Often since the outset of puberty: slim waist but large thighs, painful saddlebags, reserves in the area of the inner thighs, legs formed like columns down to the upper ankle joint, the feet are slim and completely normal in appearance, without swelling and without fat deposits. These are the most common indicators of lipedema. More than 80% of lipoedema patients are also afflicted with similar disproportional fat deposits on their arms.

 

In the case of this particular lymphologic disease, where the increase in fatty tissue is the main issue, the lymphatic vessels are healthy but their capacity is overwhelmed and they are unable to completely transport the accruing lymph. This leads to pressure pain which is why one could better describe this lipedema as lipohyperplasia dolorosa.