Looking back on nearly a year since my Lipedema & Lymphedema diagnoses

Almost a year ago, I was diagnosed with Lipedema and Lymphedema. There are no medicines to take, no cures to be had. You do not have to be overweight to have this, and they aren't sure what causes it (sometimes even children have it, sadly). That's why it's labeled 'unclear etiology' by the medical journal article linked below, which was published in the Journal of the American Board of Family Medicine (JABFM). 

"Approach to Leg Edema of Unclear Etiology"

http://www.jabfm.org/content/19/2/148.full.pdf+html

The U.S. is far behind Europe in diagnosing and treating these conditions, but raising awareness can help those who may have it and not know it. I'm doing my part. Lipedema often runs in families and is thought to have a possible genetic connection. Hormones are also involved, since only a handful of males have EVER been diagnosed with it.

In severe cases, you lose mobility or, sometimes, have your leg(s) amputated. Thankfully, I was diagnosed and began MLD (Manual Lymph Drainage) therapy and started wearing compression stockings. My legs, below the knees, are affected. But sometimes it spreads. I'm at Stage Two, and DO NOT want to end up at Stages 3 or 4. 

So far I'm doing okay with managing it. If you saw me out in public, you'd never know I have this condition, but I do. There has been marked improvement, but I can never NOT keep up the maintenance. It will not go away. It can only be managed. Some day I hope researchers and doctors pinpoint the cause(s) and find a cure. Most people haven't heard of Lipedema OR Lymphedema. I sure hadn't prior to 2014.

Ladies, it doesn't matter how young or old you are, and it doesn't matter if you're a size 2 or a size 20+ -- you should become familiar with these diseases. The quality of your life depends on it. 

Breathe, breathe, and breathe again!

My longtime friend, Cyndy Clemens, who is a trained breathworker, had some excellent advice today about the need for people to practice proper deep breathing when they first wake up for the day.

I am required to do breathing exercises for my recently diagnosed lipedema and lymphedema. Deep, proper breathing, particularly to activate the L-2 area of the spine, where a large cluster of lymph nodes is located, is important for all of us.

Each week when I go in for Manual Lymph Drainage (MLD), my physical therapist has me do specific breathing exercises while she works on different areas of my body.

Once I finish with this round of therapy in a number of weeks or months, she will teach me what I will need to do from home as far as MLD for the rest of my life. That will, of course, include instructions for daily breathing exercises.

So, proper breathing is only helpful for these diseases (which are not curable, only manageable), but I feel terrific when I do them as well. Breathing not only helps the lungs and other parts of the body, it's essential for proper function of the lymphatic system, which is a system I didn't know much about before August, when I was diagnosed. The majority of people have NO clue and they should learn how it's incredibly important to their lymphatic system, which supports the circulatory system and is essential for good health!

Make a note to learn how to breathe properly, then practice it daily!

Stage Two and Holding, So Far

Forgot to add that on Monday I finally remembered to ask my lipodema/lymphedema therapist what stage she thought I was in. She said that, based on the clinical signs and her experience, I'm at stage two. I told her I thought so as well, based on the photos and info I'd read on my own. I told her I did NOT want to progress to stages three or four (not gonna lie, stage four horrifies me). Her eyes widened and she said we didn't want that, which is why it's so important to be faithful with the Manual Lymph Drainage(MLD)and compression garments. So, it's official. I'm stage two. I'll take it. Better than the other alternatives! Just wish I'd caught this while I was in stage one, but that rarely happens.

Lipedema/Lymphedema Therapy Update—November 8, 2014

Meant to post this before now, but lotsa stuff going on. Visit with my physical therapist for Manual Lymph Drainage (MLD ) went well. Overall, my lower limbs are down in size and she's pleased with how compliant I am with following her recommendations. She hasn't measured me yet for my permanent compression stockings, though. I thought it would be this week, but she wants to wait another week or two.

I want to recognize my beloved husband for going with me, faithfully, to every appointment and being there in the room when everything takes place. I couldn't ask for a more supportive husband! I'm still bummed that what I have is not curable, but my therapist and my husband keep me positive. He reminds me that I'm beautiful and that my condition hasn't diminished his love for me one bit.

So, I have two visits per week, on average, and my therapist has 24 years of experience treating patients with lipedema & lymphedema. I'm in good hands -- literally!

A couple of things I have to watch out for the rest of my life: one, I can't do hot tubs anymore (not that I did them a lot, but still); two, I have to be careful when I travel by plane due to the effect it can have on my calves, ankles, and feet. It's also recommended that I use an electric shaver instead of razors to shave, since cuts, punctures, scratches all spell bad news in a limb with lipedema/lyphedema. In the scheme of things, it's a day-by-day situation.

