Cold legs with lipoedema: a subjective feeling with many facets

Many women with lipoedema report a persistent feeling of coldness in their legs – especially in the thighs. Even if this sensation is not one of the classically described main symptoms of lipoedema, it does seem to play a role for some sufferers.

What is behind this feeling? Could it be linked to lipoedema – and what can help to get your legs warm again? In this article, we shed light on what is known, what is (still) unclear – and what can help those affected.

Feeling cold in the legs - is this typical of lipoedema?

In the medical literature, lipedema is mainly described with symptoms such as pressure pain, feelings of tension, symmetry of the swelling and a tendency to hematomas (bruising).

A feeling of coldness in the legs or thighs is not one of the main diagnostic criteria for lipoedema and has not yet been scientifically confirmed. Nevertheless, many patients report a subjective feeling of “cold legs” that are difficult to warm up.

Why this feeling occurs in some people has not yet been conclusively clarified. It is possible that individual differences in temperature perception, hormonal influences or emotional factors such as stress play a role. The altered tissue condition in lipoedema could also influence the subjective sensation of warmth – but there are no reliable studies on this.

What helps when your legs feel cold?

Even if the causes of the feeling of cold in lipoedema patients have not yet been clearly researched, there are a number of measures that can help to increase well-being and positively influence the subjective feeling of cold.

1. movement and activation of the muscles

Regular, gentle exercise has a beneficial effect on the connective tissue and lymph flow. Recommended activities are, for example

  • Swimming and aqua fitness
  • Cycling
  • Nordic Walking
  • Gentle strength training

These sports promote tissue activity and can help the legs to be perceived as “warmer”.

2. compression therapy

Compression garments are a central component of lipoedema treatment. It can stabilize the tissue, alleviate discomfort and is also perceived as warming by some patients. It is important that they are fitted professionally, for example by medical supply stores with experience in the treatment of lipoedema.

3. heat applications (individual)

Some sufferers find applications such as warm foot baths, infrared lamps or hot water bottles pleasant. These methods can help to improve the general body sensation. However, heat applications should always be individually adapted, as some patients find heat uncomfortable.

4. lymphatic drainage

Manual lymphatic drainage is a proven treatment for lipoedema. It can alleviate feelings of tension and relieve the tissue. Even if it does not specifically combat the feeling of cold, some patients report a general improvement in body sensation.

5. mindfulness & self-care

Psychological factors such as stress, exhaustion or discomfort can also affect the subjective sensation of temperature. Relaxation exercises, massages, meditation or mindful body care can help you to get back in touch with your own body.

Conclusion: Cold legs - a common but not classic symptom

The feeling of cold legs is not a diagnostic feature of lipoedema, but it is an observation that many sufferers make. Whether and to what extent this sensation is actually related to the disease has not yet been conclusively scientifically proven.

The important thing is that complaints should be taken seriously and viewed holistically. A medical consultation can help to clarify individual causes and find suitable measures.

Your point of contact for lipoedema complaints: LipoClinic Dr. Heck

Are you unsure whether your symptoms are related to lipoedema – or are you looking for help to alleviate your symptoms? LipoClinic Dr. Heck offers sound diagnostics and individual treatment concepts – from conservative measures to surgical therapy. Arrange your consultation now – we will accompany you on your way to a better quality of life.

Note: This article is for information purposes only and does not replace medical advice, diagnosis or treatment by a doctor. If you have any health complaints, please always consult a qualified medical professional.

Reviewed by Dr. med. Thomas Witte

Dr. Thomas Witte is Medical Director of LipoClinic Dr. Heck and a specialist in plastic and aesthetic surgery. With decades of surgical experience and a deep understanding of the individual needs of lipoedema patients, he is one of the leading experts in this field. His focus is on holistic, safe and empathetic care – always with the aim of restoring quality of life.

Dr. med. Thomas Witte

Medical Director
Specialist in plastic and aesthetic surgery
Specialist in surgery and hand surgeon

Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors