Developing lymphoedema after orthopaedic surgery is not a common side effect, but, in some cases, it does occur and can have a significant emotional impact on recovery and general wellbeing. Patients report that the emotional impact of developing lymphoedema after orthopaedic surgery (or any type of surgery) is profound. Most of them start dealing with mental health challenges such as anxiety, depression, body image issues, social isolation, and feelings of frustration or helplessness, while recovering from the previous surgery and  looking for answers and treatments for  this new-secondary condition. However, with the right and early diagnosis, treatments and support, patients can maintain a positive outlook and improve their quality of life, continue recovering from surgery while managing lymphoedema physical and emotional symptoms. Let´s have a closer look…

Is lymphoedema common after orthopaedic surgery?

 It’s not as common as swelling from normal post-surgical inflammation (which almost all patients experience). However, persistent secondary lymphoedema can develop if lymphatic vessels or nodes are damaged, blocked, or overwhelmed during surgery or due to scar tissue formation.

What are risk factors for developing lymphoedema after orthopaedic surgery?

Most common causes are:

• Joint replacement (hip, knee, shoulder because they might affect/remove part of the nearest lymphatic system-vessels or nodes- overwhelming limb’s lymphatic system).
• Trauma surgery with extensive soft tissue involvement.
• Previous history of venous disease, obesity, or pre-existing lymphatic insufficiency.
• Infection, fibrosis, or immobility after surgery

Studies suggest that chronic lymphoedema occurs in a minority of patients (estimates vary from 5–20% depending on type of surgery and comorbidities (previous/coexistent conditions).

How do I know swelling turned into lymphoedema?

• Normal swelling: Post-operative oedema usually improves within 2–3 weeks.
• Subacute swelling: In some cases, swelling can persist for 2–3 months, especially after joint replacement.
• Secondary lymphoedema: If lymphatic pathways are damaged, swelling may become chronic and progressive without proper management. For that reason early diagnosis and treatment plan are pivotal for the condition prognosis.

If swelling after surgery lasts more than expected, you feel pain, tenderness or any other symptoms,  ask your surgeon, GP or a lymphoedema therapist. Early diagnosis and treatment (manual lymphatic drainage, compression therapy, exercise, skin care) greatly improve prognosis and may prevent permanent changes.

Emotional impact of developing lymphoedema after orthopaedic surgery

Lymphoedema after orthopaedic surgery doesn’t only affect only the body, but also the emotional well-being of patients, they feel:

• Frustration and disappointment because expected recovery is delayed by persistent swelling and now they have to worry about a new condition.
  
• Anxiety about whether the surgery was successful and what will happen with their affected limb.
  
• Loss of independence. If swelling impairs mobility, daily tasks, or return to work makes them dependent on other people to do these tasks.
  
• Body image concerns due to visible swelling, asymmetry, skin changes and lack of empathy- comments from other people about their appearance or condition.
  
• Depression can develop in cases where pain, reduced function, self-image, social rejection or lack of support produce high Emotional and Mental Health Challenges of patients. 
• Misdiagnosis and lack of awareness among healthcare providers can delay proper care and heighten stress on patients.
• Social stigma and misunderstanding of lymphoedema exacerbate feelings of isolation and emotional pain.

Emotional impact of developing lymphoedema after orthopaedic: what you can do to improve your general wellbeing

1.Seek support groups and create your network. Connecting with peers and sharing experiences (might be similar) can reduce feelings of isolation. There are support groups, both virtual and in-person, that offer safe environments to share challenges and coping strategies. Such communities boost emotional and general well-being and provide practical advice.

2.Professional advice. Visit your psychologist or psychiatrist, professional. Therapies like: cognitive-behavioral therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based stress reduction (MBSR) have shown to effectively decrease anxiety and depression in lymphoedema patients. These therapies enhance psychological flexibility, emotional comfort, and adherence to self-care practices like compression therapy and exercise.

3.Exercise. Gentle exercises (link) tailored for lymphoedema management improves lymphatic flow and also supports mental health by reducing stress and enhancing mood (you release endorphins). You can start with walks in nature, swimming or lymphoedema focused exercises recommended by your lymphoedema therapist (if you don’t have one yet, choose the specialist who treats you better).

4.Relaxation techniques. Practice meditation, yoga, or mindfulness techniques such as: art therapy, music therapy, etc., can alleviate emotional discomfort, foster self-expression, and improve self-esteem. They provide enjoyable distractions and promote relaxation, which are crucial in coping with chronic conditions.

5.Positive affirmations. Building a positive self-image through mindful practices and reframing perceptions of your body and condition can mitigate social anxiety and enhance confidence. 

6.Spending time with those who care about you. Empathy and understanding from family, friends, and healthcare providers play an important role in nurturing your own acceptance. Don´t waste your time with people who criticize, laugh or have no empathy about your condition.

7.Eat well to feel well. What you eat matters, nutritious food helps you manage lymphoedema while improving your mood and general wellbeing.

A final word

Developing lymphoedema after orthopaedic surgery is uncommon, but possible, especially after major joint or trauma procedures. Early diagnosis is pivotal for proper treatment and emotional support. If you are dealing with the emotional impact of  lymphoedema diagnosis, don´t be afraid to seek help, we can help you. We know the emotional impact of lymphoedema might come with many physical and psychological challenges, but we are here for you.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pereaclinic.com/emotional-impact-of-lymphedema-coping-with-psychological-effects/

https://www.nature.com/articles/s41598-024-63145-1

https://pmc.ncbi.nlm.nih.gov/articles/PMC4153404/

https://www.lymphapress.com/blog/maintaining-body-positivity-while-living-with-lymphedema/

The post The Emotional Impact of Developing Lymphoedema After Orthopaedic Surgery appeared first on Perea Clinic.

