{"id":20930,"date":"2025-08-12T15:44:15","date_gmt":"2025-08-12T15:44:15","guid":{"rendered":"https:\/\/venaziel.de\/lipedema-center\/lipedema-or-just-fat-legs-how-to-recognize-the-difference\/"},"modified":"2026-05-01T05:56:45","modified_gmt":"2026-05-01T05:56:45","slug":"lipoedem-ursachen-symptome","status":"publish","type":"page","link":"https:\/\/venaziel.de\/en\/lipoedemzentrum\/lipoedem-ursachen-symptome\/","title":{"rendered":"Lipoedema or just thick legs? \u2013 How to tell the difference"},"content":{"rendered":"<h2><b>What is lipedema?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">A <\/span><b>lipedema<\/b><span style=\"font-weight: 400;\"> is a chronic <\/span><b>fat distribution disorder<\/b><span style=\"font-weight: 400;\">, in which too much fatty tissue accumulates symmetrically in certain parts of the body\u2014primarily on the legs and hips, and sometimes on the arms. The condition affects women almost exclusively and usually only appears  <\/span><a href=\"https:\/\/de.wikipedia.org\/wiki\/Lip%C3%B6dem#:~:text=Das%20Lip%C3%B6dem%20tritt%20fast%20ausschlie%C3%9Flich,ebenso%20eine%20genetische%20%2085\" target=\"_blank\" rel=\"noopener\"><b>after puberty<\/b><\/a><span style=\"font-weight: 400;\"> on. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Typically, the <\/span><b>feet and hands<\/b><span style=\"font-weight: 400;\"> slender in the case of lipedema, so that a conspicuous <\/span><b>disproportion<\/b><span style=\"font-weight: 400;\">  between a slimmer upper body and more massive legs develops. The affected areas often feel tender, soft or swollen because, in addition to fat, <\/span><b>fluid in the tissue<\/b><span style=\"font-weight: 400;\"> stored in the tissue.<\/span><\/p>\n<p><b>Important:<\/b><span style=\"font-weight: 400;\"> Lipedema is <\/span><b>not to be confused with simple obesity<\/b><span style=\"font-weight: 400;\">. The fat deposits in lipoedema develop  <\/span><b>not<\/b><span style=\"font-weight: 400;\"> by overeating or lack of exercise &#8211; accordingly, they are also very difficult to reduce by dieting or exercise. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">This is a <\/span><b>pathological<\/b><span style=\"font-weight: 400;\">  change in fatty tissue for which those affected are not to blame. Even with the greatest discipline, women hardly lose any weight in the lipedema areas, which is understandably frustrating.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Not every unusual fat distribution in the legs is necessarily lipedema. For example, if symmetrical fat deposits appear on the thighs or hips  <\/span><b>without<\/b><span style=\"font-weight: 400;\"> the typical pain, doctors speak of lipohypertrophy. <\/span><i><span style=\"font-weight: 400;\">lipohypertrophy<\/span><\/i><span style=\"font-weight: 400;\">  \u2013 unlike lipoedema, this fat accumulation is not considered pathological. And last but not least, <\/span><a href=\"https:\/\/de.wikipedia.org\/wiki\/Lip%C3%B6dem#:~:text=%E2%80%9EReiterhosensyndrom%E2%80%9C%20oder%20%E2%80%9ES%C3%A4ulenbein%E2%80%9C%20bezeichnet,2\" target=\"_blank\" rel=\"noopener\"><b>pure overweight<\/b><\/a><span style=\"font-weight: 400;\"> or <\/span><b>water retention<\/b><span style=\"font-weight: 400;\"> (edema) can lead to large leg circumferences, but the causes and characteristics are different from those of lipedema.<\/span><\/p>\n<h2><b>How does lipedema develop?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The exact <\/span><b>causes<\/b><span style=\"font-weight: 400;\">  of lipoedema have not yet been fully clarified. Presumably, <\/span><b>genetic factors<\/b><span style=\"font-weight: 400;\"> play a major role &#8211; often several women in the family are affected or a corresponding predisposition is inherited. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Also <\/span><b>hormonal changes<\/b><span style=\"font-weight: 400;\"> often act as triggers: Many sufferers notice the first symptoms in phases such as <\/span><b>puberty<\/b><span style=\"font-weight: 400;\">, <\/span><b>pregnancy<\/b><span style=\"font-weight: 400;\"> or <\/span><b>menopause<\/b><span style=\"font-weight: 400;\">, when the hormonal balance changes. This explains why almost exclusively women\u2014according to estimates up to  <\/span><b>10 %<\/b><span style=\"font-weight: 400;\"> of all women &#8211; develop lipoedema, although the disease is often only recognized late.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lipoedema is <\/span><b>not a consequence of being overweight<\/b><span style=\"font-weight: 400;\">, but can also be accompanied by obesity. In addition to lipedema, many patients are also overweight or obese\u2014due to the disturbed fat metabolism, excess pounds are preferentially deposited in the areas already affected. