Course 183 – Research-based Initial Certification Course at Stanford University Hospital. Stanford, CA



Including home study and a 5-day seminar


Stanley G. ROCKSON, M.D. Chief of Consultative Cardiology

Allan and Tina Neill Professor of Lymphatic Research and Medicine

Professor of Medicine
Director, Center for Venous and Lymphatic Disorders
Stanford University School of Medicine, Stanford, California.


Member of the International Society of Lymphology
Member of the European Society of Lymphology
Master of Arts, Teacher College – Columbia University, New York, NY
Former student of Professor A. Leduc – 27 years of expertise in Lymphedema Management Leduc method
17 years of experience in teaching Lymphedema Management Leduc method in the United States of America.
Temecula, California.


June 5, 6, 7, 8, 9, 2013
Stanford University Hospital
300 Pasteur Drive
Stanford, CA 94305

Instructional Level:

The instructional level of the program is Intermediate according to the definition of APTA. The level of this program assumes that participants have general familiarity with the topic, so the course focuses on increasing understanding and application. Applicants will acquire general familiarity with the topic by reading the pre-course material sent upon confirmation of registration.


Educational Credit:

This program was approved for 51 contact hours, 5.1 CEUs by the California Physical Therapy Association (CPTA # 13-144  )


Certification level 1 is received upon successful completion of the post-course tests.  The attendees will receive their certification at the end of the course.

After completing the initial and the advanced course, the participants will take the International Certification in Lymphedema Management Examination (ICLM Examination). Participants who pass the ICLM Examination and submit a case study will become ICLM Certified.

Course Objectives:

At the end of this course, participants will demonstrate the:

  1. Understanding of the anatomical and physiological concepts underlying lymphedema management.
  2. Ability to perform manual lymph drainage (mld) and multi-layered bandaging as described by the Leduc School.
  3. Understanding of the use of compression devices.
  4. Understanding of patients education (precautions, skin care, compression garment management, home program, lifestyle).
  5. Ability to evaluate patients suffering from edema or lymphedema and to design and document comprehensive treatments.
  6. Ability to differentiate Chronic Venous Insufficiency from Lymphedema and Lipedema.
  7. Ability to treat patients suffering from lymphedema and venous edema.
  8. Ability to answer most of the questions raised by patients.
  9. Ability to recognize when the intervention of the physician is necessary.

Hotel Accommodations:

A group of rooms is held at the Stanford Guest House 2575 Sand Hill Road Menlo Park, CA 94025-7015 at the rate of: $119.00 continental breakfast included. Cut-off date: 05/05/2013. After this date, reservations will be accepted on a space and rate availability basis. To make a reservation, call: 650 926 2800 and refer to:” Pacific Therapy Education” to get the special rate. You may book online at: Use the group code:” PTE0613“. Free parking for guests. On-campus shuttle service Monday to Friday from 8:00am to 8:30pm. Free shuttle from the Guest House. Bike rental service ($3:00/day)

Call 951 347 0362 if you want to share a hotel room.

Travel Arrangements:

Southwest Airlines Co offers service to San Jose and San Francisco Airports.  To book a reservation .

From San Francisco or San Jose Airports call South & East Bay Shuttle: 800 548 4664 (local) or : 408 225 4444 to get to the Stanford Guest House.


Every day, the schedule will include:

  • 8:00am Start.
  • 10:30-10:45am  Break
  • 12:00 noon-1:00pm Lunch on your own.
  • 3:00-3:15pm Break
Wednesday, june 5, 2013
  • 8:00-10:30am: Presentation and orientation.  Anatomy and physiology of the lymphatic system. Test 1: Anatomy and physiology of the lymphatic system.    Theoretical approach of manual lymph drainage, multi-layered bandaging and compression device treatment.  Research.
  • 10:45-12:00 noon-1:00-3:00pm:  Lab: Manual lymph drainage applied to the lower extremity (L.E.)
  • 3:15-5:00pm: Lab: Manual lymph drainage applied to the upper extremity. (U.E.).
  • 5:00-6:00pm: Compression devices: Presentation by specialist.
  • 8:00-10:30am.  Test 2: Theoretical approach to physical treatment of lymphedema.  Research.  Review test 1.  Q & A.
  • Evaluation and treatment of the L.E. lymphedema.: inspection, measurements, palpation, precautions, skin care and diet (Research), manual lymph drainage lab.  Exercises addressing the functional impairment generated by L.E. lymphedema.  Documentation.  Medicare requirements.  Coding.  Data analysis.  Measurement for stockings.  Stocking fitting.
  • 10:45-12:00 noon: Lab: manual lymph drainage.  Practice on L.E.
  • 1:00-3:00pm: Multi-layered bandaging.  Practice on L.E..
  • 3:15 – 5:00pm: Treatment of U.E. lymphedema.  Management of post-mastectomy lymphedema: assessment, precautions, skin care, manual lymph drainage lab.  Exercises addressing the functional impairment generated by U.E. lymphedema.  Measurement for sleeves.  Sleeve fitting.
  • 5:00-6:30 pm: Advances in Lymphatic Research.  Professor Stanley G. Rockson, MD.
  • 8:00- 10:30am: Test 3: Physical treatment of lymphedema (continued).  Review of test 2. Q & A.   Lab: manual lymph drainage applied to L.E.
  • 10:45- 12:00 noon: Case study: Lab: manual lymph drainage and multi-layered bandaging applied to the  L.E.
  • 1:00-3:00pm: Case study: Lab: manual lymph drainage and multi-layered bandaging of the U.E. and trunk. Exercises
  • 3:15-4:00:  Review: L.E. & U.E. manual lymph drainage.  Protocol. Questions. Problem solving.
  • 4:00-5:30pm: Pathophysiology.
  • 8:00-10:30am:.  Review of test 3.  Q & A. Venous edema: Pathophysiology and physical treatment.  Manual techniques.  Exercises.  Precautions.  Life style.  Compression garments addressing the needs of venous insufficiency.  Case study.
  • 10:45-12:00 noon-1:00-3:00pm: Review: U.E. manual lymph drainage and multi-layered bandaging.
  • Review: Protocol of treatment.
  • 3:15-4:15:  Review: L.E. manual lymph drainage and multi-layered bandaging lab.
  • 4:15-5:30pm: Pathophysiology.  Case studies.
SUNDAY, June 9
  • 8:00-9:00am: Theory: Genital lymphedema.  Breast lymphedema.  Prevention of lymphedema.
  • 9:00-10:30am: Lymphedema Management Leduc method applied to pediatrics.  Case studies.  Education of caregivers.  Supportive documentation.
  • 10:45-12:00noon: Face and neck lymphedema. Theory and practice.
  • 1:00-3:15pm: A complex case: Manual lymph drainage and multi-layered bandaging of the U.E.
  • 3:30-5:00 pm: A complex case: Manual lymph drainage and multi-layered bandaging of the L.E.

Note:  For lab practice, participants should bring appropriate clothing, such as shorts, tank top or bathing suit.


Registration Information:

Conference Fees:

  • Early Registration: $900.00 (Until 05/01/2013)
  • Regular Registration: $950.00 (Until 05/21/2013)
  • Late Registration: $980.00 (After 05/21/2013)

Fee includes: tuition, course handout, and bandaging kit.

Register prior to 03/31/2013 and benefit from a $100.00 discount.

Cancellations and requests for refund will be accepted until June 5, 2013 minus a $300.00 administrative fee.