Lipoedema is a disease of the loose connective tissues (LCT), and is a complex chronic condition characterised by abnormal distribution and buildup of painful fat and connective tissue in the extremities. It's a genetic condition that almost exclusively affects women.
The abnormal fat distribution often causes a distinctive 'column-like' shape to the legs, and the tissue is usually painful, bruises easily and characteristically full of 'nodules' that may feel like grains of rice, or walnuts. Legs often feel heavy and experience swelling. Leaky vessels cause a buildup of fluid in the tissue, causing the lymphatics to struggle with fluid clearance. This fluid causes chronic inflammation, which leads to the formation of fibrosis throughout the tissue.
Despite being first described in the 1940's, few physicians in Australia are aware of it and self-diagnosis is often the starting point for many women who have lipoedema.