How is Lipedema Diagnosed?
A lipedema-trained physician, using history and physical examination, can diagnose lipedema if a constellation of many signs and symptoms are present:
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Excess symmetric fat on hips and legs; feet are spared
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Disproportionate fat in legs compared to trunk and abdomen
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Arms can be affected, but not as severe; hands are spared
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Hands, feet and head exhibit minimal fat deposits showing stark contrast to other areas
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Fat is not responsive to caloric restriction, weight loss and/or exercise
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Activity (recreational endurance) and activities of daily living become limited
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Minimal pitting edema
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Persistent enlargement of legs despite elevation, medications or weight loss
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Pain and/or tenderness on palpation, disproportionate to exam
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Vascular fragility, easy bruisability
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Hypothermia of the skin, complaints of cold extremities despite environment
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Palpable nodules of fat (marbled texture)
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Joint pain in knees and hips in later stages from malalignment due to excessive fatty tissue.
Formal diagnosis by a trained physician will not provide specific insurance or medical benefits; it will, however, often lead to significant emotional peace for the patients, as well as an increase in knowledge and treatment options.
Different Types of Body Parts Affected
Lipedema Stages
