Supportive Care for Lipoedema

Supportive Care for Lipoedema: what approach is taken?

Lipoedema is a chronic connective tissue disorder characterised by a symmetrical and painful increase in fatty tissue, seen particularly in the hips, buttocks, legs and arms. It is not merely an aesthetic condition but a chronic process involving pain and tenderness and affecting quality of life. Individually planned physiotherapy, manual lymphatic drainage and supportive methods aim to support circulation and reduce symptoms; the treatment plan is drawn up following medical assessment.

Areas of assessment and treatment

• Clinical assessment and individually tailored planning
• Manual lymphatic drainage and supportive physiotherapy
• Advice on the use of compression garments
• Regular follow-up

Distinguishing lipoedema from other causes of swelling

Lipoedema is commonly associated with a bilateral distribution, tenderness and a tendency to bruise easily. It is not the same as lymphoedema, venous problems or weight gain, although these can coexist with it. The way in which the feet are affected and the findings in the skin are examined. Sudden one-sided swelling must be assessed separately.

The aim of the supportive programme

Appropriate exercise, skin care and, where needed, compression are discussed with a view to reducing pain and difficulty with movement. The aim is not to eliminate fatty tissue by massage. Daily function, tolerance of the garment and symptoms are monitored. Nutrition and weight management matter for general health; it is not appropriate to assess a person by their weight alone.

What is assessed at the first consultation?

Your medical history, your current symptoms, the medicines you take and your needs in daily life are all discussed. You may share any previous investigations you have. Suitable options are considered together after the physician’s assessment.