Diathermy, a therapy that uses deep heat to reach deep tissue layers, is known to induce the breaking down of fatty cells and fibrotic tissue. In lipedema, patients develop fibrosis of their subcutaneous adipose tissue. Therefore, diathermy could be an interesting tool to treat this disease. To test the effectiveness of diathermy on these patients, the investigators will select women with lipedema (18 to 70 yo) and place them in two groups (experimental and control group). The experimental group will receive the treatment, that is, 10 minutes of diathermy on the medial knee surface of both knees, with an intensity that produces heat just below the participants' pain threshold. Participants from the control group will receive sham diathermy, that is, placebo. The intervention consists of 10 sessions, 3 times a week, for 4 weeks. Researchers will collect data pre and post intervention and one month after the intervention ends. Data will consist of measurements at knee level with tape and an ultrasound device, pain threshold with an algometer, a VAS score and an SF-12 questionnaire for quality of life.
The goal of this clinical trial is to test the effectiveness of diathermy in reducing the subcutaneous adipose tissue affected by lipedema in women suffering from this disorder. The main questions it aims to answer are: * Does diathermy produce changes in subcutaneous adipose tissue affected by lipedema? * Is it effective as a tool for lipolysis and/or fibrolysis of said subcutaneous adipose tissue affected by lipedema? * Do these changes result in a reduction of subcutaneous adipose tissue affected by lipedema? * Do these changes decrease pain in the area treated with diathermy? Participants will: * Be assesed prior to receiving treatment: * Circometry of both knees (at joint space level) * Pain threshold using an algometer. Area: medial below knee region, at fibular head level * SF-12 questionnaire * VAS score * Ultrasound mesurements at medial collateral ligament (distance from skin to ligament) * Receive 10 diathermy sessions. 10 minutes per knee (medial knee surface), 3 times a week for 4 weeks. Parameters: 470 KHz, capacitive head, intensity: heat below pain threshold. * Be assesed after receiving treatment: * Circometry of both knees (at joint space level) * Pain threshold using an algometer. Area: medial below knee region, at fibular head level * SF-12 questionnaire * VAS score * Ultrasound mesurements at medial collateral ligament (distance from skin to ligament) * Be assesed after receiving treatment (one month post intervention): * Circometry of both knees (at joint space level) * Pain threshold using an algometer. Area: medial below knee region, at fibular head level * SF-12 questionnaire * VAS score * Ultrasound mesurements at medial collateral ligament (distance from skin to ligament) Researchers will compare an experimental group to a placebo group to see if treatment with diathermy is effective in reducing subcutaneous adipose tissue affected by lipedema.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
20
University Camilo José Cela
Madrid, Spain
Change of adipose tissue in the knee
Using ultrasound, it is intended to know if a reduction in adipose tissue has occurred after the application of diathermy.
Time frame: baseline
Change of adipose tissue in the knee
Using ultrasound, it is intended to know if a reduction in adipose tissue has occurred after the application of diathermy.
Time frame: after finishing the treatment (one month)
Change of adipose tissue in the knee
Using ultrasound, it is intended to know if a reduction in adipose tissue has occurred after the application of diathermy.
Time frame: 30 days after finishing the treatment.
Contour change in the knee.
By using a tape measure, the circummetry of the knees on both sides will be assessed. The greater the contour, the more volume the patient will show.
Time frame: baseline
Contour change in the knee.
By using a tape measure, the circummetry of the knees on both sides will be assessed. The greater the contour, the more volume the patient will show.
Time frame: after finishing the treatment (one month)
Contour change in the knee.
By using a tape measure, the circummetry of the knees on both sides will be assessed. The greater the contour, the more volume the patient will show.
Time frame: 30 days after finishing the treatment.
Quality of life (SF-12).
SF-12 quality of life questionnaire. The higher the score obtained in the questionnaire, the better the patient's quality of life. The maximum value that can be reached is 100 and the minimum is 0.
Time frame: baseline
Quality of life (SF-12).
SF-12 quality of life questionnaire. The higher the score obtained in the questionnaire, the better the patient's quality of life. The maximum value that can be reached is 100 and the minimum is 0.
Time frame: after finishing the treatment (one month)
Quality of life (SF-12).
SF-12 quality of life questionnaire. The higher the score obtained in the questionnaire, the better the patient's quality of life. The maximum value that can be reached is 100 and the minimum is 0.
Time frame: 30 days after finishing the treatment.
Measure pain
Visual analogic scale (VAS). The higher the visual analogue scale score, the more pain the patient presents. The maximum value that can be reached is 10 and the minimum is 0.
Time frame: baseline
Measure pain
Visual analogic scale (VAS). The higher the visual analogue scale score, the more pain the patient presents. The maximum value that can be reached is 10 and the minimum is 0.
Time frame: after finishing the treatment (one month)
Measure pain
Visual analogic scale (VAS). The higher the visual analogue scale score, the more pain the patient presents. The maximum value that can be reached is 10 and the minimum is 0.
Time frame: 30 days after finishing the treatment.
Algometry.
Using the algometer, pain sensitivity will be assessed when pressing medial infracondylar leg at the level of the fibular head. The lower the algometry score, the more pain the patient will have. The maximum value that can be reached is 5 and the minimum value is 0.
Time frame: baseline
Algometry.
Using the algometer, pain sensitivity will be assessed when pressing medial infracondylar leg at the level of the fibular head. The lower the algometry score, the more pain the patient will have. The maximum value that can be reached is 5 and the minimum value is 0.
Time frame: after finishing the treatment (one month)
Algometry.
Using the algometer, pain sensitivity will be assessed when pressing medial infracondylar leg at the level of the fibular head. The lower the algometry score, the more pain the patient will have. The maximum value that can be reached is 5 and the minimum value is 0.
Time frame: 30 days after finishing the treatment.
Sociodemographic variables
Sociodemographic data such as age, weight, height and marital status will be collected
Time frame: baseline.
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