Lipedema - cause, symptoms & treatment

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Lipedema thigh

Lipedema is a chronic condition that is often misunderstood and underdiagnosed. It primarily affects women and is characterized by uneven fat distribution, usually on the legs and sometimes on the arms. This blog provides a comprehensive overview of the different aspects of lipedema, from symptoms and diagnostic methods to treatment options and causes.

Lipedema treatment

Treatment of lipedema can be varied and depends on the individual stage of the disease. Common methods include:

  • Conservative therapy: This includes manual lymphatic drainage, compression therapy (compression stockings or pants), physical therapy and targeted exercise.
  • Diet: A healthy, balanced diet can help improve general well-being and manage comorbidities such as obesity.
  • Liposuction: In advanced stages, liposuction can help reduce fatty tissue and improve quality of life.
  • Medical treatment: This is currently limited, but research in this area is ongoing.

Lipedema symptoms

The symptoms of lipedema can vary depending on the stage of the disease. The most common symptoms include:

  • Symmetrical fat accumulation on the legs and/or arms
  • Pain and tenderness in the affected areas
  • Tendency to bruise
  • Swelling that increases throughout the day
  • Cold skin in the affected areas
  • Limited mobility in severe cases

Lipedema test

To diagnose lipedema, a doctor may perform various tests and examinations, including:

  • Clinical examination: Including palpation of the affected areas and assessment of the symmetry of fat distribution.
  • Imaging tests: Such as ultrasound or MRI to rule out other conditions.
  • Questionnaire: To record symptoms and medical history.

Lipedema legs

The legs are most commonly affected by lipedema. Typically, lipedema begins in the hips and thighs and can spread to the ankles. The so-called "column shape" of the legs is characteristic, in which the fat distribution is uneven and the feet are usually spared.

Lipedema pictures

Pictures can be helpful in recognizing the typical features of lipedema. They show the uneven fat distribution, the symmetrical spread and the characteristic column shape of the legs. Caution is advised, as pictures alone cannot provide a diagnosis; a medical examination is essential.

Lipedema pinch test

The pinch test can be an indication of lipedema. The doctor pinches the skin of the affected area. In the case of lipedema, this test often causes severe pain, as the fatty tissue is sensitive to pressure.

Lipedema stage 1

In the first stage of lipedema, the skin surface is still smooth, but there is an even increase in fat on the legs and/or arms. Those affected often complain of a feeling of heaviness and pain, especially after standing or sitting for a long time.

Lipedema cause

The exact cause of lipedema is not yet fully understood. It is believed that a genetic predisposition and hormonal changes play a role. Lipedema often first appears during hormonal transitions, such as puberty, pregnancy or menopause.

How do I know that I have lipedema?

Diagnosing lipedema requires a thorough examination by a doctor. Typical signs are a symmetrical increase in fat on the legs or arms, pain and an increased tendency to bruise. If you notice such symptoms, you should see a specialist.

How do you get rid of lipedema?

Lipedema cannot be completely cured, but the symptoms can be alleviated by various measures. These include compression therapy, manual lymphatic drainage, targeted exercise and, in severe cases, surgical interventions such as liposuction.

What can you do about lipedema?

  • Conservative measures: Regular lymphatic drainage and wearing compression clothing.
  • Sport and exercise: Water sports such as swimming and aqua fitness are particularly recommended.
  • Nutrition: An anti-inflammatory diet can help.
  • Liposuction: In advanced stages, liposuction can help remove excess fatty tissue..

Omega 3 fatty acids

Omega 3 fatty acids have an anti-inflammatory effect

Why do people get lipedema?

The exact causes are unknown, but genetic and hormonal factors play a significant role. Lipedema often occurs during periods of hormonal change such as puberty, pregnancy and menopause.

This blog offers a comprehensive insight into the complex issue of lipedema and is intended to help those affected to better understand their condition and find suitable treatment measures. If you suspect that you are suffering from lipedema, please consult a specialist doctor to receive an accurate diagnosis and individual treatment.


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