for practitioners.

CANpractice is an evidence-based accredited course designed for you to become a qualified lymphoedema practitioner.

Become a qualified lymphoedema practitioner.

The Australian Institute of Lymphoedema is proud to offer an accredited course that gives you a qualification as a respected lymphoedema practitioner.

Becoming a qualified practitioner means that you will have the skills and knowledge in order to deliver specialised services to your patients.

Lymphatic drainage massage, for example, is one method used to treat lymphoedema. This type of massage is not the same as other forms of massage and needs to vary depending on the patients individual needs. As such practitioners learn in our courses how to deliver lymphatic drainage massage to patients with both normal (such as healthy patients undergoing liposuction) and abnormal lymphatic drainage (such as patients undergoing cancer treatments).  This allows you to treat a wide variety of patients depending on where you wish to focus your clinical practice.

Proudly accredited by…

How quickly can I become qualified?

You need to be a recognised health professional (such as a Physiotherapist, Occupational Therapist or Remedial Massage Therapist) and then you can  become qualified after one month of self-directed online training and one week of face to face training.


Why become a qualified lymphoedema therapist?

Due to the escalating incidence of lymphoedema associated with cancer treatments there is an urgent need for professionally trained practitioners that specialise in lymphoedema.  Research has shown that cancer patients report struggling to find the care that they need causing delayed treatment and distress. As an example ~50% of patients post gynaecological cancer treatment develop lymphoedema and a research study reported that, “Women described seeking help and receiving inappropriate advice with as many as three assessments prior to referral to lymphedema specialists.”

In the video below meet Ros who is living with lymphoedema in both of her arms following breast cancer treatment. Andrea explains why there is a need for trained lymphoedema practitioners.

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“Be a life changer by using your hands to heal. A professional who has the thorough knowledge and practical skills to deal with a life-long condition – lymphoedema, which has been largely ignored and misunderstood professionally. We welcome inspired practitioners who wish to make a difference.”

– Andrea Mangion, Casley-Smith Lymphoedema Trainer, Titled Cancer and Lymphoedema Physiotherapist (Australian Physiotherapy Association)

The course was presented very professionally, allowing students to learn in an environment that optimises their development and growth in becoming a professional lymphoedema therapist.

Cindy DoPhysiotherapist

Andrea covered the content in such a fun way. Each day went so quickly. The online learning was easy to follow and well presented.

Lurrene JacksonRemedial Massage Therapist

The course had great opportunities to practice skills and the online learning modules covered background knowledge and great case studies. Loved the case study sections in the online training – this really helps with clinical reasoning. Terrific to have the different companies and representatives come and share their knowledge.

Shannon ManginPhysiotherapist

An extremely well-run course that is incredibly informative on all things lymphatic. Regarding the online learning, the learning management system is brilliant.

Kate Briscoe-HoughRemedial Massage Therapist

Andrea is an amazing instructor. Thoroughly knowledgeable and patient and encouraging. I would recommend this training to anyone looking to work in this field.

Karen HyamsRemedial Massage Therapist

Who is CANpractice for?

Our courses are open to any health professional who wish to learn more about managing swelling and stimulating the lymphatic system.

  • General Practitioners
  • Vascular Specialists
  • Surgeons
  • Radiation Therapists
  • Physiotherapists
  • Occupational Therapists
  • Registered Nurses
  • Phlebologists
  • Remedial Massage Therapists
  • Osteopaths
  • Podiatrists
  • Chiropractors

What’s included in CANpractice?

CANpractice empowers you to become a qualified lymphoedema therapist.

As part of the course, you will learn…

  • The anatomy and physiology of the lymphatic system
  • How to understand, recognise and treat lymphoedema
  • How to differentially diagnosis other forms of oedema such as post-operative swelling, venous disease and lipoedema
  • How to deliver lymphatic massage for those with a normal and abnormal lymphatic system
  • How to apply compression bandaging (two layer and multi-layer)
  • How to fit and prescribe compression garments (ready to wear and custom made)
  • How to use compression pumps
  • Decongestive exercise recommendations for lymphoedema patients
  • The theory of the latest in lymphatic imaging methods such as indocyanine green lymphography
  • What your fluid and fat levels are and what they mean
  • How to deliver early intervention services for patients
  • Tips on how to market your services. Included is a letter template that you can download and put your own logo on to assist you in your marketing.
  • Leave fully equipped with lymphoedema bandaging equipment including foam templates, fabric and garment swatches, a lymphoedema textbook, lymph poster and lymphoedema tape measures.