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">At the same time, lipoedema makes it difficult to lose weight: Even with weight loss, the disproportionate fat deposits on the legs and hips often remain. This vicious circle of lipoedema and weight problems is very stressful for women and can lead to frustration. <\/span><\/p>\n<h2><b>Typical symptoms<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">The clinical picture of lipoedema can be recognized by a number of characteristic <\/span><b>symptoms<\/b><span style=\"font-weight: 400;\">. Especially the combination of  <\/span><b>visible changes<\/b><span style=\"font-weight: 400;\"> and <\/span><b>pain symptoms<\/b><span style=\"font-weight: 400;\">  distinguishes lipedema from ordinary &#8220;heavy legs&#8221; without pathological value. Typical features include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Disproportionate fat distribution:<\/b><span style=\"font-weight: 400;\"> Lipoedema leads to a disproportionate distribution of body fat &#8211; legs, hips and possibly also arms. <\/span><b>legs, hips and possibly also arms<\/b><span style=\"font-weight: 400;\">  become significantly larger, while the upper body remains comparatively slim. The fat deposits appear <\/span><b>symmetrically<\/b><span style=\"font-weight: 400;\"> on both halves of the body. <\/span> <span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">It is also noticeable that <\/span><b>feet and hands<\/b><span style=\"font-weight: 400;\"> (at least in the early stages) <\/span><b>not affected<\/b><span style=\"font-weight: 400;\">  are \u2013 the fat accumulations usually end abruptly at the ankles or wrists. This makes the legs appear column-like, often with pronounced <\/span><b>&#8220;riding breeches&#8221;<\/b><span style=\"font-weight: 400;\"> on the thighs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pain and tenderness:<\/b><span style=\"font-weight: 400;\"> An essential characteristic of lipedema is the <\/span><b>painfulness<\/b><span style=\"font-weight: 400;\">  of the fatty tissue. The affected legs (or arms) are sensitive; even light pressure, bumps or touch can <\/span><b>pressure pain<\/b><span style=\"font-weight: 400;\"> trigger. <\/span> <span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">This persistent sensitivity to pain is not present with normal obesity and is therefore an important indication of lipedema.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Feeling of heaviness and tension:<\/b><span style=\"font-weight: 400;\">  Patients often describe a constant feeling of heaviness and tension in the legs (or arms). The limbs feel <\/span><b>swollen<\/b><span style=\"font-weight: 400;\">  and feel tired, as if they were becoming &#8220;heavy as lead.&#8221; This feeling of tension usually intensifies throughout the day\u2014in the evening, the legs are often even heavier than in the morning.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tendency to bruise:<\/b><span style=\"font-weight: 400;\"> Women with lipedema get bruises very easily <\/span><b>hematomas<\/b><span style=\"font-weight: 400;\">  (bruising). Even minor bumps or pressure are enough to cause blood vessels to burst under the skin. This increased susceptibility to bruising is another important distinguishing feature compared to &#8220;normal&#8221; fatty tissue. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Physical and emotional stress:<\/b><span style=\"font-weight: 400;\"> The complaints described have a negative impact on <\/span><b>everyday life<\/b><span style=\"font-weight: 400;\"> and the <\/span><b>quality of life<\/b><span style=\"font-weight: 400;\">  off. Many of those affected are limited in their ability to exercise or stand for long periods because of their heavy, painful legs. Added to this is the psychological component: the altered body image and often the belief that it is &#8220;their own fault&#8221; frequently lead to shame, social withdrawal, and even depression. <\/span><\/li>\n<\/ul>\n<h2><b>Treatment options<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">If you suspect that you are suffering from lipoedema, it is important to have a <\/span><b>specialist diagnosis<\/b><span style=\"font-weight: 400;\"> obtain. Specialists such as  <\/span><b>Phlebologists<\/b><span style=\"font-weight: 400;\"> (specialist for vein medicine), <\/span><b>lymphologists<\/b><span style=\"font-weight: 400;\"> or specialized vascular surgeons are familiar with the clinical picture and can clearly diagnose lipoedema. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">The earlier the diagnosis is made, the better the lipoedema can be treated and the sooner consequential damage (such as joint problems due to incorrect weight-bearing) can be avoided.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For <\/span><b>therapy<\/b><span style=\"font-weight: 400;\"> of lipedema are usually <\/span><b>conservative measures<\/b><span style=\"font-weight: 400;\"> with possibly <\/span><b>surgical interventions<\/b><span style=\"font-weight: 400;\">  combined. Initially, the focus is on decongestion and pain relief: Regular  <\/span><b>manual lymphatic drainage<\/b><span style=\"font-weight: 400;\"> and consistent <\/span><b>compression therapy<\/b><span style=\"font-weight: 400;\"> (wearing special compression stockings) can reduce swelling and slow its progression. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Specialists also recommend plenty of <\/span><b>exercise<\/b><span style=\"font-weight: 400;\">  (adapted to the patient&#8217;s physical capabilities) as well as a healthy diet to reduce or prevent excess weight. In advanced stages of lipoedema, a <\/span><b>liposuction<\/b><span style=\"font-weight: 400;\"> (liposuction) can be useful: This involves surgically removing the abnormal fat cells, which often leads to a significant reduction in symptoms.