Course 209 – Research-Based Certification Advanced Course in Lymphedema Management Leduc method at Stanford – October 2016



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.

Irene L. WAPNIR, M.D. Associate Professor of Surgery.                                                                                                  Chief of Breast Surgery.                                                                                                                                                                Stanford University School of Medicine.

Dung NGUYEN, M.D.  Clinical Assistant Professor, Division of Plastic & Reconstructive Surgery.         Director, Breast Reconstruction – Stanford Women’s Cancer Center.

Jessica FORAN, MSN, WHNP-BC, ANP-BC, NP.  Breast Medical Oncology& Cancer survicorship.  Stanford Women’s Cancer Center.


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 – 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.
Twenty years of expertise in Lymphedema Management Leduc method.


October 15, 16, 17, 18, 2016
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 33 contact hours, 3.3 CEUs by the California Physical Therapy Association (CPTA # 16-205)


Certification 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 adressing lymphedema of the limbs, head, neck and trunk as described by the Leduc School.
  4. Understanding of the use of compression devices. (Indications and contra-indications.)
  5. Understanding of patients education (self-care, compression garments management, precautions, H.E.P..)
  6. Ability to evaluate patients suffering from lymphedema, edema, and lipidema 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.(for instance if there is suspiscion of D.V.T.)
  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: $151.00  for a twin-beds room, and standard queen room (1 queen bed); $191.00 for a double queen room (2 queen beds), continental breakfast included. Cut-off date: 09/14/2016. 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:  “PACTHER101416″.

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:

  • 8:00am Start.
  • 10:30-10:45am  Break
  • 12:00 noon-1:00pm Lunch on your own.
  • 3:00-3:15pm Break
  • In lab: Students/Faculty ratio = 10/1

  • 8:00 – 8:45 am: Review of anatomy and physiology of the lymphatic system.  Topographic structure of the lymph vessels system.  Anatomy of the lymphatic system of the limbs and trunk. Video. Lymph formation.  Lymph propulsion.  Q&A.
  • 8:45 – 11:00 am: Lab: Manual lymph drainage of the U.E. & L.E.  Documentation.  Case studies.
  • 11:00 – 12:00 noon – 1:00-3:00 pm: Lymphedema: Definition .  Differential diagnosis.  Lymphatic system imaging.  Primary and secondary lymphedema.  Lab: Multi-component bandaging of the L.E.
  • 3:15 – 5:00 pm: Recent research results.  Ongoing research performed by the Leduc team at the University of Brussels – Belgium.  Lab: Multi-component bandaging  of the U.E.
  • 5:00 – 6:30 pm: Lymphedema in pediatrics.  Case studies. Treatment.  Education of care-givers.  Supportive documentation.
  • 8:00am – 10:15 am:  Lab: Treatment of the trunk lymphedema. Lab: Manual lymph drainage of the trunk and abdominal wall.  Theory: Drainage of lymphedema of the breast.
  • 10:30 – 12:00 noon – Treatment of the lower extremity lymphedema post prostate cancer surgery.  Lab:Manual lymph drainage , multi-component bandaging.  Theory: manual lymph drainage and application of compression to the genital area.
  • 1:00 – 400 pm:  Head and neck lymphedema.  Theory and practice.  Lab: manual lymph drainage and multi-component bandaging.
  • 4:00 – 5:00 pm: Q & A.  Case studies.
  • 5:00 – 6:00 pm: Compression devices.  Presentation.  Indications.  Contraindications.
  • 8:00am – 9:30 am: Advances in Lymphatic Research.  Professor Stanley G. Rockson.
  • 9:45 – 10:30am: Surgical Treatment of Breast Cancer.  Irene L. Wapnir, M.D. 
  • 10:30 – 10:45 am: Q&A.
  • 11:00 – 12:00 noon:  Medical Treatment of Breast Cancer.  Jessica FORAN, MSN, WHPN-BC, ANP-BC, NP
  • 1:00 – 2:00 pm: Cancer Rehabilitation.  Anne-Marie Vaillant-Newman, PT, MA.
  • 2:00 – 3:00 pm:Surgical Treatment of Lymphedema. Dung NGUYEN, M.D.
  • 3:00 – 4:30 pm: Head & Neck Lymphedema.  Manual lymph drainage and multi-component bandaging. Anne-Marie Vaillant-Newman, PT, MA.
  • 4:30 – 5:30 pm: International Certification in Lymphedema Management Examination.
  • 8:00- 9:30 am: Concomitant Venous Obstruction in Patients with Secondary Lymphedema. After                S.G. Rockson, M.D.  Review of the symptoms of DVT.  Venous edema: pathology, physical treatment.  Lab.
  • 9:30 – 10:15 am:   Skin care.  Wound treatment.
  • 10:30 – 12:00 noon: Lymphedema and liposuction surgery: pre and post-operative rehab. care.
  • 1:00 – 2:00 pm:  Prevention of lymphedema.
  • 2:00 – 3:30: Lab: Multi-component bandaging of the L.E. and U.E.
  • 3:30 – 5:00 pm:  Complex Regional Pain Syndrome Type 1.  Review of Dercum’s disease and lipidema.   Q & A.

Note:  For lab practice, participants should bring appropriate clothing, such as shorts, tank top or bathing suit.


Conference Fees:

  • Early Registration: $700.00 (Until 08/26/2016)
  • Regular Registration: $750.00 (Until 09/21/2016)
  • Late Registration: $800.00 (After 09/21/2016)

Fee includes: tuition, pre-course material, and course handout. Register prior to 09/1st/2016 and benefit from a $100.00 discount.


Cancellations and requests for refund will be accepted until October 15, 2016 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, 2016 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, 2016.

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.