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Lipedema is a chronic condition in which a fat distribution disorder leads to localized increases in subcutaneous adipose tissue. This distribution disorder results in a disproportion of fat distribution in the body, causing fat deposits to be much more pronounced in the legs than in the torso. Mostly women, on average 1 in 10, suffer from lipedema during periods of hormonal change (puberty, pregnancy and menopause). However, it is impossible to determine exact numbers, as lipedema is frequently confused with being severely overweight (obesity). A reason for this error is that lipedema is often associated with obesity, since fluid retention occurs more frequently as a result of the disease – mostly in the legs. Due to the combination of increased subcutaneous adipose tissue and water retention, affected individuals experience significant sensations of heaviness and tightness, which can also cause pain.
The possible causes of lipedema are multifaceted and also a subject of controversy in science. In most cases, a hereditary genetic predisposition is suspected.
Normally, lipedema is chronically progressive, which is why a distinction can be made between three degrees of severity. They are defined on the basis of visible parts of the skin, skin palpation or the pinch test. There is no correlation between severity and the level of discomfort. Women can experience as much pain in stage one as others in stage three.
Wearing compression garments not only supports blood flow, but also lymph flow, which is even more important if your body is retaining water. These garments exert the most pressure at your feet and get looser as they move up your leg. This supports the lymph flow upwards. Constant movement relieves pain and prevents water retention.
Physiotherapists can decompress arms or legs by applying pressure to them in specific areas. This reduces swelling under the skin. This method of treatment is often recommended for lymphedema, as this type of disease accumulates fluid in body tissue.
If other methods are not effective, liposuction may be considered. Liposuction can be a useful procedure for lipedema, especially for the legs. It provides symptomatic pain relief, but is not a permanent solution to lipedema.