Orange Peel Skin (Cellulite): Therapy

General measures

Aim for normal weight! Determination of BMI (body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised weight loss program or program for the underweight.
- BMI ≥ 25 → participation in a medically supervised weight loss program.
- Falling below the BMI lower limit (from the age of 45: 22; from the age of 55: 23; from the age of 65: 24) → Participation in a medically supervised program for the underweight.
Nicotine restriction (refraining from tobacco use).
Review of permanent medication due topossible effect on the existing disease.
Notice. Creams and ointments against cellulite are offered again and again. However, whether they can really bring about relief is controversial.

Nutritional counseling based on nutritional analysis
Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grain products).
- In the day should be about 2.5 liters of fluid from food and beverages (unless there are contraindications to it).
See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
Detailed information on nutritional medicine you will receive from us.

Endurance training (cardio training) and strength training (muscle training).
Preparation of a fitness or training plan with appropriate sports disciplines based on a medical check (health check or athlete check).
Detailed information on sports medicine you will receive from us.

Extracorporeal shock wave therapy (ESWT) – radial as well as focused shock wave therapy triggers stem cell activation. In one study, subjects in the intervention group underwent 6 sessions of focused shock wave therapy (electromagnetic focused ESWT, energy flux density 0.35 mJ/mm2, 2,000 pulses per session) and daily self-administered gluteal strength training in the form of two exercises. The primary study endpoint was the “cellulite severity score” (CSS) with a range of 0 (no cellulite) to 15 points (maximum cellulite). The result of the change in CSS between the intervention and control groups was highly significant: in the intervention group, CSS improved from 10.9 ± 3.8 before to 8.3 ± 4 points after 12 weeks (p = 0.001; 2.53 point improvement; 95% CI [confidence interval]: 1.43-3.62 points). The CSS in the placebo group remained unchanged at 10.0 ± 3.8 points (p = 0.876; 95% CI: 1.1-0.97 points).