advanced COURSE:

A 4-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.


Anne-Marie VAILLANT-NEWMAN, P.T., M.A. 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 – 30 years of expertise in Lymphedema Management Leduc method, 20 years of experience in teaching Lymphedema Management Leduc method in the United States of America. Temecula, California.


May 11, 12, 13, 14, 2015
Residence Inn Largo (Marriott)
1330 Caraway Court
Largo, MD 20774



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 33 contact hours, 3.3 CEUs by the California Physical Therapy Association (CPTA # 14-161)

This course has been approved by the Maryland State Board of Physical Therapy for 3.3 CEUs.


Certification Level II is received upon successful completion of post-course test.

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-component bandaging to address any  lymphedema: limbs, head and neck, and trunk as described by the Leduc School.
  4. Understanding of the physical treatment of genital and breast lymphedema.
  5. Understanding of the use of compression devices (indications and contraindications)
  6. Understanding of patients education (self-care, compression garment management, home program.)
  7. Ability to evaluate patients suffering from lymphedema, edema,or lipidema and to design a a comprehensive plan of care.
  8. Ability to treat various pathologies showing symptoms of edema or lymphedema using the techniques of lymphedema management.
  9. Ability to answer most of the questions raised by the patients.
  10. Ability to recognize when the intervention of the physician is necessary ( for example if there is a suspicion of deep venous thrombosis).
  11. Understanding of the most recent research performed in the field of treatment of lymphedema.

Hotel Accommodations:

A group of rooms is held at : Residence Inn Largo (Marriott), 1330 Caraway Court.  Largo, MD 20774, at the rate of $139.00 per night for a studio, $149.00 per night for One bedroom.  The rooms include a little kitchen.  To make a reservation call: 301 925 7806 and refer to Pacific Therapy Education, Inc to get the special rate.  The code for the group is: PTMC.


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

Travel information:

BWI and Reagan are the closest airports to the facility.



During lab: Student/faculty ratio= 10:1

Every day, the schedule will include:

  • 8:00 am Start.
  • 10:30-10:45 am  Break
  • 12:00 noon-1:00 pm Lunch on your own.
  • 3:00-3:15 pm Break

MONDAY, MAY 11,  2015
  • 8:00-11:00 am: Review of anatomy and physiology of the lymphatic system: Topographic structure of lymph vessels.  Anatomy of the lymphatic systems of the limbs and trunk.  Video.  Lymph formation, lymph propulsion.
  • 11:00-12:00 noon – 1:00-3:00 pm: Lymphedema: Definition, differential diagnostic.  Lymphatic system imaging.  Primary and secondary lymphedema. Lab: Manual lymph drainage of the lower extremity.
  • 3:15-5:00 pm: Recent research results.  Ongoing research performed by the Leduc team  at the University of Brussels.  Lab: Manual lymph drainage of the upper extremity.
  • 5:00-6:30 pm: Lymphedema and liposuction surgery: pre and post-operative rehab. care.
  • 8:00am-10:15am: Lab: Treatment of the upper extremity lymphedema post-mastectomy.  Manual lymph drainage, multi-component bandaging.  Theory: Drainage of the lymphedema of the breast.
  • 10:30-12:00 noon – Treatment of the lower extremity lymphedema post-prostate cancer surgery.  Manual lymph drainage.  Multi-component 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.  Case study.
  • 4:00-500 pm:  Q&A.  Case studies ( limb lymphedema.)
  • 5:00 – 6:00 pm: Compression devices: Q& A.  Indications and contraindications.
  • 8:00-9:30 am: Lymphedema and surgery.  Breast reconstruction.  Implications in rehab.  Lab: Manual lymph drainage of the upper extremity.(complex case)
  • 9:30-10:30 am: Cancer risk factors.  Cancer treatment: radiotherapy, chemotherapy, hormone therapy.  Physical treatment of the consequences of radiotherapy treatment.  Cancer rehabilitation.
  • 10: 45-12:00 noon: Lymphedema in pediatrics: Case studies.  Treatment.  Education of caregivers.  Supportive documentation.  Lab: Manual lymph drainage of the lower extremity.(complex case)
  • 1:00-2:00 pm: Documentation.  Measurements.  data analysis.  Q&A.
  • 2:00-3:45 pm: Lab: multi-component bandaging of the upper extremity.
  • 4:00-5:30 pm: International Certification in Lymphedema Management Examination

 thursday, may 14
  • 8:00am- 9:15 am: Concomitant Venous Obstruction in Patients with Secondary Lymphedema ( after S.G. Rockson et al)
  • 9:15 – 10:15am:         Wound treatment.  Skin care.
  • 10:30 – 12:00 noon: Advances in Lymphatic Research.  S. G. Rockson, M.D.
  • 1:00 – 1:45 pm:  Complex Regional Pain Syndrome Type 1.
  • 1:45 – 3:00:  Dercum’s disease.  Lipidema.  Q&A.
  • 3:15 – 5:00 pm: Prevention of lymphedema.   Review of practice as per attendees request.  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: $700.00 (Until 03/11/2015)
  • Regular Registration: $750.00 (Until 04/18/2015)
  • Late Registration: $800.00 (After 04/18/2015)

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

Register prior to 01/21/2015 and benefit from a $100.00 discount.

 Participants attending the initial and advanced courses during  the same year are entitled to a $300.00 reduction of the tuition of the advanced course.

Cancellations and requests for refund will be accepted until May 11, 2015 minus a $300.00 administrative fee.


    “Thank you for teaching the course despite the low number of students. I learned a lot in the course. It was intense but good to practice a lot and ask all the questions. I wanted to tell: Anne-Marie is very knowledgeable about lymphedema and high quality practice.”
    “Personal experience was not the primary source of information but used very good personal experiences to offer examples and excellent info.”
    ” I enjoyed the very small group, being able to get valuable one-to-one time directly from Anne-Marie in order to refine techniques in lab. Also enjoyed receiving up-to-date research, but would like copies of them.”
    Note: The participants were provided with the precise bibliography allowing them to get the articles on-line.