Feeling blue?  Having low mood and sadness are normal responses to difficult situations, those that move something inside us. But what happens when this sensation persists over time? This human experience is linked to an imbalance in the complex neurochemical network in our bodies, particularly involving the neurotransmitter serotonin and the Gut-Brain Axis. For that reason, today, we will talk about: why we feel blue, the role of the multifaceted serotonin and how the gut-brain connection works. Let’s have a closer look…

What Is Serotonin?

Serotonin(link1)( 5-hydroxytryptamine (5-HT)) is a neurotransmitter found throughout your brain. It has a pivotal influence in your:

• mood 
• emotion (fear)
• sleep patterns
• appetite
• digestion
• cognitive functions (memory, focus)
• stress response
• sexuality
• addictions
• breathing
• body temperature

Why is serotonin so important for mental health?

Serotonin is your natural mood booster, when hormone levels are balanced and enough, you feel calm, focused, and happy. On the other hand, low levels of it are strongly linked to depression and feelings of deep sadness (“feeling blue”). On the contrary, too high levels of serotonin gives you that sensation of Euphoria.

Why do we feel blue all the time?

This persistent “blue sensation- feel blue”, with no apparent reason, can arise from serotonin imbalances in your brain, affecting mood regulation, stress response, and your cognitive functions (focus, memory, etc.). Factors that influence these imbalances include: genetic predisposition, environmental stressors, diet, and gut microbiome composition (because your gut produces more serotonin than your brain).

When serotonin signaling is disrupted, brain circuits involved in emotion and motivation are affected, leading to symptoms of depression or anxiety. For that reason, enhancing serotonin level is the main target in depression or trauma treatment.

Serotonin outside my brain?: How is it possible?

It might surprise you, but about 90% of our body’s serotonin is produced in the gut;  yes, our intestines produce the majority of the happy hormone! Actually, serotonin is produced by specialised cells called enterochromaffin in the intestinal mucosa thanks to the help of microbiota (good bacteria in your intestinal tract). 

This gut-derived serotonin directly influences appetite and digestion, but does not cross the blood-brain barrier directly. Despite this division in production, your gut’s serotonin plays a crucial role influencing brain function and mood.

How can the brain and gut communicate?: The Gut-Brain Axis

Your gut and brain communicate through a bidirectional system known as the gut-brain axis. This system links the enteric system (nerves in the wall of your gastrointestinal tract), the vagal nerves (part of the autonomic nervous system, connecting CNS and organs) and the central nervous system (CNS brain-spinal cord). This network also includes endocrine, humoral, metabolic, and immune routes. 

How does gut serotonin affect your mood and cognitive function?

The serotonin produced in your gut interacts with the 5-HT receptors (serotonin from the brain) on vagal nerves, then, the signals are sent through the vagus nerve to the brainstem and are received in different brain regions influencing mood, cognitive function, mental health and your general well being.

How can I support my serotonin production?

As we mentioned before the majority of your serotonin is produced in the gut, so when your intestines are full of good bacteria and these organisms are well fed your serotonin levels will be balanced.

Happy intestine, happy brain?

Ingest probiotics (to feed microbiota) through what you eat, for example: kefir, Greek yogourt, fermented food, kimchi, etc., these are good probiotic providers. If your microbiota is low, you can take pills of probiotics, there are different brands, just be sure they have plenty of strains and a lot of millions of each of them. Remember you should have a diet full of good prebiotics and fiber (what probiotics eat). Just eat properly, consume a wide variety of vegetables, fruits, whole grains, legumes, and nuts; drink plenty of water, reduce stress factors, sleep well and avoid processed food and alcohol.

A final word…

Feeling blue is  normal after some events, what you have to pay attention to is that it does not persist over time or affects your daily life.  If it does, check your serotonin levels, what you eat and your habits. Remember that serotonin produced in the gut supports your brain serotonin, so a happy intestine means a happy brain and vice versa. More probiotics and prebiotics, less stress, avoid processed food and alcohol and enjoy the ride of life!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

1.https://www.ncbi.nlm.nih.gov/books/NBK545168/

2.https://www.apa.org/monitor/2012/09/gut-feeling

3.https://www.ncbi.nlm.nih.gov/books/NBK537171/

4.https://pmc.ncbi.nlm.nih.gov/articles/PMC7495222/

The post Why do we feel blue? The Role of Serotonin in mental health and the Gut-Brain connection appeared first on Perea Clinic.

Have you ever felt unexpectedly sad, low on energy, or emotionally flat, without a clear reason? Many people experience these “out-of-the-blue” moods and assume it’s just stress, hormones, or a rough day. But what if the real reason behind unexplained sadness is your digestion? Science now shows that your gut and brain are far more connected than we ever imagined, and digestive health can have a profound impact on your emotional well-being.

The Gut–Brain Connection

The gut is often called the “second brain” because it has its own nervous system, the enteric nervous system, which communicates constantly with your brain. This gut-brain connection happens through the vagus nerve, hormones, and neurotransmitters.

One of the most surprising discoveries is that about 80–90% of serotonin, the “feel-good” neurotransmitter linked to mood, happiness, and emotional balance—is actually produced in the gut, not the brain. If your digestion is out of balance, your serotonin production may be too. And when serotonin levels dip, you may feel sad, anxious, or emotionally off without any obvious cause.

