#188 – Research-Based Initial Certification Course in Spokane, Washington



Including home study and a 5-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.


November 15, 16, 17, 18, 19, 2013
Lake City Physical Therapy, PA
12615 East Mission Avenue, Suite 109
Spokane Valley, WA 99216

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 Credits:

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. 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:

The hotel: “Comfort Inn and Suites” located : 12415 East Mission Avenue, Spokane Valley, WA 99216 is at a walking distance from “Lake City Physical Therapy”.  To make a reservation, call 509 926 7432

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

Travel Arrangements:

Southwest Airlines Co offers service to Spokane Airport.  To book a reservation visit:www.Southwest.com .



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
  • 8:00-10:30am: 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-1:00-3:00pm:  Lab: manual lymph drainage applied to the lower extremity (L.E.)
  • 3:15-5:00pm: Lab: Manual lymph drainage applied to the upper extremity. (U.E.).
  • 5:00-6:00pm: Compression devices: Presentation by specialist.
  • 8:00-10:30am.  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.
  • 1:00-3:00pm: Multi-layered bandaging.  Practice on L.E..
  • 3:15 – 5:00pm: 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.
Sunday, NOVEMBER 17
  • 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.
  • 4:00-5:00pm: Theory: genital lymphedema.  Breast lymphedema.  Lymphedema management applied to pediatrics.  Case studies.
  • 5:00-6:00pm: Pathophysiology.
  • 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.
  • 3:15-4:15pm:  Review:  L.E. manual lymph drainage and multi-layered bandaging lab.
  • 4:15- 6:00pm: Pathophysiology.  Case studies.
  • 8:00-9:00am:Prevention of lymphedemaTheory: Genital lymphedema.  Breast lymphedema.
  • 9:00-10:30am: Lymphedema Management Leduc method applied to pediatrics.  Case studies.  Education of caregivers.  Supportive documentation.
  • 10:45- 12:00noon: Face and neck lymphedema.  Theory and practice.
  • 1:00-2:00pm : Face and neck lymphedema.
  • 2:00-4:00pm: Complex cases.  Review of protocols.  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 10/15/2013)
  • Regular Registration: $850.00 (Until 10/30/2013)
  • Late Registration: $880.00 (After 10/30/2013)

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

Cancellations and requests for refund will be accepted until November 15, 2013 minus a $300.00 administrative fee.