Lipoedema occurs because of the abnormal accumulation of fat under the skin. If you have lipoedema your legs become swollen, bruise easily, are tender and feel painful and uncomfortable. Lipoedema may occur because of changes in female hormones.
Fat feels abnormal and painful.
Unlike normal fat accumulation, fat areas resulting from lipedema tend to be very tender if you apply pressure and may be easy to bruise. The fat deposits can also hurt for no apparent reason, and the skin can become less elastic feeling.
The tissue tenderness that is characteristic of lipedema can be checked with the pinch test, which is often felt as very unpleasant in the affected areas but causes no pain elsewhere. Increased capillary fragility manifests itself in spontaneous hematoma formation.
Lipedema almost exclusively occurs in women, with the onset typically by the third decade of life. The classic appearance of lipedema includes bilateral and symmetrical involvement of the lower extremities, with sparing of the feet (Fig.
Stage 1. In this early stage, it may be difficult to distinguish lipedema from excess fat on the lower body. Instead, providers look for certain characteristics, including: Extra fat in the buttocks, thighs, and calves, but not in the ankles or feet.
A helpful diagnostic tool to distinguish lipedema from lymphedema is to pinch the skin over the dorsum of the base of the second toe (Stemmer sign); thickened skin that is difficult to lift off of the underlying tissue is considered diagnostic for lymphedema.
Obesity is the result of being overweight, which can cause fat to develop in the legs. Lipedema is the disproportionate setting of fat in arms and legs, unrelated to body weight, often associated with prominent swelling, common pain, and a column-like look. Lipedema can appear in both thin and obese individuals alike.
There is no simple blood test or scan to diagnose lipoedema and the diagnosis is made on taking a full history and examination. Classic Patient History: It generally affects women usually with a strong family history of lipoedema. There have been some rare cases with males being affected.
Lipedema requires a clinical diagnosis, meaning that there is no standardized test such as bloodwork or imaging that can confirm the presence of Lipedema.
Lipedema does not respond well to restrictive diets, contrary to usual forms of obesity. Thus, lipedema leads to a disproportionate increase in lower body tissue that stubbornly retains its shape (waist to ankles) after diets or bariatric surgery.
Aerobic exercises such as swimming, walking and cycling are especially recommended because they increase lymphatic drainage and improve blood flow through the affected limbs. High impact exercising (i.e. jogging, step-aerobics) or contact sports are better avoided as they may exacerbate join pain and lead to bruising.
Your general practitioner (GP) or an experienced nurse is likely to be your first contact person when you notice any signs or symptoms of lipoedema. Your HCP will carry out a medical examination of your body, including your skin and soft tissues, and the function of the arteries and veins.
The exact cause of lipedema is unknown. But the condition runs in families and may be inherited. The condition occurs almost exclusively in people assigned female at birth, and usually starts or gets worse at the time of puberty, pregnancy or menopause. Because of this, there is likely a connection to hormones.
Lipoedema sufferers receive little or no government support with the condition not currently being recognised by Medicare.
Stage 2 (moderate lipoedema): fat bulges or lobes are more obvious at the knees and may influence gait. Arms and abdomen may be affected. Lipomas (small nodules) may be felt in the fat. Chronic pain may develop.
Additionally, lipedema affects the lower extremities symmetrically while sparing the feet. Like many other medical conditions, lipedema can range in its level of severity, meaning patients may experience anything from mild lipedema to a severe case that significantly impacts their quality of life.
Liposuction is the only treatment available to lipedema patients that eliminates the troublesome fat deposits from the legs, hips, buttocks, stomach, and/or arms. Liposuction enables doctors to improve the look of the legs and restore better mobility for the long-term.
The best exercises for lipoedema are non weight bearing. Things like swimming, cycling, yoga and stretching. Yoga can be chair based if this suits you better. Walking and Nordic walking (where you walk with sticks for a full body work out) are great low impact options.
Lipedema is a painful fat disorder which predominantly affects women and develops during times of hormonal fluctuation including, but not limited to, puberty, pregnancy, and menopause [1,6].
Vascular surgeons, in fact, are one of the few medical professions where you can find Lipedema diagnosis and management as a core requirement of their advanced medical training programs. A vascular medicine specialist will carefully consider differentiating Lipedema vs lymphedema and also from other conditions.
For some women it is impossible to lose weight because of an under-diagnosed autoimmune disorder many people have never heard of called lipedema.
This blockage can prevent the proper drainage of lymph fluid, which can result in lymphedema. Left untreated, lymphedema can cause infections, healing challenges, hardened skin, and the development of fibrosis, which is scar-like tissue.