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Even if lipoedema will not disappear by losing weight alone, the above-mentioned therapies can significantly improve the symptoms. <\/span><b>significantly improve the symptoms<\/b><span style=\"font-weight: 400;\">. Many women report that after suitable treatment they are able to  <\/span><b>more mobile<\/b><span style=\"font-weight: 400;\">  and experience less pain\u2014which has a positive effect on their quality of life. It is crucial that you feel your complaints are taken seriously and that you receive professional support.<\/span><\/p>\n<p><b>VenaZiel Lipedema Center:<\/b><span style=\"font-weight: 400;\">  As a specialized center for lipoedema, we know how distressing this condition can be. We support you with empathy, experience and modern therapeutic approaches to relieve your symptoms and improve your quality of life. <\/span><\/p>\n<p><b>You are not alone with these problems<\/b><span style=\"font-weight: 400;\">and there are ways to improve the situation &#8211; we will be happy to help you.<\/span><\/p>\n<h2><b>Which areas of the body are affected?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Lipoedema affects certain areas of the body &#8211; usually <\/span><b>symmetrically<\/b><span style=\"font-weight: 400;\">  on both sides. Typical are the <\/span><b>legs<\/b><span style=\"font-weight: 400;\">starting at the <\/span><b>hips<\/b><span style=\"font-weight: 400;\"> over the thighs to the ankles <\/span><b>ankles<\/b><span style=\"font-weight: 400;\">. The  <\/span><b>Poor<\/b><span style=\"font-weight: 400;\">, especially the upper arms, can also be affected. This shows a noticeable  <\/span><b>Fat distribution disorder<\/b><span style=\"font-weight: 400;\">which gives the body a &#8220;pear-shaped&#8221; appearance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">What is striking: <\/span><b>Hands and feet always stay slim<\/b><span style=\"font-weight: 400;\">. The fatty tissue usually ends abruptly at the ankles\u2014a typical sign that distinguishes lipedema from other conditions. This is also referred to as the so-called  <\/span><b>&#8220;Cuff sign&#8221;<\/b><span style=\"font-weight: 400;\">a visible transition between the swollen leg and the slender foot.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For a better description, a distinction is made between <\/span><b>different types of lipedema<\/b><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Type I:<\/b><span style=\"font-weight: 400;\"> Increased fat in the buttocks, hips and pelvis (often referred to as &#8220;saddlebags&#8221;).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Type II:<\/b><span style=\"font-weight: 400;\">  The fat accumulation extends from the hips to the knees. Fat deposits often form on the inside of the knees.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Type III:<\/b><span style=\"font-weight: 400;\"> The fat extends from the hips to the ankles. <\/span><b>ankles<\/b><span style=\"font-weight: 400;\"> &#8211; the entire leg is affected, the feet are left out.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Type IV:<\/b><span style=\"font-weight: 400;\"> In addition, the <\/span><b>arms<\/b><span style=\"font-weight: 400;\">especially the upper arms, are affected. This type often occurs together with type II or III. <\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Some patients show characteristics of several types. Important: The  <\/span><b>Type classification only describes the distribution<\/b><span style=\"font-weight: 400;\">  of the fatty tissue\u2014not the severity or the stage of the disease. Nevertheless, it helps with the individual assessment for treatment planning at the VenaZiel Lipedema Center.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">You can find out more about diagnosis and treatment in our specialist articles.<\/span><\/i><\/p>\n<p>&nbsp;<\/p>\n<h2><b>How does lipedema develop over time?<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Lipoedema is a <\/span><b>chronically progressive disease<\/b><span style=\"font-weight: 400;\">, which changes over the years. For orientation, the progression is divided into  <\/span><b>three stages<\/b><span style=\"font-weight: 400;\"> depending on the appearance of the skin and the nature of the fatty tissue.<\/span><\/p>\n<h3><b>Overview of the stadiums:<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stage I:<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\">  The skin is still smooth, and the fatty tissue feels soft. There is already a symmetrical increase in volume\u2014usually in the legs and\/or arms. Initial symptoms such as pressure pain or a feeling of tension occur. <\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stage II:<\/b><b><br \/>\n<\/b> <span style=\"font-weight: 400;\"> The tissue becomes uneven, <\/span><b>lumpy<\/b><span style=\"font-weight: 400;\"> and the skin appears <\/span><b>dimpled<\/b><span style=\"font-weight: 400;\">  \u2013 similar to cellulite. Bruising occurs more quickly, and pain intensifies.