Lipoedema

Lipoedema is a painful disorder which typically leads to a pattern of adipose tissue (fat) accumulation from the hips to the ankles, arms and often other parts of the body. Lipoedema is not widely recognized by health professionals and can be confused with lymphoedema.

Lipoedema is a medical condition, and it can appear in different stages which can worsen with age. Progression of lipoedema may not always occur, and each person will progress at a different rate. Lipoedema can progress into what is known as Lipo-Lymphoedema.

Symptoms of Lipoedema

The following symptoms are characteristics of lipoedema:

  • The waist is small in proportion to thighs, buttocks and legs

  • The legs are enlarged bilaterally, arms too can be affected

  • Feet and hands are exempt, and a ‘bracelet’ effect can appear just above the ankles and wrists

  • Legs/arms can be extremely painful, even to touch

  • Affected limbs bruise easily

  • The fat is soft to touch and wobbly, while skin can be cold to touch

  • Condition worse with hot weather

  • Diet and exercise can have minimal effect on size

  • Increase in lipoedema is often noticed when significant hormonal changes occur such as puberty, child birth and menopause.

  • Skin can have a cellulite like appearance

  • Skin on the legs and buttocks can be cold to touch


How do we treat Lipoedema?

Lipoedema is a chronic condition with unknown cause, this means that treatment is aimed at addressing the symptoms associated with Lipoedema.

The following are treatments that can be used in the management of Lipoedema:

  • Massage – known as Manual Lymphatic Drainage (MLD)

  • Compression therapy

  • Deep breathing

  • Exercise

  • Healthy eating

  • Surgical intervention


Image: Lipoedema Australia

What can I do if I suspect I have Lipoedema?

If you suspect you have lipoedema, ensure to discuss this with your physiotherapist at The Restore Clinic. Your physiotherapist can help guide you with a treatment/management plan and assist you in discussing your concerns with your GP.