Lipoedema (Lipedema)

PhysioPod® UK has established this page to help promote information and awareness of Lipoedema and tips to improve the quality of life for those dealing with this chronic condition. It also covers Deep Oscillation Therapy, used by therapists and patients in conservative management and pre and post lipoedema liposuction care.



PhysioPod® UK Disclaimer: This page content is not to be construed or substituted for any type of medical advice but is for general educational purposes only. This content should not be used to self-diagnose. If you are experiencing any of these symptoms, speak to your Doctor, they'll be able to give you help and advice on how to manage your symptoms and make a referral for diagnosis and treatment.


What is Lipoedema?


ladies with lipoedema in their bathing costumes smiling. They have varying stages and types of Lipoedema affecting arms and legs


Lipoedema is a disease of connective and adipose tissue, linked to an overactive gene pathway. Lipoedema tissue is seen on the lower abdomen, hips, buttocks, legs, and sometimes arms, but not on the head, trunk, hands, or feet. Lipoedema is rare in men and often runs in families. Lipoedema can have a negative impact on one's quality of life, both physically and psychologically.

Changes in the body during puberty, childbirth, fertility therapy, menopause, stress linked with lifestyle changes, or modifying tissue structure following surgery or trauma can all cause it to appear or worsen. The ankles or wrists can have a 'cuffing' or 'bracelet' effect. Cankles' is a term regularly used to describe a lack of distinction between the calves and ankles. Areas affected may feel paler, cooler, and softer than typical body fat. After physical exercise or in hot conditions, leg oedema develops in the afternoon and evening. The legs remain swollen even after elevation. Skin folds on the upper leg and knee can be present.

Pain (though not always present) is described as a 'burning sensation', cramping, heaviness, oppression, pressing, prickling sensation, pulling, sensitivity, sharpness, stinging, and tenderness to the touch. Individuals are easily fatigued and weary. Bruises appear for no apparent reason. The skin is dimpled, bumpy, or uneven and swollen and as opposed to cellulite, which is also dimpled, bumpy, or uneven but not swollen.

Fatty deposits on the inner and outer surfaces of the knees and thighs can occur. Fatty nodules or scarring may form in subcutaneous tissues. Spider and varicose veins are common. Hip and knee joint issues can occur. Changes in leg shape, such as 'heavy legs' or flat feet, might make walking more difficult. Hypermobile joints (Ehlers-Danlos Syndrome) are a common occurrence.

Lipoedema tissue is impervious to diet, exercise, and bariatric surgery. Shopping for clothes and footwear, particularly boots is challenging. Physical activity and exercise can be difficult, and limited mobility can cause anxiety and social isolation. Self-esteem and self-worth are affected, and a lack of either can lead to poor mental health. Lipoedema is usually associated with mental health issues such as depression, anxiety, and eating disorders (anorexia and binge eating).

Lipoedema is distinct from obesity and lymphoedema, yet the three can coexist. Lipoedema is frequently misdiagnosed as obesity or lymphoedema, delaying crucial treatment. Early detection and referral for therapy are crucial. Lipoedema causes distortions in BMI measurements.

Lipoedema is poorly identified, misunderstood and misdiagnosed, causing many women to struggle to obtain an accurate diagnosis and access to specialist NHS services. Many women only learn they have the illness after looking online and contacting the incredible support groups doing a wonderful job all over the world.



Understanding and Diagnosing 

RCGP, Lipoedema UK and RCN Logos announcing a course to learn about and diagnose lipoedema


LTA Global logo in blue and wording Specialist Management Course in LIpoedema


LINK TO LTA Specialist Lipoedema Training


30 Things We've Discovered Can Be Helpful in Lipoedema Management

Audio  Download PDF Download Video





       Lipoedema UK logo with charity no in pink and purple with pear shape resembling body of lady with lipoedema           

   Talk Lipoedema Logo in purple and blue with speech bubbles indicating their ethos of getting Lipoedema talked about and increasing awareness                     


Lipoedema Ladies logo, one pink one purple sculpture figures heavy on the bottom depicting ladies with Lipoedema


The WelcoMe App Adds Lipoedema
 is an internet-based customer experience service that is inclusive and accessible. WelcoMe informs customer service teams of your general and specific needs before arriving. It can now be used at an increasing number of venues across the UK and the Republic of Ireland. Fantastic news Welcome has recently added Lipoedema to their list of conditions and in doing so, will create much-needed awareness of this chronic condition, affecting approximately 11% of the female population.





