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Complex decongestive physiotherapy decreases capillary fragility in lipedema
G Szolnoky1, N Nagy, R K Kovács
1Department of Dermatology and Allergology, University of Szeged, Hungary. szolnoky@dermall.hu
Lymphology
|March 25, 2009
Summary
Complete decongestive physiotherapy significantly reduced capillary fragility in women with lipedema. This treatment may decrease hematoma formation by improving blood vessel strength.
Area of Science:
- Vascular Medicine
- Dermatology
- Physiotherapy
Background:
- Lipedema is characterized by disproportionate fat distribution and frequent bruising.
- Hematoma formation in lipedema may stem from compromised capillary resistance or fragility.
- Clinical observations suggest complete decongestive physiotherapy (CDP) reduces bruising beyond its effects on leg volume.
Purpose of the Study:
- To investigate the effect of CDP on capillary fragility (CF) in patients with lipedema.
- To determine if CDP can reduce the incidence of hematomas by improving capillary function.
Main Methods:
- A study involving 38 women diagnosed with lipedema.
- Twenty-one patients received CDP (manual lymph drainage, pneumatic compression, bandaging) for 5 days.
- Seventeen patients served as a control group, receiving only moisturizers.
- Capillary fragility was assessed using the vacuum suction method (VSM) before and after treatment.
Main Results:
- CDP treatment led to a significant reduction in the number of petechiae (small bruises).
- No significant change in capillary fragility was observed in the control group.
- Complete decongestive physiotherapy demonstrated a statistically significant decrease in capillary fragility.
Conclusions:
- Complete decongestive physiotherapy effectively reduces capillary fragility in individuals with lipedema.
- The reduction in capillary fragility achieved through CDP may contribute to a decreased incidence of hematoma formation.
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