Remedial
WHAT IS VISCERAL MANIPULATION?
Visceral Manipulation (VM) is a gentle yet precise manual therapy that focuses on restoring
the natural mobility, tone, and inherent motility of internal organs (the viscera), as well as
the connective tissues that support, suspend and connects them.
Developed through decades of clinical observation and anatomical study on behalf of French practitioner Jean Pierre Barrall, VM addresses dysfunctions that often go unnoticed — yet can profoundly affect the
musculoskeletal, nervous, and emotional systems.
INTERNAL ORGANS - DISCOVERING THE LINK
Our internal organs are in constant motion — rhythmically expanding, contracting, and
gliding against one another with every breath, heartbeat, and digestive movement. These
motions are transmitted through fascia — a continuous connective tissue network that links
every part of the body. When healthy, this dynamic interplay supports the smooth
functioning of all systems. But when motion is disrupted — due to inflammation, infection,
surgery, trauma, poor posture, chronic stress, or even emotional shock — the body
compensates, and dysfunction follows.
Restrictions in visceral tissues can arise from:
● Post-surgical adhesions
● Direct or indirect trauma (e.g., whiplash, falls, impact injuries)
● Repetitive strain or chronic inflammation
● Emotional stress and somatization
● Environmental and nutritional factors
● Fetal mispositioning and traumatic birth
● Prolonged antibiotic use or substance toxicity
Over time, these restrictions may alter not only the organ’s function and positioning, but also
affect distant structures through the fascial and neurological chains. For example, adhesions
between the ribs and lungs can impair respiratory efficiency, irritate tissues with each breath,
and lead to mid-back pain. A stretched hepatic ligament after trauma may disturb liver
mobility, congest circulation, and contribute to right-sided neck, shoulder, or even cervical
spine restrictions — all without any obvious abdominal symptoms.
Ligaments and fascia around the viscera contain a dense population of
mechanoreceptors, which provide constant sensory feedback to the central nervous
system about movement, volume, and organ tension. When these are overstimulated or
inhibited — such as after trauma or chronic inflammation — the signals they send can alter
muscle tone, disrupt spinal segment function, and contribute to central sensitization. This is
the basis of referred pain, where an organ’s dysfunction shows up as pain in unrelated
musculoskeletal areas due to shared spinal innervation.
SOME EXAMPLES:
● The small intestine is suspended around the L3 area. Restrictions here can manifest
as low back pain.
● The colon shares fascial and neural links with the lower limbs — dysfunction may
mimic plantar fasciitis or knee issues.
● Tension along the gut wall (often stress-related) can irritate the vagus nerve, creating
digestive and emotional symptoms simultaneously.
Visceral pain is typically diffuse, dull, and vague — harder to pinpoint and often not
perceived until it reaches a certain threshold. Due to the body's immense capacity for
compensation, symptoms may only appear years after the original event, or may seem
unrelated. However, VM practitioners are trained to detect these silent restrictions and
follow the pattern of tension back to its source — not just where symptoms manifest.
HOW CAN VISCERAL MANIPULATION HELP?
Through gentle, accurate palpation, VM can:
● Enhance mobility and function of organs
● Improve circulation of blood, lymph, and cerebrospinal fluid
● Influence postural alignment and musculoskeletal pain patterns
● Support nervous system regulation and emotional balance
● Unravel compensatory patterns rooted in past trauma
The therapy works indirectly as well: by restoring fascial glide, it reduces mechanical tension
on joint capsules and spinal segments; by releasing organ tension, it reduces sympathetic
nervous system load; and by calming overstimulated mechanoreceptors, it modulates pain
perception at both the spinal and central levels.
Many clients are surprised to discover that a long-forgotten surgery, an old infection, a car
accident, or a period of emotional stress may still be "held" in the tissues — subtly shaping
posture, pain patterns, digestion, or energy levels. VM doesn’t aim to “fix” a single symptom
but rather to restore global coherence and fluidity within the body, allowing the innate
self-healing mechanisms to take over.
WHY DOES THIS MATTER?
When the body is no longer spending energy compensating for hidden restrictions, it
becomes more resilient. Aches resolve, movement improves, digestion calms, and emotional
clarity often emerges. What may have felt like “just back pain” or “unexplained fatigue”
begins to shift — not through force, but by listening to the body and supporting what it’s
been trying to do all along: return to health.
Visceral Manipulation sessions are available with Aurelia at Sage