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Reader asks: Thick thighs due to lipoedema?

Cellulite, pressure pain and a tendency to bruise may indicate lipoedema.(Bild: elenavolf/stock.adobe.com)

Readers ask, experts answer on the most pressing health issues. Lisa L. (32): "My legs are much thicker than my upper body. My friend told me that this could be lipoedema or lymphoedema. What do you think?"

Dr. Andrea Ronfeld, specialist in surgery, vascular surgery and phlebology: 

With an otherwise normal-weight or slim body, lipoedema is characterized by a fat distribution disorder on the upper and lower legs and in the hip area. This is accompanied by symptoms such as pressure and tension pain, a tendency to bruising and swelling. In so-called lymphoedema, on the other hand, the skin is usually unusually smooth and always swollen. In addition, only one leg is affected. Swelling of the back of the foot is also common.

A specialist examination is required for the diagnosis. This is made by taking the patient's medical history, visual appearance and palpation findings. The doctor will then explain to the patient whether it is a case of lipoedema, lymphoedema or lipohypertrophy (harmless accumulation of fat). In addition, an ultrasound examination of the venous system is required to detect existing varicose veins.

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The treatment options for lipoedema differ between conservative and surgical measures. These range from compression therapy and lymphatic drainage to liposuction. An exact diagnosis is also necessary for lymphoedema in order to ensure consistent treatment: this includes compression, lymphatic drainage, exercise and adequate skin care. All measures are important to reduce lymphoedema and prevent it from worsening.