Kristin Osborn's

Newcastle Lymphoedema, Lipoedema & Liponix Clinic

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"All Swell that End Swell"

Lipoedema is a progressive condition that if left untreated may progress, worsen, and give rise to secondary problems. Conservative therapy may decrease symptoms of swelling and heaviness and offer a lifestyle change. Those patients who can remain compliant with conservative therapies, maintain a normal weight, and who have fewer comorbidities have a better prognosis and usually a milder disease course than those who do not. 11 Complications of Lipoedema, most importantly the progression to lipo-lymphoedema, can be prevented or minimized by early diagnosis and treatment.

COMPREHENSIVE LIPOEDEMA PROGRAM

The goal of this program is to reduce pain, have aesthetically pleasing limbs and decrease lipoedema adipose tissue. This program must be strictly followed for the best possible results and any diversion will compromise those results. Results are not guaranteed and will vary for each patient. All modules of this program need to be completed prior to any "Liponix" treatments.

Modules

  1. 1. Confirmation of the fat disease Lipoedema, understanding of the disease and what contributes to the increase in Lipids.
  2. 2. Anatomy of the Lymphatic System for a deeper understanding of how your body functions and why certain treatments are adopted for the best outcome.
  3. 3. How to take care of the Lymphatic System along with products to support this.
  4. 4. Infection - What is it?, How to recognise and manage it effectively.
  5. 5. Diet
  6. 6. Best Compression Garments.
  7. 7. Self Massage Techniques specifically for Lipoedema.
  8. 8. Best practice Exercise.
  9. 9. “Liponix” appointments need to be booked.

MAIN CHARACTERISTICS

  • It usually is inherited
  • It occurs almost predominately in women
  • It occurs from the anorexic – morbidly obese
  • It occurs bilateral and symmetrical from the waist to the ankles, Stemmer’s Sign (edema of the forefoot and toes) is negative
  • Lipoedemic fat cannot be lost through excessive diet or exercise, often this makes the condition worse
  • Is usually triggered around Puberty, Pregnancy, Pre-Menopause and following Gynecological Surgery
  • Patient’s will gain weight in lipoedemic areas, (Around hips, thighs, upper arms and abdomen) and lose it in non-lipoedemic areas, (face & breasts).
  • The basic profile of sufferers look like a size 8 from the waist up and a size 16 from the waist down
  • In males it is “rare”, only because males do not get cellulite.

CUFF SIGN WITH ADIPOSE FOLDS CAN BE PRESENT IN DIFFERING STAGES OF LIPOEDEMA. WHILE THIS IS A COMMON SIGN, IT IS NOT PRESENT IN ALL TYPES OF LIPOEDEMA.

LIPOEDEMA VS. OBESITY

LIPOEDEMA (LEFT) IS OFTEN MISDIAGNOSED AS OBESITY. ON CLOSER EXAMINATION AND HISTORY, LIPOEDEMA'S DISTINCTIVE SIGN AND SYMPTOMS CAN BE DIFFERENIATED FROM GENERALIZED OBESITY (RIGHT)

LIPOEDEMA VS. LYMPHEDEMA

LIPOEDEMA (LEFT) IS BILATERAL AND THE FEET ARE SPARED. LYMPHOEDEMA (RIGHT) GENERALLY AFFECTS ONE LIMB AND INCLUDES PITTING OEDEMA OF THE FOOT.

MRI IMAGING CAN BE USED TO DIFFERENTIATE FAT (WHITE) VS. FLUID (BLACK) CONTENT OF THE EXTREMITY

Comparisons: Lower Lymphoedema Versus Lipoedema

Lower LymphoedeamLipoedema
(Pre Lipo-lymphoedema)
Pre-Lymphatic Channels Usually Normal Abnormal
Sex Commonly Female Always Female
Laterality Uni- or Bilateral Bilateral
Symmetry Unusual Yes
Skin Deposits Firm Soft
Skin Temperature Warm Cold
Edema Present Minimal
Pitting Common Rare
Pain on Pressure Varies Yes
Fragility of Blood Vessels Rare Typical
Foot Involved Spared
Cellulitis Yes Rare
Response to Bandaging Tolerated Not Tolerated

Symptoms

  • Sufferers complain of heavy, aching legs.
  • They find it hard to tolerate compression garments associated with conventional lymphoedema treatment because the underlying lipoedemic fat is very painful.
  • Palpation is painful
  • Bruising is easy because of the fragility of vascular walls
  • Spider or Varicose Veins usually come hand in hand
  • Planter Fasciatis is a by-symptom due to the loading on the feet

Conclusion


Excessive Diet & Exercise won't work!

Lipoedema is often confused with obesity and patients are informed to diet and exercise which often leads to an increase in the problem.

If Lipoedema was diagnosed early, which currently is rare, it is possible to prevent a significant expansion of fat cells and alert patients to their heightened risk for obesity, if they become progressively less mobile, so they can take appropriate action.

These patients often sit in other categories of Obesity, Eating Disorders, and Depression due to lack of proper diagnosis. These patients come to me often confused about their condition; they develop low self esteem and are generally depressed as to the lack of answers they seek.

The true term Lipoedema is actually incorrect because in simple cases, true edema is absent. In advanced stages of development, Lipoedematous tissue may sometimes develop true edema. The resulting condition is called Lipo-Lymphoedema. The edema associated with Lipoedema has no pitting and there is no rise in temperature.

There is no cure for Lipoedema, so early diagnosis and education to pre-pubescent females and GP’s is crucial. Empowering these women with knowledge and understanding of their disease enables them to manage their problem more easily, gain self confidence and live a reasonably normal life.

Because I have this condition myself, I have developed a 7 Step Program of Treatment Combined with Education to help reduce and maintain sufferers symptoms so they can get on with their lives. Please use the contact page for any questions or to make an appointment.

The 1st 5 photos are courtesy of The Lipoedema Project.