About this trial
Lipedema is a chronic adipose tissue disorder characterized by disproportionate fat accumulation, pain, tenderness, edema, and functional impairment. Venous symptoms such as heaviness, swelling, and discomfort are frequently reported in individuals with lipedema; however, the relationship between venous Doppler ultrasonography findings and lipedema-related clinical manifestations remains insufficiently investigated. This cross-sectional controlled study aims to evaluate venous insufficiency parameters in patients with lipedema using Doppler ultrasonography and to examine their associations with pain severity, lower extremity function, disease severity, and quality of life.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female participants aged 18 years or older
Clinically diagnosed lipedema according to established diagnostic criteria
Ability to provide written informed consent
Ability to complete clinical assessments and questionnaires
Disqualifiers
History of lower extremity venous surgery or sclerotherapy
Known peripheral arterial disease
Secondary lymphedema or other causes of lower extremity edema
Active infection, cellulitis, or inflammatory disease affecting the lower extremities
Trial population
The study population will consist of adult female patients diagnosed with lipedema. Participants with lipedema will be recruited from the outpatient physical medicine and rehabilitation clinic. All participants will undergo clinical assessment and lower extremity venous Doppler ultrasonography.
Trial design
Case-only
Cross-sectional
Treatments tested in this trial
Venous Doppler Ultrasonography
Diagnostic testParticipants will undergo lower extremity venous Doppler ultrasonography to evaluate venous insufficiency findings, including venous reflux characteristics, affected venous segments, and venous diameters in the superficial and deep venous systems.
Numeric Rating Scale
Other interventionPain intensity will be evaluated using the Numeric Rating Scale, ranging from 0 (no pain) to 10 (worst imaginable pain).
Lower Extremity Functional Scale
Other interventionFunctional status will be assessed using the Lower Extremity Functional Scale. The total score ranges from 0 to 80, with higher scores indicating better lower extremity function and lower disability levels.
Short Form-12
Other interventionHealth-related quality of life will be assessed using the SF-12 questionnaire, including the Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) scores. Scores range from 0 to 100, with higher scores indicating better perceived health status and quality of life.
Lower Extremity Circumference at Standardized Anatomical Landmarks (cm)
Other interventionCircumference of both lower extremities will be measured using a non-stretch tape measure at the ankle, calf, knee, and thigh according to standardized anatomical landmarks. Measurements will be recorded in centimeters.
Clinical Staging
Other interventionLipedema stage will be determined according to clinical examination findings and established diagnostic criteria.
Treatment groups
Trial outcomes
Primary outcomes
Presence of Venous Reflux on Doppler Ultrasonography
Venous reflux will be assessed using lower extremity venous Doppler ultrasonography. The presence of pathological reflux in great saphenous vein will be recorded according to standard venous ultrasound criteria.
Secondary outcomes
Pain Severity (NRS)
Pain intensity will be assessed using the Numeric Rating Scale (NRS), ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain severity.
Lower Extremity Function (LEFS)
Lower extremity function will be evaluated using the Lower Extremity Functional Scale (LEFS). Total scores range from 0 to 80, with higher scores indicating better functional status and lower disability levels.
Health-Related Quality of Life (SF-12)
Health-related quality of life will be assessed using the Short Form-12 (SF-12) questionnaire, including Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) scores. Scores range from 0 to 100, with higher scores indicating better quality of life and perceived health status.
Lower Extremity Circumference Measurements
Lower extremity circumferences will be measured at predefined anatomical landmarks to evaluate limb involvement and tissue distribution.
Sponsors and contacts
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