By the end of the course, you will be able to deliver professional lymphatic massage and other lymphatic treatments for patients who have general swelling (such as post-operative swelling), cancer-related swelling (such as cording, scar tissue and radiation induced fibrosis), venous insufficiency and venous wounds, lymphoedema and lipoedema.


The complete CANpractice course comprises of four components:

Self-directed online learning

4 weeks to learn without stress in the comfort of your own home.

Learn online in the privacy and comfort of your own home. Watch recorded, guest lectures from Australia’s only Lymphologist, Professor Piller (Flinders University), videos of lymphatic drainage and bandaging as well as case studies of patients living with lymphoedema.

The assessment method is a multiple choice quiz that you can re-take as many times as you need to in-order to ensure that you understand the basics.

By getting the theory out of the way, the 1 week face to face week is action packed and fun!

Virtual classroom sessions

4 live teaching classes so you can receive an injection of lymph energy!

To nurture you are invited to invited to attend three, weekly virtual classroom sessions before the in-person training (6-8pm AEST). One session occurs two weeks after the course to allow you to share your successes and work through a case-study. Andrea will share her secrets of success and you will be able to ask questions and consolidate key learning concepts.

In-person practical training

Across five action packed fun days from 8am to 5.30pm.

We spend 5 days together building your practical skills so that you are equipped the week after to start treating patients. You will meet a lymphoedema patient and hear of their personal experience living with lymphoedema. You will practice lymphatic massage, compression bandaging (multi-layer and two layer), try pneumatic compression and bioimpedance spectroscopy and learn how to prescribe custom and ready to wear compression garments.

The assessment method is a multiple choice quiz on the final day and continuous assessment of your practical skills as either competent or not competent. Feedback and encouragement is continually provided as our aim is to boost your confidence and empower you to be the best lymphoedema practitioner that you can be.

Homework and case study

We help you consolidate key learning principles.

Homework activities are provided during the in-person training to assist you with the practical sessions for the following day. On completion of the in-person training, you will be given a written case study that will be discussed in the final virtual classroom. Our goal is to give you the confidence with common patient clinical histories so that you can easily determine the best treatment plan for your patients.

We give you the flexibility to choose:

Complete the complete CANpractice course

The complete course covers all body areas.

135 hours in the international standard of lymphoedema training. Our complete 135 hour course, covering all body areas, is recognised worldwide by Casley-Smith International, the International Institute of Complementary Therapists (IICT) and is accredited by the Australasian Lymphology Association (ALA). (This is the equivalent of the ALA’s previous combined Level 1 and 2 course).

Complete a body area module

Study the body area of interest to you.

According to your professional scope of practice you may specialise in the treatment of certain body areas. A breast care nurse, for example, specialises in the upper limb and breast. Because of this, the Australasian Lymphology Association (ALA) accredits practitioners based on completion of training in certain body areas.  Your certificate will state which body areas you are trained in. (Please note that IICT and Casley-Smith International require the full course to be completed for recognition.)

The course structure and components enable you to cover the required course materials and receive your qualification in a timely manner. To read more about the course location, dates and course bonus, pick the best dates that suit your preference from the course options below.


CANpractice teaches you the original Australian method for treating lymphoedema.

Dr Judith and Dr John Casley-Smith were the first Australian health professionals to develop Complex Physical Therapy – the original and Australian, evidence-based method for the treatment of lymphoedema.

The main components of the method include education, skin care, lymphatic massage, exercise and compression therapy. Professor Piller was trained by Dr John Casley-Smith and Andrea is an active member of Casley-Smith International.

Upcoming CANpractice courses:

  • CANpractice Jan (Online) and Feb 2022 (Face to face) – Rydges, Sydney


Hear from past CANpractice students

Hear from four of our past students who have completed the CANpractice course and are now all practising as qualified lymphoedema therapists.

Have questions about CANpractice?

What are the pre-requisites for this training?

Our courses are open to any health professional who wishes to train in lymphoedema – such as Medical Practitioners, Physiotherapists, Occupational Therapists, Registered Nurses, Remedial Massage Therapists, Osteopaths and Podiatrists.

