By: Erin Ziprick, RMT

A few years ago I was fortunate enough to travel down to Mexico to participate in a massage course. Not only did I get to enjoy the sandy beaches and beautiful oceans for two weeks, I was also in the presence of amazing Massage Therapists who inspire me with new treatment techniques.
The instructor truly has a unique approach to massage therapy as it was he who introduced me to Visceral Manipulation. For those of you who aren't familiar with Visceral Manipulation,  I will do my best to explain more about it.

Visceral Manipulation (VM) is a manual therapy that focuses on internal organs (visceral), their environment and potential influences on structural dysfunctions. It evaluates and treats motions in relation to organs, membranes, fascia, and ligaments. With applying a gentle manipulation and specific hand placement of manual forces, it helps to encourage normal movement of the connective tissue and viscera. (Barral, J)

Visceral Manipulation was developed from a French osteopath and Physical Therapist named Jean-Pierre Barral in 1971. VM was introduced to the United States back in 1985 and since then he has trained a team of International Teachers who continue to teach around the world. Jean-Pierre is continuing research and development in this area as well as maintaining a full-time practice. (Barral, J)

Areas of the body affected from dysfunction of the viscera:

* Musculoskeletal System
* Vascular System
* Nervous System
* Urogential System
* Respiratory System
* Digestive System
* Lymphatic System

How can Visceral Manipulation help you?

If you are unsure if Visceral Manipulation is right for you, feel free to contact the clinic for more information regarding the treatment. The following are common scenarios where VM can help you;* Motor Vehicle Accident related injuries (ie. Whiplash, seat belt injuries)

* Digestive Disorders (ie. Bloating, constipation, nausea, GERD)
* Women and Men’s Health Issues
* Musculoskeletal Disorders (ie. Headaches/Migraines, chronic spinal dysfunction)
* Pain related to post-operative scar tissue
* Poor posture
* Sport Injuries

Using the technique correctly can help relieve pain, decrease dysfunction and improve functioning of the entire body.

What to expect with treatment:

A VM treatment would be incorporated into your regular massage treatment. Depending on the area of concern, there would be undraping of the abdomen with a towel to cover your chest. Usually the treatments are over skin or sheets but the comfort of the client comes first and can always be adapted to client’s comfort level. Communication is key between the therapist and client. The movements are gentle and subtle so having that open communication and trust is important.

Who can practice VM in your community?

A wide variety of health care practitioners can perform VM including osteopathic, chiropractics, physicians, naturopathic doctors, physical therapists, occupational therapists, massage therapists and other licensed body workers.

In the 4 years that I have been practicing Visceral Manipulation, I have seen changes in people who would normally not see any differences. For example, a few years back, a middle aged women with chronic lower back pain came into my office. She was frustrated with the constant pain of moving around and everyday life. During the massage she revealed to me that she had a medical history of 3 C-sections. I then left 15-20 minutes before the end of her massage to do some direct treatment to her surgical scars and abdomen. Believe it or not, but she felt immediate change and releases that all referred into her lower back. It was a humbling experience that I was able to give her that relief. Depending on the situation and medical history, everyone may experience different side effects and benefits. The results do vary but this was one women’s perspective and I was happy to be able to help her the best I could.

If you were still unsure that this form of therapy or you or had more questions, please feel free to book an appointment and we can do an assessment or send me an email.

References
http://www.barralinstitute.com/about/vm.php
Barral, Jean-Pierre, Pierre Mercier. Visceral Manipulation. Eastland Press, 2005. Print

Chances are that you or someone you know has been affected by back pain at some point in your life. The statistics are stacked against you and I, as low back pain affects at least 80% of us some time in our lives, perhaps 20-30% at any given time.

Back pain can be debilitating and can affect each person differently. Some people only experience discomfort for a few days while others suffer from it for months or even years. Acute back pain can last anywhere from days to weeks and is usually mechanical in nature. Symptoms may range from muscle ache to shooting or stabbing pain, limited flexibility and/or range of motion, or an inability to maintain proper posture.

The good news is that these acute episodes generally respond well to conservative therapies and have the ability to resolve relatively quickly. Albeit some acute pain syndromes can progress to become more serious if left untreated.

