Course 180 – Advanced Certification Course at Culpeper, VA.



A 4-day seminar


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
17 years of expertise in Lymphedema Management Leduc method.


February 21, 22, 23, 24, 2013

Powell Wellness Physical Therapy and Outpatient
Culpeper Regional Hospital
1005 Golf Drive
Culpeper, Virginia 22701

Instructional Level:

The instructional level of the program is advanced according to the definition of the APTA: The level of this program assumes that participants have thorough familiarity with the topic, so the course 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)


Completion of the advanced course and the basic or initial course will enable the attendees to take the International Certification in Lymphedema Management Examination (ICLM Examination).
Certification Level 2 is received upon successful completion of the ICLM examination.  The attendees will receive their certification at the end of the course.

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 : BEST WESTERN – Culpeper Inn 791 Madison Road Culpeper, VA 22701 at the rate of $69.99 for single, double, triple, or quad rooms.  Cut-off date: 1.19.2013.  Reservations made after the cut-off date will be honored based on availability.

To make a reservation, please call : 540 825 1253 or fax : 540 825 7134 refer to “Pacific Therapy Education” Group Code: PTE2012 to get the special rate.  The hotel is at a walking distance from the Powell Wellness PT and Outpatient.

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


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

  • 8:00-9:30 am: Review of Anatomy and physiology of the lymphatic system: Topographic structure of the lymph vessels systems.  Anatomy of the lymphatic system of the limbs and trunk.  Video.  Lymph formation.  Lymph propulsion.
  • 9:30-10:30 am: Lymphedema: Definition.  Differential diagnosis.  Lymphatic system imaging.  Primary and secondary lymphedema.
  • 10:45-12:00 noon- 1:00-2:00 pm: Lab: manual lymph drainage of the lower extremity (L.E.).
  • 2:00-4:00 pm: Lab: Manual lymph drainage of the upper extremity (U.E.)
  • 4:00-5:00 pm: Recent research performed by the Leduc team.
  • 8:00am-10:15 am: Treatment of the U.E. lymphedema post-mastectomy.  Manual lymph drainage, multi-layered bandaging.  Theory: drainage of the breast.
  • 10:30-12:00 noon: Treatment of the L.E. lymphedema post-prostate cancer surgery.  Manual lymph drainage.  Multi-layered bandaging.  Theory: manual lymph drainage and application of compression to the genital area.
  • 1:00-4:00 pm: Head and neck lymphedema.  Theory and practice.
  • 4:00-5:00 pm: Questions.  Case studies.
  • 5:00 – 6:00pm: Compression devices.  Presentation by specialist.
Saturday, february 23
  • 8:00-9:30 am: Lymphedema and surgery.  Breast reconstruction: implications in rehab.  Lab: Manual lymph drainage of the U.E.
  • 9:30 – 10:30 am :Cancer risk factors.  Cancer treatment: radiotherapy, chemotherapy, hormone therapy.  Physical treatment of the consequences of radiotherapy.  Cancer rehabilitation.
  • 10:45-12:00 noon: 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 pm: Lab: Manual lymph drainage of the L.E.
  • 3:30-5:00 pm: International Certification in Lymphedema Management Examination.
  • 8:00am- 915 am: Concomitant Venous Obstruction in Patients with Secondary Lymphedema.  Venous edema: pathology, physical treatment.
  • 9:15-10:15 am:   Skin care.  Wound treatment.
  • 10:30 – 12:00 noon: Lymphedema and liposuction surgery: pre and post operative rehab care.
  • 1:00 – 1:45 pm: Complex Regional Pain Syndrome Type 1.
  • 1:45 – 4:00 pm: Review of practice.  Lab: multi-layered bandaging of the U.E. and L.E.  Prevention of lymphedema.  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: $800.00 (Until 01/21/13)
  • Regular Registration: $850.00 (Until 02/06/13)
  • Late Registration: $900.00(After 02/06/13)

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

Register prior to 12/12/2012 and benefit from a $100.00 discount.


Note: Cancellation & Refund policy.

Cancellations and requests for refund will be accepted until February 21, 2013 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.