Please wait ...

The ONLY Cohort Scheduled for 2026!

You're Already Treating the Swelling.
You're Just Not Getting the Results You Want.

Post-op knees still puffy at week six. Breast cancer survivors who fear lymphedema...or worse, never heard of it until it's too late. That fibromyalgia patient whose pain flares every time you try to progress them.

You know swelling is the problem. Ice isn't working. Elevation helps temporarily. Your patients are frustrated—and so are you.

Here's why: The lymphatic system doesn't have a pump. It relies on specific manual techniques, precise pressure, and strategic sequencing to move fluid. The overview you got in school didn't prepare you for the complexity you're seeing in real patients.

With the right training, everything changes.

Post-surgical swelling resolves in days, not weeks. Your orthopedic patients progress on schedule. Your oncology patients get relief that lasts.  You become the clinician other providers seek out—the one surgeons trust with their complex cases, the one athletes call after competitions, the one who gets referrals for solving problems that stump everyone else.

Here's the best part: You don't need to become a full-time lymphedema specialist or abandon your current practice. In just 12 weeks, you'll master the MLD skills that make you indispensable—with step-by-step protocols for orthopedic, oncology, neurological, chronic pain, and sports recovery cases that integrate seamlessly with the patients already on your caseload. You’ll learn:

  • How to identify lymphatic dysfunction before it becomes chronic
  • In depth, full-body protocols that reduce swelling faster
  • Absolute contraindications so you never second-guess patient safety
  • When to treat, when to refer, and how to communicate confidently with physicians
This Training Includes Everything You Need to Succeed
Plus: 4 Live Q&A Sessions with Your Expert who has 25 Years' Experience

$1,259.88 Value $499.99 Today
Plus, earn up to 17.5 CE Hours included in your course tuition.
Click here for Credit details | Click here for course objectives and outline

Learn Together. Grow Faster. Get Certified.

You'll progress through the training with a dedicated cohort of PTs, OTs, LMTs, and RNs over 12 weeks—sharing cases, troubleshooting challenges, and learning from each other's experiences.

You'll master the skills that solve the swelling problems everyone else just ices and elevates.

Here's How It Works:

📚 Weekly Content Releases Starting on April 25, 2026
New modules drop every week with step-by-step technique videos and clinical reasoning.

🎥 Full Protocol Video Demonstrations
Watch complete MLD sequences performed on real patients. No confusing diagrams. No guessing about hand placement or pressure. Just clear, follow-along instructions you can replicate.

📋 Hands-On Integration Activities
Complete practical assignments that bridge the gap between learning and doing—so you're confident even when treating complex cases.

💬 4 Live Expert Q&A Sessions (optional)
Bring your toughest questions. Discuss actual cases. Get direct feedback from a PT/CLT with 25 years of clinical experience—and learn from what your peers are asking too.  Plus, replay access if you aren’t able to join live.

🎓 Official Certification + Up to 17.5 CE Hours
Walk away with Manual Lymphatic Drainage Certification* recognized across disciplines. Update your credentials and market yourself as a specialist in your area.

*Professional standards apply, visit evgcert.com/cmld for more info.
Your Patients Have a Built-In Recovery System.
Learn How to Activate It.

Earn your MLD certification* in just 12 weeks when you join the ONLY 2026 cohort.
MLD Certification Training Schedule

New On-Demand Modules Release Every Saturday | Live Q&A Wednesdays: 6-7 pm CST

MODULE 1: Foundations of the Lymphatic System — April 25, 2026
Gain the lymphatic system clarity that transforms your clinical reasoning.
  • Build advanced understanding of lymphatic flow mechanics—and predict treatment success before you begin
  • Refine your differential diagnosis between lymphatic, venous, cardiac, and inflammatory edema
  • Apply updated research to your clinical reasoning
  • Spot lymphatic dysfunction before it becomes chronic—earlier recognition = better outcomes

MODULE 2: Lymphedema Essentials—From Diagnosis to Treatment — May 2, 2026
Primary vs. secondary. Stage 0 vs. Stage 3. Infection vs. inflammation. You'll know.
  • Differentiate lymphedema from regular swelling faster than ever before
  • Catch red flags for cellulitis immediately and know exactly when to refer
  • Explore the evidence behind Complete Decongestive Therapy—and what you can realistically deliver in your setting

MODULE 3: Navigating Cancer's Impact on the Lymphatic System — May 9, 2026
Every surgeon needs a therapist who gets this. Be that therapist.
  • Position yourself as the specialist surgeons actively seek for their post-operative patients
  • Identify at-risk patients in the pre-op phase—implement prevention strategies that reduce complication rates
  • Navigate complex presentations (cording + radiation fibrosis + limited ROM) with evidence-based protocols

🎤 LIVE Q&A #1 — Wednesday, May 13, 2026 | 6-7PM CST

Focus: Foundations, lymphedema diagnosis, and cancer's impact on lymphatics


MODULE 4: Lipedema—Identification and Treatment — May 16, 2026
It's not obesity. It's not lymphedema. Stop missing this diagnosis.
  • Recognize the hallmark signs in 60 seconds—symmetry, cuffing, bruising, pain
  • Understand why diet and exercise fail—the pathophysiology that changes your approach
  • Know when conservative care works and when surgery enters the conversation

