Lipedema vs Lymphedema

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What's the difference between Lipedema vs Lymphedema?

What is Lipedema?

Lipedema is a long-term condition where there is an abnormal build-up of fat, usually in the legs, hips, buttocks, and sometimes the arms.

Common signs:

• Affects both sides of the body evenly
• Feet and hands are not affected
• Legs may feel painful, tender, or heavy
• Skin can feel soft or lumpy
• Bruises easily
• Swelling does not improve much with rest or elevation

Who does it affect?
Mostly women, often starting during hormonal changes (puberty, pregnancy, menopause).

What is Lymphedema?

Lymphedema is swelling caused by a build-up of fluid due to problems with the lymphatic system.

Common signs:

• Can affect one or both limbs
• Often includes the feet or hands
• Swelling may feel tight or firm
• Skin may become thickened over time
• Swelling may improve with elevation (early stages)
• Higher risk of skin infections

What causes it?

• Damage to lymph nodes (e.g. surgery, cancer treatment)
• Infection or injury
• Sometimes present from birth (genetic)

Key Differences

• Lipedema = fat-related condition
• Lymphedema = fluid-related condition
  

Can you have both?

Yes — some people develop lipo-lymphedema, where both fat and fluid contribute to swelling.

How are they managed?

Lipedema:

• Compression garments
• Exercise (especially low-impact like walking or swimming)
• Manual therapy
• Healthy lifestyle support

Lymphedema:

• Compression therapy (bandaging or garments)
• Manual lymphatic drainage (MLD)
• Skin care to prevent infection
• Gentle exercise

When to seek help

If you notice:

• Persistent swelling in your legs or arms
• Pain, heaviness, or skin changes
• Frequent infections

A healthcare professional (such as your GP or podiatrist) can assess and guide treatment.