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Lipedema can greatly restrict the quality of life of afflicted persons. On the one hand, this is the result of their abnormal appearance due to the increase in girth and the disproportion between upper and lower body. On the other hand, patients suffer after standing or sitting for long periods of time as well as in the evenings from a feeling of tension and the affected areas are sensitive to touch and pressure. Lipedema develops as a symmetrical, saddle-bag type, spongy swelling from the iliac crest to the ankle. It is a characteristic of lipedema that it stops at the ankle or wrist. Feet and toes and hands and fingers are as a rule free of swelling or edema. The foot is in the case of edema not affected. Bulging on the inside of the thigh can disturb a person´s gait and because of chafing lead to tissue traumatisation.