Course 207 – Research-Based Certification Initial Course in Lymphedema Management Leduc method at Stanford. May 2016



Including home study and a 5-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.


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.

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.


May 14, 15, 16, 17, 18, 2016
Stanford University Hospital
300 Pasteur Drive
Stanford, CA 94305

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 #15-279)


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. Understanding of the psychological issues raised by cancer and 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. (Indications and contraindications)
  5. Understanding of patients education (precautions, skin care, compression garment management, home program, lifestyle).
  6. Ability to evaluate patients suffering from lymphedema and venous edema and to design and document comprehensive plans of care.
  7. Ability to differentiate Chronic Venous Insufficiency and Post-Phlebitic Syndrome from Lymphedema and Lipedema.
  8. Ability to treat patients suffering from lymphedema, venous edema and lipidema and eventually to recognize the signs of Deep Venous Thrombosis.
  9. Ability to answer most of the questions raised by patients.
  10. Ability to recognize when the intervention of the physician is necessary.

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: 04/13/2016. 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:  “PACTHER051316″.

Free parking for guests. 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)

Alternative Lodging:

–          Travelodge Palo Alto Tel: 650 600 8515 – 3255 El Camino Real Palo Alto, CA 94306 (average rate: $160.00 during the weekend, $200.00 during the week.  Better rate when several persons make a reservation.)

–          Stanford Inn Tel: 650 326 5500  –  115 El Camino Real – Menlo Park, CA 94025 (average rate: $149.00)  Stanford Inn is at a walking distance from Stanford University Hospital.  Please, call in advance as this inn could be closed for renovation in May.

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 Labs: Students/Faculty ratio = 10/1.
SATURDAY, MAY 14, 2016
  • 8:00-10:30am: Presentation.  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.  Lab.
  • 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.  Lab: Stocking fitting.
  • 10:45-12:00 noon: Lab: manual lymph drainage.  Practice on L.E..
  • 1:00-2:00pm: Multi-component bandaging.  Practice on L.E..
  • 2:00-3:00pm: Theory: treatment of genital lymphedema and breast lymphedema.  Q & A.
  • 3:15 – 5:30pm: Treatment of U.E. lymphedema.  Management of post-mastectomy lymphedema: assessment, precautions, skin care.  Lab:  manual lymph drainage.  Exercises addressing the functional impairment generated by U.E. lymphedema.  Measurement for sleeves.  Sleeve fitting.
  • 5:30-6:30pm: Pathophysiology.
  • 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-component bandaging applied to the  L.E.  Exercises.
  • 1:00-3:00pm: Case study: Lab: manual lymph drainage and multi-component bandaging of the U.E. and trunk. Exercises
  • 3:15-4:00:  Review: L.E. & U.E. manual lymph drainage.  Protocol. Q&A. Problem solving.
  • 4:00-6:00pm: Pathophysiology.
Tuesday, MAY 17
  • 8:00-10:30am:.  Review of test 3.  Q & A.    Test 4.                                       Venous edema: Pathophysiology and physical treatment.  Manual techniques.  Exercises.  Precautions.  Life style.  Compression garments addressing the needs of venous insufficiency.  Symptoms of Deep Venous Thrombosis.Case study.
  • 10:45-12:00 noon-1:00-3:00pm: Review: U.E. manual lymph drainage and multi-component bandaging.
  • Review: Protocol of treatment.
  • 3:15-5:15pm: Case study.  Lab:  L.E. manual lymph drainage and multi-component bandaging .
  • 5:15-6:00pm: Pathophysiology: case studies.
  • 8:00-9:00am:  Advances in Lymphatic Research.  Stanley G. Rockson, M.D.
  • 9:15-10:15 am: Review of Test 4, Q&A.  Lymphedema Management applied to pediatrics.  Case studies.
  • 10:30-12:00 noon:  Lymphedema of Head and Neck.  Lab: treatment : manual lymph drainage, multi-component bandaging.
  • 1:00-3:00 pm: Treatment of lipidema and Dercum’s disease.  Lab.            Prevention of lymphedema.
  • 3:00-4:00 pm: Complex cases.  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: $750.00 (Until 03/31/2016)
  • Regular Registration: $800.00 (Until 04/22/2016)
  • Late Registration: $850.00 (After 04/22/2016)

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

Register prior to 02/21/2016 and benefit from a $100.00 discount.

Cancellations and requests for refund will be accepted until May 14, 2016 minus a $300.00 administrative fee.

Testimonials for “Course 207 – Research-Based Certification Initial Course in Lymphedema Management Leduc method at Stanford. May 2016”

    “Thank you for all your time, energy + effort in bringing education about lymphedema. I sincerely hope all of your years of experience are being shared with other therapists in the form of mentoring so that this essential information can continue to be provided to the next generation of practitioners through courses as this one.”
    “Very useful information, suggestions, resources. Well researched protocol + techniques.”
    “This course was very informative. We learned in necessary detail everything needed in order to effectively treat our patients.”
    “Anatomy, physiology, pathophysiology were helpful to better understand. I appreciated all the time allowed for practice.”
    “It was very informative. I learned a great deal, almost feeling overwhelmed at times with the amount of information. I feel that I have a good basis to put in practice with some guidance, and feel that I would benefit from further education to feel more comfortable with my ability.”
    Excellent information and important skills.”
    About course material: ” Very thorough, useful + great concepts, techniques + resources.”
    “Instructor’s experience is extensive + valuable.”
    “Full of information.”
    Comments related to Professor Rockson’s presentation:
    “Excellent. Very clear, well explained + pertinent. Studies were extremely interesting.”
    “Professor Rockson was excellent. Very informative and gave great insight. Interesting studies being done currently.”
    “Excellent. I liked the genetics presented. Different diagrams did well to summarize lymphedema.”
    “It was awesome!!! Really informative and enjoyable.”
    “Excellent information and interesting.”
    ” Great presentation.”
    “Very interesting.”
    “Very informative of his latest research.”
    ” Insightful.”