Course #177, Initial Certification Course at Stanford, CA



Including home study and a 5-day seminar


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

Irene L. WAPNIR, M.D., F.A.C.S.
Associate Professor of Surgery. Chief of Breast Surgery.
Stanford University School of Medicine, Stanford, California.

Joseph MOLLICK, M.D. Clinical Instructor
Clinical Instructor, Division of Oncology, Stanford Cancer Institute
Stanford University School of Medicine, Stanford, California.

Jean-Paul BELGRADO, Master in Physiotherapy
Master in Health Sciences, PhD student,
Principal Researcher at the Lymphology Research Unit
Faculty of Motor Sciences – Free University of Brussels – Belgium.


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.


October 1, 2, 3, 4, 5, 2012
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.


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: 08/31/2012. 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: PTE1012. 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:

  • 7:30 or 8:00am Start.
  • 10:30-10:45am  Break
  • 12:00 noon-1:00pm Lunch on your own.
  • 3:00-3:15pm Break
Monday, October 1, 2012
  • 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: Pathophysiology.
Tuesday, October 2
  • 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.
  • 5:00-6:00pm: Pathophysiology.
Wednesday, October 3
  • 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.
  • 4:00-5:00pm: Theory: genital lymphedema.  Breast lymphedema.  Lymphedema management applied to pediatrics.  Case studies.
  • 5:00-6:00pm: Pathophysiology.  Case studies.
Thursday, October 4
  • 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.
  • 3:15-6:00pm Case study L.E. manual lymph drainage and multi-layered bandaging lab.
Friday, October 5
  • 7:30 – 10:30am: Scientific basis of Manual Lymph Drainage validated by:      1) measure of the variation of lymph nodes by echography 2) by lymphoscintigraphy 3) by feed-back fluoroscopic. Compression therapy: principle of function of compression devices validated by lymphoscintigraphy, echography and impedance. Multi-layered bandaging: physical and physiological basis.  Variation of physical variables at the skin/bandage interface.  Results of complex treatments.  How to measure lymphedema.  Live demonstration of the effect of manual lymph drainage on the lymph flow using fluoroscopy. Jean-Paul Belgrado, Master in Physiotherapy.
  • 10:45-12:00noon – 1:00-1:50pmHead and Neck Lymphedema.  Theory.  Lab: manual lymph drainage and multi-layered bandaging. Anne-Marie Vaillant-Newman, P.T., M.A.
  • 1:50-2:00pm: Break
  • 2:00 – 3:00pm:Advances in Lymphatic Research.  Stanley G. Rockson, M.D.
  • 3:00- 4:00pm: Adjuvant Systemic Therapies for Breast Cancer.  Joseph Mollick, M.D.
  • 4:00-5:00pm Surgical Treatment of Breast Cancer.  Irene L. Wapnir, M.D., F.A.C.S.
  • 5:00-5:15pm Break
  • 5:15-6:00pm Concomitant Venous Obstruction in Patients with Secondary Lymphedema. Anne-Marie Vaillant-Newman, P.T., M.A.

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 08/26/2012)
  • Regular Registration: $950.00 (Until 09/21/2012)
  • Late Registration: $980.00 (After 09/21/2012)

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

Register prior to 07/14/2012 and benefit from a $100.00 discount.

Cancellations and requests for refund will be accepted until October 1, 2012 minus a $300.00 administrative fee.

Testimonials for “Course #177, Initial Certification Course at Stanford, CA”

    “ Jean-Paul Belgrado gave an excellent presentation of the most current research. I found this to be very educationally rewarding. I would love to be able to spend time in his lab and see his “toys” in action. I am very interested in learning about the most current research he is conducting and staying up-to-date on his findings in order to be an evidence-based practitioner.”


    “Jean-Paul Belgrado’s presentation: Appreciated his presentation of the research and how it applied in a practice setting. He was a dynamic presenter with enthusiasm for the topic.”


    “J.P. Belgrado was exceptionally interesting, and his information on his studies was especially relevant to what we would be doing in the future. We would all enjoy having a chance to see some of his testing equipment demonstrated on us or volunteeres, so we could see the actual effect of the manual techniques and bandaging that we will be using. It would help “calibrate our touch” and bandaging effectiveness.”


    “Jean-Paul Belgrado: “ He was great ! Excellent! He was easy to understand and able to explain self well. Would have liked more info from him. Enjoyed his research and videos. Easy to understand his pathophysiology”


    About Professor Rockson:
    “Current research presented was interesting; Future medical approach quite fascinating.”


    “Overall course was really good and provided good and useful information to treatment of lymphedema. Anne-Marie was very enjoyable and knowledgeable.”


    “Excellent course where I have learned a lot. I am excited to put it into practice. No doubt I will have questions as I gain more experience. I will plan on attending the advanced course.”