Course 184 – Research Based Advanced Certification Course at Stanford University Hospital. Stanford, CA.



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..


Master of Arts, Teacher College – Columbia University, New York, NY
Member of the International Society of Lymphology (ISL)
Member of the European Society of Lymphology (ESL)
Former student of Professor A. Leduc – 28 years of expertise in Lymphedema Management Leduc method 18 years of experience in teaching Lymphedema Management Leduc method in the United States of America.
Temecula, California.

Maria-Josette MULLINS, P.T.  Member of the International Society of Lymphology
Director, Rehab Services Department Memorial Hospital Pembroke Pines, Florida
18 years of expertise in Lymphedema Management Leduc method.


October 21, 22, 23, 24, 2013
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 # 13- 63)


Certification Level II is received upon successful completion of post-course test.  The attendees will receive their certification at the end of the course.

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 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  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 Stanford Guest House 2575 Sand Hill Road Menlo Park, CA 94025-7015 at the rate of: $129.00 continental breakfast included.

Cut-off date: 09/20/2013. 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: PTE1013.
Free parking for guests.  On-campus shuttle service Monday to Friday from 8:00 am to 8:30 pm.  Guest House  shuttle to go to Stanford University Hospital for the course is available.  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.

Program: Lecture/Lab

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
Students: faculty ratio= 10:1

Monday, October 21, 2013
  • 8:00-11:00 am:  Review of anatomy and physiology of  the lymphatic system: Topographic structure of the lymph vessel systems.  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 diagnosis, Lymphatic system imaging.  Primary & 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- Belgium.  Lab: Manual lymph drainage of the upper extremity.
  • 5:00- 6:30 pm: Advances in Lymphatic Research.  Professor Stanley G. Rockson, MD
TUESDAY, October 22
  • 8:00am-10:15 am: Lab: Treatment of the upper extremity lymphedema post-mastectomy.  Manual lymph drainage.  Multi-component bandaging.  Theory: drainage of the lymphedema of the breast.
  • 10:30-12:00noon – 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.
  • 4:00 – 5:00pm: Q&A.  Case studies.
  • 5:00-6:00 pm: Compression devices.  Presentation by specialist.
WEDNESDAY, October 23
  • 8:00am-9:30 am: Lymphedema and surgery  Breast reconstruction.  Implications in rehab.  Lab: Manual lymph drainage of the upper extremity.
  • 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.  Practice: manual lymph drainage of the lower extremity.
  • 1:00-2:00 pm: Documentation.  Measurements.  Data analysis.  Case studies.
  • 2:00 – 3:45 pm: Lab: manual lymph drainage of the upper extremity.
  • 4:00 – 5:30 pm: International Certification in Lymphedema Management Examination. 
 Thursday, October 24
  • 8:00am- 9:15am: Concomitant Venous Obstruction in Patients with Secondary Lymphedema.  Venous edema: pathology, physical treatment.
  • 9:15 – 10:15am:   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 – 5:00 pm: Review of practice.  Lab: Multi-component bandaging of the upper and lower extremity.  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: $850.00 (Until 09/12/2013)
  • Regular Registration: $900.00 (Until 10/10/2013)
  • Late Registration: $950.00 (After 10/10/2013)

Fee includes: tuition, pre-course material, and course handout. Register prior to 07/14/2013 and benefit from a $100.00 discount.

Participants attending the initial and advanced courses in 2013 are entitled to a $300.00 reduction of the tuition.  (Initial courses in 2013:  Stanford, California: June 5, 6, 7, 8, 9, 2013  and  Washington,DC: May 18, 19, 20, 21, 22, 2013)

Participants enrolling in Advanced Course and Course Level III in 2013 are entitled to $75.00 reduction of the tuition of Course Level III.

Cancellations and requests for refund will be accepted until October 21, 2013 minus a $300.00 administrative fee.

Note: Cancellation & Refund policy.

Cancellations and requests for refund will be accepted until October 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.

Here are 2 examples:

Example 1: if you decide to cancel your registration on October 21, 2013 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 21/2013.

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.