Certified Lymphedema Therapist

Cook Hospital is pleased to announce that Amy Rice, OTR/L-CLT, has successfully completed a continuing education course and received her certification as a Certified Lymphedema Therapist (CLT) through Klose Training. 

Lymphedema is an abnormal accumulation of protein-rich fluid that causes inflammation and fibroses tissue of the affected area (Klose Training, 2018). Lymphedema can be categorized either as primary or secondary lymphedema. Primary lymphedema develops due to an abnormal devel-opment of the lymph vascular system, which may be present at birth or develop later in life. Secondary lymphedema has a known cause such as; surgery and/or radiation from cancer, severe trauma, infection, chronic venous insufficiency, filariasis, or obesity (Klose Training, 2018).


Lymphedema is a chronic disease that can be managed through Complete Decongestive Therapy (CDT). CDT is the most effec-tive form of treatment for lymphedema, which consists of four components. These components are Manual Lymph Drainage (MLD), Compression Therapy, Exercise, and Skin Care. MLD is a gentle manual treatment that is used to re-route the lymph flow around blocked areas to healthy lymph vessels. Compression therapy is used to increase tissue pressure to improve muscle and joint pumps, as well as, helping to prevent re-accumulation of fluid. Teaching patients about exercise and skin care are also important factors in managing lymphedema.


Through Klose Training, Amy was taught the skills and knowledge necessary to safely and effectively treat patients with primary and secondary lymphedema through the use of Complete Decongestive Therapy (CDT).   Referrals are welcome for the treatment of lymphedema. If you have any questions about the lymphedema treatment, please contact the Cook Hospital Rehabilitation Department at (218) 666-6225.