At ETHOS Collective Physiotherapy, we offer Visceral Manipulation (VM); a gentle, hands-on manual therapy that focuses on the mobility and balance of your internal organs (viscera) and surrounding connective tissues, including fascia, ligaments, and the mesentery. Developed by French physiotherapist and osteopath Jean-Pierre Barral, VM is recognized as one of the most innovative approaches in modern manual therapy.

Unlike traditional therapies that focus only on the site of pain, VM looks at the whole body, uncovering hidden sources of tension and dysfunction. After all, pain can lie. Sometimes where you feel it isn’t the root cause.

How Visceral Manipulation Works

The body is a complex, interconnected system. Muscles, bones, nerves, fascia, and organs all move together, influencing one another. Every breath, twist, bend, or run creates movement in both the external body (your container) and the internal body (your organs). Restrictions in one area can ripple throughout your system, impacting posture, mobility, and overall function.

For example:

• The kidneys move up to 2.5cm with normal breathing, and up to 10cm with deep inhalation, adding up to almost 1 km of movement per day.

• When your diaphragm and lungs expand, they transmit motion to your organs through the fascia. If organs aren’t moving freely, it can restrict how your body functions externally.

Why Organ Mobility Matters

Your organs need space to move naturally. When organ mobility is restricted, muscles, joints, and posture compensate, often causing tension, discomfort, or even pain in unexpected areas. Conversely, limitations in your body can restrict organ movement, affecting function and creating long-term issues.

For instance:

• A fall on the right side can impact the liver, pulling on surrounding tissues and creating tension that radiates to the ribs, back, hips, neck, or shoulders.

• Scar tissue from chronic bronchitis or pneumonia can restrict lung mobility, forcing surrounding muscles to work harder, which may lead to tension in the shoulders, neck, diaphragm, or back.

By addressing these restrictions at the source; organs, connective tissues, and surrounding structures, Visceral Manipulation helps restore natural movement, reduce tension, and prevent compensations that can lead to pain elsewhere.

What to Expect after VM

Visceral Manipulation is gentle, non-painful, and deeply restorative. During a session, you may feel:

• Soft stretches or subtle shifts in tissues

• Sensations at the treated area or elsewhere in the body

• A sense of lightness, ease, or release, often noticeable within 24–48 hours, with full effects integrating over several days

Each session is tailored to your body, your needs, and your goals, combining VM with other manual therapy and physiotherapy techniques to restore balance and optimize your whole-body function.