Chronic back pain is classified as pain persisting for three months or greater. It is generally more complicated and multi-faceted in nature. In some instances, pain may travel or radiate to another part of the body causing distal numbness, tingling, and/ or weakness. Chronic pain syndromes can involve physical, chemical, and/ or psychological components which can require more therapy time and more in-depth treatment protocols.

At any rate, back pain is debilitating and can be a lingering nuisance in our daily routines. The key to successful treatment and recovery starts with the ability to determine the primary reason(s) causing the problem.

A symptom such as pain may seem urgent but pain is merely a residual effect to a primary dysfunction. Pain fibers only make up less than ten percent of body's overall nerve fibers. This means that there can be a dysfunction, pathological problem, and/or biomechanical imbalance occurring somewhere in the body without pain being present. Therefore, basing wellbeing on pain-symptoms alone does not effectively measure one's overall health.

Getting a detailed examination by a qualified health practitioner will help determine the root cause of pain generators which accordingly can help better one's prognosis. Let's explore the viable treatment options for low back pain and the efficacy of each.

Let us first start with a visit to our primary care physician. Typically, after a short-lived appointment, the medical doctor may suggest some rest and avoidance of strenuous activity. He or she may opt to write out a prescription for a few pain killers and muscle relaxants for your back pain. Having trust in our physician, we take the medications sometimes without questioning: "Is this natural? Are pharmaceutical drugs the best solution to a small case of back pain?"

      Most often people associate going to a chiropractor for the treatment of low back and neck pain. Although chiropractors do effectively treat pain in the neck and low back, they also address your health through a preventative-holistic model. Your treatment from the chiropractor will often include manual therapy, exercise, diet and other healthy lifestyle modifications to keep you strong and functioning at your optimal levels. 

Pain is only a small fraction of the big picture and is the body's natural defence mechanism to alert the brain about a deeper problem occurring somewhere else in the body. Pain does not necessarily tell you what or where the problem is, it only tells you there is a problem hence, using a pain-based model is not an accurate measure of health. The job of the chiropractor is to find the root cause of what is eliciting the pain and address the problem by altering or eliminating the pain mechanism.

How do chiropractors find the root cause of your problem?

            Through the process of history taking and a physical examination, a chiropractic doctor will gather clinical information about a patient's presenting symptom(s) with the end goal of formulating a diagnosis. The diagnosis will provide the clinician with a big picture of the patient's general health and presenting complaint(s).

The identification of a spinal joint dysfunction or vertebral subluxation is one of the chiropractor's primary goals. A spinal subluxation is a misalignment of the vertebrae in your spine which leads to altered tissue, abnormal motion, compensation, pain, and poor nerve function.

Pain and dysfunction(s) arise in the body when these subluxations are present. They result in a less efficient nervous system, causing a diminished immune response which can lead to an increased likelihood of getting sick or worse, disease. Think of your nervous system or nerves as a water-hose; water/ electrical flow is best when the hose (nerve) has no impedance. Contrary, when a kink (vertebral subluxation) is present, the flow becomes weakened and compromised.

The central nervous system is the most important domain to a healthy functioning body. Your nervous system is composed of your brain and spinal cord and has influence on most bodily functions, such as awareness, motor movement, sensation, organ function, speech, and memory. It is important to have free-flowing communication between these structures and nerves in order to have a strong-responsive body.

By finding and addressing these spinal subluxations, chiropractors invariably improve nervous system function via an adjustment. A decrease in pain is a direct result from a better functioning nervous system.

Chiropractic treatments are guided by simple rules of science, whereby an external stimulus from a chiropractic adjustment will cause an internal response and reorganization of bodily systems. This reorganization is a direct result of neurological input to the central nervous system which promotes adaptive change and restoration in health. Chiropractor's do not 'fix' the spine, rather we provide the stimulus that your body needs in order to facilitate its own healing process.

Some Benefits of chiropractic and spinal manipulation include,

~ increased mobility
~ improved immune function
~ increased energy and vigour
~ decreased pain
~ greater mind-body connection
~ increased proprioception and awareness
~ reduced pressure off nerves to promote enhanced nerve conduction
~ reduced stress and enhanced relaxation
~ quicker recovery time
~ increased circulation and nutrient supply
~ improved sleep

Ideally establishing a preventative and proactive lifestyle before pain arises, is the course one should strive for. Take an active approach to your health and book your spinal check up.


By:  Albert Huang, DC