Edema Management for the Non-Lymphedema Therapist

This one day course is for the non-lymphedema certified clinician that would like to enhance their knowledge and learn proven clinical tools to work with patients that have a history of chronic edema and/or acute swelling from surgery or other injury that is interfering with the patient’s prognosis and potential for improvement. The clinician will learn about the anatomy and physiology of the lymphatic and venous system and see how the delicate balance between these two systems along with fluid dynamics can contribute to long-term edema issues. The clinician will also be presented with differential diagnosis techniques to assist with determining the root cause of the patient’s edema concerns. Physical therapists will learn evidenced-based treatment techniques to assist with management of edema in order to ensure improved clinical outcomes. This course is appropriate for clinicians in all rehab settings. The clinician will be able to utilize the knowledge presented in this course to assist with chronic edema management during the course of care for most commonly treated adult patient populations. Proper management of edema can improve muscle activation, decrease risk of infection and improve wound healing in the rehab population. Beginner to intermediate level.

Rochelle Murrell, DPT, CLT-LANA is a skilled physical therapist with 13 years’ experience. She earned her DPT from Virginia Commonwealth University in 2005 and her BS degree from Howard University. She has been a certified lymphedema specialist since 2006. She has also completed the specialized training for the Lymphology Association of North America (LANA) certification. Since 2005, she has worked in outpatient rehabilitation services and lymphedema centers where she has assisted in the development of lymphedema programs. In her current position she develops treatment plans for upper extremity, lower extremity, and head and neck lymphedema patients. Dr. Murrell has received additional training through the STAR program to enhance her proficiency in caring for patients with a multitude of cancer diagnoses and assisting them in the management of lymphedema associated with their diagnosis. As a lymphedema specialist, she has also presented information at the Breast Center Lecture Series regarding AAMC Oncology Rehabilitation Programs to a group of physicians, surgeons, nurses, and technicians. She also participates in a preoperative patient education program for breast cancer patients to review lymphedema precautions and the overall post-surgical rehab process. Her experience also includes coordinating with area DME providers to assist patients with obtaining appropriate fitting compression garments and home pneumatic compression pumps to manage their lymphedema.
This course has been approved by the Maryland State Board of Physical Therapy Examiners for 0.7 CEUs.
This continuing education program has been approved by the Maryland Board of O.T. Practice for 1.5 contact hours.

The clinician will be able to

  • Identify lymphatic and venous system anatomy and physiology
  • Understand basic function of the lymphatic and venous system and how they can contribute to chronic edema
  • Demonstrate an understanding of high versus low output failure (mechanical and dynamic insufficiency)
  • Identify common presentations of lower extremity edema and differential diagnosis
  • Understand common gold standard treatment options for chronic edema
  • Understand why it is important to manage chronic edema issues in the orthopedic patient population
  • Identify common limitations and barriers to treatment of the edema
  • Identify situations in which you would make a recommendation for the patient to follow-up with a certified lymphedema therapist (CLT) for the care of their edema
  • Demonstrate the ability to utilize manual techniques designed to help improve lymphatic fluid uptake for the lower and upper extremities
  • Enhance their knowledge of elastic taping techniques to assist with lymphatic drainage and edema reduction
  • Demonstrate basic compression wrapping techniques and materials to assist with chronic edema management
Physical Therapists, Physical Therapy Assistants, Occupational Therapists, Occupational Therapy Assistants

Date : November 9, 2019

Location :
Residence Inn
6320 Golden Triangle Drive
Greenbelt, MD 20770

Duration : One Day

Instructor : Rochelle Murrell, DPT, CLT-LANA

Time and Agenda :

  • 7:30 to 8:00 Registration
  • 8:00-8:30 Introduction and Course Objectives
  • 8:30-9:00 Venous and Lymphatic System Anatomy, Physiology and Function
  • 9:00-9:30 Basic Principles of Fluid Dynamics and Micro-circulatin
  • 9:30-10:00 High versus Low Output Failure
  • 10:00-10:15 Break
  • 10:15-10:45 Common Presentations and Differential Diagnosis
  • 10:45-11:15 Rationale and Barriers/Contraindications to Treatment
  • 11:15-11:45 Evidenced-Based Standard Treatment Options
  • 11:45-12:00 Plan of Care and Appropriate Referrals to a Certified Lymphedema Therapist
  • 12:00-1:00 Lunch on Your Own
  • 1:00-1:30 Discussion and Review
  • 1:30-3:00 LAB
  • 3:00-3:15 Break
  • 3:15-4:30 LAB
  • 4:30-5:00 Interactive Case Discussion
  • 5:00 Adjourn


( Only $169 per attendee for groups of 3 or more!)