Living with lipoedema: reviewing different self-management techniques

Abstract

At present, there is no proven cure for lipoedema. Nevertheless, much can be done to help improve symptoms and prevent progression. Many of these improvements can be achieved by patients using self-management techniques. This article describes the range of self-management techniques that community nurses can discuss with patients, including healthy eating, low-impact exercise, compression garments, self-lymphatic drainage, and counselling.

A review of the evidence for adjustable compression wrap devices

“…4 Individuals using compression garments are less likely to report pain, numbness and poor range of movement than those not using compression. 5,6 Selfapplication of compression is reported as providing greater independence, self-efficacy, and a sense of control for people with lymphoedema. 7 Intensive treatment using compression therapy can be demanding for patients and professionals, particularly if regular bandage application is necessary due to severe ulceration, leakage of exudate, or problematic skin conditions.…”

“…Challenges remain in achieving acceptable, safe, effective and cost-efficient compression therapy choices. 5 Adjustable compression wrap devices using hook and loop fasteners, commonly called VELCRO brand fasteners, present new opportunities for improving treatment outcomes, supporting patient independence and self-management in the use of compression therapy. This paper reports the findings of an evidence review of adjustable compression wrap devices in people with lymphoedema, chronic oedema, venous ulceration and lipoedema.…”

Best practice guidelines for the management of lipoedema

“…Some patients advocate the Harvie and Howell diet which involves a restricted calorie intake for two days each week and eating a Mediterranean-style diet on the other days (Harvie & Howell, 2014). Anecdotally, this regimen appears to result in easier, longer-lasting weight loss (Fetzer & Wise, 2015;Todd, 2016).…”

Haddenham easywrap as part of self-management in lymphoedema and lipoedema: The patient perspective

“…Psychological support is fundamental to encouraging a person to self-manage, which according to Barley and Lawson (2016) is underpinned by the promotion of selfefficacy. Furthermore, Fetzer and Wise (2015) suggest that counselling can help patients feel less isolated and better able to cope with the psychological impact of their disease. Lipoedema UK (2014) state that 86% of women surveyed had low self-esteem, with 87% stating Haddenham easywrap as part of self-management in lymphoedema and lipoedema:…”