A friend of mine asked if there isn't a medication I can take to help. The answer is no. There is no medication that can help, and diuretics, diet, or exercise cannot cure my conditions. The cause is unknown, and lipedema is classified as a rare disease.

Anyway, just an update because Thursday's visit was a good one. I think she said my lower legs were down an inch in some areas, which is fabulous. Too bad they won't stay there permanently, but as long as they're not going up and heading to the next stage, I consider it a victory. I do NOT want to end up in Stages 3 or 4.

Life Changes: A Double Diagnosis of Lipedema & Lymphedema

About a month ago, I learned that I may have lymphedema, which means your lymphatic system is compromised or blocked in some way. Earlier this week, after visiting a local outpatient rehab lymphedema clinic, I learned that I have both lipedema *and* lymphedema.

Both manifested later in life; I'll be 50 in December and so I didn't notice any problems/symptoms until I was middle-aged. Up till then, nothing seemed amiss and everything looked and felt normal. In effect, I received unexpected news and it was a double whammy; not just one issue with my lymphatic and vascular system, but two. Neither can be cured, only managed.

I am just now learning about these diseases and they will be a part of my daily routine for the rest of my life. Since most people haven't heard of them and don't understand them, I wanted to share the experience with friends, family, and whoever else may find themselves in the situation I am now.

A friend of mine wanted to know more so she could understand, so I wrote the below-posted information to help explain it as best I could. Then I realized I might as well post this info on my blog to let people know about this new development in my life and to also inform those who may want to know or may need to know more about lipedema and lymphedema.

As I told my friend Mari on Facebook, "Lipedema is rare and it's not caused by what you eat or how much you weigh. Overeating or improper nutrition do not cause it; therefore, losing weight or restricting calories will not affect the diseased tissue/fluid. In fact, I can attest to this, since I've lost well over 50 lbs over the past few years. It does not matter at all. Anorexics can get lipedema, in fact. So when you say 'care for your body,' that care means keeping the skin moisturized and protected so bacteria can't get in dry or cracked skin or feet. Otherwise you can get cellulitis, and that can be deadly. About 27,000 people a year die from that.
Second, the lymphatic system only moves one way—up. That means blockages or a compromised system can't move the lymphatic fluid properly, and that's a big problem! So, care also includes getting the fluid moving through special massage techniques, as well as compression to keep the lymph from settling in the lower limbs where infection can develop.

Manual lymph drainage is necessary (for a person like me who has lipedema and lymphedema as well.) The vascular system and lymphatics are compromised or damaged. Penrose rehab wants me to come in for manual drainage twice a week, but they aren't sure if our health insurance will cover it. They recommend twice a week for that, and compression garments and bandaging daily, from the time I get up to the time I go to bed (at least 12 hours a day). If insurance doesn't cover the therapy, then it's likely I'll have to try and learn how to do it myself (and I'd prefer an expert with years of training do it instead, if possible.)

Neither conditions can be cured or treated with diuretics or medicine. It will only become more severe. There's no way to completely stop it. So, no, I will not be completely healthy in this regard, regardless of what I do. I can only hope to delay it from advancing to a more severe stage. It already affects my mobility right now, so I just do the best I can and go from there.

Bruising is common, and these conditions can worsen with activity and warm weather. Vigorous exercise—especially without compression stockings—will exacerbate the problem and make things worse. So, as you can see, these are tricky conditions that become progressively worse. The best hope is to try and manage them as best as possible. I know this is a lot of info, but there's a lack of knowledge about these conditions, and it's important (at least for me and others suffering from these conditions) that people are educated and don't make assumptions or think it's simply, "Well, lose weight and exercise more." Nope! If it were only that simple! I can get down to a size 1 and I'd still have it. That's why one physician I read called it a "rare and devastating disease," with the psycho-social aspects particularly hard for patients. I was recently diagnosed, but I'm already having issues with it. Having understanding and supportive friends—such as yourself—makes a huge difference for patients dealing with lipedema/lymphedema.

As I said, doctors and researchers don't know what causes it, but they believe it's genetic (hereditary) and also hormonal. It cannot be cured, and it's the same for lymphedema. Both affect your mobility and can result, in severe cases, in being wheelchair-bound or, in the extreme case, amputation of the legs. Because I've been pro-active in getting a diagnosis and treatment, I don't expect the latter two to happen. The person affected must follow meticulous treatment. It's not something that can be ignored, because you cannot reverse it; it can only get worse. About 11% of women have lipedema, and rarely do men get it (only 2, I believe, from the articles I read from Dr Karen Herbst, who is a doctor in Arizona and an expert in this field). It's classified as a rare disease, as I mentioned before. For men, almost unheard of!

Paul, sorry I hijacked the thread, but I needed to write this up for my page and my blogs anyway. Might as well explain quite a bit of it now! Thanks for asking, Mari. I went way beyond what you asked, but now you know the gist of it all."