Osteopathy:
Visceral therapy
The Connection Between Organs and the Musculoskeletal System in Osteopathy
Visceral therapy is a branch of osteopathy that emphasizes the connection and interaction between our internal organs and the musculoskeletal system. The core idea of visceral therapy is that the organs and the musculoskeletal system exist in a dynamic balance and influence one another. As long as the internal organs function well and can move freely within their tissues, the musculoskeletal system also remains stable. However, if the mobility or function of an organ becomes impaired, this can cause tension and discomfort throughout the body.
Theory and Approach of Visceral Therapy
Our internal organs—such as the intestines, liver, kidneys, and stomach—are attached within the body by ligaments and fascia that stabilize them while also connecting them to the musculoskeletal system. Every body movement, whether walking, bending, or twisting, therefore affects the organs as well. This close anatomical and functional relationship allows the organs to shift flexibly in response to body movements so they can carry out their functions without disturbance.
Different factors such as surgeries, infections, poor nutrition, postural issues, or emotional stress can restrict the natural mobility and function of the organs. Such dysfunctions often cause the affected organ to develop increased tension, which can transfer to neighboring structures and eventually to the musculoskeletal system. For example, recurrent bladder infections may lead to hip or back pain, or impaired bowel function may cause discomfort in the lumbar spine.
Goals of Visceral Therapy
The aim of visceral therapy is to release tension in the tissues of the organs and restore their mobility through specialized techniques. The approach focuses on identifying and treating the causes of movement disorders in the body through the organ system, thereby improving the function of the entire organism. During treatment, the organs are gently mobilized, tension in the surrounding tissues is reduced, and the interactions between organs and the musculoskeletal system are harmonized.
Breathing and stretching exercises inspired by yoga, as well as endurance training, help promote organ mobility. However, visceral therapy reaches its limits when no dietary changes are made. In such cases, a dietitian may be consulted to discuss and implement individual adjustments.
Areas of Application for Visceral Therapy
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Spinal complaints (disc herniation, blockages)
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Sacroiliac joint issues (pain, blockages)
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Chest and rib joint pain, often with asymmetries, leg length differences, or scoliosis
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Headaches, dizziness, tinnitus
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Digestive problems (constipation, diarrhea)
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Stomach issues (heartburn, stomach pain)
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Urinary problems (recurrent bladder infections)
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Menstrual discomfort, hormonal imbalances
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Breathing difficulties and heart-related discomfort
Scientific Studies on the Effectiveness of Visceral Therapy
Research on visceral therapy has increased in recent years, especially in the field of chronic pain and functional disorders. A 2017 study published in the Journal of Bodywork and Movement Therapies examined the effectiveness of visceral therapy in patients with chronic digestive complaints and back pain. The results showed significant improvement in symptoms after a series of visceral treatments, particularly regarding back pain and patients’ overall well-being.
Another study, published in the International Journal of Osteopathic Medicine (2019), focused on the role of visceral therapy in chronic pelvic pain. The findings indicated that visceral mobilization led to marked reductions in pain and improved mobility, highlighting the relevance of the therapy for pelvic and lower abdominal complaints.
Visceral therapy is a promising approach that goes beyond treating the musculoskeletal system and instead focuses on the body’s functional unity. By specifically mobilizing the internal organs, visceral therapy can resolve tensions and dysfunctions that affect both the organs themselves and the entire musculoskeletal system. Especially for chronic conditions and functional disorders, visceral therapy offers a gentle yet effective method to improve quality of life.


