What is Lipedema?
Lipedema is a chronic condition defined in the 1940’s as a disease marked by bilateral and symmetrical swelling generally affecting the lower extremities. The “swelling” is actually extensive deposits of subcutaneous fatty tissue. Lipedema can be easily misdiagnosed for morbid obesity or cellulite. The proliferation of fatty tissue can end up compressing lymphatic structures and ultimately causing secondary lipo-lymphedema. These patients find great relief from complete decongestive therapy and targeted compression therapy by a trained lymphatic specialist.
Recognition and early awareness is key for the treatment of Lipedema. This is a chronic disease that will not improve without treatment. Below are some signs and symptoms to be aware of if you think you might be suffering from Lipedema.
The 4 stages of Lipedema
Stage 1
Pain and tenderness is present, skin is soft, there is a surplus of symmetrically adipose (fat) tissue, usually throughout the legs.
Stage 2
Pain and tenderness increase, the skin starts to represent the skin of an orange (peau d’orange) and patients tend to notice excessive and easy bruising. Swelling may increase in dependent positions and might go away with rest.
Stage 3
Pain and discomfort becomes severe. Large, visible skin folds develop and lymphedema may develop as a result of a stressed and compressed lymphatic system. We term this lipo-lymphedema, treatment is crucial at this stage to prevent further lasting skin changes.
Stage 4
Pain and discomfort and now severe, fibrotic skin changes occur. Patients might experience frequent skin infections. There is a large amount of adipose tissue throughout.