An overview of lipo-lymphoedema with co-morbid obesity and an example of management

Abstract

According to the national health system in the United Kingdom,¹ lipoedema is a long-term (chronic) condition where there’s an abnormal build-up of fat cells in the legs, thighs and buttocks, and sometimes in the arms. The condition usually affects women, although in rare cases it can also affect men. In lipoedema, the thighs, buttocks, lower legs, and at times the arms, become enlarged due to a build-up of abnormal fat cells. The accumulation of fat is bilateral and the feet and hands aren’t affected, which creates a “bracelet” effect or “band-like” appearance just above the ankles and wrists. Leg and arm size can vary between individuals with lipoedema, and the condition can gradually get worse over time.