What Is Lipoedema? Symptoms, Causes, and Early Warning Signs
Lipoedema is a chronic and progressive condition (if not treated on time) that affects the distribution of fat, primarily in the legs, hips, buttocks, and sometimes arms. Despite being a common condition, it is often misdiagnosed or mistaken for obesity or lymphoedema. Understanding lipoedema is essential for early detection and proper management to avoid progression.
What Is Lipoedema?
Lipoedema is a disorder of the adipose (fat) tissue, characterised by a symmetrical buildup of fat that does not respond to diet or exercise. Unlike general weight gain, lipoedema fat is painful, tender, and prone to bruising. It typically affects women and often begins or worsens during hormonal changes, such as puberty, pregnancy, or menopause.
Symptoms of Lipoedema
Lipoedema has several distinct symptoms that differentiate it from other fat disorders:
- Disproportionate fat accumulation . Fat deposits mainly in the legs, thighs, and buttocks, creating a pear-shaped body.
- Pain and tenderness. The affected areas are painful to touch and may feel heavy or tight.
- Easy bruising . Due to fragile blood vessels, people with lipoedema experience frequent, unexplained bruising.
- Skin texture changes. Skin can feel soft, nodular, or dimpled, resembling cellulite.
- Cold extremities – The affected areas often feel cooler than the rest of the body.
- Swelling that worsens during the day – Unlike lymphoedema, swelling in lipoedema does not improve significantly with elevation.
Progression
Lipoedema progresses through stages, this is how you will recognise the stage you are in:
- Early stages involve smooth skin with underlying fat buildup.
- Later stages show uneven, dimpled skin with larger fat deposits.
- Advanced stages may include fluid retention (lipo-lymphoedema) and significant changes in body shape.
Causes and Risk Factors
The exact cause of lipoedema is unknown, but it is believed to be influenced by genetics and hormonal factors. Some key contributors include:
- Genetic predisposition – Many people with lipoedema have a family history of the condition.
- Hormonal changes – Onset often occurs during puberty, pregnancy, or menopause, indicating a hormonal link.
- Impaired lymphatic function – In some cases, lipoedema can progress to lipo-lymphoedema, where the lymphatic system becomes compromised.
Early Warning Signs
Detecting lipoedema early can prevent complications and improve management. Here are some early warning signs to watch for:
- Legs remain disproportionately larger than the upper body, even with weight loss.
- Painful, tender fat deposits that don’t respond to diet and exercise.
- Increased bruising without clear injury.
- A feeling of heaviness or tightness in the legs.
- Swelling that worsens throughout the day but does not fully go away overnight.
Why Early Diagnosis Matters
Lipoedema is progressive, meaning symptoms can worsen over time. Without proper management, it can lead to reduced mobility, severe pain, and secondary lymphoedema. Early diagnosis allows for better treatment, including:
- Manual Lymphatic Drainage (MLD) – Helps reduce swelling and discomfort.
- Compression therapy – Supports lymphatic flow and reduces pain.
- Healthy lifestyle changes – Anti-inflammatory diets and low-impact exercise can help manage symptoms.
- Surgical options – In advanced cases, tumescent liposuction can help remove lipoedema fat.
Lipoedema Awareness: Spreading the Word
Raising awareness about lipoedema is crucial, as many people remain undiagnosed for years. Sharing information, joining support groups, and seeking specialist advice can make a significant difference. The more people understand this condition, the easier it becomes to diagnose and manage effectively.
A final word…
Lipoedema is a real and often misunderstood condition that requires greater awareness. If you or someone you know is experiencing these symptoms, it’s essential to seek medical advice from a specialist familiar with this condition. Early intervention can significantly improve quality of life and symptom management.
Would you like to learn more about treatment options or self-care for lipoedema? Stay tuned for more blog posts on this important topic!
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 usin Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!
References:
https://lipoedema.co.uk/about-lipoedema/
https://www.bupa.co.uk/health-information/womens-health/lipoedema
