Lymphatic Drainage Massage Certification in Costa Rica

MANUAL Lymph Drainage Certification

What You'll Learn

Participants will be able to:
  • Demonstrate an understanding of the anatomy and the relevant scientific terminology related to the lymphatic system. 
  • Demonstrate an understanding of the differentiation between the normal and diseased states of the lymphatic system (physiology and pathophysiology of the lymphatic system).
  • Demonstrate an understanding of the indications and contraindications related to the use of MLD.
  • Competently perform the techniques of MLD for all body areas.
  • Develop appropriate treatment strategies for indications such as post-surgical edema, post-traumatic edema, fibromyalgia, general detoxification and other conditions.
  • Competently perform MLD on clients after breast surgery for cancer (clients at risk to develop lymphedema).
  • Competently perform MLD on clients with mild, medically uncomplicated, primary or secondary lymphedema.

Course Overview

Manual Lymph Drainage Certification

This 5½-day MLD certification course is based on the techniques developed by Dr. Emil Vodder, Ph.D., MT. When skillfully applied, this therapeutic form of soft-tissue mobilization dramatically enhances lymph formation and promotes drainage within the superficial and deep systems of the lymph vascular network. During this course, students will be instructed in anatomy and physiology of the lymphatic system. Basic MLD treatment sequences as well as MLD treatment sequences for mild, medically uncomplicated upper and lower extremity lymphedema will be demonstrated and practiced. Each day will be divided into two sections: theoretical and hands-on application.

This course is offered in partnership with Klose Training.

Certification in the United States

  •  45 Hours NCBTMB Approved Continuing Education Credits – Manual Lymph Drainage Certification
    • This course is also approved directly by the Alabama, Arkansas, and Louisiana Sate Boards of Massage Therapy 
    • Klose Training & Consulting LLC NCBTMB Approved Provider Number: 406050-00


  • This course is designed for Licensed/Registered Massage Therapists who have completed at least 500 hours of massage training or are certified by the NCBTMB. The course is also open to PTs, PTAs, OTs, COTAs, ATCs, RNs, and MDs but these professionals should first consult with Klose Training to ensure this is the appropriate class.


Guenter Klose is the Founder of Klose Training & Consulting, LLC located in Lafayette, Colorado. Guenter received his initial Manual Lymph Drainage (MLD) and Complete Decongestive Therapy (CDT) training in 1984 at the Foeldi Clinic in Hinterzarten, Germany. Specializing in the treatment of Lymphedema, he became certified in 1987 as an instructor for MLD/CDT by the German Massage Therapy and Physical Therapy Association and continued working as instructor at the Foeldi Schools in Freiburg and Munich, Germany.

In 1990, Guenter came to the United States to assist Dr. Robert Lerner in establishing the first CDT treatment center for lymphedema patients located in New York City. Guenter’s work was instrumental in establishing the field of lymphedema therapy and training in the U.S. He assisted in opening numerous lymphedema treatment centers on the East Coast.

In 2003, Guenter established his own lymphedema training and consulting company, an organization dedicated to providing the highest quality lymphedema therapy training available. Guenter has facilitated the training of hundreds of lymphedema therapists from across the country and abroad.

Guenter has lectured extensively in the United States, Europe, and South America. His activities include presentations at the National Lymphedema Network Conferences, lecturing at physicians’ meetings in a large number of hospitals, as well as numerous lymphedema support groups across the country. He is the Program Director of the biannual Klose Training & Consulting Lymphedema Conference. Here in the U.S., Guenter actively treats lymphedema patients and teaches classes for MLD/CDT several times a year.

Professional Memberships:

  • National Lymphedema Network (NLN)
  • International Society of Lymphology (ISL)
  • Honorary Member Colegio Argentino de Cirugîa Venosa y Linfâtica
guenter klose manual lymph drainage in costa rica

Erin Maranjian, BCTMB, CLT-LANA.

Erin has dedicated years to the study and practice of health and wellness. Her journey began with midwifery in the 1980s and evolved with advanced training in lymphedema treatment from Germany and Canada. With over 20 years in the field, Erin has passionately supported countless clients, many facing significant health issues. An avid learner, she not only seeks new methods to assist her clients but also shares her expertise by teaching Manual Lymph Drainage to Licensed Massage Therapists.

Graduating from the Healing Arts Institute in 1999, Erin secured certifications in Medical Massage and Manual Lymph Drainage from prestigious institutions in Fort Collins and Victoria, British Columbia. She expanded her knowledge with a Lymphedema Therapist certification from Klose Training in 2006, advanced lymphedema training in Germany in 2014, and Oncology Massage training from Memorial Sloan Kettering in 2010. Erin has run a private massage and lymphedema treatment practice in Fort Collins, Colorado since 1999 and joined Longmont United Hospital in 2002, where she specialized in treating oncology patients and those with chronic conditions. Her passions extend to helping those with mobility challenges find joy in movement through programs like Silver Sneakers and Zumba Gold.

Instructor: Erin Maranjian
Dates: June 29 or 30 - July 7, 2024
Location: Playa Samara, Costa Rica
Cost: $1,650 - $2,100

Frequently Asked Questions


June 29 or 30th - July 7th, 2024

Students may arrive on June 29th or 30th, 2024 - shuttles from LIR airport in Liberia, Costa Rica to the campus will be provided at 2:00PM on both days.

Class days are July 1st - 6th, 2024.

Departures day is July 7th, 2024 - shuttles from the campus to LIR airport in Liberia will be provided at the appropriate times to accommodate all departing flights on this day.

Students wishing to stay in Costa Rica beyond the course can find accommodations through Airbnb or


$1,650 – Tuition and Shared Room

$1,900 – Tuition and Single Room


Enjoy simple and comfortable accommodations in our Costa Rican style bungalows tucked away in the heart of Playa Samara just seconds from the beach. Each 2 or 3 bedroom bungalow is fully furnished with a fully equipped kitchen, bathroom, and living room. Single or double bedrooms are available as well as studio apartments. Enjoy the swimming pool, lush gardens, WiFi access, hot water showers, and fans. A/C is included for all on-campus housing options for this course.

What's Included?
  • 45 Hours NCBTMB Approved Continuing Education Credits
  • Airport Pickup and Dropoff
  • 7 or 8 nights lodging in our Oasis Villas – fully appointed bungalows with complete kitchens in the heart of Playa Samara
  • Course Manual and use of all classroom facilities (tables, linens, lubricant etc.)
What's Not Included?
  • Airfare
  • Meals – all accommodations come with fully equipped kitchens, and there are several local grocers including an organic market all within 5 minutes

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Playa Samara is a perfect paradise for continuing education in orthopedic massage in Costa Rica. The town is nestled in the beautiful green hills of the famous Nicoya Blue Zone on the Pacific Coast of the peaceful Central American nation.


Enjoy strolling the streets of the small downtown area and visiting the many local and international restaurants, bars and discos, and cute gift shops. The beautiful and tranquil Samara Bay is surrounded by miles of palm tree lined white sand beaches and provides a perfect and safe location for kayaking, snorkeling, surfing, SUP, and swimming as well.