Although diet does not cause lipedema, it can affect the progression of the disease. Food choices can affect inflammatory processes in the body, increasing or decreasing symptoms such as tenderness, pain, and swelling. In particular, patients who are also overweight may need an appropriate diet to reduce or control their weight. Recommended dietary strategies for lipedema include the low-glycemic diet, the ketogenic diet, the Mediterranean diet, and intermittent fasting. You should always choose the diet that is right for you. It should taste good and help you in the long run.
In addition to diet, exercise is also important to effectively "burn" excess fat. Exercise in water, such as aqua cycling or aqua jogging, has proven to be particularly effective. The water pressure provides lymphatic drainage, a massage effect on the connective tissue, the water carries the weight and relieves the joints, and the increase in blood pressure in the heart releases a hormone that increases fat burning by a factor of three - it couldn't be more effective!
Alternatively, exercise in compression garments and on the trampoline have also proven effective.
To date, there is no alternative to liposuction for the permanent removal of diseased fat tissue. This surgical procedure allows for the reduction of the increased subcutaneous fat that occurs in lipedema. The primary goal of this procedure, in addition to aesthetic correction, is to relieve symptoms such as pain and swelling. It is performed for medical reasons. Patients often report a significant reduction in pain, improved mobility, and improved quality of life after the procedure. Although the benefits of liposuction for lipedema have been scientifically proven, it is not yet part of the standard of care. As a result, it is usually not covered by public health insurance. There is an interim regulation that covers liposuction only in advanced stage 3 and under certain conditions. Women with lipedema who are considering liposuction should therefore seek detailed advice beforehand - ideally from a phlebologist who specializes in this treatment method.
Compression therapy is an integral part of the conservative management of lipedema and edema. Its primary purpose is to increase tissue pressure to reduce water retention (edema) and relieve pain. The therapy involves the use of custom-made compression stockings that apply controlled pressure to the affected tissue. An individualized therapy trial is critical, as compression therapy does not have the desired effect in every patient. If it does not lead to an improvement in symptoms, its benefit must be critically questioned. National health insurance usually covers the cost of two treatments per year.
Manual lymphatic drainage is performed by specially trained physical therapists under a doctor's prescription. It is useful when compression alone does not reduce edema. It is usually performed 1-2 times per week for 3-6 weeks. Manual lymphatic drainage can be supplemented with intermittent compression using compression garments. These are special devices that can be used at home. Manual lymphatic drainage should always be performed for at least 3 weeks after liposuction to aid in the healing process.
It is important to consider the mental state of the individual. Younger patients sometimes suffer from eating disorders because they despair of all kinds of diets or because they make others feel guilty. Older patients who have suffered for many years may become depressed. In either case, professional help should be sought.
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