Chronic edema, cancer survivorship, cosmetic surgery recovery, and the aging population have all super-charged demand for Certified Lymphedema Therapists (CLTs). In the U.S. alone, new breast-cancer–related lymphedema cases are projected to exceed 300,000 annually by 2030, while cosmetic surgeons report a year-over-year uptick in clients requesting post-op lymphatic drainage. Hospitals, rehab centers, and private wellness clinics are hiring—and they want clinicians with a recognized Lymphedema certification.

Yet not all lymphatic drainage massage classes are created equal. Some courses cover only basic Manual Lymph Drainage (MLD) technique in five days; others deliver the full 135-hour curriculum required by the National Lymphedema Network (NLN) for specialist practice. Knowing the difference can make or break your employability.

Clinician in turquoise scrubs practicing manual lymphatic drainage on a patient’s arm during certification training

Quick Glossary

Illustrated clinician in teal scrubs bandaging a patient’s forearm during manual lymphatic drainage training
TermWhat It Means
MLDManual Lymph Drainage—a gentle, hands-on technique that redirects lymph fluid.
CDTComplete Decongestive Therapy—MLD plus compression, exercise, and skin care; the gold-standard treatment for lymphedema.
CLTCertified Lymphedema Therapist—title earned after completing an NLN-compliant Lymphatic drainage certification course (≥135 hours) and passing written/practical exams.

How to Choose the Right Lymphatic Drainage Massage Classes

1. Total Hours & NLN Alignment

Reputable programs meet the 135-hour benchmark. Be cautious of “certification” promises from 40-hour MLD courses that do not authorize you to treat full-blown lymphedema.

2. Hybrid Flexibility

Clinicians juggle caseloads. Look for courses blending self-paced e-learning with intensive on-site labs.

3. Faculty Expertise

Ask: How many CLTs has the school trained? Are instructors themselves practicing clinicians?

4. Hands-On Compression & Bandaging Labs

CDT is 50 % compression science. You need real-time feedback on multilayer bandaging—not just video demos.

Close-up of therapist applying multilayer compression bandage to a patient’s lower leg during CDT lab

5. Alumni Support & CEUs

Board-certification prep, job boards, refresher labs, and continuing-ed credits keep your skill set marketable.


The Norton School Difference

Norton School of Lymphatic Therapy pioneered the hybrid CDT model in 1998 and has since trained 8,500+ clinicians across North America. Its flagship CDT–Lymphedema Certification Course meets NLN standards with 135 total hours (90 classroom + 45 home-study) and confers the CLT credential upon successful exam completion.

Key Strengths at a Glance

FeatureNorton SchoolTypical 40-h MLD Course
Total Hours135 (NLN-compliant)40
Credentials AwardedCLT (MLD + CDT)MLD certificate only
Hybrid Format45 h online + 9-day lab5 day on-site or fully online
Compression/Bandaging LabsOften limited
National Footprint30+ annual course dates in the U.S. & CanadaFew regional dates
Post-Grad SupportLifetime alumni portal, refresher discountsRarely offered

Course Blueprint: From Day 1 to Certified Lymphedema Therapist

1. Pre-Class Home Study

(45 hours)

  • Interactive modules on lymphatic anatomy, physiology, and pathophysiology
  • Self-graded quizzes to prep for the final exam
  • Access to a personal Home-Study Mentor for Q&A
Student watching an online lymphatic system lesson on a laptop as part of hybrid CDT coursework

2. On-Site Intensive (9 days / 90 hours)

  • MLD Hands-On Labs (Vodder Technique)
  • Compression & Multilayer Bandaging for upper and lower extremities
  • Differential Diagnosis labs: lipedema vs. venous disease vs. phlebolymphedema
  • Adjunctive Modalities: pneumatic compression, kinesio taping, low-level laser
  • Live Patient Practicum—treat actual lymphedema cases under faculty supervision

3. Credentialing Exams

  • 100-question written final
  • Practical skills check-off: MLD sequences, bandaging, exercise instruction
  • Pass both components and you’re officially a Certified Lymphedema Therapist (CLT). Your certificate carries the NLN-endorsed 135-hour seal.

Flexible Course Schedule

Pick Your City & Save $400

Whether you prefer big-city buzz or mountain serenity, Norton’s Course Schedules page lists 30+ dates across Cleveland, Denver, San Antonio, Vancouver, and beyond. Early-bird registrants can still snag a $400 tuition discount on select 2025 cohorts.

👉 Browse upcoming classes now: https://www.nortonschool.com/course-schedules.html


How Norton Stacks Up Against Other Providers

Competitor programs such as the 5-day, 40-hour MLD certificate courses focus on foundational massage strokes and edema reduction for cosmetic or sports injury clients. These shorter trainings are valuable introductions—but they do not permit you to manage oncology-related lymphedema, bill insurance, or use the protected term Certified Lymphedema Therapist.

By contrast, Norton School’s curriculum:

  • Covers the full CDT skill set—compression, skin care, remedial exercise—so you can treat Stage I–III lymphedema safely.
  • Complies with the 135-hour threshold recognized by major cancer centers and hospital credentialing committees.
  • Awards CEUs accepted by APTA, NCBTMB, NATA, BOC, and many state OT/PT boards (check local rules).
  • Provides lifetime clinical support and discounted refresher labs to keep your techniques razor-sharp.

Frequently Asked Questions


Graduate Success Stories

“I compared three different lymphatic drainage certification programs. Norton’s hybrid model let me finish the online theory around my hospital shifts. Nine days of hands-on labs later, I passed the CLT exam and landed a full-time lymphedema therapist post at a comprehensive cancer center.”Karen T., PT, CLT

“The compression labs were game-changing. I now teach my outpatient team how to wrap complex Stage III legs with confidence.”Miguel R., OT, CLT-LANA


Your Roadmap to Certified Lymphedema Therapist Status

1. Reserve Your Seat

Pick your preferred city/date and pay the $350 deposit online.

2. Complete Home Study

Finish 45 hours of e-learning modules and quizzes before Day 1 of class.

3. Attend 9-Day Lab Intensive

Immerse yourself in MLD, compression, exercise, and skin-care labs.

4. Pass Exams & Earn Your CLT

Celebrate with classmates and update your credentials on LinkedIn.

5. Stay Connected

Access Norton’s alumni portal, job board, and refresher discounts for life.


Smiling graduate in cap and gown proudly holding a Certified Lymphedema Therapist diploma

Ready to Elevate Your Career?

Download the detailed syllabus
Check tuition discounts
Secure your spot before classes fill

Pro Tip: Add “Certified Lymphedema Therapist — Norton School” to your business card. Local oncologists and plastic surgeons search for that exact phrase when referring patients.


Final Call

The lymphedema community deserves expertly trained therapists—and you deserve a credential that opens doors worldwide. Choose Norton School’s Comprehensive Lymphatic Drainage Massage Classes and step confidently into a growing specialty. Seats fill fast; claim yours today.

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