Various exercise videos are available on YouTube:
Lipo Workout For Lipedema
Aquatics
Ai Chi
The effect of Ai Chi aquatic therapy on individuals with knee osteoarthritis: A pilot study | B. So, I. Kong, R. Lee, R. Man, W. Tse, … and W. Tsang (2017)
What is Ai Chi? VIDEO | Australian Institute of Aquatic Bodywork
Ricolfi, L., Reverdito, V., Gabriele, G., Bortolon, … & Patton, L. (2024). Micromassage compression leggings associated with physical exercise: Pilot study and example of evaluation of the clinical and instrumental effectiveness of conservative treatment in lipedema. Life.
Additional Information About Aquatics
Australian Institute of Aquatic Bodywork
Lymphatic Yoga | Edely Wallace
Watsu Aquatic Bodywork
Worldwide Aquatic Bodywork Association
Miscellaneous
Most commonly experienced mobility issues caused by lipedema | Soft Touch Mastectomy and Lymphedema Care
Stretches and exercises to strengthen your knees | Hospital for Special Surgery
Exercises for Lymphedema
Decongestive Exercises
Active, non-resistive and repetitive exercises are an important part in the treatment of lymphedema. Unlike the heart in the blood circulatory system, the lymphatic system does not have an active pump to propel lymphatic fluid back to the bloodstream. Effective lymph flow depends on sufficient muscle and joint activity, especially if the functionality of the lymphatic system is compromised. Decongestive exercises are most effective if performed with the patient wearing compression garments or bandages, which are also essential components in lymphedema management.
Abdominal Breathing Exercises
The downward and upward movement in diaphragmatic breathing is an important component for the sufficient return of lymphatic fluid back to the bloodstream. Patients affected by lymphedema of the leg benefit greatly from an exercise program including diaphragmatic breathing exercises. The movement of the diaphragm, combined with the outward and inward movements of the abdomen, rib cage, and lower back promotes general well-being, peristalsis and return of venous blood back to the heart.
Resistive Exercises
Exercises combined with resistance improve muscular power increase the strength in ligaments, tendons and bones. An additional benefit is their contribution to weight control. Resistive exercises are typically performed in a repetitive manner against an opposing load. Certain strength exercises are beneficial for lymphedema patients and should always be performed with the compression garment or bandage in place. Resistive exercises using inappropriate weights present a risk for injury or overuse and should be discussed with the treating therapist and physician.
Aerobic Exercises
Aerobic conditioning is generally performed in a repetitive fashion using large muscle groups. Some long-term benefits include decrease in resting heart rate, improved muscular strength, weight control and increased return of venous and lymphatic fluids. It is important to understand that certain aerobic exercises and recreational activities could trigger an increase in swelling and should be avoided by patients affected by lymphedema. Examples of these high-risk activities include soccer, kick-boxing or step-aerobics for lower extremity lymphedema, and tennis or golf for lymphedema affecting the arms. Beneficial activities include swimming, walking, water-aerobics, easy biking or yoga.
Aquatic Exercises
The buoyancy effect water has on the musculo-skeletal system makes movement more comfortable. Range of motion and flexibility are increased when in a warm water pool and the cardiovascular system is working more effectively, so an aerobic workout is possible. Additionally, the hydro static pressure acts like a “full-body garment” and helps to reduce swelling. Exercises in the water geared toward the treatment of lymphedema are resistive, assistive/supportive, compressive, relaxing and comforting.