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stage III:<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400;\"> The following develop <\/span><b>coarse fat bulges<\/b><span style=\"font-weight: 400;\"> and overhanging tissue folds, e.g. in the knee area. Movement may be restricted and psychological pressure increases.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">But: <\/span><b>The severity of the symptoms does not depend directly on the stage.<\/b><b><br \/>\n<\/b> <span style=\"font-weight: 400;\"> Many patients in <\/span><b>stage I<\/b><span style=\"font-weight: 400;\"> have severe pain, while others in <\/span><b>stage III<\/b><span style=\"font-weight: 400;\">  feel only slightly. The  <\/span><b>Medical classification alone says nothing about the quality of life<\/b><span style=\"font-weight: 400;\"> or the level of suffering.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is therefore <\/span><b>early diagnosis is particularly important<\/b><span style=\"font-weight: 400;\">. The earlier lipedema is recognized, the better its progression can be slowed down. At the VenaZiel Lipedema Center, we rely on an individual assessment\u2014based on  <\/span><b>Stage, symptoms and life situation<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">You can find out more about treatment in the early stages here.<\/span><\/i><\/p>\n<p>&nbsp;<\/p>\n<h2><b>What is not lipoedema? &#8211; Differentiation from other diseases <\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Many women live with undiagnosed lipoedema for years &#8211; because it is often <\/span><b>confused with other diseases<\/b><span style=\"font-weight: 400;\">. Here we explain how lipoedema can be clearly differentiated:<\/span><\/p>\n<h3><b>Lymphoedema<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">A <\/span><b>lymphedema<\/b><span style=\"font-weight: 400;\">  is caused by a buildup of lymphatic fluid. It often affects <\/span><b>only one side of the body<\/b><span style=\"font-weight: 400;\"> (asymmetrical) and includes feet <\/span><b>feet or hands<\/b><span style=\"font-weight: 400;\">  \u2013 unlike lipoedema. The skin appears doughy, and the so-called <\/span><b>Stemmer test<\/b><span style=\"font-weight: 400;\"> (skin fold on the toe palpable?) is positive.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span> <span style=\"font-weight: 400;\"> \u2192 Lipedema: <\/span><b>symmetrical, no vascular involvement,<\/b><span style=\"font-weight: 400;\"> usually with pressure pain and a tendency to bruising.<\/span><\/p>\n<h3><b>Obesity<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Obesity is a <\/span><b>generalized weight gain<\/b><span style=\"font-weight: 400;\">usually due to excessive calorie intake. The fat is distributed evenly over the body. It can be significantly reduced through diet and exercise.  <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span> <span style=\"font-weight: 400;\"> With lipoedema, the fat deposits remain <\/span><b>despite diet or exercise<\/b><span style=\"font-weight: 400;\">  receive. In addition, <\/span><b>pain, a feeling of tension and hematomas<\/b><span style=\"font-weight: 400;\"> do not occur with obesity.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Important: Many of those affected have <\/span><b>both<\/b><span style=\"font-weight: 400;\"> &#8211; obesity <\/span><i><span style=\"font-weight: 400;\">and<\/span><\/i><span style=\"font-weight: 400;\">  lipedema. Only the excess weight can be influenced. Pathological lipedema fat requires targeted medical measures. <\/span><\/p>\n<h3><b>Cellulite<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Cellulite is <\/span><b>purely cosmetic<\/b><span style=\"font-weight: 400;\">. It affects many women and is characterized by a dimpled skin structure. There are  <\/span><b>No pain, no fat bulges and no functional restrictions<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span> <span style=\"font-weight: 400;\"> Lipoedema, on the other hand, is <\/span><b>medically relevant<\/b><span style=\"font-weight: 400;\">chronic and associated with noticeable discomfort.<\/span><\/p>\n<h3><b>Lipohypertrophy<\/b><\/h3>\n<h3><span style=\"font-weight: 400;\">This is a <\/span><b>harmless increase in fat<\/b><span style=\"font-weight: 400;\">, mostly on the thighs and hips. There are  <\/span><b>No pain, no bruising and no fluid retention<\/b><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">  Lipohypertrophy is not considered a disease &#8211; but can develop into lipedema if hormonal changes occur.<\/span><\/h3>\n<h3><b>Why are so many lipedema cases misdiagnosed?<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Lipoedema is a <\/span><b>still underestimated disease<\/b><span style=\"font-weight: 400;\">. Many doctors do not recognize it immediately\u2014or confuse it with obesity or lymphedema. Patients often hear:  <\/span><i><span style=\"font-weight: 400;\">&#8220;You just have to lose weight.&#8221;<\/span><\/i><span style=\"font-weight: 400;\"> But that hardly brings any improvement in lipoedema.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The difference is not always easy to recognize visually either. Especially in the early stages, the figure appears &#8220;just a little stronger&#8221;, although the fatty tissue is pathologically altered. