Painful, heavy limbs
Disproportionate limbs- can include cuffing at the ankles
Hands and feet are spared with lipoedema unless there's lymphedema at the same time.
Limbs are affected equally--both legs, both arms etc.
When weight is lost, its lost in unaffected areas--eg waist may get smaller while legs remain unchanged
The fat has a lumpy or grainy texture under the skin--can feel like grains of rice, frozen peas, or larger.
Skin has a dimpled, mattress appearance. Flesh is very soft and squishy, with little to no muscle definition.
Knock knees and flat feet are very common due to altered gait.