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Lipoedema pinch test and ste...

Lipoedema pinch test and Stemmer test for arms and legs

Portrait of Prof Dr Paul Heidekrüger
Author Prof Dr Paul Heidekrüger

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Carrying out the lipoedema pinch test on the leg

Lipoedema is a disease of the fatty tissue that often leads to severe discomfort and pain. Even a healthy diet and exercise do not help those affected to get rid of the symptoms. The so-called pinch test and the Stemmer test help to recognise lipoedema. What is it all about?

Typical signs of lipoedema

Lipoedema often leads to a spontaneous increase in volume in certain areas of the body. This usually affects the legs, but sometimes also the arms. However, hands and feet are usually left out. As a result, the body quickly appears disproportionate and inharmonious.

The skin of the affected areas feels soft as well as wavy and lumpy. This is why lipoedema is often confused with orange peel skin. However, these lumps can become larger and larger so that at some point they can be clearly felt under the skin. Pain also occurs as the disease progresses. Lipoedema also quickly leads to bruising. Even a light touch can lead to bruising. This is because the walls of small blood vessels are quite fragile due to the increased tissue pressure in lipoedema.

How does the lipoedema pinch test work?

As lipoedema causes pain, the so-called lipoedema pinch test is a common method of diagnosing the disease. While there is no severe pain if the legs of a healthy woman are too fat or if she is overweight, lipoedema is characterised by tenderness, pain to the touch or pressure pain. The lipoedema pinch test on the arms and legs can be used to determine whether these are affected by the disease. But how is the lipoedema pinch test carried out?

Gentle pinching in the affected areas quickly causes severe pain if lipoedema is present. Pinching the stomach or back, on the other hand, does not hurt. In addition, the lipoedema pinch test shows that there is more pain on the outside of the legs than on the inside. However, in healthy people who do not have lipoedema, the opposite is usually true.

How does the Lipoedema Stemmer test work?

The so-called Stemmer's sign is a clear criterion for recognising lipoedema and distinguishing it from lymphoedema. The Stemmer's test is carried out by a doctor. He tries to lift a fold of skin above the second or third toe. If this is successful, it is a case of lipoedema. However, if the skin fold cannot be lifted, it is a case of lymphoedema, which must be treated differently. The Stemmer test therefore helps to clearly categorise the symptoms.

What should I do if I think I have the disease?

Anyone who frequently has bruises without knowing where they come from and suddenly gains weight on their legs or arms despite a healthy diet and exercise is at risk of suffering from lipoedema. Whoever has this Symptoms can carry out a lipoedema pinch test or a lipoedema stemmer test themselves. You can also go to a specialist Doctor is advisable. With the help of specific pinch tests on the arms and legs, the doctor can clarify whether it is a Lipoedema or not. In any case, it is better to see a doctor early than too late.

For further information, you can of course contact our LIPOhelp® team at any time. Contact us!

Portrait of Prof Dr Paul Heidekrüger
Checked by the author
Prof. Dr Paul Heidekrüger has been a specialist in liposuction for lipoedema for more than 10 years and is a successful aesthetic and plastic surgeon in Salzburg and Munich. The facts on this website have been checked by him and are based on the highest medical standards in plastic surgery.
More about Prof Dr med Paul Heidekrüger

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