Lipedema or “the disease they call it fat” is a fat disorder that affects women and is often mistaken for simple obesity. It is generally misdiagnosed.

Symptoms include pain, swelling and weight gain that is resistant to diet and exercise.

The word "Lipedema" has been changed into "Lipalgia Syndrome" by the International Lipdema Association to better demonstrate the condiiton of this disease.

Lipedema is a chronic condition characterized by an abnormal buildup of fat in the lower body, typically affecting the legs, thighs, hips, and sometimes the arms. It often leads to pain, feeling of heaviness in the limbs, and mobility limitations.

It is presented in different stages and types.

Conservative treatments can help manage symptoms and improve quality of life of Lipedema patients.

1. Compression Therapy

Compression garments are one of the cornerstone treatments for lipedema. These garments apply consistent pressure to affected areas. Evidence supports their effectiveness in managing symptoms such as pain, limb heaviness and discomfort, particularly when worn regularly. 

2. Manual Lymphatic Drainage (MLD)

Although the application of MLD for Lipedema has been a subject of debate in last few years,  its indication when applied with patients suffering from Lipedema is to stimulate the lymphatic system and thus reduce the inflammation that is a cause of lipedema progression and not specifically to reduce an edema. MLD can help alleviate pain and discomfort especially when combined with compression therapy.

3. Exercise and physical activity 

Physical activity is an essential part of managing lipedema, as it helps improve circulation, reduce inflammation, and maintain functional mobility. While lipedema fat is resistant to traditional weight loss, aerobic exercise and strength training are beneficial for managing symptoms. Swiming and aqua therapy are particularly important and beneficial for lipedema patients. 

4. Weight management 

A balanced diet focusing on anti-inflammatory foods helps alleviate the discomfort associated with the condition.

5. Pain Management

Pain associated with lipedema is often managed conservatively with a combination of non-invasive treatments.

6. Psychosocial Support

Given the impact of lipedema on body image, mobility, and daily life, emotional and psychological support is crucial. 

Surgical Options

In some cases, surgical options may be considered. The surgical procedure for lipedema is specifically designed to remove the abnormal fat deposits that characterize the condition. Surgical interventions are typically recommended only when the disease is advanced and after a phase of conservative treatment has been completed. This is discussed with the surgeon to determine if the surgery is the best option for the patient depending on her case. 

At our clinic, we provide a comprehensive approach that includes physical, psychological and nutritional support.