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In this unprecedented era of Covid-19 we have all been challenged.

LANA has received communications from many lymphedema training programs describing innovations in their courses that have been shaped by the Covid pandemic and need for social distancing.

In response to these necessary adjustments to providing training for Lymphedema therapists, LANA has commissioned a job analysis survey through Prometric/SMT. In this survey we hope to answer fundamental questions regarding the current essentials of Lymphology and needs of our lymphedema therapists in providing care to patients.

At this time, our original criteria for LANA examination eligibility remains in place. LANA will continue to require 135 hours of training with 1/3 study and book learning 2/3 or 90 hours of hands‐on training.

All candidates who wish to apply to take the LANA exam should review the Candidate Information Booklet (CIB) and the Exam Content Outline.


1.   Possess a current and unrestricted U.S. state professional license or registration or equivalent Canadian provincial or territorial license or registration as a Registered Nurse (RN), Occupational Therapist (OT), Certified Occupational Therapy Assistant (COTA), Physical Therapist (PT), Physical Therapist Assistant (PTA), Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), Doctor of Chiropractic (DC), Massage Therapist (MT), or Certified Athletic Trainer (CAT/ATC). Massage Therapists who do not hold a current unrestricted state license or registration (or Canadian equivalent) must be certified by the National Certification Board for Therapeutic Massage and Bodywork OR provide documented evidence of having successfully completed a curriculum containing a minimum of 500 hours of soft tissue massage, from an accredited institution.


2.   Provide proof of successful completion of qualified instructional course in Complete Decongestive Therapy (CDT) course work (consisting of 1/3 theoretical instruction and 2/3 practical lab work and documentation of 135-classroom hours) from no more than four consecutive or cumulative courses from one training program. Practical lab work is defined as real-time instruction with an instructor present. An instructional video that a student watches during home study would NOT be counted as part of the expected 2/3 practical lab work. Proof is accepted in the form of a computer certificate or letter from the school director.


3.   Provide proof of basic science requirement completion consisting of 12 credit hours (i.e. four, three-credit courses or three, four-credit courses which equal 192 clock hours) of college level human anatomy, physiology, and/or pathology from an accredited college or university. Copy of transcript must be submitted with application form. (Note: a three-credit course meets three hours per week for 16 weeks for a total of 48 clock hours). Science courses taken within a massage therapy curriculum do not count toward the required hours. *

*Note: The science requirement is automatically met by those who provide current unrestricted state licenses or registrations from the following disciplines: RN, OT, COTA, PT, PTA, MD, DO, DC, and MT trained in Canada in a 2200-hour program. These individuals should not submit transcripts.


For more detailed information regarding LANA’s Training Program Standards please click on LANA’s Policies & Procedure Manual (Roman numeral I, p. 53)


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