Any health professional that has an interest in this area and has completed basic health professional training is welcome to attend.

We require two things:

1/ a copy of your health professional training or registration number (such as your AHPRA number or a copy of your degree/certificate)

2/ a certificate of currency of professional indemnity insurance showing that you are insured and can deliver health related therapies. (If you are employed by a public hospital this is not required as long as we have an email from your organisation for proof that you are employed within the public health sector. Insurance is therefore assumed.)

Is Complex Physical therapy evidence based and does it work?

Yes. The Casley-Smith method has been published in many respected medical journals. Evidence of their work being the original Australian method is found in their paper titled, “Modern treatment of lymphoedema. Complex physical therapy: the first 200 Australian limbs.

An example of a patient outcome from this publication is the picture below showing a man with a very swollen leg following a melanoma and removal of his inguinal and popliteal lymph nodes. You can see that Complex Physical Therapy helped his leg transform in 42 days.

You can read more about the Casley-Smith method here.

Is the Casley-Smith method well recognised?

Yes. Casley-Smith is recognised around the world. The Casley-Smith method was the first documented Australian method for treating lymphoedema. The Casley-Smith has an incredible impact on the care of lymphoedema patients in Australia.

Unlike other methods, such as the Földi technique (developed in Germany) and Vodder (developed in France) the Casley-Smith method was developed in Australia.

The Casley-Smith method is up-to date and evidence-based. As an example, the use of indocyanine green for the imaging of the lymphatic system is one of the new advancements in the care of patients with lymphoedema. The video below features UK Casley-Smith teachers. Dr Rhian Noble-Jones (past President of Casley-Smith International). In this video, you will hear Dr Noble-Jones talk about how the Casley-Smith method works and how our understanding of the lymphatic system has been improved with fluorescence imaging of the lymphatic system.

What do I need to bring to the course?

For the massage session, we recommend that you bring a warm nightgown, two towels and your own pillow. For the bandaging and measurement sessions please bring “short- shorts”. You are welcome to bring a re-fillable water bottle or ceramic mug to reduce waste. Food is provided at the face to face component of the course.

What is included in the course fee?

The course fee includes everything that you will need for a solid foundation of success – including a poster of the lymphatic system, lymphoedema bandages, lymphatic textbook and tape measures. You will leave with at least two kilograms of goodies to help you in your clinical practice. (Please account for this if travelling by air, as we do not recommend you travel with carry-on luggage only.)

Please note that the cost of CANpractice does not include flights, accommodation or transfers, these will be at your own, additional expense.

What qualification will I gain?

The CANpractice will qualify you to be a lymphoedema therapist and is recognised by Casley-Smith International. CANpractice is also accredited by the Australasian Lymphology Association (ALA) in accordance with the ALA’s Competency Standards for the following lymphoedema training modules: Foundational, Head & Neck, Upper Limb, Breast & Trunk, Genital & Abdomen and Lower Limb and meets the application requirements for the ALA Accredited Lymphoedema Practitioner Program.

Who is the ALA?

The Australasian Lymphology Association (ALA) is the peak professional body for lymphoedema in Australia and New Zealand. The Association, through the support of its members, strives to improve the management of those with or at risk of developing lymphoedema and enhance communication between health professionals, educators, relevant authorities and government, with regard to oedema and lymphoedema.

Why should I undertake ALA recognised training?

To become a preferred lymphoedema practitioner experiencing consistent results.

ALA recognised courses are subject to a rigorous accreditation process. This allows you to have confidence in the standard of training that you are undertaking. You will learn how to market your lymphoedema services and state your qualification in your title to referring health practitioners.

To become eligible for listing on the National Lymphoedema Practitioners Register.

Successful completion of this course may allow you to apply for accreditation under the ALA Accredited Lymphoedema Practitioner Program (ALPP) and inclusion on the National Lymphoedema Practitioners Register (NLPR), a publicly available and searchable online listing of Accredited Lymphoedema Practitioners. Please visit the ALA website to learn more about the ALPP and NLPR. Please check your eligibility for accreditation prior to enrolling in our course.

To become eligible for garment subsidy programs.

