By Kerelous George Estfanous CLT PT

DOI: 10.56885/124450ijemdg

Abstract: Advanced chronic lower-limb lymphedema can lead to significant physical morbidity, skin complications, recurrent wounds and profound psychological distress. Conservative limb preservation strategies remain underrepresented in the literature, particularly from the perspective of physical therapy-led interventions. This case report describes a patient with long-standing primary lower-limb lymphedema who presented with advanced limb enlargement chronic skin changes and functional limitation. A structured conservative limb preservation approach was implemented and limb preservation was achieved. This case highlights the critical role of conservative physical therapy–based interventions in limb preservation for advanced chronic lymphedema.