Why Choose Conservative Therapy?

For many people with lipedema, non-surgical treatments (conservative therapy) help control symptoms and may slow down the need for surgery. These treatments aim to reduce swelling, decrease inflammation, and improve how the body functions through gentle, non-invasive methods.

If you are considering undergoing Lipedema Reduction Surgery, you will need a minimum of three months of failed conservative therapy.

Types of Non-Surgical Treatments

Manual Lymphatic Drainage (MLD)

MLD is a light pressure technique that helps move lymph fluid through the body. This can reduce swelling and ease discomfort. While lipedema does not respond to MLD the same way lymphedema does, MLD helps to decrease pain and inflammation.

Self MLD

Compression Therapy

Compression garments provide support to affected areas, reducing swelling and discomfort. Different types include:

Compress¹ion pumps to help move fluid
Compression leggings, sleeves, and socks
Adjustable compression wraps

Exercise & Movement

Staying active is key for managing lipedema. The best exercises include:

Water exercises – The water’s natural pressure supports the body and reduces strain. Water provides more compression than most garments.
Walking – Just 10-15 minutes a day can improve circulation. Walking activates the calf lymphatic pump and central lymphatic system. Together, that helps to move fluid and alleviate some of the “heavy” leg feeling.
Rebounding – Using a small trampoline can help move lymph fluid. NASA has been studying the positive effects of rebounding and lymphatics since the 1980s. Rebounding is low-impact and suitable for a wide range of fitness levels.
Strength training – Builds muscle and supports mobility. Bodyweight exercises, such as squats, lunges, and push-ups, can be particularly effective for improving strength without added strain on the joints. These exercises also help enhance balance, coordination, and overall functional fitness, making daily activities easier and reducing the risk of injury. Preserving mobility is important since lipedema can severely impact mobility.

Diet & Nutrition

There is no single “lipedema diet,” but eating anti-inflammatory foods can help. Many people feel better when they:

Avoid processed foods and high sugar foods
Reduce carbohydrate intake. Current research supports a diet of 75 grams of carbohydrates may have benefits for lipedema without negative effects of traditional low carb diets.
Increase healthy fats

A balanced approach that prioritizes whole, nutrient-dense foods can help maintain energy levels and support overall health. Making informed food choices is essential for managing lipedema, as diet can influence inflammation and swelling. A Registered Dietitian can help develop a plan tailored to individual needs.

Supplements & Other Therapies

Some research suggests that certain supplements may help, but more studies are needed. Other therapies, like myofascial release, vibration therapy, and red light therapy, may reduce pain and improve movement.

Getting Started

If you’re new to lipedema management, start with small, manageable steps:

Consider a compression pump – This device can help improve circulation.
Add gentle movement to your routine – Even short walks can make a difference.
Wear compression garments – Start with mild compression and gradually move to medical-grade options.
Follow an anti-inflammatory diet – Track foods that cause swelling. Work with a professional to better understand fueling your body.
Take your time – Don’t feel pressured to do everything at once. Find what works best for you. Lipedema is a lifelong journey. The goal is consistency, not perfection.

Finding a Lipedema Specialist

Managing lipedema often requires self-education and advocacy. Finding knowledgeable doctors, support groups, and trusted resources can help you take control of your health. Check out the Resources page for a list of recommended professionals and tools in your area.

No Lipedema Specialist Locally? Get in Touch!

There may not be a lipedema specialist close to you. That’s the unfortunate reality, as there are so few of us. That’s why I offer virtual coaching. You get the same access to information as my local clients, without the drive. My virtual coaching sessions offer personalized guidance to help you manage symptoms and improve mobility at your own pace. This includes learning self-MLD, creating an exercise routine, and establishing other self-care based on the latest research.

So if you’re ready to take control of your lipedema management, schedule a free call. Whether you’re just starting or refining your approach, I’m here to support you with practical strategies that fit your lifestyle. Let’s take the next step together.