Stage 2 lipedema - how to recognize it and take action

The clinical picture of lipoedema has received more and more attention in recent years. Lipedema is a pathological and above all chronic fat distribution disorder. It is divided into different stages: Lipedema stage 1, Lipedema stage 2 and Lipedema stage 3.

We at LipoClinic Dr. Heck are committed to worldwide recognition and research into lipoedema in order to give even more women a new attitude to life.

Many of those affected by stage 2 lipedema go through a whole series of stages on their way to a diagnosis. The condition is often misdiagnosed as obesity. As a result, those affected not only suffer from the effects of their disease, which include swelling, pain, hematomas and increasingly restricted mobility. They also often suffer from stigmatization and a range of prejudices. These range from accusations of a poor diet and too little exercise to laziness.

Our aim is to provide important educational work and to give those affected a point of contact that treats them with respect and without prejudice. We must therefore address the different stages of the disease. So what exactly is stage 2 lipedema and how can you recognize it?

How does lipedema stage 2 manifest itself - A thorough introduction?

Before we talk about what stage 2 lipedema or grade 2 lipedema is, it is important to take a closer look at the clinical picture of lipedema.

Generally speaking, lipedema is a chronic, progressive and painful fat distribution disorder. Better: this is a disproportionate increase in fatty tissue in the extremities (arms and legs) compared to the trunk of the body. A mixed picture is frequently found and often makes it difficult to differentiate from obesity.

In addition to the body mass index (BMI), other parameters such as the waist-to-hip ratio (WHR) and waist-to-height ratio (WTR) can be used to better assess and, in particular, monitor the progression of stage 2 lipoedema. As the disease progresses, mobility may be restricted. Additional excess weight can worsen the symptoms of lipoedema. The staging is not necessarily linked to the extent of the clinical symptoms (pain). A patient with stage 2 lipedema may describe more pain than a patient with stage 3.

Where the disease comes from or what triggers it has not yet been sufficiently researched. At the current state of research, scientists assume a hereditary predisposition (60% genetic component with familial clustering) in combination with a hormonal change. The hormone oestrogen is thought to play a decisive role. This would at least explain why the clinical picture mainly occurs in women.

Symptoms and signs of stage 2 lipedema

Lipoedema is diagnosed in different stages or degrees. In stage 1 lipedema, the thickening of the fatty tissue is still slight. The formation of lumps or dents is not very noticeable. Those affected suffer from pain and a feeling of heaviness. Early detection of the disease and initiation of the appropriate therapeutic measures can alleviate the course of the disease.

Grade 2 lipedema is characterized by a disproportionate distribution of fat deposits. The upper body is slimmer than the extremities, which makes many women feel insecure. In addition to the pain, they usually also struggle with feelings of shame and unhappiness, which in the worst cases can also affect their mental health.

In addition, stage 2 lipedema also leads to an increase in the formation of dents and lumps. In most cases, the legs are in the foreground. It is rare that only the arms are affected. The contours of the legs can also increasingly disappear and a kind of columnar stature of the legs becomes increasingly apparent.

If you suspect stage 2 lipedema, you should definitely consult a specialist who is experienced in the field of lipedema. Self-treatment in the form of radical diets and sports excesses is strongly discouraged, as it has been proven that the disease cannot be triggered and alleviated by any of these factors. However, a balanced diet can help to alleviate the symptoms of stage 2 lipoedema. This is another reason why it is important to consult an appropriate specialist. To prevent the disease from progressing to stage 3 lipedema, you should consult a specialist if you suspect stage 2 lipedema.

Treatment approaches and options for stage 2 lipedema

Stage 2 lipedema can only be alleviated by surgical measures. A statement that gives many people hope, but it doesn’t have to. In the meantime, some outstanding treatment approaches and therapies have been proven that can alleviate the symptoms of stage 2 lipoedema.

The team of doctors at LipoClinic Dr. Heck has made it their mission to give affected patients back their quality of life. We take the necessary time for each of our patients to listen to their worries, concerns or complaints and to plan and take the step into a new life together with them.

Our approach to treating stage 2 lipoedema is based on the extensive and diverse expertise of our team of surgeons and all other patient-related departments, empathy and our holistic treatment. This means that we at LipoClinic Dr. Heck work with you to create individual concepts to improve your quality of life. We want to accompany you every step of the way to improve your quality of life.

