Course #178, Advanced Certification Course at 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.

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, 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 5, 6, 7, 8, 2012
Stanford University Hospital
300 Pasteur Drive
Stanford, CA 94305

Instructional Level:

The instructional level of the program is advanced. According to the definition of the APTA: This level assumes thorough familiarity with the topic and focuses on advanced techniques, recent advances, and future directions.

Educational Credit:

This program was approved for 32.45 contact hours, 3.2 CEUs by the California Physical Therapy Association (CPTA # 11-498)


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

Completion of the advanced course and the basic course will enable the attendees to take the International Certification in Lymphedema Management Examination. (ICLM Examination). Participants who pass the ICLM Examination and submit a case study will be 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. Understanding of the psychological issues raised by cancer & lymphedema.
  3. Ability to perform manual lymph drainage (mld) and multi-layered bandaging as described by the Leduc School.
  4. Understanding of the use of compression devices.
  5. Understanding of patients education (precautions, skin care etc.)
  6. Ability to evaluate patients suffering from lymphedema or edema, and to design a a comprehensive plan of care.
  7. Ability to treat various pathologies showing symptoms of edema or lymphedema using the techniques of lymphedema management.
  8. Ability to answer most of the questions raised by patients.
  9. Ability to recognize when the intervention of the physician is necessary.
  10. Understanding of the most recent research performed in the field of treatment of lymphedema.

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

Friday, October 5, 2012
  • 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.
Saturday, October 6
  • 8:00am-9:30am: Review of anatomyand physiology of the lymphatic system: Topographic stucture of lymph vessels.  Anatomy of the lymphatic systems of the limbs and trunk.  Video.  Lymph formation, lymph propulsion.
  • 10:30-12:00noon – 1:00-3:15pm Lymphedema: Definition, differential diagnostic.  Lymphatic system imaging.  Primary and secondary lymphedema. Lab: Manual lymph drainage of the lower extremity.
  • 3:15 – 500 pm:  Lab: Manual lymph drainage of the upper extremity
  • Recent research results.  Ongoing research performed by the Leduc team  at the University of Brussels.
  • 5:00 – 6:00pm: Skin care. Wound treatment.
Sunday, October 7
  • 8:00am-10:15am:Lab: Treatment of U.E. lymphedema post-mastectomy.  Manual lymph drainage, multi-layered bandaging.  Theory: Drainage of the breast.
  • 10:30 – 12:00 noon: Treatment of L.E. lymphedema post prostate cancer surgery. Manual lymph drainage.  Multi-layered bandaging.
  • 1:00 – 4:00pm: Lab: Manual lymph drainage U.E. and L.E. Theory: manual lymph drainage and bandaging of genital area lymphedema.
  • 4:00 – 5:00pm: Questions.  Case studies.
  • 5:00 – 6:00pm Compression devices.  Presentation by specialist. 
 Monday, October 8
  • 8:00am- 9:30am: Lab: Manual lymph drainage and multi-layered bandaging of the U.E.
  • 9:30 – 10:30am:   Cancer risk factors. Cancer treatment: radiotherapy, chemotherapy, hormone therapy Physical treatment of the consequences of radiotherapy  treatment.  Cancer rehabilitation.        Complex Regional Pain Syndrome Type 1.
  • 10:45 – 12:00noon: lymphedema in pediatrics.  Case studies.  Treatment. Education of caregivers.  Supportive documentation.
  • 1:00 – 2:00 pm:  Documentation.  Measurements. Data analysis.  Case studies.
  • 2:00 – 3:30: Lab: Manual lymph drainage of the L.E.
  • 3:30 – 5:00pm: International Certification in Lymphedema Management Examination.    

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 08/26/2012)
  • Regular Registration: $900.00 (Until 09/21/2012)
  • Late Registration: $950.00 (After 09/21/2012)

Fee includes: tuition, pre-course material, and course handout.

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.

Note: Cancellation & Refund policy.

Cancellations and requests for refund will be accepted until October 15, 2011 minus a $300.00 administrative fee.

Any notification of withdrawal or cancellation and any request for refund must be done in writing.

Payment of refunds is to be made within 30 days of determination of student withdrawal.

Here are 2 examples:

Example 1: if you decide to cancel your registration on October 15, 2011 you would have to notify the school in writing.  Your request for refund would be applicable immediately.  Payment of refund would be made prior to November 15, 2011.

Example 2: If you decide to cancel your application one month prior to the beginning of the course, you would have to notify the school in writing.  Your request for refund would be in effect immediately.  Payment of the refund would be made within 30 days of determination of your withdrawal.

Testimonials for “Course #178, Advanced Certification Course at Stanford, CA”

    Evidence-based and well organized to match the maneuvers being taught and method used…Good amount of time to practice. I appreciated the course binder with all of the lecture material. I enjoyed the course. Good review and advancement of techniques, as well as additional research-findings to base our treatments on. I very much enjoyed our guest speaker (Dr. Rockson)’s presentation as he presented some new, medically pertinent information.


    About the course and faculty: “Very good content. Great opportunities to ask questions.”