Micromassage Compression Leggings Associated with Physical Exercise: Pilot Study and Example of Evaluation of the Clinical and Instrumental Effectiveness of Conservative Treatment in Lipedema

Author:

Ricolfi Lorenzo1,Reverdito Valeria2,Gabriele Guido3,Bortolon Micaela4,Macherelli Ilaria5,Haag Piero5,De Santis Nicoletta6ORCID,Guerriero Massimo6,Patton Laura1ORCID

Affiliation:

1. Endocrinology and Lymphology Clinic, 38096 Vallelaghi, TN, Italy

2. Human Project Studio, 10138 Torino, TO, Italy

3. Department of Medical Biotechnology, University of Siena, 53100 Siena, SI, Italy

4. Rehabilitation Unit and Lymphology Clinic, Institute San Gregorio, 31049 Valdobbiadene, TV, Italy

5. MH Fisio, 00159 Roma, RM, Italy

6. Clinical Research Unit, IRCCS Sacro Cuore Don Calabria Hospital, 37024 Verona, VR, Italy

Abstract

We evaluated the effect of compression leggings with micromassage in association with physical activity on women with lipedema, not previously treated and without recent changes in body weight. The treatment resulted in an improvement in all subjective parameters, in spontaneous and evoked pain, in the volume of the limbs, in the absence of significant changes in body weight, and regardless of the duration of use, age, years of illness, the clinical stage, and body mass index (BMI). Evoked pain did not improve in areas affected by untreated lipedema; foot circumferences did not increase. We found a significant reduction in the thickness of subcutaneous adipose tissue (SAT) and skin evaluated in multiple points of the lower limb. Micromassage compression leggings are proposed as an integral part of conservative treatment. A method is proposed for the clinical evaluation of evoked pain, called the Progressive Pain Check (PPC), which allows for the calculation of a numerical score called the Ricolfi–Patton Score (RPS) and for the ultrasound evaluation of tissues. The method is simple and repeatable and allows for completion of the clinical evaluation of the patient at diagnosis and for an evaluation of the effects of various treatments, even applied to just one side of the body.

Funder

Solidea

Publisher

MDPI AG

Reference52 articles.

1. Alcolea, J.M., Alonso, A.B., Arroyo, B.A., Domingo, P., Garcia, G.A., Graells, G.M., Urraca, I.C., Nipoti, I.E., Castillo, M.E., and Alvarez, M. (2018). Consensus Document on Lipedema 2018. Includes Current Status of Lipedema 2019, LITOGAMA SL.

2. Wounds UK (2017, August 28). Best. Practice Guidelines: The Management of Lipoedema. Available online: https://wounds-uk.com/bestpractice-statements/management-lipoedema/.

3. S1 guidelines: Lipedema;Schmeller;J. Dtsch. Dermatol. Ges.,2017

4. Standard of care for lipedema in the United States;Herbst;Phlebology,2021

5. Lipedema, a frequently unrecognized problem;Fonder;J. Am. Acad. Dermatol.,2007

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