infographic displaying 10 benefits of using Deep Oscillation in Lipoedema management.




image of deep oscillation used via gloves, via applicator and an image of the impact of deep oscillation permeating an 8cm tissue depth

DEEP OSCILLATION® is an internationally patented, clinically proven technology based on the effects of creating an electrostatic field in the tissue of the patient. Easy application is from therapist to patient/client via hygienic, vinyl-gloved hands; utilizing all normal massage movements or via circular movements over the tissue with a handheld applicator. The handheld applicator/s also enable self-treatment.

The special structure of DEEP OSCILLATION® allows the creation of biologically effective oscillations in the treated tissue using electrostatic attraction and friction. In contrast to other therapies, these pleasant oscillations have a gentle and deep-acting effect on all tissue components to an 8 cm depth (through the skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels).

image shows The special structure of DEEP OSCILLATION® allows the creation of biologically effective oscillations in the treated tissue using electrostatic attraction and friction. In contrast to other therapies, these pleasant oscillations have a gentle and deep-acting effect on all tissue components to an 8 cm depth (through the skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels).

Because of the non-invasive, non-traumatic, gentle nature of this therapy, very early possibilities of application are possible following injury and from Day One postoperatively. Chronic conditions can also be worked upon with effective results.


AUDIO - What is Deep Oscillation?




Deep Oscillation has anti-oedema, lymph drainage, anti-fibrosis, and detoxifying qualities that help to prepare the tissue for liposuction while also enhancing the procedure's durability and effectiveness and minimising any potential side effects.

Due to its gentle, non-invasive nature, it can also be applied in the early post-operative stage, either by the patient themselves (see buying and hiring sections) with the personal unit or via a therapist.  The healing process is accelerated, pain, bruising and swelling reduced, scar quality is improved, and local inflammation is inhibited and stopped over a sustained period. The wound-healing process is supported.


Mr Vasu Karri (Consultant Plastic Surgeon) in blue suit and red tie smiling at the camera

Mr Vasu Karri (Consultant Plastic Surgeon) recommends Deep Oscillation for pre-Lipoedema liposuction in all Stage 3 and selected Stage 2 Lipoedema sufferers because he finds that deep oscillation therapy softens the fibrosis, with less bleeding, less complications and quicker recovery.





The effect of shock waves and deep oscillation on Lipoedema




lmendras, María José Araneda Fuentes, María JosÉ Oyarzún Gallardo, Rodrigo Marcel Valentim Da Silva PhD, and Patrícia Froes Meyer PhD The effects of shock waves and deep oscillations on lipoedema Journal of Aesthetic Nursing 2024 13:2, 42-53


Deep Oscillation can help reduce any fibrosis post lipoedema liposuction


First World Congress on Lipedema, Potsdam, Germany, October 5-7, 2023: Deep Oscillation News (Oct 6th)

PhysioPod were delighted to receive this photograph today, snapped by leading consultant plastic surgeon Mr Vasu Karri, the UK’s top specialist in Lipoedema surgery, attending the first World Congress on Lipedema in Potsdam, Germany.
With the simple message, "This shows that Deep Oscillation is well accepted in Europe and mainstream treatment."

Mr Karri and many of his European colleagues advocate the use of deep oscillation therapy for lipoedema.




Julie Soroczyn and I were delighted to welcome Dr Jens Reinhold, CEO of Physiomed Elektromedizin to the UK in May 2019 to present on "Deep Oscillation and Pain Relief" at the MLD UK Annual Conference. The talk was enthusiastically received by the healthcare professionals in attendance and it was captured on film by SilverIsland TV. 


Conditions that may co-exist with Lipoedema for which Deep Oscillation is clinically proven to help



The Lymphatic Education & Research Network (LE&RN) acknowledges Lipoedema as one of the "lymphatic diseases," alongside Lymphoedema. It's common for Lipoedema and Lymphoedema to coexist, despite having distinct characteristics. Unfortunately, Lipoedema is frequently misinterpreted as obesity.

