Lipoedema

Lipoedema is characterised by bilateral, symmetric enlargement of the limbs caused by the deposition of fatty tissue, typically extending from the hips down to the ankles; in around 30% of cases the arms are affected as well. It is associated with hormonal factors and genetics, often first appearing during puberty, pregnancy or menopause, and the tissue can be tender and bruise easily.

Because it looks like other things, lipoedema is commonly misdiagnosed as bilateral lymphoedema, severe cellulite or simple weight gain. An informed assessment matters: with prolonged overstrain of the lymphatic system, a secondary lymphoedema can develop on top of the lipoedema (lipo-lymphoedema), which changes how the condition is best managed.

What treatment involves

There is no cure for lipoedema, and any therapist who promises one should be treated with caution. What supportive treatment aims to do is ease the load: encourage the movement of fluid through the affected tissue, reduce the aching and heaviness many women describe, and keep the tissue as soft and comfortable as possible.

A session for lipoedema may combine:

• Manual lymphatic drainage — light, rhythmic Dr Vodder techniques to encourage fluid movement through the affected areas.
• Low level laser therapy applied over the affected tissue.
• Hivamat deep oscillation, a gentle therapy used with the aim of easing heaviness and supporting fluid movement in the tissue.
• Pneumatic compression to relieve pressure and discomfort in the limbs.
• Advice on compression garments, movement and self-care between sessions.

Starting out

Kylie assesses your presentation at your Initial Assessment and builds a plan around it — including what is realistic to expect, and what you can do at home between appointments. If you are still working out whether this is the right path, book a free discovery call and talk it through first.