiple risks for infection.

Recommendations for limiting negative effects of stressors related to travel

Avoid trauma to the body part

• Be careful not to bump your arm or leg that is at risk for developing lymphedema.
• Use light suitcases with wheels and avoid lifting cartons or luggage. You should not lift anything heavier than what you normally lift.
• Ask for help loading and unloading baggage.
• Try to use your unaffected arm to pull suitcases or carry hand luggage.
• Wear comfortable/loose clothing.

Limit the effect of prolonged lack of movement

• When possible, get up and move around frequently.
• Perform exercises – (breathing exercise, shoulder rolls, elbow flexion and extension, wrist rotated, ball squeezes, marching, knee bends, toe and heel raises, ankle rotation, self- MLD) during travel.

Avoid risk of infection

• Carry a backup prescription for antibiotics.
• Carry hand sanitizer and disinfectant wipes.
• Wash your hands when possible.
• Try to cover all open wounds with bandages to limit exposure to germs.
• Use sunblock. Remember you can get sunburn through a compression garment.
• Use insect repellent and antifungal powder between toes and in skin folds.
• Vaccinations that are required should be received in the unaffected arm.
• Keep feet covered, especially on the beach.

Limit the effect of atmospheric pressure changes using compression

• For those at risk for developing lymphedema, it is recommended that you take the above precautions and discuss further concerns with your therapist or provider.
• For those with episodic swelling, it is recommended that you wear a compression sleeve or stocking when taking any airplane flights or increasing altitude above 8000 feet. Speak with your therapist regarding specific recommendations.
• For those with chronic lymphedema, it is recommended that you apply compression bandaging for all air travel. Bandages should be applied before air travel and should remain on for 1-2 hours after reaching your destination. If this is not possible, it is acceptable to wear a compression sleeve or stocking fit by a certified fitter. A trained therapist or certified fitter at a surgical supply or durable medical equipment provider can fit you with an appropriate garment. It is important that the compression not be too high; contact a trained professional to fit you with an appropriate compression sleeve or stocking.
• Use a compression garment that is in good condition- if you wear a garment you MUST use a gauntlet or glove as well. Wearing just a sleeve may cause hand swelling.
• Carry a backup garment.

If you plan on traveling and have any concerns, you should consult with your therapist or provider.

Modified from Position Statement of the National Lymphedema Network on Air Travel, 2012.

Next Article: FAQs About Lymphedema Garments and Bandaging »