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">This is why specialized centers such as the <\/span><b>VenaZiel Lipedema Center,<\/b><span style=\"font-weight: 400;\">  take the complaints seriously, look closely, and provide individual diagnoses. Because only those who know the cause can treat it correctly\u2014and sustainably improve the patient&#8217;s life.<\/span><\/p>\n<h2><b>How do I know if I am affected?<\/b><\/h2>\n<p><b>Correctly classify the first signs:<\/b><span style=\"font-weight: 400;\"> Lipedema (colloquially also known as <\/span><i><span style=\"font-weight: 400;\">saddlebags syndrome<\/span><\/i><span style=\"font-weight: 400;\">) becomes noticeable through characteristic early symptoms. Many sufferers first notice an unusual swelling or pain in the legs &#8211; often coupled with a feeling of heaviness and tension. Typical early signs are  <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Swelling<\/b><span style=\"font-weight: 400;\"> in the legs (and sometimes arms), especially after prolonged standing<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Sensitivity to pressure and pain<\/b><span style=\"font-weight: 400;\"> even with light touch<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Heavy, tired legs<\/b><span style=\"font-weight: 400;\"> and the feeling of tension in the extremities<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tendency to bruises<\/b><span style=\"font-weight: 400;\"> for no apparent reason (high capillary fragility)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Disproportionate fat deposits<\/b><span style=\"font-weight: 400;\">especially on the hips and thighs, which are <\/span><i><span style=\"font-weight: 400;\">symmetrical<\/span><\/i><span style=\"font-weight: 400;\"> (both sides of the body at the same time)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Girth increase despite diet and exercise:<\/b><span style=\"font-weight: 400;\"> Weight on legs\/hips increases, although general weight loss has hardly any effect there<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The disproportion of the proportions is often striking: the upper body remains comparatively slender, while the legs and hips appear disproportionately strong. Hands and feet are usually spared in lipedema\u2014in contrast to lymphedema, for example, where the feet also swell.  Initial symptoms often appear during times of hormonal changes (puberty, pregnancy, menopause).  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">It is important to take these warning signals seriously and to distinguish them from ordinary overweight or cellulite. Lipedema develops gradually, but  <\/span><b>Early recognition<\/b><span style=\"font-weight: 400;\"> can prevent those affected from wrongly accepting the pain and limitations as &#8220;self-inflicted&#8221;.<\/span><\/p>\n<p><b>Why a medical diagnosis is important:<\/b><span style=\"font-weight: 400;\">  A clear diagnosis by a specialist (such as in phlebology or lymphology) is crucial as soon as lipoedema is suspected. Only medical professionals can reliably distinguish lipoedema from other conditions \u2013 for example, from lymphoedema or pure obesity. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The correct classification is important, as lipedema must be treated differently from pure obesity or water retention.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">A wrong diagnosis or waiting too long can even worsen the course of the disease: untreated, the fatty tissue continues to multiply, and secondary problems (such as joint strain or secondary lymphedema) can occur. If, on the other hand, lipedema is recognized early,  <\/span><b>Initiate targeted therapies<\/b><span style=\"font-weight: 400;\">that slow down the progression of the disease and alleviate symptoms. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Timely diagnosis and consistent treatment can have a positive influence on the course of the fat distribution disorder &#8211; those who act early can prevent worse. Even if lipoedema as a chronic disease cannot be cured, many symptoms can be treated to significantly improve the patient&#8217;s quality of life. <\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Further information:<\/span><\/i><span style=\"font-weight: 400;\"> Details on the medical <\/span><b>diagnosis<\/b><span style=\"font-weight: 400;\"> (examination, differential diagnoses) and the different stages of the <\/span><b>stages of the disease<\/b><span style=\"font-weight: 400;\"> of lipoedema can be found in our article <\/span><b>&#8220;Diagnosis &#038; stages&#8221;<\/b><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2><b>What helps against lipedema? &#8211; First approaches to treatment <\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Early treatment of lipedema is sensible for several reasons. On the one hand, this allows the progression of the disease to be slowed down and the transition to more severe stages to be delayed.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">On the other hand, early therapeutic measures can significantly alleviate symptoms and prevent secondary damage &#8211; if left untreated, there is a risk of movement restrictions, inflammation or the development of lipo-lymphedema (combination of lipedema and lymphedema) in later stages.