The Role of Serotonin: More Than Just the “Happiness Chemical”

Most people know serotonin as the “feel-good neurotransmitter”, but its role goes far beyond mood regulation. Serotonin (5-hydroxytryptamine, or 5-HT) is a chemical messenger that helps your body balance emotions, digestion, and other vital functions.

1. Serotonin and Mood

• Emotional balance: Adequate serotonin levels are linked to feelings of happiness, calm, and stability. Low serotonin is often associated with depression, anxiety, and mood swings.
• Sleep regulation: Serotonin helps produce melatonin, the hormone that regulates sleep. Poor gut serotonin production may lead to insomnia or disrupted sleep.
• Stress response: Serotonin works with dopamine and norepinephrine to regulate how your body reacts to stress.

2. Serotonin and Digestion

Here’s what surprises most people: about 80–90% of serotonin is produced in the intestines. Enterochromaffin cells in the gut lining release serotonin to control:

• Gut motility – It signals your intestines to contract, moving food smoothly through your digestive tract.
• Nutrient absorption – Balanced serotonin helps regulate enzyme release and digestion efficiency.
• Gut sensations – That “butterflies in the stomach” feeling during stress is partly serotonin at work.

3. Serotonin and the Gut–Brain Axis

Serotonin acts as a messenger between the gut and the brain. If your gut is inflamed or imbalanced, serotonin signaling can get disrupted, leading to mood issues even when nothing external seems wrong. This explains why digestive disorders like IBS (Irritable Bowel Syndrome) often go hand-in-hand with anxiety or depression.

4. Beyond Mood and Digestion

Serotonin also influences:

• Appetite control – Helps regulate hunger and satiety signals.
• Blood clotting – Platelets store serotonin and release it to help with wound healing.
• Bone density – Abnormal serotonin signaling has been linked to bone health issues.
• Sexual function – Low serotonin can affect libido and satisfaction.

Signs Your Sadness Could Be Linked to Digestion

If you often feel sad for no reason, take a closer look at your digestive health. Common red flags include:

• Bloating or gas after meals
• Irregular bowel movements (constipation or diarrhea)
• Acid reflux or heartburn
• Food intolerances or sensitivities
• Low energy and brain fog

These issues might indicate that your gut microbiome—the community of trillions of bacteria in your digestive tract—is imbalanced. When harmful bacteria outnumber the good ones, it can trigger inflammation, reduce serotonin production, and affect your mood.

How Poor Digestion Impacts Mood

1. Reduced serotonin production – If your gut lining is irritated or your microbiome is imbalanced, serotonin production can drop.
2. Nutrient absorption issues – Poor digestion means you may not be absorbing enough vitamins and minerals (like B vitamins, magnesium, and zinc) that are crucial for mental health.
3. Chronic inflammation – Gut inflammation releases stress signals that can affect your brain chemistry, contributing to depression-like symptoms.
4. Stress feedback loop – Stress affects digestion, and poor digestion increases stress—a cycle that leaves you feeling emotionally drained.

Simple Steps to Support Your Gut and Boost Your Mood

The good news is that improving your digestion can naturally lift your mood. Here are some practical steps:

• Eat more fiber – Vegetables, fruits, and legumes feed beneficial gut bacteria.
• Include probiotics and fermented foods – Yogurt, kefir, sauerkraut, and kimchi add healthy bacteria to your gut.
• Stay hydrated – Water supports digestion and helps eliminate toxins.
• Manage stress – Deep breathing, yoga, or meditation calm the gut-brain axis.
• Get enough sleep – Rest is essential for both mental health and digestive balance.
• Limit processed foods and sugar – These disrupt the gut microbiome and worsen mood swings.

Sadness and digestion: When to Seek Help

If sadness without reason persists for weeks, or if digestive symptoms interfere with daily life, speak with a healthcare professional. They may recommend tests for gut health, food sensitivities, or nutrient deficiencies. Addressing underlying digestive issues can make a big difference in emotional resilience.

A final word

Feeling sad without reason doesn’t always mean something is “just in your head.” Your digestion may be playing a major role in how you feel day to day. By paying attention to gut health and supporting your microbiome, you’re not just improving digestion—you’re also nurturing your emotional well-being.

So next time you ask yourself, “Why am I feeling down for no reason?”, consider this: the answer might start in your gut.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.ncbi.nlm.nih.gov/books/NBK545168/

https://www.apa.org/monitor/2012/09/gut-feeling

https://www.ncbi.nlm.nih.gov/books/NBK537171/

https://pmc.ncbi.nlm.nih.gov/articles/PMC749522

The post Sadness, Digestion and the role of Serotonin appeared first on Perea Clinic.

Most  people defined lipoedema as a chronic condition, characterised for the abnormal buildup of fat. For millions of women (the most affected population) worldwide, it brings a daily struggle with pain, swelling, discomfort  and mobility. However, lipoedema is far more than just a physical condition. Everyday, patients deal with mental health challenges like anxiety, depression, and frustration. For that reason, it is key to understand and address both, the physical and emotional impact of lipoedema, in order to improve the general well being of each patient. Let’s see how lipoedema affects mental health of patients and how they can be helped.

