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Conservative Treatments for Lipedema: Do they work?

Are there treatments for lipedema without surgery? For more than three years I’ve been using conservative treatments like keto, exercise, and vibration to manage my lipedema symptoms. Along the way I’ve cleared my brain fog, boosted my energy, and lost nearly 140 pounds. On a recent work trip to Asia, however, everything unraveled and I quickly noticed changes. Read on or watch below to see what happened when I stopped my self-care for just one week and found out, once and for all, whether conservative treatments work for lipedema.

Can conservative treatments for lipedema help reduce symptoms? Rebekah shares her experience.

A few months ago I took my first international trip since my diagnosis with lipedema, lymphedema, and venous insufficiency. Check out Flying with Lipedema and Lymphedema and International Travel with Lipedema. Things went pretty well on that trip, but on this second one a lot of things went wrong and I wasn’t able to maintain most of my self-care treatments. I noticed changes almost immediately.

The major thing that did go right was the flight itself. Given the recent challenges I’ve had with my health, I was able to fly business class. My company’s travel policy required a letter from my doctor and, while I was a little embarrassed to ask at first, it was a game changer. It takes more than 20 hours for me to reach our field office and that’s just the time on the airplane. It’s a lot more when you figure in time zones and lay overs. Earlier this year I returned with pain and swelling in my left leg that got me to the vein doctor in the first place. Flying business class this time I was able to fully recline and elevate my legs, which made a huge difference in my swelling in both directions. If you travel for work, I recommend asking whether your company has a travel policy provides similar accommodations. Ask for what you need.

So, I arrived in good shape but things quickly went down hill. I’d planned to bring a lot of keto snacks but due to a shipping delay they arrived at the house a few hours after I left. When opened my suitcase in my hotel in Asia, I realized the food that I had been able to pack was all spoiled. So there I was, starting at 16-day trip without my food safety net. All the food was catered for the first week and, there with my team and our partners, I wasn’t comfortable not eating. People excited piled things onto my plate in the buffet line wanting me to try new foods… and I said yes. Rice, bread, and dessert were part of breakfast, lunch, and dinner each day and I quickly swelled. After only ten days, my belt that I usually wear on the third hole no longer fit. Several of my button down shirts didn’t button. My CZ Salus compression leggings were so tight they were uncomfortable and my skin was painfully stretched. I wasn’t gaining weight – I was swelling.

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My first impulse was to stress and frantically try to regain control. But that never helps, in fact, stress increases inflammation and actively makes lipedema worse. I had to lean into what I could do. That included sleep, having fun, and going to the pool. The first week of my trip we were staying at a hotel steps from the beach, so I went to the beach and walked with my co-workers. I elevated my legs when I could, slept as much as I could, and made sure I stayed in compression even when I got uncomfortable. I said yes to everything that sounded fun or looked delicious and made a pact with myself to get back on track the moment I was home. I forgot to pack my exercise clothes, but remembered my Lands’ End swim leggings. I don’t like swimming but I knew it would help my swelling so I made myself get in the pool. All I did was hang on the side and kick but it was heaven and drained my lymph like a charm. No, I didn’t feel as good as I do at home, but I gave myself credit for doing my best.

The other thing that saved me were some pants I impulse bought from Torrid right before learning. I usually prefer skinny pants, but I was travel in a very hot but culturally modest country so I impulse bought some super wide-leg pants from Torrid. The high rise made my legs look a million miles long and they were really comfy both for travel and going to the office. I also loved having Torrid’s new Trio Skinny Limitless Stretch Jean in my suitcase. They say it stretches up to three sizes and that’s exactly what I needed with my swelling. The Trio is as comfortable as a jegging but with a little more structure and polish. The only downside is that I usually wear a short and they are only available in a regular length so the rise was a little off on me, but otherwise love.

I had two big take aways from this trip. The first is that conservative and nonsurgical treatments for lipedema do help. I’ve sometimes wondered if I really need to be as strict as I am. This trip was a big yes. If my lipedema and lymphedema symptoms can decline that much in just one week without conservative treatments, I can confidently say they are helping. My second take away is that, no matter how well you plan, life still happens. Even though I started to swell and feel crummy, I didn’t let it ruin my trip. It was on a once in a lifetime adventure and the whole reason I work so hard when I’m at home is so that I am well enough to embrace experiences like that. If I can’t say yes on a beach in Asia, where am I going to? Yes, lipedema and lymphedema are a lot of work, but life can be about so much more than managing an illness. Allow yourself to be imperfect and spontaneous sometimes, trusting that you are strong enough to get back on track when it’s time. You are worth the work, but you also deserve the joy.

