Manual Lymph Activation Course

Lymphedema is a chronic and progressive health condition that results in fluid accumulation in the body (swelling/edema).  This condition affects millions of people worldwide. Some of the causes of Lymphedema include genetic deformation, a parasitic infection, as well as a cancer treatment side effect.

Combined Decongestive Therapy is the best practice standard for treating lymphedema clients. The EHIS MLA post-graduate course is 135 hours of theoretical and practical training which meets the requirements of the CDT designation. Our course graduates are then pre-qualified to take the LANA CDT certification exam. Theoretical hours will be completed through an online training portal while practical training will be completed with in-person lab work:

2022 Lab Dates


Level 1: April 22-24

Level 2: May 13-15

Level 3: May 20-22

Level 4: May 27-29


Level 1: October 14-16

Level 2: October 28-30

Level 3: November 11-13

Level 4: November 25-27

*these dates are estimated at this time please contact us for more details




9:00AM - 5:00PM

The 4 Levels of the E-HIS Manual Lymph Activation Course satisfies the 135hrs of CDT training required by the Lymphology Association of North America to apply to sit for the CDT-LANA exam. For more information on the LANA exam, please visit the LANA website.

Here is a detailed description of what is covered in each of our certification levels:

Level 1: Treatment and Understanding of an Intact Lymphatic System.

Level 2: Introduction to the Treatment of Lymphedema

Level 3: Advanced Treatment of Lymphedema and Compression Therapy

Level 4: Lymphedema Program Management and Individual Client Care

It is recommended that participants take all four levels of the MLA course before treating clients affected by lymphedema. There are many other conditions that benefit from this treatment approach after level 1 has been completed.





Trauma Edema


Ulcer Healing

Venous Insufficiency

'Additional training in this course includes taping for edema management as well as cupping, stretching, and myofascial release for radiation and surgical scarring'

The MLA course has been tailored to meet the needs of therapists practicing in Saskatchewan Canada. We cover a few additional topics to make your transition into practice as smooth as possible.

  • Saskatchewan Aids to Independent Living funding program understanding and use.
  • Vendors available in Saskatchewan and how to order from them (additional certifications will be made available from Valco Medi and Lymphedema Depot)
  • Review of the Sask CDT therapist program paperwork and network
  • Introduction to the Lymphedema Association of Saskatchewan


Participants will need to provide proof of registration in one of the following professions as a pre-requisite to this course: Massage Therapy, Occupational Therapy, Occupational Therapy Assistant, Physical Therapy, Physical Therapy Assistant, Physician, Nurse, or Exercise Therapy. Or proof of 192 hours in post-secondary level human anatomy, physiology, and/or pathology.

About The Trainers

Sylvie Punga

Sylvie is an Occupational Therapists by trade and graduated from the University of Manitoba in 2016. She trained as a CDT therapist through the E-HIS Manual Lymph Activation course to return only a few years later for the MLA Instructor Certification course. Since then Sylvie has been running the Saskatchewan Manual Lymph Activation certification program. When not running the lymphedema program Sylvie works full time in Moosejaw Saskatchewan as an OT/CDT.

Heidi Watson

Heidi Watson is an Occupational Therapist by trade. After graduating from the University of Manitoba she started her training with the Toronto Lymphocare Center to attain her Combined Decongestive Therapy designation. After completing the CDT training she developed a lymphedema treatment clinic in South Eastern Saskatchewan.

After seeing the need for lymphedema care in the province Heidi decided to develop a local CDT certification course. The Manual Lymph Activation course was first launched in 2016. Heidi works hard to maintain a safe, casual, learning environment where questions are always welcome and the needs of each participant are met.