Lymphedema And Using The Computer
Francine Manuel, RPT, Alexandra Andrews, WM, Sabrina Selim, BA, Ernest H. Rosenbaum, MD and Robert A. Wascher, MD, FACS


The problem of persistent swelling (lymphedema) of one or both arms after trauma of any kind can affect computer usage, especially for people who have to work on the computer for prolonged periods of time. Swelling can occur after insect bites, allergic reactions, trauma, fractures or surgery with lymph node dissection (chronic lymphedema). See www.cancersupportivecare.com/lymphedema.html  for more information. We offer suggestions for short and long term problems and specifically how to continue work on your computer while recovering from swelling.

The First treatment for swelling of any kind is elevation. The higher you can place your keyboard, the more advantageous.

The Second treatment for edema is compression. Applying some outside pressure to send the fluid back into the lymph pathways will help dissipate the edema faster. There are compression gloves and various elastic wraps that can be purchased at the drug store. Sleeping with the compression and elevation at night will also expedite removal of the fluid from the tissue. For more complete information go to Lymphedema Issues

In the case of acute trauma such as surgery, the application of ice packs ( try frozen bags of peas or rice to mold to your body )once an hour for 10 minutes will help with swelling. In general heat will only increase edema during early onset (3 days).

Exercise is indicated as long as you have not fractured your arm or if a doctor hasn't restricted your activity. Muscle movements help to pump fluid out of the tissue and into the lymph pathways.

If the problem of lymphedema persists, you may need to peruse computer stores or catalogues selling ergonomic equipment for ways to adapt your computer. For instance, there are trackballs and computer mice of various shapes and sizes plus several models of keyboards to accomodate your needs. You may want to go into a computer store to try them for comfort. Try a cordless/wireless mouse and a cordless/wireless keyboard. These can be moved around to a more comfortable position than those that are attached to the CPU by a cable. A cordless gyroscopic mouse allows you to manipulate the mouse in mid-air (i.e., without having to roll it along a surface). It takes a bit of getting used to, but this aid may be particularly helpful for women with chronic lymphedema.


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by Ernest H. Rosenbaum, MD & Isadora R. Rosenbaum, MA
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