Garment prescription is one of the most evidence-based modalities for the treatment of lymphoedema. Access to government funded garment prescription programs, such as Enable in NSW, require you to have completed a lymphoedema course recognised by the ALA. This is to ensure standards of training for those that will be prescribing pressure garments. The NSW Health website is available here. If you download the application form you will see in Section 7, the Prescriber Declaration, that you must sign as to whether you have completed an ALA recognised course. This information, on garment programs, has been included to give you the confidence that the lymphoedema course you will be undertaking meets certain stringent standards.

What does accreditation by the ALA mean?

CANpractice training has been accredited by the ALA in accordance with the ALA’s Competency Standards for the following lymphoedema training modules: Foundational, Head & Neck, Upper Limb, Breast & Trunk, Genital & Abdomen and Lower Limb. Further information regarding the Competency Standards is available here. For those familiar with the ALA’s previous terminology, this course is the equivalent of a combined Level 1 and 2 lymphoedema course.

Obtaining insurance - who are the IICT?

IICT stands for the International Institute for Complementary Therapy.

IICT accredits practitioner level courses in modalities such as Naturopathy and Massage and Remedial Massage.
Complex Physical Therapy (also known as Complex Lymphatic Therapy) is recognised in the following regions: AU; NZ; EU; UK; SA; US meaning that health practitioners, eligible for membership with IICT, who wish to use their qualification overseas can do so and obtain insurance with IICT.
Our full 135 hour CANpractice must be undertaken in order for recognition by IICT.
You can read their PDF document here – IICT-Australia-e-Brochure-2021-1

Is there a demand for lymphoedema therapists?

Yes, research shows there is a shortage of lymphoedema therapists to meet demand. The treatment of lymphoedema is regarded as a “speciality” service. Several research papers have stated that Australian cancer survivors have “struggled to find” the help that they need when it comes to lymphoedema therapists. One example of Australian research on breast cancer survivors found that,”One-third of this group of women had difficulty accessing treatment to halt this potentially progressive condition“. We aim to inspire our students to stand out, be appreciated and become known as the go to health practitioners for lymphoedema care.

Is my qualification recognised overseas?

135 hours is the international training standard for lymphoedema courses and therefore 135 hours of training need to be undertaken (as part of completing our full course) to be recognised overseas. The Casley-Smith method is known around the world and you will receive a certificate that is recognised by Casley-Smith International.

Do you put an expiry date on my certificate or make it mandatory that I get re-accredited?

No. It is not a requirement of Casley-Smith International for you to have re-train every few years. We do not put an expiry date on your certificate.

We hope you enjoy your career in lymphoedema and therefore undertake future training as you feel is necessary. Most health professionals are required to undertake some form of continuing professional development every two years in order to keep their general practitioner registration (such as AHRPA registration in Australia).

Who is the head trainer?

Our online learning and face to face course is run by Andrea Mangion. Andrea is titled as a Cancer and Lymphoedema Physiotherapist by the Australian Physiotherapy Association. Andrea has been running ALA recognised lymphoedema courses for over 9 years. She is an ALA member and Accredited Lymphoedema Practitioner and has volunteered for the ALA Assessment Committee and was the past chair of the ALA’s Trainers Committee.

What happens if I cannot attend due to COVID-19?

We will transfer your course registration to a future course if you are suddenly unable to attend the face to face component due to COVID-19. If you need to post-pone within 2 weeks of the course, the only additional expense will be funding your meal expenses at the next course   – as the venue requires us to pay for this upfront. In the event that we must cancel a course due to COVID-19, prior to online learning starting, we will offer you a refund. Alternatively you can hold over your course registration to a future course.

Do minimum and maximum course numbers apply?

Yes. Courses run with the minimum number of 8. The maximum number is dependant on the course venue and local requirements at the time (such a COVID spacing). We require our practitioners to be in pairs for the practical sessions, to ensure that you have a consistent practice partner, so this impacts our final course numbers. If we do not reach minimum course numbers the course will be cancelled and you will be offered a refund or your course registration will be moved to a later date. Please do not book any accommodation until you have confirmation of minimum course numbers being met.

Who can I talk to if I still have questions about CANpractice?

If you have questions about CANpractice, or would like to discuss if a life-changing career in lymphoedema is suitable for you, book in a free 20 minute free chat with Andrea Mangion, Director of the Australian Institute of Lymphoedema and Titled Cancer and Lymphoedema Physiotherapist (Australian Physiotherapy Association).

If you wish to call Andrea feel free to do so on 0403536416.