Lipoedema and mental health: The emotional impact of lipoedema

As I said above, Lipoedema´s main characteristic is the abnormal accumulation of fat (resistant to diet and exercise), primarily in the legs and arms changing your body shape. Most common symptoms are: pain, swelling, easy bruising (caused by reduced lymphatic and blood flow) and reduced mobility. These physical symptoms and criticism from outsiders often lead to:

• Low self-esteem
• Body image issues
• Insecurity
• Dissatisfaction
• Stress
• Emotional exhaustion
• Social isolation 
• Anxiety 
• Frustration

Anxiety in lipoedema

Anxiety and lipoedema come together. The uncertainty of the condition, spending time in the right diagnosis, then worries about progression, low self-esteem and fear of how others perceive you can create a constant state of apprehension. For those who don´t get s psychological help, this anxiety becomes generalised and persistent, leading to:

• exacerbation of physical symptoms
• Sleep disturbances
• Overactive “fight or flight” response
• Worries about treatment, costs, and future
• etc.

Depression and hopelessness

More that 40% of patients with lipoedema experience depression, with rates increasing as the condition progresses or mobility declines. Some common symptoms of depression are:

• Persistent sadness or hopelessness
• Loss of interest in activities
• Frequent crying and irritability
• Feelings of inferiority and shame
• Difficulty managing daily self-care and treatment routines
• Isolation
• Ruminative thoughts about the condition or others opinion
• Sleep issues

Lipoedema patients manifest a profound sense of loss (of physical ability, social life, or self-image), especially when compounded by repeated misunderstandings from medical professionals or loved ones.

Frustration and anger

Many people with lipoedema describe intense frustration in the following areas:

• Their bodies (inability to lose lipoedema fat)
• Healthcare systems.  Late/misdiagnosis and dismissal by doctors are common, leading to feelings of not being heard or believed and catalogued as lazy.
• Social stigma. people´s misunderstanding about the condition, discrimination and criticism produce further self-isolation.

What comes next? Reducing the emotional toll of lipoedema

Building emotional resilience

Even mental health challenges of lipoedema have high impact on people, there are strategies that can help:

• Professional psychological support: Therapy, especially from professionals familiar with chronic illness, can provide coping strategies and validation.
• Peergroups. Connecting with others who share your experiences can reduce isolation, create new true friendships/relationships and offer practical advice.
• Mindfulness and self-compassion. Mindfulness, gratitude journaling, meditation and pray improve emotional regulation.
• Set goals. Small, realistic, achievable self-care goals can build confidence and a sense of control improving your self-esteem.
• Advocacy and education. Learning about lipoedema and advocating for yourself in medical settings can empower you and improve outcomes.

Lipoedema and mental health-A final word:  Remember you are Not Alone

Living with lipoedema is a journey that affects both body and mind, but in this path you can’t decline. Don’t be ashamed to show your feelings and worries with health care professionals and loved ones. If you are struggling with anxiety, depression, or frustration is totally normal and you can seek emotional support from therapy, support groups, or trusted friends.  All these tools can make a significant difference in your quality of life and help you build resilience and a strong self-esteem for the road ahead.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://lipoedema.co.uk/emotional-support/

https://pmc.ncbi.nlm.nih.gov/articles/PMC9602978/

https://lipedemaclinic.org/article/mental-health-and-support-for-lipedema/

The post Lipoedema and Mental Health: How to deal with Anxiety, Depression, and Frustration appeared first on Perea Clinic.

Living with lipoedema is not easy and can be isolating due to society misunderstanding, but let me tell you my dear friend, you are not alone! There are networks of support communities and resources, outside, to empower you as patient, offer guidance, and promote connection with health care providers, peers and also, help caregivers to get support and advice, too. So, in this blog, I show you how to find the help and understanding you deserve.

Why should I find support?

Because lipoedema affects both physical and mental health. Symptoms like pain, swelling and mobility issues (advance stages) might highly affect your quality of life. Besides, many patients experience emotional challenges, such as low self-esteem, anxiety, depression and frustration due to misdiagnosis, lack of understanding or being judged by family, friends and society. For that reason, connecting with others who walk on the same path, allows you to share experiences and get advice, assistance, validation, have hope and make new friends.

How can I get in touch with other lipoedema patients?

There are online communities and support groups

Social Media Groups

• Instagram
• Youtube
• Facebook
• Ticktock

First,search for Lipoedema (remember it can also appear as lipedema for American English speakers) to find active groups. There patients share stories, advice, and have the opportunity to encourage each other.

Once you find an account (fundations, advocacies, influencers) you feel comfortable with, follow them for the updates news and community stories.

Specialised online-platforms that give physical and emotional support

Here, I mention 3 of the most known in UK, but also, in references you can find more society and specialised platforms ( just click below):

• Lipedema Support Community. It offers a safe space to connect, share experiences, and access educational webinars, etc.
• Lipedema Team Community. Provides monthly sessions on nutrition, mental health, and treatment options, plus access to specialists and peer support.
• Talk Lipoedema. This charity is located in the UK and gives support to patients, families, and caregivers with information, newsletters, and real-life stories.
• Fat Disorders Resource Society (FDRS). Hosts annual conferences and maintains a supportive online presence for those affected by fat disorders, including lipoedema.

Where can I seek information about lipoedema?

The are informational guides or online libraries

• Lipedema Foundation. It has a comprehensive resource library, downloadable guides, and a patient self-advocacy toolkit to help navigate the healthcare system.
• Lipoedema UK. Here, you can find medical resources, research archives, and best-practice guidelines. It offers material for clinicians and lipoedema therapists, too.
• LEGATO Library.  An up-to-date archive of research publications, making scientific data more accessible to patients.

How can I find professional help?

