Visceral Manipulation

Visceral manipulation is a gentle therapy of the internal organs of the body, including the lungs, pericardium, liver, kidneys, bladder, uterus and ovaries, prostate, and intestines. Internal organs can become restricted in their movement due to factors such as surgery, trauma, inflammation, or poor posture, which can lead to pain, dysfunction, and decreased overall health. This form of manual therapy is often used as part of a holistic approach to healthcare.

Rolfing® Structural Integration works to organize the myofascial system is a person’s body to help them become more aligned, adaptable, and coordinated in movement. The visceral fascia is often overlooked. It supports and enhances the structural work. One of our goals as bodyworkers is to improve the client’s alignment, balance, and coordination.

‘Sometimes, organizing the myofascial components do not completely aid in the sustaining support and the full embodiment we hope to impart to our clients. In these cases, a fascial visceral restriction may be the cause and/or a part of the problem of misalignment and imbalance. If so, we need to be able to assess for a visceral component, and if found, address it.’ Alyssa Dodson.

Visceral Manipulation is a deep yet gentle work. During a visceral session, the therapist uses gentle, specifically targeted techniques to assess and address restrictions in the movement of the organs. This may involve applying gentle pressure or traction to the abdomen or surrounding areas to release tension and restore normal movement patterns. The viscera (organs) have a gentle rhythmical movement. The work aims to gently harmonize the relationship between the organs, to help them move freely individually and in relation to the other organs. The work feels very soft and safe, a cradling of the organs. In the session, a client may feel a softening, increased motility in the digestion and a freeing (relaxation) of the musculoskeletal fascia as well.

Session Format

During a visceral manipulation session, the client will lie on the table face up. The practitioner will then gently palpate to assess any restrictions or dysfunctions in the internal organs.

  • First, the therapist will observe the patient's posture, movement patterns, and palpate (feel) different areas of the body to identify areas of tension or restriction.
  • The therapist uses their hands to gently palpate the abdomen to assess the mobility and movement of the internal organs.
  • Based on their assessment findings, the therapist then uses gentle, hands-on techniques to manipulate the internal organs and surrounding tissues. This includes listening with their hands to the motions in the abdomen, applying gentle pressure, stretching, or mobilizing the organs to release tension, improve mobility, and restore normal function.
  • Throughout the session, the therapist asks the client to provide feedback on their experience, such as any changes in symptoms or sensations.
  • Depending on the client's condition and response to treatment, the therapist may recommend follow-up sessions to further address any remaining issues or to maintain the benefits of treatment over time. They may also provide recommendations for self-care techniques or lifestyle changes to support the healing process.

It's important to note that visceral manipulation should only be performed by trained and qualified practitioners who have received specialized training in this technique. The specific techniques and approach used during a session may vary depending on the individual client's needs.