What it is
The organs of the abdomen and pelvis are not loose. The uterus, ovaries, bladder and bowel are connected to one another and to the walls of the body by ligaments, membranes and fascia. With every breath the diaphragm descends and the organs glide slightly over each other. When we bend or twist, they move too.
Visceral osteopathy builds on this observation. Surgery, scars, inflammation, infection, childbirth or long-standing constipation can make these tissues stiffer or stuck down. That may change how the body moves and contribute to pain, tension or discomfort elsewhere, such as the lower back or pelvis.
It is a gentle, hands-on approach with no instruments. It sees the organs as part of the whole body rather than isolated parts.
What happens in a session
After the initial conversation, we observe posture, breathing and how the spine, ribs and pelvis move. Lying on the treatment table, we assess the abdomen with our hands, feeling for areas of tension, tenderness or reduced mobility.
The techniques are slow, with moderate pressure. They may include gentle mobilisation of the abdomen, scar work, techniques for the diaphragm and ribs, and mobilisation of the spine and pelvis. We often combine this with breathing exercises or pelvic physiotherapy in the same session.
It should not hurt. If an area is tender, we adjust the pressure. Always tell us how it feels.
When it can help
Many women seek visceral osteopathy for pelvic pain, period pain, bloating and constipation, or for caesarean and other surgical scars that pull or feel uncomfortable. It can also be useful after birth, to regain abdominal mobility, and around the menopause.
To be clear: scientific research on visceral osteopathy is still limited and the existing studies are small. Many women feel relief, and that is what we aim for, but we do not promise results. It complements medical care and pelvic physiotherapy; it does not replace them.
In pregnancy, techniques are adapted, done in comfortable positions and always with respect for the baby’s space.
What to expect and how many sessions
After a session your tummy may feel lighter, you may need the loo more, or you may feel a little tired. This is common. The number of sessions depends on the problem and how your body responds. Sessions are usually spaced further apart than physiotherapy, to give the tissues time to adapt.
Frequently asked questions
Does it hurt?
It shouldn’t. The pressure is adjusted to you and you can ask to stop at any time.
Do I need to fast beforehand?
No. Just avoid a very heavy meal right before the session.
Can it replace surgery or medication?
No. If your doctor has recommended surgery or treatment, osteopathy can complement it but not replace it.
When to see a doctor
See a doctor if you have sudden severe abdominal pain, fever, persistent vomiting, blood in your stools, unexplained weight loss, or a recent and lasting change in your bowel habits.