• Provider Directories. The Lipedema Foundation and affiliated organizations maintain directories to help patients find knowledgeable clinicians and therapists.
• NHS. It gives you information about the condition and related professionals.
• National Lymphedema Network Offers listings of certified therapists specialized in lymphatic and fat disorders.

What about learning more and advocating yourself

Here are some options for you, but there are a lot more online.

• Webinars, talks and masterclasses. Many communities around the world offer regular online events covering self-management, treatment options, and coping strategies. They are available in different languages.
• E-Learning Courses. Lipoedema UK and the Royal College of General Practitioners provide online courses for patients and healthcare professionals.
• Peer Stories. Books or talks about others’ journeys can be deeply reassuring. You can find them in different foundation websites. There you can also look for testimonies, photo galleries, forums and interviews that highlight the diverse experiences of those living with lipoedema.

A final word…

Finding the right support system is pivotal for managing lipoedema (clinicians, lipoedema therapist, psychologist and family, friends and peers). Support groups, specialised webpages and lipoedema communities help you:

• get new knowledge about the condition
• feel supported which gives you strength
• have a sense of belonging
• be updated in latest news and treatments
• self advocacy

Remember you are not alone on this journey, feel free to contact us whenever you need, we are always glad to help!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

Supper groups and information:

https://www.lymphoedema.org/information/lipoedema/

https://lipoedema.co.uk/research-publications-and-projects/

https://www.nhs.uk/conditions/lipoedema/

https://www.talklipoedema.org/

https://www.lipedema.team/community

https://lipedemaproject.org/lipedema-support-community/

https://www.lipedema.org/resources

Library: https://www.fatdisorders.org/

The post Finding Support: Lipoedema Communities and Resources for Patients appeared first on Perea Clinic.

The emotional impact of lipoedema can´t be described with words, just those who feel it really know what it is like. This condition affects body image, self-esteem, mental health and overall quality of life. Shame, stigma, and difficulties with emotional regulation are common, especially as the condition progresses are examples of what patients have to face. In our previous blog, you can find the description of the most reported emotional issues of lipoedema patients. For that reason, today, we´ll give you proven strategies to get lipoedema emotional impact relief, always guided by a mental health professional. Let’s have a closer look…

 Emotional Impact of Lipoedema: managing strategies

• Open your mind and accept 

The more you get awareness and open your mind to embrace the condition with flexibility and acceptance you will have a better quality of life. Acceptance and Commitment Therapy (ACT) and Functional Analytic Psychotherapy (FAP) are promising approaches that target these areas.

• Mindfulness techniques

For example meditation, body scans, and deep breathing reduce stress and improve emotional regulation. These practices also enhance present-moment awareness, aiding acceptance of physical symptoms and also body image.

• Social Connectedness

Your social network and mental health professionals and support groups can buffer against feelings of isolation and improve general well being.

• Professional Support

While only about 22% of patients with advanced lipoedema report seeing a psychologist, nearly half of those who do find it helpful. Psychological interventions should be tailored to address body image, self-esteem, and coping with chronic illness. Seek a professional you feel comfortable with and who empathises with your condition.

• Empowerment and Advocacy

Empowering individuals to challenge stigma, advocate for their needs, and access appropriate care is essential for improving both mental and physical health outcomes.

Emotional Impact of Lipoedema: Empowerment and advocacy strategies

• Patient education

 Understanding lipoedema’s medical basis reduces self-blame and gives the power to look for appropriate help.

• Boundary-Setting

 Learning to establish limits with unsupportive individuals or environments preserves emotional energy, don’t waste your time with people who don’t care about you or are not empathic, and run away from those who make you feel bad about yourself.

Managing the Psychological Impact of Lipoedema: Specialised Techniques

• Cognitive Behavioral Therapy (CBT)

 CBT helps reframe negative thought patterns about body image, self esteem and more. Look for a certified CBT psychologist you feel comfortable to work with.

• Eye Movement Desensitization and Reprocessing (EMDR)

 Addressing trauma due to severe emotional impact and stigma, reducing anxiety and improving emotional resilience, must be performed by a specialised psychiatrist.

Emotional Impact of Lipoedema: Support networks

• Peer Support Groups

 Reduces isolation by connecting you with other patients. You can share experiences, get advised, but also have the feeling of belonging. Over 50% of participants report improved emotional well-being.

• Community Workshops

 Structured programs combining mindfulness, stress management, and body acceptance exercises provide tools for daily challenges. Most of them are online.

Managing the Psychological Impact of Lipoedema: A final word

The Union of these strategies is pivotal for improving your general wellbeing. Don´t be afraid of your condition or how you feel about it, but look for a professional treatment plan tailored to your needs. Remember you’re not alone and we are here to help you.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.psychologytoday.com/us/therapy-types/acceptance-and-commitment-therapy

https://pubmed.ncbi.nlm.nih.gov/24773095/

https://pmc.ncbi.nlm.nih.gov/articles/PMC9829602/

https://etonpsychiatrists.co.uk/blog/living-with-lipedema-mental-health-adhd-links-treatment-challenges-and-the-path-to-acceptance/

https://advances.umw.edu.pl/en/article/2024/33/12/1367/

The post Emotional Impact of Lipoedema: Managing Strategies appeared first on Perea Clinic.

