PURPOSE: This study will be conducted to investigate any significant effect of ultrasound fat cavitation or pneumatic compression on adipose tissue thickness in patients with lipedema. BACKGROUND: Lipedema is a connective tissue disorder that cause physical discomfort and psychological stress. A literature review published in 2020 estimated that 10-11% of women or approximately 400 million women across the globe have lipedema. Lipedema fat is dangerous when it progress onto abdomen and trunk resulting in a risk of developing high blood pressure, high cholesterol and diabetes. Ultrasound cavitation is a safe cosmetic procedure has almost no adverse reactions used to break down fat cells under the skin which improves the body shape and reduce circumference which make it a promising non invasive tool alternative to surgical liposuction. Pneumatic compression is bl=elieved to reduce the limb circumference and volume which make it a good treatment option for lipedema. HYPOTHESES: Null Hypothesis:there will be no significant effect of fat cavitation or pneumatic compression on the adipose tissue thickness in patients with lipedema. RESEARCH QUESTION:Will be any significant effect of fat cavitation or pneumatic compression on the adipose tissue thickness in patients with lipedema
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