What is lipoedema?
Lipoedema is a chronic condition, mostly in women, with a symmetrical, disproportionate build-up of fat tissue in the legs (sometimes the arms). It often becomes noticeable during hormonal changes such as puberty, pregnancy or menopause.
Signs
- Symmetrical enlargement of both legs; feet are usually spared
- Tenderness or pain to touch
- Easy bruising
- Heaviness and tightness in the legs
- Localised fat that does not reduce despite diet and exercise
How it differs from lymphoedema
In lymphoedema swelling is usually one-sided and may involve the top of the foot. In lipoedema involvement is symmetrical and the feet are usually spared. Both can occur together over time; the distinction is made at the examination.
Assessment
Diagnosis is made by examination. Doppler ultrasound may be used to look for accompanying venous insufficiency or other vein problems. Treatment combines compression, exercise and lifestyle changes, together with other specialties where needed.
Related pages
Frequently asked questions
Does losing weight cure lipoedema?
Fat build-up in lipoedema usually responds only partly to diet and exercise, but weight control and exercise remain important in managing symptoms.
Can lipoedema and varicose veins occur together?
Yes, which is why a vein assessment may be advised.