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are basically two approaches that complement each other: <\/span><b>conservative<\/b><span style=\"font-weight: 400;\"> (non-surgical) measures and <\/span><b>surgical<\/b><span style=\"font-weight: 400;\">  interventions. The therapy plan is compiled individually depending on the stage and symptoms.<\/span><\/p>\n<h3><b>Overview: conservative and surgical options<\/b><\/h3>\n<p><b>Conservative treatment options:<\/b><span style=\"font-weight: 400;\"> The cornerstones of lipedema treatment are <\/span><i><span style=\"font-weight: 400;\">Complex physical decongestive therapy<\/span><\/i><span style=\"font-weight: 400;\">  (CDT). This combines several components to reduce swelling and relieve pain:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Manual lymphatic drainage (MLD):<\/b><span style=\"font-weight: 400;\"> Special medical massages that remove accumulated fluid in the tissue and thus reduce swelling.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Compression therapy:<\/b><span style=\"font-weight: 400;\">  The consistent wearing of flat-knit compression garments (stockings, pants, etc.) exerts pressure on the tissue and reduces edema and pain. Compression helps to slow the progression of lipedema and should be done daily.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Exercise and sport:<\/b><span style=\"font-weight: 400;\">  Regular exercise promotes lymph flow and prevents additional fluid retention. Endurance sports that are easy on the joints \u2013 such as swimming, aqua fitness or cycling \u2013 are particularly recommended, as the buoyancy of water and steady movement create a massage effect that supports lymphatic drainage. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">It is important to find activities that are fun so that they are maintained in the long term.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Skin care:<\/b><span style=\"font-weight: 400;\"> Intensive skin care (e.g. daily application of cream) keeps the skin barrier intact and prevents problems such as skin tears or infections, which can be promoted by swelling.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Healthy eating and weight management:<\/b><span style=\"font-weight: 400;\">  Even though diets cannot make lipoedema disappear, maintaining a normal body weight has a positive effect on the course of the disease. Unhealthy diet and excess weight, on the other hand, can intensify edema and inflammatory tendencies. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">A balanced, anti-inflammatory diet (lots of vegetables, protein, little sugar) and sufficient fluids support the patient&#8217;s overall well-being.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Conservative measures aim to reduce pressure pain and swelling and to increase mobility. They require active cooperation and patience from those affected, as they must be used permanently (sometimes for life).  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, many patients report that consistent physical therapy makes their everyday life considerably easier &#8211; their legs feel lighter and the pain decreases.<\/span><\/p>\n<p><b>Surgical options:<\/b><span style=\"font-weight: 400;\"> The only way to remove the abnormal fat deposits <\/span><i><span style=\"font-weight: 400;\">permanently<\/span><\/i><span style=\"font-weight: 400;\"> remove the abnormal fat deposits is <\/span><b>liposuction<\/b><span style=\"font-weight: 400;\">  (liposuction). In one or more procedures, the fatty tissue beneath the skin is suctioned from the affected areas. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lipoedema liposuction can lead to <\/span><b>significant symptom relief<\/b><span style=\"font-weight: 400;\"> lead to significant symptom relief: Many patients report noticeably less pain and improved mobility after the operation. This procedure has been increasingly performed in Germany for several years; among suitable techniques, tumescent local anaesthesia, water-jet assisted liposuction (WAL) and lymph-sparing liposuction according to Dr. Stutz are considered to be particularly effective. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Several sessions are often necessary to treat all affected areas (legs, hips, arms if necessary) step by step &#8211; there is usually a break of a few weeks between the surgery appointments for recovery.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In advanced stages, a supplementary <\/span><b>skin tightening<\/b><span style=\"font-weight: 400;\">  become necessary. The volume caused by lipoedema and possibly weight loss can result in excess skin, which remains as sagging skin flaps after liposuction. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here, plastic surgery tightening operations (e.g. a thigh lift or arm lift) can significantly improve the appearance of the skin and function. Such procedures are usually planned a few months after liposuction, when the tissue has had sufficient time to regenerate. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Just as important as the procedure itself is the <\/span><b>aftercare<\/b><span style=\"font-weight: 400;\">  following liposuction. Immediately after surgery, consistent measures must be taken to ensure optimal healing and prevent new edema from developing. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Above all, this includes wearing special compression clothing (compression pants or compression girdle) for several weeks at a time <\/span><i><span style=\"font-weight: 400;\">day and night<\/span><\/i><span style=\"font-weight: 400;\">. These post-operative compression pants are usually custom-made at the beginning and support the tissue in adapting to the reduced volume.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition, it is recommended to restart manual lymphatic drainage as soon as possible to drain accumulated wound fluid and promote healing. Light exercise (walking) and elevating the legs also help during the recovery phase.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aftercare requires discipline, but makes a decisive contribution to the <\/span><b>success of the operation<\/b><span style=\"font-weight: 400;\"> It reduces swelling, pain and the risk of complications.<\/span><\/p>\n<h3><b>Why early therapy makes sense<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Lipedema is a progressive condition. Without treatment, the fat deposits tend to increase steadily, and symptoms worsen.  <\/span><b>Early therapy<\/b><span style=\"font-weight: 400;\">  can mitigate this progression. Studies and experience show that early, consistent treatment slows the progression of the disease and prevents the development of secondary complications. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, by wearing compression stockings in good time and exercising, an impending lipo-lymphedema can be avoided. Starting therapy early also has a positive effect on the psyche: those affected feel capable of taking action and experience that they are not helplessly at the mercy of lipedema.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Overall, the earlier treatment is started, the better pain and limitations can be controlled &#8211; in <\/span><b>stage I<\/b><span style=\"font-weight: 400;\"> the effort is less and the quality of life can be almost completely maintained, while in <\/span><b>stage III<\/b><span style=\"font-weight: 400;\">  significant impairments often already exist. Therefore, if you suspect you have it, seek advice as early as possible.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Further information:<\/span><\/i><span style=\"font-weight: 400;\"> You can find detailed information on the individual treatment methods in our guides on <\/span><b>therapy<\/b><span style=\"font-weight: 400;\">, <\/span><b>liposuction<\/b><span style=\"font-weight: 400;\">, <\/span><b>skin tightening<\/b><span style=\"font-weight: 400;\"> and <\/span><b>aftercare<\/b><span style=\"font-weight: 400;\">. There you will find out what steps you need to take in detail and what you should pay attention to.<\/span><\/p>\n<h2><b>Living with lipoedema &#8211; and why education is so important<\/b><\/h2>\n<p><b>Take the clinical picture seriously:<\/b><span style=\"font-weight: 400;\"> Lipedema is <\/span><i><span style=\"font-weight: 400;\">not<\/span><\/i><span style=\"font-weight: 400;\">  just a cosmetic figure problem, but a chronic condition that must be taken seriously \u2013 by patients, doctors and their environment alike. According to estimates, approximately <\/span><b>Every tenth woman in Germany<\/b><span style=\"font-weight: 400;\"> suffer from lipoedema, yet for a long time the disease was hardly researched and often misjudged. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Many of those affected have been through a real odyssey of doctor&#8217;s visits until they finally receive the correct diagnosis. This makes it all the more important to educate people about lipedema: the more people (both medical staff and laypeople) know about this clinical picture, the sooner an affected person will receive the correct diagnosis and help.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For the patient herself, the knowledge of her lipoedema also means relief &#8211; she recognizes <\/span><b>that<\/b><span style=\"font-weight: 400;\">  she is ill and not &#8220;to blame&#8221; for her disproportionate proportions. This understanding is the basis for actively addressing lipedema and accepting support.<\/span><\/p>\n<p><b>Physical &#038; psychological consequences:<\/b><span style=\"font-weight: 400;\"> Untreated lipoedema puts a strain on <\/span><b>body and soul<\/b><span style=\"font-weight: 400;\">  of those affected. Physically, there is sometimes severe pain (due to sensitivity to pressure and feelings of tension in the tissue), hematomas, and edema. As the disease progresses, movement can become increasingly difficult; in advanced stages, the massive weight on the legs\/arms significantly restricts mobility, which in turn overloads the joints and spine.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, lipoedema also leaves psychological traces: the permanent pain and changes to the body can trigger depression, anxiety disorders and a distorted self-image.