Visceral Osteopathy
- Giulia Buczkowsky

- Jan 18
- 4 min read
What Is Visceral Osteopathy?
Visceral osteopathy is a gentle, hands-on approach that focuses on the health and movement of the internal organs (also called the “viscera”), such as the lungs, stomach, duodenum, intestines, colon, liver, gallbladder, bladder, uterus and pelvis.

Our organs are designed to move freely with breathing, posture, and everyday movement.

When this natural mobility is restricted, it can affect how the body functions and may contribute to pain, tension, or discomfort elsewhere in the body.
Visceral osteopathy aims to support the body’s natural balance by improving the mobility and communication between the organs and the rest of the musculoskeletal system.
How are the internal organs connected to the body?
Organs are not floating independently inside the body. They are connected to muscles, fascia (connective tissue), ligaments, veins and arteries, nerves, and the spine.

An organ can become restricted due to:
Surgery or scarring
Inflammation
Trauma or falls
Prolonged stress
Pregnancy or childbirth
This tension can be transmitted to other areas of the body.
For example, digestive tension may be linked to low back pain, pelvic discomfort, or breathing restrictions.
Visceral osteopathy looks at the body as a whole, rather than treating symptoms in isolation.
How do internal organs affect muscles and pain?
The body communicates constantly through the nervous system.
Internal organs and muscles share nerve connections with the spine, which means that irritation or tension in an organ can sometimes show up as pain or tightness in muscles or joints.

This connection and neurological phenomenon is known as the viscerosomatic reflex, part of the autonomic nervous system (ANS), where an internal organ (viscera) is diseased or irritated, it sends signals through nerves to the spinal cord, causing a reflexive, localised dysfunction in somatic structures like muscles, bones, and skin.
Over time, this can contribute to stiffness, discomfort, or pain away from the organ itself.
For example, digestive tension may be linked to lower back discomfort, or pelvic organ stress may contribute to hip or sacral tension.
What happens during a Visceral Osteopathy treatment?
Visceral osteopathic treatment is very gentle and normally pain-free. It uses light pressure and subtle movements; the osteopath assesses how the organs move and respond within the body.
Treatment may involve:
Gentle manual contact on the abdomen, rib cage, or pelvis;
Listening to tissue tension rather than forcing movement;
Encouraging natural release and mobility.
What conditions may benefit from Visceral Osteopathy?
Few studies showed the efficacy of this treatment in the reduction of pain and improvement of quality of life with a supporting care for different conditions and diseases.
Visceral osteopathy may be helpful for people experiencing:
Breathing restrictions: obstructive sleep apnea, sinusitis, hay fever, asthma, chronic obstructive pulmonary disease (COPD), post-respiratory infection recovery;
Digestive discomfort: such as nausea, reflux, gastritis, abdominal hernia, cramps, bloating, constipation and IBS;
Pelvic issues: pelvic pain, menstrual or postnatal discomfort, endometriosis, adenomyosis;
Bladder disorders: recurrent infections (UTI), urinary frequency;
Organs prolapse;
Post-surgery care.
Osteopathic treatment for some conditions is only a supporting care, and is always important to monitor your health with your Doctor and specialist.
A holistic approach to Health
The foundations of all start with the philosophy laid by its founder, Andrew Taylor Still (1828-1917), who studied that the various parts of the body are functionally interconnected, allowing for necessary adaptations when demands on the body change.
Visceral osteopathy is not about “fixing” one organ. It is about supporting the body’s ability to self-regulate and restore balance.
By improving how the organs move and interact with the rest of the body, visceral osteopathy can help reduce strain, improve function, and support overall wellbeing.
If you’re curious about whether visceral osteopathy may help you, feel free to discuss it during your appointment or get in touch to learn more.

References:
Attali, T. V., Bouchoucha, M, Benamouzig, R. (2013) ‘Treatment of refractory irritable bowel syndrome with visceral osteopathy: short-term and long-term results of a randomized trial’, J Dig Dis, 14(12):654-61.
Chila, A.G. and AOA (2015) ‘Foundations of Osteopathic Medicine’, in Contigliani, R., Marasco, M.L. (ed.), USA: Lippincott & Wilkins.
Da Silva, R. C, De Sá, C. C., Pascual-Vaca, Á. O., De Souza Fontes, L. H., Herbella Fernandes, F. A., Dib, R. A., Blanco, C. R., Queiroz, R. A., Navarro-Rodriguez, T. (2013) ‘Increase of lower esophageal sphincter pressure after osteopathic intervention on the diaphragm in patients with gastroesophageal reflux’, Dis Esophagus, 26(5):451-6.
Daraï, C., Bendifallah, S., Foulot, H., Ballester. M., Chabbert-Buffet, N., Daraï, E. (2017) ‘Impact of osteopathic manipulative therapy in patient with deep with colorectal endometriosis: A classification based on symptoms and quality of life’, Gynecol Obstet Fertil Senol, 45(9):472-477.
Dobson, D., Lucassen, P. L., Miller, J. J., Vlieger, A. M., Prescott, P., Lewith, G. (2012) ‘Manipulative therapies for infantile colic’, Cochrane Database Syst Rev, 12:CD004796.
Goyal, K., Goyal, M., Narkeesh, K., John, S. A., Sharma, S., Chatterjee, S., Arumugam N. (2017) ‘The effectiveness of osteopathic manipulative treatment in an abnormal uterine bleeding related pain and health related quality of life (HR-QoL) - A case report’, J Bodyw Mov Ther, 21(3):569-573.
Heineman, K. (2014) ‘Osteopathic manipulative treatment in the management of biliary dyskinesia’, J Am Osteopath Assoc, 114(2):129-33.
Lotfi, C., Blair, J., Jumrukovska, A. et al. (2023) ‘Effectiveness of Osteopathic Manipulative Treatment in Treating Symptoms of Irritable Bowel Syndrome: A Literature Review’, Cureus, 15(7): e42393.
Noll, D. R., Degenhardt, B. F., Johnson, J. C., Burt, S. A. (2008) ‘Immediate effects of osteopathic manipulative treatment in elderly patients with chronic obstructive pulmonary disease, J Am Osteopath Assoc, 108(5):251-9.
Oliva Pascual-Vaca, Á., Punzano-Rodríguez, R., Escribá-Astaburuaga, P., Fernández-Domínguez, J. C., Ricard, F., Franco-Sierra, M. A., Rodríguez-Blanco, C. (2017) ‘Short-Term Changes in Algometry, Inclinometry, Stabilometry, and Urinary pH Analysis After a Thoracolumbar Junction Manipulation in Patients with Kidney Stones, J Altern Complement Med, 23(8):639-647.
Sillem, M., Juhasz-Böss, I., Klausmeier, I., Mechsner, S., Siedentopf, F., Solomayer, E. (2016) ‘Osteopathy for Endometriosis and Chronic Pelvic Pain - a Pilot Study’, Geburtshilfe Frauenheilkd, 76(9):960-963.
Tozzi, P., Bongiorno, D., Vitturini, C. (2012) ‘Low back pain and kidney mobility: local osteopathic fascial manipulation decreases pain perception and improves renal mobility, J Bodyw Mov Ther, 16(3):381-91.
Wójcik, M., Kampioni, M., Hudáková, Z., Siatkowski, I., K, Edzia, W. Jarz ˛abek-Bielecka, G. (2025) ‘The Effect of Osteopathic Visceral Manipulation on Quality of Life and Postural Stability in Women with Endometriosis and Women with Pelvic Organ Prolapse: A Non-Controlled Before–After Clinical Study, J. Clin. Med, 14, 767.




