The Comprehensive Certification Course
Part I 1 week: Anatomy,
Physiology, Pathophysiology of Lymphatic system; Evaluation, documentation, patient education on skin care and
precautions, measuring for off-the-shelf garments
Part II 2 weeks: Treatment
of lymphedema, all body parts, variety of etiologies: MLD, compression wrapping, decongestive exercises, teaching
and adapting home programs, measuring for custom garments and night options
therapist is not certified until successful completion of both part I and II, for the full 135 hours of training.
The course is an intensive 135 hour course,
meeting the standards set by LANA (Lymphology Association of North America) and leading to full certification as a Casley-Smith
Lymphedema Therapist (CSLT).
*It includes pre-course reading and study guide; lectures, labs, and practice
with actual patients. (See below for a list of topics covered under theory and a list of the skills that are taught.)
*A highlight of the Atlanta area courses is a trip to a factory that manufactures compression garments.
DeCourcy Squire, PT, CLT-LANA, CI-CS, is a physical therapist who has been treating lymphedema for
over 15 years.
*She has studied at the Foldi Clinic in Germany and with Judith and John Casley-Smith in Australia. She
is one of two certified instructors in the Casley-Smith method in the US and has been teaching the Casley-Smith method since
*She has been a workshop leader or moderator at 5 National Lymphedema Network (NLN) Conferences, is active
with the Lighthouse Lymphedema Network in Atlanta, is convener of the Lymphedema Roundtable for lymphedema therapists in the
Atlanta/Southeast area, and has been a consultant for NLN and the Lymphoedema Association of Australia, answering questions
by email from people with lymphedema problems.
*She helped develop lymphedema programs in Nebraska and Minnesota before
moving to Atlanta, and has taught community workers in Haiti about recognizing and treating filarial lymphedema.
currently works with the Lymphedema Program at Piedmont Hospital in Atlanta.
Eligibility to Take the Course
therapists, occupational therapists, physicians, physician assistants, nurses, and nurse practitioners are eligible to take
*Physical therapy assistants and certified occupational therapy assistants are eligible if they
will be working with a supervising therapist who is also fully certified in lymphedema therapy.
therapists are eligible to take the course if they have completed 500 hours of training as a massage therapist at an accredited
school, are certified and/or licensed in the state in which they practice, and have a bachelors degree from an accredited
college or university with course work that includes at least 12 credit hours in human anatomy, physiology, and/or pathophysiology
[192 clock hours].
Cost of the course: $2500; if paid separately, Part I is $1000 and
Part II is $2000.
A $500 deposit will hold your place (of which $200 is refundable if you have to cancel).
information, directions, and the pre-course study guide are sent when the initial deposit is sent in.
Things to Bring to the Course
--Pre-test, which is sent to you in advance, along with the pre-course
--Bag to hold bandaging materials
--Optional: Scissors, masking tape, washable
markers, eyeliner, flash drive, camera
--Lab clothes that allow full access to whole limb for measuring or bandaging
(arm and leg)
--MLD clothes that allow uninterrupted access to the back (suggested: halter top that unhooks or hospital
If you have more questions about the comprehensive certification course, click here.
Topics Covered under Theory:
Brief historical overview
Starling's Equation applied to lymphatic system
Lymphotomes and drainage patterns
Anatomy and physiology of lymphatic system
Pathophysiology of edemas
Etiologies of lymphedema
Diagnosis and evaluation
--drugs and herbs
--Complex Lymphatic Therapy
Decongestive Exercises/Pool programs
Skin care and precautions
techniques to conditions other than lymphedema
Current research updates
Skill Areas Covered:
Evaluation of patients with lymphedema
*For swollen arm (post-mastectomy, bilateral, post trauma, post-op, other)
leg (primary, secondary, venous, filariasis, bilateral, post-trauma, post-op, other)
*For swollen trunk or genital region
*For swollen face (post-surgical/radiation, primary, post-trauma)
Gradient compression bandaging
*Certification in measuring and fitting
re: style, material, and &
*Donning, doffing, care, troubleshooting
Teaching of precautions/activity
Instruction of patients/family members in home program/self-care
Documentation and billing codes
Setting up a clinic