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:
•
Excess symmetric fat on hips and legs; feet are spared
•
Disproportionate fat in legs compared to trunk and abdomen
•
Arms can be affected, but not as severe; hands are spared
•
Hands, feet and head exhibit minimal fat deposits showing stark contrast to other areas
•
Fat is not responsive to caloric restriction, weight loss and/or exercise
•
Activity (recreational endurance) and activities of daily living become limited
•
Minimal pitting edema
•
Persistent enlargement of legs despite elevation, medications or weight loss
•
Pain and/or tenderness on palpation, disproportionate to exam
•
Vascular fragility, easy bruisability
•
Hypothermia of the skin, complaints of cold extremities despite environment
•
Palpable nodules of fat (marbled texture)
•
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
