Lipedema Treatment with ESWT

ESWT (Shock Wave Therapy) is a non-invasive method that helps reduce edema and fat accumulation by increasing blood circulation in lipedema-affected areas. Low-frequency acoustic waves stimulate microcirculation in subcutaneous tissues, support cell regeneration, and relieve pain.

The application of ESWT in lipedema increases tissue elasticity and helps restructure hardened fat cells. Lymphatic drainage and tissue oxygenation increase in the treated area, contributing to a reduction in swelling and tightness. The effect usually becomes noticeable after a few sessions.

Shock wave therapy is also effective in reducing lipedema-related pain. Acoustic stimulation raises the pain threshold in nerve endings, providing an analgesic effect. This improves patients’ mobility and significantly enhances their quality of life.

The success of lipedema treatment with ESWT depends on the stage of the disease, tissue response, and session frequency. The procedure is usually performed 1–2 times per week and planned as a course of 6–10 sessions. In some advanced cases, the number and duration of sessions may increase. Regular exercise and lymphatic drainage after treatment help achieve lasting results.

What is Lipedema?

Lipedema is a chronic and progressive disease characterized by symmetrical fat accumulation, usually in the legs and sometimes in the arms. It often presents with pain, tenderness, and easy bruising. Genetic predisposition and hormonal changes play a role in its development. Lipedema is often confused with obesity, but it is a different pathology and cannot be fully controlled through diet. During treatment, ESWT, lymphatic drainage, compression therapy, and surgical methods may be considered.

What are the Symptoms of Lipedema?

Lipedema is a chronic fat tissue disorder that mainly affects women and is characterized by symmetrical fat accumulation in the lower body. Early diagnosis of the disease is crucial to slow its progression. Here are the most common symptoms of lipedema:

• Symmetrical fat accumulation in the hips, thighs, legs, and sometimes arms
• Tenderness and pain on touch
• Easy bruising on the legs
  A sudden transition of thickness around the ankles and wrists (cuff appearance)
• Fat that does not decrease despite diet and exercise
• Sensation of heaviness and swelling in the legs at the end of the day
• Feeling of nodules or hardness under the skin

What is ESWT (Shock Wave Therapy) in Lipedema Treatment?

ESWT, or Extracorporeal Shock Wave Therapy, is a non-invasive method used in the treatment of lipedema. This treatment, applied with high-energy sound waves, affects the structure of fat cells, increases circulation, reduces edema, and relieves pain. It helps improve skin elasticity by softening tissue stiffness caused by lipedema. It is generally applied in combination with other therapeutic approaches.

How Does the ESWT (Shock Wave Therapy) Lipedema Treatment Process Work?

The application of ESWT in lipedema is planned with sessions carried out at regular intervals, and a personalized treatment program is created for each patient. The process generally includes the following steps:

• Assessment: The stage of lipedema, symptoms, and overall health status of the patient are evaluated. Venous insufficiency and varicose veins are assessed in detail with color Doppler ultrasound. If present, venous insufficiency should be treated first.
• Treatment Planning: A program of 6–12 sessions is typically scheduled, with 1–2 sessions per week.
• Application: After applying gel on the skin, shock waves are delivered to target areas with a special device. The procedure is generally painless.
• Monitoring Results: Changes in edema, pain, and tissue stiffness are monitored. Lymphatic drainage and compression therapy may accompany the treatment.
• Supportive Measures: Diet, exercise, and lifestyle changes can enhance treatment effectiveness.