If you purchase through an Amazon link in this post I may receive a small commission, but that’s never why I recommend something.

Responses to “Conservative Treatments for Lipedema: Do they work?”

  1. Babette Struttmann

    I know you’re busy so will try to be brief for my first comment to you-hello and I thank God for you and your community! Mine is a fairly long and complicated story to my lipedema/lymphedema diagnosis (as I believe all of ours are!)…
    In 2021 (at 55 years old), while in an ENT’s office trying to find relief from my vertigo/Meniere’s symptoms and seeing a detailed poster of the inner ear anatomy on the wall, I saw a lymphatic sac near the vestibular nerve (💡). I have been told for the last 20 years since my Meniere’s diagnosis that “fluid imbalance” was my enemy and would trigger my debilitating Meniere’s symptoms. While researching the possible relationship between lymphatics and Meniere’s (which my ENT denied and looked at me like I was crazy when I questioned him about it), I found “lipedema” and photos of women with legs just like mine!! I found my peeps-and a clue to how and why my health was in such peril, even as MD’s told me my labs were “normal”. I was NOT normal!!! (BTW-what is “fluid retention”–hello?! LYMPH! duh!)

    I met with a lipedema/vein specialist (Dr. Wright-a mile down the street from my house-who confirmed my self-diagnosis) and have been using conservative methods ever since, and finally experienced improved health and weight loss that I was never able to before.
    So…fast-forward to last week…I was getting on YouTube to possibly start my own channel as a way to help others NOT have to research like I did, or self-diagnose, or “teach” and beg the medical community for answers to our issues…and while on YouTube—YAY!!! I found you!!! All of your videos were exactly what I have wanting to talk about and share! I needed a community to understand, share with and stay accountable to, as I need a “re-boot” to improve some areas of “back-sliding” myself.

    I would love to contribute and will share with others as I can through your channel. I would love to know your thoughts on “hormones/medications and lipedema”? “Pregnancy and lipedema?” (lots of “co-morbidities” including Meniere’s, heart disease, diabetes, thyroid issues, blood-clotting issues, etc…)? Work schedules/routines with lipedema?” “Hairstyles and beauty tips for lipedema?” “Sex and lipedema?” “Yummy recipes that our bodies love too!” “MLD/dry brushing techniques”?

    Anyway, these are just some of the ideas I have, along with building on what wonderful experiences and resources you have already presented. Thank you! Thank you! Thank you!!
    (P.S. I have a background in Occupational Therapy and many of my patients had/have lymphedema. I was not educated about “lipedema” or at least not in any way that I recalled or understood. I always worried that I would end up having functional limitations like my patients, or leaning over a grocery cart dragging my heavy bottom through the store like many women I saw. I am grateful to have found resources to get ahead of my lipedema/lymphedema before it took over completely!!)
    I would love to hear from you–but will continue to engage in your community through your current resources.

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    1. Rebekah

      Hi Babette! I apologize that I am coming to this message so late. It looks like you sent it right about the time I took my “self-care sabbatical” and I’m still trying to catch up with everyone. Thank you so much for sharing your story and for your kind words! It certainly sounds like we are on the same wavelength 🙂 Why don’t you shoot met an email and see if we can find time to connect. Rebekah@sturdywoman.com

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  2. Sharon E. Watson

    I am trying to find the food allergy testing kit from Amazon you suggested but can’t find your link again. Thanks for your help. Sharon Watson

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    1. Rebekah

      Hi Sharon! Apologies for my slow reply! Here’s the link to the original one I talked about that checks 96 foods: https://amzn.to/3vCc6bf At the end of the year I used my extra FSA money to buy the “comprehensive” one that tests 204 foods: https://amzn.to/425MMGD I haven’t done it yet, but will post about it once I get the results back!

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  3. Rosalie RG

    Hello,
    just thinking of you, I haven’t seen a post from you lately. I hope you got back home safe

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    1. Rebekah

      Thank you, Rosalie! Belatedly sending big hugs and thank you. Last year was rough but I finally feel like I am coming out of the dark clouds ❤

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  4. Joan W Fell

    A primary care Dr or Nurse Practitioner can order blood tests for food intolerance panel. Blood tests are more accurate. Health insurance may cover part or all of the cost of blood draw and lab testing the sample. Beats paying up to hundreds of dollars for a mail away test.

    Joan Fell RN

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    1. Rebekah

      You’re right Joan! For some without insurance or who feel fat shamed and ignored by their doctors, however, an at-home test is a good option to have. ❤

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