Lipedema Compression: What You Need to Know

Lipedema is a chronic condition that primarily affects people assigned female at birth and is characterized by the accumulation of adipose tissue in the legs, arms, and trunk. While there is no cure for lipedema, there are various treatments that can help manage the condition and improve quality of life. One of the most commonly recommended treatments for lipedema is the use of compression garments. Let’s talk benefits of compression for lipedema and what you need to know about using compression garments.

What is Compression?

Compression is the use of specialized garments or devices that apply pressure to a specific area of the body. Compression garments are typically made of elastic materials that can stretch and conform to the body, providing a snug and supportive fit. Compression devices, such as pneumatic compression pumps, use air pressure to deliver a similar effect. Compression can be used to treat a variety of conditions, including lymphedema, varicose veins, and of course, lipedema.

How Compression Helps Lipedema

Lipedema compression garments work by applying external pressure to the affected areas of the body, helping to improve circulation and reduce swelling. For individuals with lipedema, compression garments can help to:

Reduce swelling

Lipedema causes a buildup of fluid in the affected areas of the body, which can cause uncomfortable swelling. Compression garments help to promote lymphatic drainage and reduce fluid accumulation, which can alleviate swelling and discomfort.

Improve circulation

The external pressure of compression garments helps to improve blood flow to the affected areas, reducing the risk of blood clots and improving overall circulation.

Prevent worsening of symptoms

Wearing compression garments regularly can help to prevent the progression of lipedema and the development of associated conditions like lymphedema.

Provide pain relief

The pressure of compression garments can help to alleviate pain and discomfort associated with lipedema. It can also be stabilizing for those with hypermobile joints.

Choosing Compression Garments

Compression garments come in a variety of styles and compression levels. Choosing the right compression garment for your needs is important to ensure maximum benefit and comfort. When selecting a compression garment for lipedema, consider the following factors:

Compression level

Compression garments are rated by their level of compression, which is measured in millimeters of mercury (mmHg). The higher the compression rating, the greater the pressure the garment applies. For lipedema, compression garments around 20-30 mmHg are often recommended. If there is lymphedema involved, you may need a higher level.

Style

Compression garments for lipedema come in a variety of styles, including leggings, stockings, and arm sleeves. Choose a style that works best for your specific needs and preferences. Circular knit, flat knit, and micromassage are common options.

Fit

Proper fit is essential for maximum benefit and comfort. Be sure to measure yourself carefully and follow the manufacturer's sizing chart when selecting a compression garment. If you are working with an occupational therapist, they can help you measure and order custom compression if needed.

Material

Lipedema compression garments are typically made from a blend of synthetic and natural fibers. Look for garments that are breathable and moisture-wicking for maximum comfort. 

Using Compression Garments

To get the most benefit from lipedema compression garments, it's important to wear them consistently and correctly. Here are some tips for using compression garments for lipedema:

Consistently wear your compression

Wear your lipedema compression garments daily, for as many hours as recommended by your healthcare provider.

When to wear compression

Put your compression garments for lipedema on first thing in the morning, before any swelling has a chance to accumulate. Remove your lipedema compression garments at night to allow your skin to breathe and recover. There are specially designed garments for those who need to wear them at night. Nighttime compression garments may be inelastic or foam.

Gradually increase wear time

If you are new to lipedema compression garments, it is recommended that you gradually increase wear time over the course of several days to allow your body to adjust to the pressure. Start with wearing the garment for a few hours each day and gradually increase the time until you can comfortably wear it for the recommended duration.

Proper hygiene

To prevent skin infections or other complications, it is important to keep your skin and lipedema compression garment clean. Wash the garment according to the manufacturer's instructions and keep your skin clean and dry.

Use compression in conjunction with other treatments

While lipedema compression garments can be effective on their own, they are often most effective when used in conjunction with other treatments for lipedema, such as lymphatic massage or physical therapy.

Consider custom made lipedema compression garments

For individuals with severe lipedema or unique body shapes, custom made compression garments may be necessary to ensure a proper fit and maximum benefit.

Keep track of progress

Keep track of any improvements or changes in symptoms while using compression garments for lipedema. This can help you and your healthcare provider determine the most effective treatment plan for your individual needs. Take self measurements or have your healthcare provider measure for you.

Final Thoughts

Compression garments can be an effective conservative treatment option for individuals with lipedema. If you're considering using compression garments for lipedema, be sure to consult with your healthcare provider to determine the best approach for your individual needs. The general consensus is that the best compression is compression you will consistently wear. Feel free to reach out to LALA if you have more questions. <3