Painful Thigh Fat: Abnormal fat accumulation in the lower body. This usually affects the hips, thighs, and calves. Some people may also develop fat in the upper arms.

Painful fat deposits in the thighs and legs (lipedema)

Lipedema Causes, Symptoms And Treatment: Fat accumulation in various parts of the body is common. Weight gain can be particularly noticeable in the abdomen, waist, and thighs. However, if you're experiencing abnormal fat accumulation on both sides of your thighs, hips, and lower legs, and despite losing weight, there's no significant change, it's best not to dismiss it as simply obesity. It could also be a long-term condition called lipedema.

Lipedema is an abnormal accumulation of fat in the lower body. It typically affects the hips, thighs, and calves. Some people may also experience fat accumulation in the upper arms. Importantly, it usually doesn't affect the hands or toes.

How is lipedema different from normal fat?

According to the health information organization Cleveland Clinic, lipedema is often mistaken for normal obesity. One reason for this is that the lower part of the body may appear heavier. However, lipedema is not the same as normal body fat. Normal fat is usually painless, whereas the fat deposits in lipedema can be painful to touch or press. Small lumps or pebble-like structures may also be felt under the skin. Additionally, there may be complaints of heaviness and swelling in the legs.

Another significant difference in lipedema can be seen with weight loss. Diet and exercise can lead to weight loss in the upper body, but the thighs and legs affected by lipedema do not show the same changes.

Pay attention to these symptoms.

Lipedema can cause fat to accumulate on both sides of the hips, thighs, and calves. Some people may also experience this in their upper arms. Mild to severe pain may occur in the affected area. Some people experience constant pain, while others only feel pain when pressing on the area. Symptoms may include heaviness in the legs, swelling, bruising, and more fatigue than usual. As the disease progresses, the skin texture may change and appear uneven.

Why does lipedema occur?

The exact cause of lipedema is not yet fully understood. However, in some cases, it has been linked to family history. In approximately 20 to 60 percent of cases, the condition can also be passed on to other family members. This condition is almost exclusively seen in women. Hormones are also believed to play a role, as the onset or worsening of lipedema symptoms is often seen during hormonal changes such as puberty, pregnancy, and menopause. Obesity is not considered a cause of lipedema. However, many people with this condition may have a high body mass index (BMI).

The problem may increase over time.

In many people, lipedema progresses slowly. In the initial stages, the skin may appear normal, but small lumps may be felt beneath it. Pain and easy bruising may also occur. In later stages, the skin surface may appear uneven and pitted. As the problem progresses, large pockets of fat and skin folds may form in the legs, making it difficult to walk. In severe cases, lipedema may also develop along with lymphedema, a condition characterized by the accumulation of lymph fluid in the body.

How is it identified?

There's no definitive test to diagnose lipedema. Doctors usually diagnose it based on medical history and a physical examination. Painful fat in the affected area and the feet appearing unusually large compared to the toes can help identify it. If necessary, your doctor may recommend tests such as blood tests, ultrasound, MRI, or CT scans to rule out other problems.

Is lipedema curable?

Currently, there is no cure for lipedema. However, proper management can help reduce pain, swelling, and other symptoms. Doctors may recommend therapies such as exercise, compression stockings, and, in some cases, lymphatic drainage massage. Activities such as swimming, walking, and cycling can help improve mobility. In some cases, doctors may also consider liposuction. Treatment is determined based on the individual's condition and the stage of the disease.