MODULE 5: MLD Protocols for Healthy Tissue — May 23, 2026
Now you're ready for hands-on techniques.
  • Full upper and lower extremity protocols—watch it, learn it, try it on a partner
  • Learn proper pressure, rhythm, and sequencing for healthy lymphatic systems
  • Apply to post-op orthopedic cases, chronic pain, and neurological conditions
  • Adapt standard techniques for realistic time constraints—effective treatment in 15-20 minute sessions

MODULE 6: MLD Protocols for Damaged/Diseased Tissue — May 30, 2026
When pathways are disrupted—your roadmap for complex cases.
  • Map compensatory drainage patterns without expensive imaging—clinical reasoning you can trust
  • Adapt sequencing for cancer survivors, trauma patients, and congenital dysfunction
  • Deliver effective treatment in 15 minutes when time or tolerance is limited

🎤 LIVE Q&A #2 — Wednesday, June 3, 2026 | 6-7PM CST

Focus: Lipedema recognition, healthy tissue protocols, damaged system adaptations


MODULE 7: Integrating Modalities for Peak Lymphatic Results — June 6, 2026
MLD is powerful. MLD + these tools? Game-changing.
  • Layer low-level laser therapy, kinesiology tape, and cupping to mobilize stubborn edema faster
  • Match modalities to tissue presentation—fibrotic vs. acute, inflamed vs. chronic
  • Build home programs patients can afford and will actually do

MODULE 8: Specialized Pain and Scar Interventions for Joint Replacement — June 13, 2026
From day-one breathing to full mobilization—timeline-based protocols that work.
  • Start MLD safely on day one post-op—proximal clearing that accelerates healing
  • Progress from scar-edge work to deep mobilization—clear timelines, zero guesswork
  • Get post-TKA and shoulder replacement patients moving faster with less pain and better ROM

MODULE 9: Targeted Interventions for Special Populations — June 20, 2026
Athletes. Pregnant women. Plastic surgery patients. Pediatrics. Expand your reach.
  • Tap into the booming post-plastic surgery market—cash-pay patients who refer like crazy
  • Accelerate athletic recovery with lactate clearance and performance enhancement protocols
  • Safely manage gestational edema and adapt techniques for pediatric patients
  • Establish physician referral relationships that position you as the local lymphatic expert

🎤 LIVE Q&A #3 — Wednesday, June 24, 2026 | 6-7PM CST

Focus: Modality integration, scar/joint replacement protocols, special populations


MODULE 10: Sustaining and Preserving MLD Benefits — June 27, 2026
Your treatment only matters if it lasts. Make results stick.
  • Teach 5-15 minute self-MLD routines patients will actually do at home
  • Create realistic compression schedules that don't get abandoned
  • Know when patients need follow-up vs. when they're managing independently

MODULE 11: Documentation and Ethical Practice — July 4, 2026
Navigate the gray areas. Protect yourself and your patients.
  • Navigate ethical gray areas with confidence—real scenarios and decision-making frameworks for complex cases
  • Document for reimbursement approval—functional outcome language that demonstrates medical necessity
  • Know when to treat, trial, or refer—clinical decision-making for emerging MLD applications
  • Use CPT codes correctly and stay within your scope—billing guidance across PT, OT, and LMT practice settings

🎤 LIVE Q&A #4 — Wednesday, July 8, 2026 | 6-7PM CST

Focus: Patient education strategies, documentation troubleshooting, ethical scenarios, real-world implementation

Your 90-Day Blueprint to Becoming the MLD Specialist Everyone Refers To
You've Seen What's Possible. Now Make It Real.

$1,259.88 Value $499.99 Today
Plus, earn up to 17.5 CE Hours included in your course tuition.
Click here for Credit details | Click here for course objectives and outline
Meet your Expert: Lisa Berman Sylvestri, MSPT, CLT-LANA

Twenty-five years ago, I had no idea my career would revolve around the lymphatic system.

I was happy treating orthopedic cases—ACL repairs, rotator cuffs, post-op knees. Then a family friend was diagnosed with breast cancer. After her mastectomy, she developed lymphedema. I watched her search for help, calling clinic after clinic, only to hear "we don't treat that here."

That's when it hit me: this massive gap in care wasn't just in my area—it was everywhere.

So I got certified. Not because I planned to become a lymphedema specialist, but because I wanted to help one person who needed it.

Then something unexpected happened.

That first lymphedema patient told me I was the only provider in her entire cancer journey who'd made her feel relief. Not just physical relief—she felt seen. Like someone finally understood what she was going through.

I realized this work mattered in a way I hadn't anticipated.

Fast forward to today: I've treated thousands of patients, trained hundreds of clinicians, founded Oasis Physical Therapy, and built the LymphSmart YouTube channel to make this knowledge more accessible.

