Following extensive training in Lymphedema Management, which started in 1984, Joachim Zuther founded the Ulmkolleg/Department of Lymphology (University of Ulm, Germany) in 1990 after he received his degree as a certified instructor for Manual Lymph Drainage (Vodder Technique) and Complete Decongestive Therapy (MLD/CDT) from the German Physical Therapy Association. The Ulmkolleg is one of the leading schools for Lymphedema Management in Europe. He published the first textbook on Lymphedema Management titled "Textbook for Comprehensive Lymphedema Management" in 2004.

In 1994 he formed the Academy of Lymphatic Studies, the first school to offer Lymphedema Therapy Certification courses according to the European curriculum in the Continental United States.

The Academy of Lymphatic Studies (ACOLS) conducts Certification Courses in MLD/CDT (135 hours) as well as Lymphedema Management Seminars (31 hours) throughout the year in the United States.

Many of these courses are held in Universities, Outpatient Rehabilitation Facilities, Hospitals and Cancer Centers.

ACOLS also provides a bi-annual Refresher Conference to Lymphedema Therapists, in-service lectures to physicians, other health care professionals as well as local lymphedema support groups. Faculty members are frequent speakers and presenters at National and International Lymphedema Conferences.