Lipoedema is a chronic condition. Its main characteristic is the symmetrical and disproportionate buildup of fat especially in the lower body, but it can appear in arms too. Today, physical symptoms are well recognised; but what happens with the emotional impact of lipoedema? When we talk about chronic conditions or illness, most of the time we just focus on the physical area while the emotional burden is left behind. For that reason, I wrote this blog to share with you what most lipoedema´s patients have to face and also some strategies to navigate lipoedema related distress. Let’s have a look…

Lipoedema´s patients experience high rates of psychological distress due to different reason, for example:

• Not being heard by professionals, family, or friends
• Be cataloged as lazy and not doing enough effort to lose weight (remember lipoedema´s fat doesn’t respond to exercise or diet)
• Misdiagnosis (obesity)
• Social disapproval-rejection

As consequences of psychological distress, there are different emotional symptoms, these are some of the most common psychological challenges:

• Depression 
• Emotional lability
• Eating disorders
• Sense of inferiority
• Heightened sensitivity
• Ruminative thoughts
• Isolation

Understanding Lipoedem´s emotional impact

• Body image and self-esteem issues

As the condition progresses, patients feel more frustrated with their body image which leads to a poor self-esteem. They feel shame and embarrassment due to their appearance and society expectations. As lipoedema doesn’t respond to common exercise or diet, when personalised treatment has not been applied, patients may  feel “trapped” in a body they cannot control.

• Depression and emotional distress

 Approximately 40% of patients with advanced stages of lipoedema (3-4) report depression, with rates of emotional lability (mood swings). In addition, feelings of sadness, hopelessness, and emotional exhaustion are common.

• Eating disorders

For those patients who haven’t received proper treatment (diagnosis, physical and psychological), low self-esteem and body image issues can lead them to have eating disorders due to “guilt”.

• Social isolation and loneliness

Patients who don’t feel comfortable with their body image and those in advanced stages where mobility is severely restricted are significantly more likely to withdraw from social activities, stay at home, and experience loneliness. This self-isolation is the result of fear of judgment due to social weight stigma.

•  Rumination 

Many patients report constantly thinking about their condition, increased sensitivity, frequent crying, and being more easily angered or fearful. These mood changes are closely linked to the emotional burden of living with lipoedema.

• Stigma and discrimination

 Exposure to weight stigma and misunderstanding from society and the healthcare system can erode confidence and self-worth. For that reason is pivotal the emotional support not only from family and friends but also of the  healthcare professional team.

• Emotional regulation issues

Some patients have more difficulty identifying, understanding, and accepting their emotions compared to those without the condition. These challenges can exacerbate anxiety and depressive symptoms, making it harder to cope with daily stressors.

A final word

Poor body image and low self-esteem are key challenges for those living with lipoedema. Many patients experience shame about their appearance, leading to avoidance of social activities and situations where they have to expose their bodies. Rumination, the anticipation of judgment or actual experiences of weight stigma and discrimination further erode confidence and self-worth, often resulting in social isolation and impaired quality of life. For that reason it is pivotal to be surrounded by the right support group (family, friends, lipoedema healthcare team). It will make your journey easier and, why not,  pleasant. In our next blog, we´ll share with you some scientific proven strategies to improve the emotional impact caused by lipoedema and improve your general well being.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pmc.ncbi.nlm.nih.gov/articles/PMC9829602/

https://etonpsychiatrists.co.uk/blog/living-with-lipedema-mental-health-adhd-links-treatment-challenges-and-the-path-to-acceptance/

https://advances.umw.edu.pl/en/article/2024/33/12/1367/

The post The Emotional Impact of Lipoedema: Coping with Body Image and Self-esteem appeared first on Perea Clinic.

Supporting a loved one with lymphedema involves a combination of emotional support, practical assistance, and education about the condition. Here are some ways you can support a loved one with lymphedema:

Feelings: Emotional Support

• Acknowledge her/his feelings.
• Allow your loved one to express their emotions ( How they feel about the diagnosis). 
• Listen with compassion.
• Find a safe place where you can talk and share feelings.
• Share funny moments. Do what both of you like the most and enjoy!
• Regularly check in with them about how they are feeling.
• Ask them what they need. This can help them feel less isolated and more understood.

Before acting, learn about the condition

• Learn About Lymphedema, in order to improve your understanding about what your loved one is going through. 
• This knowledge can help you provide informed support, acute help and reduce any misconceptions about the condition.
• Learn how to manage the condition and what symptoms to look out for.
• Get familiar  with the treatment methods (Decongestive Compression Therapy, Manual Lymphatic Drainage, exercise, etc.). So you can help them with the treatment plan they have.
• Encourage and accompany (if possible) them to consult with certified lymphedema therapists and GP to tailor a treatment plan according to their needs.
• Visit a trained therapist to perform manual lymphatic drainage (MLD). The therapist may also teach both of you how to perform MLD at home. 

Help with everyday chores or activities

• Help with daily tasks, even if they don´t want or need your help, it makes them feel supported.
• Share household chores. This can make them feel alleviated, especially when there are physical burdens due to swelling, pain or discomfort.
• Create a list of chores that are difficult to perform due to lymphedema and get extra help if needed.
• Prioritize Tasks, identify which tasks are most urgent or important.
• Create a to-do list. It will help you organize daily tasks and who is in charge of each task.
• Help them when traveling or attending events to ensure comfort.
• Help with being the contact person to keep others updated.

Lymphedema support systems: Time management

•  Encourage regular breaks during tasks to prevent fatigue.
•  Give relaxation the chance. This can help them manage their energy levels throughout the day.
• Give every task a period of time. This helps them focus on one task at a time without feeling rushed.

