26/08/2026
Introducing a another physio writer ... Please read and welcome PHYSIOTALK with Annie Hayes!
Have you ever wondered why that stubborn fat around your arms, hips or thighs just won't budge, despite eating well and exercising regularly? Have you tried every new diet or fitness trend, only to feel frustrated that nothing seems to make a difference?
For some women, the answer isn't a lack of willpower—it could be lipoedema.
Lipoedema is a chronic condition that almost exclusively affects women and is thought to have a strong genetic and hormonal component. It causes an abnormal build-up of fat tissue, most commonly in the legs, hips, buttocks and arms, which often responds very little to diet and exercise.
Common signs include symmetrical fat distribution, easy bruising, aching or heaviness, tenderness, a "cuff" appearance around the ankles or wrists, heat sensitivity, and abnormal hair growth. Unfortunately, lipoedema remains one of the most under-recognised conditions, with many women waiting years for a diagnosis.
Another commonly misunderstood condition is lymphoedema, a chronic swelling caused by an impaired lymphatic system. Unlike lipoedema, lymphoedema results from a chronic build-up of lymph fluid rather than fat tissue. It may occur because the lymphatic system did not develop normally (primary lymphoedema) or following damage from cancer treatment, surgery, infection, burns or trauma (secondary lymphoedema).
Symptoms may include persistent swelling to a part of the body, heaviness, aching, painful or stiff joints, and clothing or jewellery feeling tighter than usual.
I recently completed specialist training in Decongestive Lymphatic Therapy, so I could join Bec in treating these conditions, and it reinforced just how much difference early intervention can make. While these conditions cannot currently be cured, there is so much we can do to help people manage their symptoms, stay active and improve their quality of life.
Treatment may include:
• Manual Lymphatic Drainage (MLD) and Complete Decongestive Therapy to encourage lymphatic flow and reduce swelling.
• Compression garment assessment, fitting and education.
• Individualised exercise programs to support lymphatic function and mobility.
• Education on skin care, self-management and reducing the risk of infection.
• Ongoing support to help people achieve their personal goals and continue doing the activities they enjoy.
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Physiotalk by Annie Hayes
