Lipedema is diagnosed clinically using a few exam findings that differentiate it from lymphedema. They are often confused, but easily distinguished. Patients with lipedema have symmetrical swollen and trunk-like legs, hips, and/or arm. The affected areas demonstrate bruising from mild trauma, fat that is not responsive to diet and exercise, and often pain and heaviness of the affected areas. Some patients will describe pulling from the areas of pendulous fat on their kneecaps or thighs that cause discomfort and can be confused with orthopedic causes of knee or hip pain.