Our clinic can look back on many years of proven expertise in the treatment of stage 2 lipedema. The lipedema surgery or lipo-decompression approach has proven particularly successful. Liposuction, as it is commonly known, is one of the best and most sustainable treatment approaches for stage 2 lipedema in conjunction with an appropriate lifestyle on your part. The abnormal fat is suctioned out and patients often see and feel immediate results. Of course, as after any surgery, an appropriate recovery period is crucial for a successful healing process.

To support the surgical treatment of stage 2 lipedema, there are other options that can provide you with symptomatic relief. However, it must be emphasized that surgical treatment is the only sustainable way to achieve pain relief.

Supportive options for the treatment of stage 2 lipedema include:

  • A healthy and balanced diet in combination with sufficient exercise. Sports activities that are good for you and your body can be done at any time. Many patients report particularly good experiences with sporting activities in the water, such as swimming or water gymnastics, as these are particularly easy on the joints.
  • Wearing compression garments helps to decongest the tissue and keep it soft, as the compression garments act like a kind of massage on the legs or arms during movement. However, it is imperative that the correct measurements are taken in a medical supply store to ensure that the compression garment is tailored to your individual needs. Compression garments that are measured or cut too tightly will cut into the extremities and have a negative effect on blood circulation as a result. During your consultation, you will have the opportunity to ask our doctors who specialize in the treatment of stage 2 lipoedema for advice. At our Mülheim an der Ruhr location, we also offer you the opportunity to get a second opinion on your existing compression garment. Our cooperation partners at the Sanitätshaus für Frauen will do this and can also carry out an initial measurement.
  • Manual lymphatic drainage helps to loosen the congested tissue and is an important part of the treatment, especially after liposuction.
Whatever you choose, our team of specialists will ensure that you feel comfortable throughout your treatment for stage 2 lipedema.

Living with stage 2 lipedema: strategies for everyday life

It takes time for a diagnosis to be made or for the scars from an operation to heal completely. As lipedema stage 2 is a chronic disease, it is important that you know how to deal with the disease, but also with yourself.

It is important to focus on a healthy, balanced diet and incorporate regular exercise into your daily routine as this can help to control weight and promote lymphatic circulation. Wearing compression garments for stage 2 lipedema can help to reduce swelling and relieve pain. It is also important to have regular medical check-ups to monitor the progression of the disease.

But probably the most important thing is that you don’t lose heart. Stage 2 lipedema cannot be cured, but it can be treated and we, the team at LipoClinic Dr. Heck, will be happy to support you on the way to your new life.

FAQ: Lipedema stage 2

What to do if stage 2 lipedema is suspected?

If you suspect this, you should always consult a specialist. Phlebologists and vascular surgeons can help you as quickly as possible.

Reliable diagnoses give you clarity and ensure that there may be another illness behind your symptoms, so you should avoid self-diagnosis as the only clarification.

Can the progression of stage 2 lipedema be prevented?

Unfortunately, the clinical picture of lipoedema cannot currently be prevented. The occurrence of the disease has something to do with genetic predisposition and hormonal changes. These hormonal changes can be triggered by puberty, pregnancy or the menopause, but also by taking or stopping hormonal medication, such as the pill

What is the best way to deal with the diagnosis?

The most important thing is not to blame yourself. The onset of lipoedema is a heavy burden for many women, especially young women. We want to help all affected women regain their sense of life. They all deserve to lead a carefree life without pain. Together we are committed to successful treatment. In an initial consultation at our two locations, we can answer any questions you may have about your new diagnosis and discuss all the next steps with you.

What are the consequences or risks associated with stage 2 lipedema?

Stage 2 lipedema or lipedema is dangerous in that it opens the door to eating disorders for many sufferers. Many patients suffer from misdiagnosis and stigma and develop serious problems with their eating behavior. For example, some patients suffer from anorexia, bulimia or binge eating disorder.

Others shut themselves off from the outside world out of shame. This in turn has a negative impact on the patient’s psyche. Depression is the result. In our podcast “Made to measure”, we took a closer look at self-acceptance in lipedema in the episode “Living, loving, mindfulness”. If the disease remains untreated and continues to progress, loss of mobility is also a serious risk.

Those affected need support from those around them. Relatives must not allow those affected to withdraw and should act as emotional support.

Does liposuction guarantee success?

Our treatment is carried out according to the highest scientific and medical standards. Our holistic surgical and treatment approach can significantly reduce pain and improve quality of life. We will be happy to advise you on the treatment options and clarify the stage of lipedema you have.
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