But here's what I want you to know:

You don't need to abandon your current practice or become a full-time lymphedema therapist like I did. You just need to understand how the lymphatic system works so you can help the patients already on your caseload—the ones whose swelling isn't responding, whose recovery has stalled, who keep asking "is this normal?"

This training gives you the clinical reasoning, the step-by-step protocols, and the confidence to know when MLD is the answer—and when it's not.

Because safety and good judgment matter just as much as technique.

Whether it's a post-surgical patient, someone managing chronic pain, or a breast cancer survivor, you'll have the tools to help them feel better—and move forward.

Join me,

— Lisa

MSPT, CLT-LANA
Founder, Oasis Physical Therapy and Wellness
Creator, LymphSmart (@lymphsmart)

Click here for information about Lisa Berman Sylvestri
How This Training Transforms Your Practice

Physical Therapists:

  • Accelerate post-surgical recovery by 2-3 weeks with evidence-based MLD protocols
  • Reduce limb volume 30-40% faster than compression alone
  • Attract more complex cases that differentiate your practice
  • Add a high-value skill that surgeons actively seek in their PT referrals

Occupational Therapists:

  • Restore upper extremity function so clients can dress, cook, and work independently
  • Add evidence-based MLD skills for carpal tunnel, arthritis, and repetitive strain injuries
  • Eliminate scar adhesions blocking your clients' return to work and daily life
  • Build a waiting list of post-mastectomy and post-surgical patients seeking your expertise

Licensed Massage Therapists:

  • Expand beyond relaxation into therapeutic, medical markets
  • Work confidently with post-surgical and oncology clients
  • Build referral relationships with physicians and surgeons
  • Command higher rates for specialized MLD services

Registered Nurses:

  • Spot early signs of lymphedema before it becomes Stage 2 or 3
  • Prevent ER visits and re-admissions from post-surgical fluid complications
  • Become the go-to educator for complex discharge patients
  • Credential yourself beyond bedside care into specialized lymphatic management
Certification Made Simple

In just three easy steps, you will become a Certified Holistic MLD Practitioner (C-MLD):

Step 1: Watch the online course.

Step 2: Complete the test(s) and instantly print your certificate(s) of completion.

Step 3: Submit the Evergreen Certification Evaluation included in this training, and your application is complete.*

*Professional standards apply. Learn more at evgcert.com/cmld.
12 Weeks. One Certification That Changes Everything.
Begins April 25

$1,259.88 Value $499.99 Today
Plus, earn up to 17.5 CE Hours included in your course tuition.
Click here for Credit details | Click here for course objectives and outline
Frequently Asked Questions
 

No! This training is designed for PTs, OTs, LMTs, and nurses who want to add MLD skills to their practice. You'll earn MLD certification* through this course, which is different from full CLT certification (which requires 135+ hours). This 18-hour training gives you the foundational skills to treat swelling effectively and safely within your scope of practice.

*Professional standards apply, visit evgcert.com/cmld for more info.
 

Yes. This course includes specific modules on documentation strategies that demonstrate medical necessity through functional outcomes—exactly what insurance requires for reimbursement.

 

Plan for 1-3 hours per week of self-paced video learning, plus four 60-minute live Q&A sessions spread across the 12 weeks. The integration activities take 15-30 minutes each and are designed to help you apply what you're learning immediately with real patients.

 

All live sessions are recorded and available within 48 hours. You'll have lifetime access to recordings, so you can watch on your schedule. However, we strongly encourage attending live when possible—the peer discussion and real-time case problem-solving is where some of the best learning happens.

 

This training covers MLD applications for:

  • Post-surgical orthopedic patients (TKA, shoulder surgery, ACL repair)
  • Breast cancer and oncology patients
  • Neurological conditions (stroke, MS)
  • Chronic pain and fibromyalgia
  • Athletes and sports recovery
  • Pregnancy-related edema
  • Plastic surgery patients
  • Pediatric populations

If you work with swelling in any form, this training will give you the tools to address it.


Technique matters. Sequencing matters. Knowing when to use MLD versus when to refer matters. Many clinicians learn a few strokes at a workshop but don't understand why they're doing them or how the lymphatic system actually works. This training gives you the clinical reasoning behind the techniques—so you know exactly when and how to use them for different conditions.
 

Technique matters. Sequencing matters. Knowing when to use MLD versus when to refer matters. Many clinicians learn a few strokes at a workshop but don't understand why they're doing them or how the lymphatic system actually works. This training gives you the clinical reasoning behind the techniques—so you know exactly when and how to use them for different conditions.

 
100% Satisfaction Guarantee
Register for this intensive training course without risk. If you're not completely satisfied, Contact Us.

We’re that confident you'll find this learning experience to be all that's promised and more than you expected.

NOTE: No additional discounts or coupons may be applied to this course.
CRS002293 • © PESI Inc.  •  All rights reserved  •  Contact Us  •  FAQ
We partner with Evergreen Certifications to include certification with some of our products. When you purchase such a product, we may disclose your information to Evergreen Certifications for purposes of providing services directly to you or to contact you regarding relevant offers. Evergreen Certifications is owned by PESI, Inc.
Back to Top