Encourage healthy habits 

• Encourage healthy habits, please don´t tell them what to do like orders, just cheer them to start or continue with their healthy habits.
• You can try exercising together.
•  Support them in maintaining a healthy lifestyle, which includes proper skin care, regular exercise, and a balanced diet rich in fruits and vegetables.
• Cook together healthy and anti-inflammatory recipes.
• Help with monitoring skin in unreachable areas. 
• In case of infection, help them to treat the area.

Look for emotional/psychological of support

• Encourage your loved one to join support groups. This safe environment can provide emotional relief and practical advice from those who understand their situation.
• Get in touch with other lymphedema patients. In order to share experiences with others facing similar challenges. 
• Get psychological support. It will be good for both of you in order to get emotional relief and professional support.

Daily treatment routine: help with…

• Elevation of the affected area to help gravity drain extra fluid. 
• Avoiding pressure on the affected area.
• Wearing loose clothing without tight bands or elastic. 
• Avoiding extreme heat, wind or sun. 
• Reducing/avoiding alcohol and caffeine intake. They can dilate lymph tissue and cause more swelling.
• Giving medicines.
• Physical therapy (exercises for lymphedema).
• Self-Manual Lymphatic Drainage
• Using the pumping device.

What a caregiver should consider

• Caregivers with children struggle to take care of a parent too.
• Parents may have a hard time accepting help from their adult children.
• Caregivers find it hard to balance taking care of a loved one with job responsibilities.
• Adult children with cancer may not want to rely on their parents for care.
• Caregivers may have health problems themselves, making it physically and emotionally hard to take care of someone else.

Lymphedema support systems: Caregiver self-care

• As a caregiver, you should seek support too. 
• Consider joining support groups for caregivers of individuals with chronic conditions. This can provide you with additional resources and emotional support as you navigate this journey together.
• Hire someone to help you with hard house chores. 
• Ask for extra help when needed.
• Take into account your own needs.
• Take breaks.

The union of emotional understanding, practical help, education about the condition, and professional support, you can significantly improve your loved one’s quality of life while managing lymphedema, but not die trying.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.ncbi.nlm.nih.gov/books/NBK65853/

https://www.cancer.gov/about-cancer/coping/caregiver-support

https://www.sciencedirect.com/science/article/abs/pii/S1462388919301887

https://www.sciencedirect.com/science/article/abs/pii/S0959804910007367

https://myjourney.org.au/article/25430

https://pubmed.ncbi.nlm.nih.gov/38837503/

The post Lymphedema Support Systems: How you can help appeared first on Perea Clinic.

Lymphedema is a chronic swelling condition, caused by lymph fluid accumulation due to damage or blockage in your lymphatic system. Lymphedema has significant emotional and psychological impacts on patients. This condition is particularly seen among cancer survivors, especially those who have undergone treatments such as trauma, surgery or radiation that affected lymphatic vessels or nodes. In this blog, I want to share with you the emotional impact of lymphedema and how to navigate these symptoms in order to improve your quality of life.

Emotional and Psychological Consequences of Lymphedema

Depression and anxiety

These distresses can stem from feelings of abandonment by healthcare providers, family or friends, also social isolation because their routine and habits change. For most patients the word “chronic” leads to a sense of hopelessness about the future. 

In addition, financial burdens related to treatment costs can add stress  to the patients, which further complicates their general well-being.

Body Image Issues

Lymphedema patients report a negative impact on their body image due to the visible swelling and changes in limb and general appearance. When people don’t like their body image, it can lead to social anxiety, avoid social situations, and low self-esteem. Patients may feel embarrassed about their appearance because they feel seen as “weird” by other people, for that reason empathy is so important, it can change the perspective of lymphedema patients making them feel listened, seen (but in a good way), and understood. 

Life quality

Lymphedema carries a high emotional burden for those who live with this condition. Patients often have lower scores in emotional well-being assessments compared to those without lymphedema. They have  limitations due to physical symptoms such as pain, stiffness or heaviness; they feel different from other people without the condition and sometimes feel isolated. All together reduce their quality of life and also daily physical routine.

Lack of support 

Many patients express frustration regarding the lack of support from healthcare professionals in managing their condition; they would like to have more information first hand about how to deal with symptoms and get more information about the condition. This perceived lack of understanding can intensify feelings of anger and despair. 

Anger and disappointment 

Feelings like fear, uncertainty, being misunderstood, isolation, lack of family/friends support and financial problems can lead to anger and disappointment.

Emotional Impact of Lymphedema: Where to find on-line support?

There are different types of organizations, charities and support groups that may help you find the information, professionals and fellows to get advice and share experiences with. Some of them are:

https://www.lymphoedema.org/

https://www.cancerresearchuk.org/about-cancer/coping/physically/lymphoedema-and-cancer/resources-and-support

https://www.lympho.org/index.php

https://www.medicaladvisoryservice.org.uk/

https://www.nationalvoices.org.uk/member/lymphoedema-support-network/

In short

The emotional impact of lymphedema is profound and multifaceted, affecting not only psychological health but also social interactions, economy and overall quality of life. Addressing these emotional challenges requires a comprehensive approach that includes psychological support, education about the condition, and improved communication from healthcare providers, family and friends. Enhanced awareness and research into the psychosocial aspects of lymphedema are essential for developing effective interventions that can help patients cope better with their condition. For these reasons it´s key to be surrounded by your loved ones, get professional assistance (psychologist or psychiatric) and feel comfortable with your health care providers. You are not alone, if you need advice please contact me, I´m always glad to help!

