APRIL 9, 10, 11, 12, 13, 2014 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.

Maria-Josette MULLINS, P.T.
Director of Rehab. Services at Memorial Hospital Miramar, Florida.
Member of the International Society of Lymphology.
19 years of expertise in Lymphedema Management Leduc method.


April 9, 10, 11, 12, 13, 2014
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 for51contact hours,5.1CEUs by the California Physical Therapy Association (CPTA # 13-144)


Certification level 1 is received upon successful completion of the post-course tests. 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-component bandaging as described bythe 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:

Travelodge Palo Alto
3255 El Camino Real
Palo Alto, CA 94306
Tel: 650 600 8515
Fax: 650 600 8516

At this time the rate is:

Double room: $115.00 + $13.00 (tax)= $128.00
Single room: $100.00 + $12.00(tax)= $112.00

To make a reservation, please, mention that you belong to the group: Pacific Therapy Education with: Anne-Marie Vaillant-Newman. Cut-off date: 03/09/14 after this date, reservations will be accepted on a space and availability basis.

A free shuttle going to Stanford University Hospital has a stop close to the hotel.

Please, call 951 347 0362 if you wish 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 4444to get to the Travelodge Palo Alto.


Every day, the schedule will include:

  • 7:30 or 8:00am Start.
  • 10:30-10:45am Break
  • 12:00 noon-1:00pm Lunchon your own.
  • 3:00-3:15pmBreak
  • 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-component bandaging and compression device treatment. Research.
  • 10:45-12:00 noon-1:00-3:00pm:Lab: manual lymph drainage of 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.
Thursday, April 10
  • 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.
  • 1:00-2:00pm:Multi-component bandaging (new term for multi-layered bandaging). Practice on L.E..
  • 2:00-3:00pm: Advances in Lymphatic Research. Stanley G. Rockson, MD. Q & A.
  • 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.
  • 5:00-6:00pm:Pathophysiology.
  • 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-component bandaging applied to the L.E.
  • 1:00-3:00pm:Case study: Lab: manual lymph drainage and multi-component bandaging of the U.E. and trunk. Exercises
  • 3:15-4:00:Review: L.E. & U.E. manual lymph drainage. Protocol. Questions. Problem solving.
  • 4:00-5:00pm:Theory: genital lymphedema. Breast lymphedema. Lymphedema management applied to pediatrics. Case studies.
  • 5:00-6:00pm: Pathophysiology. Case studies.
  • 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-component bandaging.
  • Review: Protocol of treatment.
  • 3:15-5:00pmCase study L.E. manual lymph drainage and multi-component bandaging lab.
  • 5:15-6:00pm: Pathophysiology – Case studies.
  • 8:00-9:00am: Theory: Treatment of genital lymphedema and breast lymphedema.
  • 9:00-10:15am:Lymphedema management applied to pediatrics. Case studies.
  • 10:30 -12:00noon:Lymphedema of head and neck. treatment: manual lymph drainage, multi-component bandaging.
  • 1:00-3:00pm:Differential diagnosis: Lymphedema, lipidema, venous edema. Treatment of lipidema and Dercum’s disease.
  • 3:00-4:00pm:Complex cases. Q & A.

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


Registration Information:

Conference Fees:

  • Early Registration: $850.00 (Until March 1, 2014)
  • Regular Registration: $900.00 (Until March 15, 2014)
  • Late Registration: $950.00(After March 15, 2014)

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

Register prior to February 15, 2014 and benefit from a $100.00 discount.

Cancellations and requests for refund will be accepted until April 9, 2014 minus a $300.00 administrative fee.


    Answering: “Were the course objectives met?”:
    “Yes, very clearly and precisely” ; “Yes, Evidence was provided to substantiate the Leduc method”
    Answering: “Was evidence provided to substantiate material presented?”:
    “Yes, Several studies were presented to us with interesting points of view demonstrating the efficacy of the Leduc method. ”
    “Course material + pre-course material both contained excellent evidence to be research-based.”
    “Yes, many research studies were used as references”

    “The class had a very good balance with information being presented from clinical studies as well as the instructor’s clinical experience.”
    “I found the course to clearly illustrate the Leduc method. I understood the techniques and their applications and feel very satisfied with the content of the course.”
    “Personal experience + observation along with research equaled to be primary source of information.”
    “Overall excellent course. Excellent course material that was research-based and tied in with case studies.”
    “Research and case studies were presented. This was very helpful, to have images also.”
    “Overall I enjoyed the course. I felt that there was a good emphasis on current research as well as hands –on techniques.”
    “Doctor Rockson spoke about research in lymphatic and the future of the field”
    “Professor Rockson’s presentation was very informative and organized. Having more time for Q & A would be beneficial due to all of his knowledge.”
    “Very informative regarding current research in regards to the lymphatic system.”
    “Professor Rockson’s presentation was very eloquent and clearly explained the pathophysiology of lymphedema.”