Lipoedema or Lymphoedema?

The difference between Lipoedema and Lymphoedema.

There are a few indicators that help differentiate lipoedema from lymphoedema successfully. In this article, we will give you a little help on how to diagnose the symptoms of both conditions. However, these specifications can, by no means, replace a medical examination. When suffering symptoms or pain for a long time, we strongly advise seeking medical help.



The term ‘lipoedema’ describes a chronic and painful maldistribution of fat alongside water retention. The disease predominantly affects the hips and thighs. The rest of the body usually remain unaffected. 

Causes and consequences of Lipoedema



If too much liquid is retained in the tissue, unwanted swellings can develop. This can be a sign of ‘lymphoedema’. Lymphoedema can be caused by inflammation (due to insect bites or sprains, for example), which can temporarily overburden the lymphatic system, leading to what is referred to as acute lipoedema. If the inflammation subsides, the tissue swelling also decreases.

If the swelling remains, however, this can be due to a chronic issue, i.e., permanent malfunctioning of the lymphatic system. This is called ‘secondary lymphoedema’.

Causes and consequences of Lymphoedema


If the Stemmer’s sign is positive, it’s Lymphoedema.If the Stemmer’s sign is positive, it’s lymphoedema.


How do the symptoms of the two conditions differ?

In the following summary, you’ll discover the symptoms typical of both diseases.


  Lipoedema Lymphoedema
Symmetry The increase of fatty tissue is symmetrical. For example, the circumference of both legs is similar. The swelling is asymmetrical. For example, only one leg is swollen.
Pressure pain Touching the affected area or applying any pressure is painful. Those affected do not experience pain when touched or when pressure is applied.
Stemmer’s sign Stemmer’s sign is negative: A fold of skin can be lifted above the back of the toe or finger. Stemmer’s sign is positive: No fold of skin can be lifted above the back of the toe or finger.
Oedema on the back of the foot/hand Feet and hands are free of oedemas: Oedema reaches up to the ankles and/or wrists. Hands and/or feet are also affected: The swelling reaches up to the toes and/or fingertips.
Thumbs test The thumbs test is negative: If you press a thumb into the swelling, it doesn’t leave an imprint. The thumbs test is positive: If you press a thumb into the swelling, the indentation stays for a while.
Cellulite Uneven ‘orange skin’ with smaller dips initially and larger ones later on. The skin is firm and tense due to water retention.
Susceptibility to haematoma Blue marks appear quickly and frequently. Blue marks appear.
Inflammation Inflammation and skin irritation are rare. The skin is susceptible to inflammation and even erysipelas.



Oedemas can also occur in connection with other types of clinical pictures and can, therefore, manifest themselves differently to the pure form of lipoedema and lymphoedema. Many patients who are diagnosed late often suffer from a hybrid type of lipoedema and lymphoedema – lipo-lymphoedema. It can develop when lipoedema remains untreated for too long and thus affects the lymph transport.

The Hybrid Lipo-Lymphoedema


Early recognition and swift reaction

When suffering from oedemas, it’s important to start treatment as soon as possible. That’s why we recommend that you contact a medical specialist if you suspect you might have lipoedema or lymphoedema. Treatment outcomes can be very successful if started early.


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