References:

https://www.sciencedirect.com/science/article/abs/pii/S1462388919301887

https://www.sciencedirect.com/science/article/abs/pii/S0959804910007367

https://myjourney.org.au/article/25430

https://pubmed.ncbi.nlm.nih.gov/38837503/

The post Emotional Impact of Lymphedema: Coping with Psychological Effects appeared first on Perea Clinic.

There is available evidence suggesting that abnormalities in the lymphatic system function may be associated with schizophrenia, specially the vessels located in your brain (the ones that drain wastes from your brain). In this blog you can find what schizophrenia is, its main symptoms, how the misfunction of the lymphatic system could be related to this mental health condition and what lifestyle changes you can introduce in order to improve its symptoms. Let’s start with the basics…

What is schizophrenia?

Schizophrenia is a serious mental health condition that affects how people think, feel and behave. It is due to the mix of hallucinations (see and hear things or voices that are not perceived by others), delusions (firm beliefs about things that are not true), and disorganized thinking and behavior. For people with schizophrenia daily life can be pretty hard because they have lost touch with reality. 

Many people with schizophrenia don’t know they have a mental health condition, so they don’t  know they need treatment. For that reason, it’s important that relatives (family, friends, coworkers, etc.) pay attention to the symptoms in order to help  them get a diagnosis and proper treatment.

What are the main symptoms of schizophrenia?

Symptoms of schizophrenia produce changes in how people think, feel and behave. The most common are:

Delusions.  To believe in things that aren’t real or true. For example, being harmed or attacked when they aren’t. They may think they’re famous, but they are not, etc. Most people with schizophrenia have delusions.

Hallucinations. It’s when you see or hear things that other people don’t observe. For people with schizophrenia, these things seem real. Hallucinations can occur with any of the senses, but hearing voices is most common.

Disorganized speech and thinking. It’s hard for people with schizophrenia to talk to other people because their disorganized thinking and misconception of reality makes them have a disorganized and unrealistic speech. In other words, when you ask them something, they will answer something completely different or not related to your inquiry.

Unusual motor behavior. Some examples are:

•  childlike silliness
•  being agitated for no reason
• lack of focus on specific goals (unable to complete tasks)
• may not want to follow instructions
• inappropriate social movements
• unusual movements
• no movement or response at all

Behavioral changes. People with schizophrenia may not be able to function in the way they could before their illness started. For example:

• don’t take a baths
• do not make eye contact 
• cannot show emotions 
• speak in a monotone voice 
• not be able to feel pleasure
• lose interest in everyday or social activities
• unable to make future plans

How is the lymphatic system related to schizophrenia?

The meningeal lymphatic vessels (lymphatic vessels in your brain) remove wastes and toxins from your brain to keep it healthy and working properly. Studies showed that when your meningeal lymphatic vessel don´t work properly, it produces cognitive impairment (changes in the way your brain perceives and processes information) that can result in behavioral changes (like those seen in schizophrenia). There is also evidence of changes in the functional activity of the lymphoid tissue of the inguinal lymph nodes in patients with schizophrenia. In other words,  when the lymphatic system doesn’t work properly, your body, especially your brain, is unable to clean by itself and can not regulate the cognitive and immune function properly.

In short, accumulated fluids and wastes produce or exacerbate these behavioral and cognitive changes seen in schizophrenia. However, further research is still needed to fully elucidate the role of the lymphatic system in the pathophysiology of this mental health condition.

What lifestyle changes can enhance lymphatic and immune function in schizophrenia?

There are some lifestyle changes that could enhance lymphatic function in individuals with schizophrenia, however, these tips don’t replace professional treatment (medication and talk therapy), they can be part of an holistic approach, here some of them:

1. Exercise: Regular physical activity improves brain health and circulation promoting waste clearance and cognitive function. 
2. Healthy Sleep Habits: Adequate and quality sleep is crucial for glymphatic function (the glymphatic system in charge of cleaning your brain while you sleep). So sleep well, to feel and function well.
3. Dietary Modifications: A balanced and nutritious diet rich in antioxidants and anti-inflammatory foods may support brain health and potentially enhance lymphatic function. 
4. Lymphatic drainage massage: MLD boosts your lymphatic function, improves circulation, speeds up waste explanation, boosts your immune system, reduces stress and anxiety, etc. 
5. Stress Management: Chronic stress can negatively impact brain health and cognitive function. Practicing stress-reducing techniques such as mindfulness, meditation, specialised massage techniques or yoga may help lower stress levels. 
6. Hydration: Staying well-hydrated is essential for overall brain health and function. Drinking an adequate amount of water throughout the day will support the glymphatic system in clearing waste products from the brain.

By incorporating these lifestyle changes to their mental health treatment (medication and talk therapy, etc.), people with schizophrenia may potentially enhance glymphatic, lymphatic and immune function, which could contribute to improved cognitive function and overall brain health.

If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill and Islington. We are always glad to help. If you like this blog, please share!

References:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9082498/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603752/#:~:text=The%20glymphatic%20system%20is%20the,and%2C%20potentially%2C%20brain%20immunity.

https://medicine.yale.edu/news-article/the-brains-drainage-system-in-3-dimensions/#:~:text=The%20meningeal%20lymphatic%20vessels%20are%20also%20important%20for%20waste%20removal,for%20essential%20nutrients%2C%20and%20disposal

https://www.nimh.nih.gov/health/topics/schizophrenia

https://www.mayoclinic.org/diseases-conditions/schizophrenia/symptoms-causes/syc-20354443

https://academic.oup.com/schizophreniabulletin/advance-article-abstract/doi/10.1093/schbul/sbae039/7641688?redirectedFrom=PDF&login=false

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