For every lipedema patient, compression clothing is certainly her alter ego. The only reason for wearing compression garments regularly is the clinical picture that increases over time. There are different types of compression here. First and foremost, it is important that the garment is custom-made in order to ensure even compression. A distinction is made between circular-knit and flat-knit. Flat-knit provides more effective compression and is better indicated when deep skin folds are already present. Many patients, especially in earlier stages of lipedema, find circular-knit more comfortable to wear. Personally, I am pragmatic about this and advocate compression — and some compression is better than none! Unfortunately, the best compression garment is of no use at all if it only fills the wardrobe.
Manual lymphatic drainage has a positive effect on lipedema. Through tactile, gentle touch, lymphatic flow is stimulated. Radical massages or wraps, on the other hand, can stimulate lymphatic congestion. This is roughly comparable to a pimple that you keep squeezing — the local inflammatory reaction then also increases. Water sports can likewise stimulate lymphatic flow and increase calorie expenditure.
I personally favor tissue-friendly exercise for lipedema in order to keep complaints after physical exertion to a minimum. Anyone who moves is already doing quite a few things right. Swimming and aqua aerobics deserve particular mention. The water exerts an even pressure on the tissue, similar to a compression garment. The movement stimulates lymphatic drainage, just as with manual lymphatic drainage. In addition, one burns energy during this time, which has a positive effect on the calorie balance. The time is therefore used more effectively than with manual lymphatic drainage.
One thing first: a scientifically recognized diet for lipedema does not currently exist. I advise against radical diets such as the keto diet, etc. Radical diets apparently have a negative influence on lipedema, especially the associated yo-yo effect. We recommend a consistent, long-term calorie deficit.
Exercise and calorie restriction are important pillars in the treatment of lipedema. A balanced diet while avoiding excess caloric intake is always beneficial. According to current knowledge, there is no specific lipedema diet.
We know the usual weight problems that go hand in hand with lipedema. When it comes to the decisive metabolic processes, we have by now carved out a niche in which we can support patients as well as possible, also in the context of weight reduction.
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