Lipedema – What Is It and What Can You Do?
Approximately 10% of the female population is estimated to suffer from it – yet very few even know what it is: lipedema. Discover what lipedema is, how to recognize it, and treatment options available.
What Is Lipedema?
Lipedema is a chronic and progressive condition characterized by abnormal fat distribution. Although men can be affected, documented cases in men are rare. First described in 1940 by Allan and Hines, lipedema remains poorly understood. However, there are several common signs of this condition.
Symptoms and Characteristics
Lipedema often becomes noticeable due to disproportionate body proportions. Affected individuals typically have a normal torso but disproportionately larger limbs. The condition commonly impacts the thighs, lower legs, buttocks, and arms.
- Pain and tightness in affected areas
- Pronounced tendency to bruising
- Pain upon touch
- Hands and feet remain unaffected
These symptoms can significantly impact daily life.
Possible Causes
The causes of lipedema are not fully understood. However, it often appears or worsens after hormonal changes such as puberty, pregnancy, menopause, or hormonal contraception. Genetic predisposition may also play a role.
How Do You Recognize Lipedema?
Lipedema can be diagnosed based on the following signs:
- Symmetrical, disproportionate fat distribution
- Heaviness and tightness in affected areas
- Increased sensitivity to touch
- Strong tendency to bruising
- Symptoms worsen in the evening
- Stable size of affected areas despite diet and exercise
Stages of Lipedema
| Stage | Skin Appearance | Touch |
|---|---|---|
| 1 | Relatively smooth | Small nodules, mild swelling |
| 2 | Wavy and uneven | Walnut-sized lumps, more pronounced swelling |
| 3 | Severe skin thickening, visible deformities | Large fat deposits and nodules |
Diagnosis and Treatment
The first point of contact is usually your general practitioner, who may refer you to a phlebologist or lymphologist for diagnosis. Diagnosis involves a thorough medical history, examination of the skin, and palpation of the affected areas.
Treatment Options for Lipedema
While there is no cure for lipedema, the following conservative treatments may provide relief:
- Manual lymphatic drainage
- Lymphatic therapy using compression devices
- Compression therapy with flat-knit compression garments
- Physiotherapy
Liposuction as a Treatment
Liposuction is a surgical treatment option where excess fat is removed. While promising results can be achieved, especially in combination with a healthy diet, exercise, and ongoing therapy, this procedure is not yet fully covered by health insurance. Currently, costs are typically only reimbursed starting from stage 3.
Conclusion
Lipedema is a challenging condition that can significantly impact quality of life. Early diagnosis, conservative treatment, and supportive measures like lymphatic drainage and compression garments can help manage symptoms. For some, liposuction may offer additional relief. Greater recognition and insurance coverage for all stages of lipedema are essential to help those affected regain their quality of life.