Lymphoedema is described as a swelling that develops as a result of an impaired lymphatic system and the oedema present is made up of fat, inflammation and fibrosis. Both fluid and solid components make up the oedema, and it is the solid component that makes it so challenging to cure.

Deep Oscillation is routinely used for the treatment and management of Lymphoedema as indicated in the publications listed



image shows a body with pointers to signs and symptoms of fibromalgia


"In this pilot study, deep oscillation massage was shown to be safe and well tolerated in patients with moderate to severe grades of FMS of high chronicity and was highly accepted. The 3-month follow-up revealed sustained improvements in symptoms and quality of life, hence suggesting a benefit from treatment with deep oscillation massage"


"I purchased a Physiopod after seeing a demonstration at the Lipoedema Ladies Annual Meeting in 2013. I have both Lipoedema and Fibromyalgia and thought it could help with pain management. I am very pleased to say that it certainly has, not only has it helped with pain but there have also been additional benefits, such as less swelling in my legs and an increase in energy after using it. This is perhaps what I like best about the Physiopod, it makes me feel less sluggish and full of beans. I would recommend that you always have a lesson on how to use it from your MLD therapist as PhysioPod™ UK Ltd recommend as you will get the best out of it. My MLD therapist was so impressed that she is considering purchasing a Physiopod to use when making client home visits. I can't thank Physiopod, Mary and Julie enough for bringing this to my attention and for their excellent customer service and ongoing customer support'.

Caroline, UK.




image shows different joints that can be affected by osteoarthritis



"The most frequent location was in both knees (46% in the experimental group and 42% in the control group). At the end of the treatment, both groups had a positive outcome, with a high percentage of satisfactory results (88%) for those who received therapy of deep oscillations." 


"I had begun to notice pain, stiffness and swelling in the fingers of both hands, plus the knuckles of my right hand. As I do multiple crafts I really need my hands. Recently I have developed some nodules on my finger joints, so I spoke to my Doctor who diagnosed Osteoarthritis. Though recommended, I thought an x-ray was unnecessary because it was in the early stages and might not progress. I already take pain medication for Lipo-Lymphoedema and I cannot take anti-inflammatories because they bring on asthma attacks, exercises were recommended but some days I was really struggling to do my stitching or knitting as my hands were so sore. Suddenly I had a moment of inspiration, maybe my Deep Oscillation Personal could help? I started to use it on the trauma programme with the small applicator and this worked best for me. The treatment reduced pain and increased movement in my hands. I think this information will help fellow multi-crafters who may be struggling with OA. Deep Oscillation is non-invasive and effective, more people need to know about it." JW





image shows the application all over the body of deep oscillation through gloved hands to a young female




Below are images with thanks to

Bel Hardman



and has used for pre and post care of several lipoedema liposuctions 

 Read about Bel's Journey here


image shows a before and after picture of lipoedema liposuction legs, the deep oscillation unit and fat being extracted by a canula in liposuction procedure

before and after 4 weeks post surgery pictures of lipoedema liposuction and arm lift carried out



deep oscillation personal basic device with an applicator head for self treatment of lipoedema

The Deep Oscillation Personal, either Basic or Pro version, can be purchased directly from PhysioPod® UK, we are the UK and Ireland Exclusive distributor for Deep Oscillation.  We don't sell online, as we pride ourselves on providing a bespoke, consultative service.  We want to get to know you and your requirements, we want to guide you to getting the best unit for you.  We also help you to set up your unit via a zoom session and we are there for all of your questions, to ensure that you get the best out of your investment.

Simply telephone Julie on 01159 167 785 or 07886 925 715 or email - we can email over more information, recommend a therapist, a quote, and/or an order form.


We accept all debit and credit cards (with the exception of AMEX). Payment can also be made by bank transfer, all details are on the order form/invoice.  Delivery is with signed for with Royal Mail and is organised once payment has been made.


We are on hand for all aftercare support, servicing requirements and consumables going forward.


Hiring a unit for pre and post lipoedema liposuction is a great option. Just drop us a line to to find out more or call us on 01159 167 785 or 07886 925 715 to organise the hire. Terms and conditions can be read here






Yes, Deep Oscillation definitely helped repair the tissue post operatively. I even used it in the middle of the night when the pain was particularly bad. Just seemed to have a soothing effect enough to relax the area. I would absolutely buy if finances allowed. Thanks again to you both.













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