Lipoedema (Lipedema non UK, (Lipalgia-Wales)) is a long-term condition in which fat builds up abnormally, usually in the legs, hips, bottom and sometimes the arms. It mainly affects women and is often mistaken for obesity or lymphoedema.

Common signs and symptoms

• Symmetrical swelling of both legs (and sometimes arms)
• Feet and hands are usually not affected
• Legs may feel heavy, painful, tender and bruise easily
• Fat tissue may feel soft, nodular or lumpy
• Swelling may get worse over time, especially after standing a lot
• Diet and exercise will improve general health but may not reduce the affected fat in the same way

Despite significant research the exact cause isn’t fully understood, but it is thought to be linked to:

• Hormones (it often appears or worsens during puberty, pregnancy or menopause)
• Family history / genetics

Treatment and management

There is currently no simple cure, but symptoms can often be managed with:

• Compression garments
• Strengthening exercises
• Weight management support
• Manual lymphatic drainage in some cases
• Deep Oscillation therapy
• Pain management
• GLP1’s in some cases
• In selected cases, liposuction specifically for lipoedema may be considered by specialists