Lipoedema is a condition affecting how the body stores fat. It typically impacts the lower body but can involve the arms in some cases, potentially causing significant swelling, pain, and tissue enlargement that may impair mobility. In milder presentations, it simply manifests as disproportionately large legs.
Recognised since the 1940s and initially considered rare, recent research suggests 5 to 11% of women experience this condition — indicating it's far more common than previously believed.
Key Characteristics
- Affects women exclusively (with rare hormonal exceptions in men)
- Disproportionately large lower body relative to upper body
- Feet appear normal and small compared to legs, often with an abrupt "cuff" at ankles
- Pronounced bruising tendency
- Tender tissue to touch
- Bumpy skin texture resembling cellulite; often cool to the touch
- Weight loss in other body areas doesn't reduce leg size
- Symmetrical presentation
- Rarely affects upper body
Causes
Lipoedema is a build up of fat in the tissue just under the skin; there is also often an increase in the number of blood vessels in this tissue. Genetic and hormonal factors contribute, with onset typically occurring during puberty or hormonal transitions. Disease progression varies significantly among individuals.
Lymphoedema Connection
Lymphoedema affects fluid transport, causing swelling. Advanced untreated lipoedema can trigger lymphoedema development, creating "Lympho-lipoedema" as fat buildup impairs the body's fluid management system.
Treatment Options
- Lymphatic massage
- Compression garments (specialised leggings, pantyhose, stockings)
- Physical activity
- Professional dietary guidance
- Psychosocial support
Diagnosis often arrives later in life, creating emotional challenges after years of unexplained body image struggles. Professional psychological support proves invaluable during this adjustment period.
Liposuction
Tumescent liposuction can reduce leg size for lipoedema patients as a final intervention. However, lipoedema cannot be cured; daily compression garment use remains necessary post-surgery to prevent limb enlargement. Surgical risks require thorough patient research before proceeding.
Professional Support
Our Complete Decongestive Therapist provides lymphatic drainage treatment, exercise guidance, and garment prescription services.