Course 181 -Research-based Initial Certification Course at Medstar NRH – Washington, DC



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.


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.

Maria Josette MULLINS
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.


MAY 18, 19, 20, 21, 22, 2013                                                                                                                                                                                                                      Medstar National Rehabilitation Hospital                                                                                                                                                                                                                     102 Irving Street NW                                                                                                                                                                                                                                                   Washington, DC 20010

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 Windsor Inn 1842 16th Street N.W. Washington, DC 20009 at the rate of: $159.00 + tax per night continental breakfast included. Cut-off date: 03/21/2013. After this date, reservations will be accepted on a space and rate availability basis. To make a reservation, please cal:l 202 667 0300 or send a fax to: 202 667 4503 and refer to:” VAILLANT-NEWMAN” Group.


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
saturday, MAY 18, 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-1:00-3:00 pm:  Lab: manual lymph drainage applied to the lower extremity (L.E.)
  • 3:15-5:00 pm: Lab: Manual lymph drainage applied to the upper extremity. (U.E.).
  • 5:00-600 pm: Compression devices: Presentation by specialist.
sunday, MAY 19
  • 8:00-10:30 am.  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.
  • 1:00-3:00 pm: Multi-layered bandaging.  Practice on L.E..
  • 3:15 – 5:00 pm: 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.
monday, MAY 20
  • 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.
  • 4:00-5:00 pm:  Pathophysiology
tuesday, MAY 21
  • 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 pm Case study L.E. manual lymph drainage and multi-layered bandaging lab.
  • 4-15-5:00 pm: Pathophysiology.  Case Studies
wednesday, MAY 22
  • 8:00-9:00 am: Theory: Genital lymphedema.  Breast Lymphedema.  Prevention of lymphedema.
  • 9:00-10:15 am:  Lymphedema Management applied to pediatrics.  Case studies.
  • 10:30-12:00-noon Face and neck lymphedema
  • 1:00-3:15 pm: A complex case: Manual lymph drainage , multi-layered bandaging of the U.E.
  • 3:30-5:00 pm: A complex case: Manual lymph drainage , multi-layered bandaging of the L.E.
  • 5:00-6:30 pm: Advances in Lymphatic Research – Professor Stanley G. Rockson, M.D.

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 03/31/2013)
  • Regular Registration: $950.00 (Until 05/01/2013)
  • Late Registration: $980.00 (After 05/12/2013)

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

Register prior to 02/01/2013 and benefit from a $100.00 discount.

Cancellations and requests for refund will be accepted until May 18, 2013 minus a $300.00 administrative fee.      


Cancellations and requests for refund will be accepted until May 18, 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.