Other Treatments used in managing symptoms of Lipoedema.
Manual Lymphatic Drainage (MLD)
MLD is a specialist form massage and skin stretching that is used to stimulate lymphatic flow thus helping reduce oedema (fluid build-up). In lipoedema there is not always a significant accumulation of fluid however, many women report it helps to reduce pain and heaviness and it is often recommended pre and post liposuction treatment.
This relaxing therapy is performed by specially trained therapists and it is essential that qualifications are checked before embarking on a course of treatment. If oedema is present as well as lipoedema, MLD is best used in conjunction with compression hosiery.
Self-Lymphatic Drainage (SLD), which is a simplified version of MLD can be undertaken at home and is often demonstrated and taught by a specialist clinic/therapist.
Further details and a list of registered MLD practitioners can be found at: www.mlduk.org.uk.
Intermittent Pneumatic Compression Therapy (IPC)
IPC provides a mechanical massage using air driven pumps and comfortable, inflatable garments that are used over affected areas. Pneumatic compression devices provide pain reduction and may provide better control of swelling than self-manual lymphatic drainage. The use of IPC devices and early mobilisation can reduce the risk of deep venous thrombosis following liposuction – but should be discussed with the individual surgeon if part of a post-operative plan.
Individuals may purchase their own device to use at home under careful supervision – but caution is required and careful assessment should be carried out before they are initiated to prevent further problems. Not all individuals with lipoedema patients can tolerate them, especially if pain/tenderness of the limbs is a particular problem, however, pressures in the new multi-chamber systems can be sufficiently lowered to ensure comfort and improvement in symptoms for some.
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