[decorative logo] Lymphovenous Canada: Lymphatic massage and physiotherapy

North American Lymphedema Education Association (NALEA)
to set high training standards for lymphedema therapists

The Lymphology Association of North America
2012 LANA certification exams


Discussion Point: Does withholding massage prevent the spread of cancer?

The struggle to determine acceptable protocol for CDT reimbursement

Manual lymph drainage applied after axillary lymph node dissection found not effective in preventing arm lymphedema
Combined decongestive therapy helpful in head and neck related lymphedema
Modest benefits found with combined decongestive therapy in Canadian DELTA study
Early physiotherapy & educational strategy found to reduce lymphedema after breast cancer surgery
Cochrane review of physical therapies for controlling lymphedema
Cross Cancer Institute finds MLD useful in mild lymphedema


For information on publicly funded treatments please go to the:
Treatment Programs in Canada page
or the Cancer Treatment page.

Until standards and guidelines are established for Manual Lymph Drainage (MLD), Complex physical therapy (CPT), Complete Decongestive Therapy (CDT) treatments, through evidence based study, it is important for consumers to be vigilant when arranging for treatments in this area. Make sure you check with your massage therapist on their experience and qualifications before you proceed with any treatment, as well as number of treatments expected, duration of treatments, expected outcome and cost. And make sure you keep your physician informed of what you are doing. Beware of any therapist who makes extravagant claims, or suggests that lymphedema can be "cured" or eliminated through these treatments - there is currently no cure for lymphedema.

In addition to MLD, CDT and CPT programs, some consumers with lymphedema have also found osteopathy, acupuncture, chiropractic services and other alternative therapies helpful. It is important to check with your doctor before trying out these therapies. Coverage for physiotherapy, massage and other alternative treatments varies from province to province. Check with your physician or health insurance agency for more information in this area.

This information is provided for educational purposes and is not meant as a substitute for medical advice or an endorsement of any treatment option or business.


A number of schools exist which offer lymphedema therapist training programs. Some of these schools also provide training courses for friends and relatives of persons with lymphedema. (Please view the Events section of Lymphovenous Canada for notices of seminars and conferences in this area). In some cases, persons with lymphedema may be able to do some of the techniques themselves. Many of these schools also provide books and videos outlining their techniques. They include:

The longest course program is offered by the Vodder School of North America which is the most active of these schools in Canada. It offers instruction in Manual Lymph Drainage, Combined Decongestive Therapy, including compression bandaging, skin care, exercises and the Dr. Vodder method of MLD. Training is available to health care practitioners.

For more information on their training program contact the Dr. Vodder School - North America in Victoria, British Columbia, Canada; Telephone 1-800-522-9862 or (250) 598-9862 or e-mail info@vodderschool.com

An up-to-date list of therapists who have completed their full certification course and have maintained their training and upgrading credentials with the Vodder school can be found at the following site: http://www.vodderschool.com/find_a_therapist (This list does not include therapists who have taken a Vodder course but have chosen not to renew their certification with the school or therapists who have chosen not to have their names listed. For more information please contact Vodder School directly.)


For information on Quebec massage therapists see the Lymphedema Association of Quebec. Lists of other massage therapists can also be located by contacting a treatment centre a support group or a chapter of the Canadian Cancer Society in your area.


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Last revised Jan. 22, 2012.