What is Lipedema?

Lipedema is a medical condition that results in the disproportionate and symmetrical accumulation of subcutaneous fat. Lipedema happens when fat is distributed unusually beneath your skin. It typically appears in your buttocks and legs and can eventually lead to pain and other problems. It primarily affects women and usually manifests during hormonal changes such as puberty, pregnancy, or menopause. Unlike regular fat, the fat deposits in lipedema are resistant to diet and exercise. The condition often leads to pain, bruising, and swelling, significantly impacting the quality of life.

Symptoms of Lipedema

1. Fat Buildup: Fat buildup in your butt, thighs, calves and sometimes upper arms on both sides of your body.
2. Pain and Tenderness: Affected areas are often painful to touch.
3. Easy Bruising: Skin over the affected areas bruises easily.
4. Swelling: Swelling in the legs that worsens throughout the day.
5. Distinct Fat Texture: The fat feels different from normal fat, often described as nodular or like a column of fat. (Bumps inside the fat that feel like there’s something under your skin.)
6. Fatigue: Feeling more tired than usual. 

What Causes Lipedema?

The exact cause of lipedema is not fully understood, but it is believed to have a strong genetic component since it often runs in families. The condition runs in families in 20% to 60% of cases. Hormonal factors are also significant, given its onset during periods of hormonal changes. Some researchers suggest that lipedema may result from a disorder in fat metabolism or blood vessel function, leading to the abnormal growth and distribution of fat cells. Also, obesity doesn’t cause lipedema, but more than half of people with this condition have a BMI higher than 35.

Types of lipedema

You may have more than one type of lipedema at a time, depending on where you have symptoms. Types of lipedema include:

• Type I: Fat is between your belly button and your hips.
• Type II: Fat is between your pelvis and knees.
• Type III: Fat is between your pelvis and ankles.
• Type IV: Fat is between your shoulders and wrists.
• Type V: Fat is between your knees and ankles.

Preventative Treatment for Lipedema

Preventing lipedema can be challenging due to its genetic and hormonal roots. However, early intervention can help manage symptoms and prevent progression. Here are some strategies.

1. Healthy Lifestyle: Maintaining a balanced diet and regular exercise can help manage overall weight and health, though it may not directly reduce lipedemic fat.
2. Compression Therapy: Wearing compression garments can help reduce pain and prevent swelling.
3. Skin Care: Keeping the skin healthy and hydrated is crucial to prevent complications.
4. Low-Impact Exercise: Activities like swimming or cycling can help improve circulation without putting excessive strain on the joints.
5. Lymphatic Drainage: Manual lymphatic drainage (MLD) can help reduce swelling and improve lymphatic function.
6. Medications or supplements (amphetamines, phentermine, metformin, resveratrol, diosmin and selenium) can help with inflammation, swelling and other issues.

What to Do When You Think You Have Lipedema

If you suspect you have lipedema, it’s important to take the following steps.

1. Consult a Specialist: Seek out a healthcare professional experienced in treating lipedema. A proper diagnosis is essential for effective treatment.
2. Get a Diagnosis: Diagnostic methods may include a physical examination, medical history, and sometimes imaging tests like MRI or ultrasound to differentiate lipedema from other conditions.
3. Develop a Treatment Plan: Once diagnosed, work with your healthcare provider to create a comprehensive treatment plan tailored to your needs. This might include lifestyle changes, compression therapy, and possibly surgical options like liposuction specifically designed for lipedema.
4. Join Support Groups: Connecting with others who have lipedema can provide emotional support and practical advice.

Lipedema is a challenging condition that requires a multi-faceted approach for management. While it cannot be entirely prevented or cured, early diagnosis and appropriate treatment can significantly improve quality of life. If you think you have lipedema, seeking professional medical advice is the first crucial step towards managing this condition effectively. By staying informed and proactive, those affected can better navigate the complexities of lipedema and lead healthier, more comfortable lives.

If you are worried you may have lipedema, give us a call at 843-650-1120 to schedule an appointment.