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many women feel <\/span><b>frustrated and ashamed<\/b><span style=\"font-weight: 400;\">, because neither diets nor exercise reduce the fat accumulations\u2014they struggle with the feeling of being &#8220;trapped&#8221; in their own body. In addition, there is often a lack of understanding in the social environment: comments such as  <\/span><i><span style=\"font-weight: 400;\">&#8220;You just have to eat less&#8221;<\/span><\/i><span style=\"font-weight: 400;\"> or the assumption that you are simply overweight leads to withdrawal and isolation of those affected. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Studies confirm that lipedema patients have significantly greater physical, emotional, and social impairments than healthy women. It is important to  <\/span><b>psychological consequences<\/b><span style=\"font-weight: 400;\">  should be taken seriously. In addition to the medical treatment of lipoedema, psychological support should therefore be provided if necessary \u2013 for example in the form of counseling, psychotherapy or exchanges in self-help groups. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Communication and professional help can reduce the emotional burden, which in turn can have a positive effect on the physical pain.<\/span><\/p>\n<p><b>Quality of life is achievable again:<\/b><span style=\"font-weight: 400;\"> Despite all the burdens, there is also good news: with the right therapy <\/span><i><span style=\"font-weight: 400;\">can<\/span><\/i><span style=\"font-weight: 400;\"> the quality of life of lipoedema patients can be significantly improved. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Although lipedema is chronic and currently incurable, almost all symptoms can be effectively treated or at least alleviated. After consistent therapy, many patients find that they can once again walk longer distances without pain, climb stairs, or play sports\u2014activities that were previously denied to them.  <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The sense of body awareness also improves when proportions become more harmonious and clothes fit better again. It is important to have realistic expectations and to be patient: the path can be long (especially after surgical interventions that require healing time), but it  <\/span><i><span style=\"font-weight: 400;\">worthwhile<\/span><\/i><span style=\"font-weight: 400;\">. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">Thanks to modern treatment methods, it is now possible to lead a largely normal, active life with lipoedema. The key to this is the willingness to accept help and the knowledge that you are not alone with your symptoms. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Last but not least, the experience of many of those affected shows that <\/span><b>Education creates understanding and hope.<\/b><span style=\"font-weight: 400;\">  The more publicly lipoedema is discussed \u2013 whether in the media, in medical practices or among family and friends \u2013 the less stigmatized patients feel. Instead, acceptance grows that this is a legitimate medical condition that requires treatment. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">This acceptance takes the pressure off the shoulders of those affected and motivates them to seek therapy early. Education is therefore the key.  <\/span><\/p>\n<p><b>You are not alone.<\/b><span style=\"font-weight: 400;\"> If you suspect you have lipoedema &#8211; or have already been diagnosed and are looking for support &#8211; we will be happy to assist you. <\/span><b>Make an appointment now<\/b><span style=\"font-weight: 400;\"> at our specialist lipoedema center to discuss your situation in person. <\/span> <\/p>\n<p><span style=\"font-weight: 400;\">You can find further helpful information in our extensive <\/span><b>Lipedema Knowledge Center<\/b><span style=\"font-weight: 400;\">, from medical backgrounds to everyday tips. Please also feel free to use our  <\/span><b>Podcasts<\/b><span style=\"font-weight: 400;\">in which experts and sufferers talk about life with lipoedema and give valuable advice. Together we will find a way to improve your quality of life and give you new hope! <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the VenaZiel Lipedema Center, we often hear the anxious question: Are my fat legs caused by lipedema or &#8220;just&#8221; obesity? This uncertainty can be very stressful. Lipoedema is not just a cosmetic problem, but a serious condition. Here you can find out how to tell the difference and what exactly constitutes lipoedema.   <\/p>\n","protected":false},"author":1,"featured_media":21339,"parent":20923,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-20930","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/20930","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/comments?post=20930"}],"version-history":[{"count":9,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/20930\/revisions"}],"predecessor-version":[{"id":78862,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/20930\/revisions\/78862"}],"up":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/20923"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media\/21339"}],"wp:attachment":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media?parent=20930"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}