Unlocking the Benefits of Visceral Manipulation Pelvic Floor Therapy: A Comprehensive Guide

By Dr. Zarina Vitebsky, DPT, MSPT, PRPC, TPS, LPF, DN on 10/17/2023

Overview

Definition of Visceral Manipulation Pelvic Floor Therapy

Visceral Manipulation pelvic floor therapy is a specialized form of manual therapy that focuses on the internal organs and their surrounding structures in the pelvic region. It involves gentle, hands-on techniques to release tension and restrictions in the pelvic floor muscles, ligaments, and connective tissues.

Importance of Pelvic Floor Health

The pelvic floor plays a crucial role in supporting the organs in the pelvic region, including the bladder, uterus, and rectum. It also helps with bowel and bladder control, sexual function, and stability of the spine and pelvis. Therefore, maintaining a healthy pelvic floor is essential for overall well-being and quality of life.

Purpose of Visceral Manipulation Pelvic Floor Therapy

The main purpose of Visceral Manipulation Pelvic Floor Therapy is to improve the function and mobility of the pelvic floor muscles and surrounding structures. By releasing tension and restrictions, this therapy can help alleviate symptoms such as pelvic pain, urinary incontinence, constipation, and sexual dysfunction.

Benefits of Visceral Manipulation Pelvic Floor Therapy

Some of the potential benefits of Visceral Manipulation Pelvic Floor Therapy include improved pelvic floor muscle strength and coordination, reduced pain and discomfort, improved bowel and bladder control, and enhanced sexual function. It can also help with postpartum recovery and alleviate symptoms of conditions such as endometriosis and pelvic organ prolapse.

Anatomy of the Pelvic Floor

Muscles and Structures Involved

The pelvic floor is made up of a group of muscles, ligaments, and connective tissues that form a sling-like structure at the bottom of the pelvis. These muscles include the levator ani, coccygeus, and obturator internus, and they work together to support the pelvic organs and maintain continence.

Functions of the Pelvic Floor

The pelvic floor has several important functions, including:

• Supporting the pelvic organs, such as the bladder, uterus, and rectum

• Maintaining continence by controlling the opening and closing of the urethra and anus

• Assisting with sexual function and pleasure

• Providing stability and support for the spine and pelvis

Common Issues and Disorders of the Pelvic Floor

There are several issues and disorders that can affect the pelvic floor, including:

• Pelvic organ prolapse, where one or more pelvic organs descend into the vaginal canal

• Urinary incontinence, or the involuntary leakage of urine

• Fecal incontinence, or the inability to control bowel movements

• Pelvic pain, including conditions like vulvodynia and pelvic floor dysfunction

These issues can be caused by a variety of factors, including pregnancy and childbirth, aging, chronic constipation, and certain medical conditions. Visceral manipulation pelvic floor therapy is a specialized form of manual therapy that can help address these issues by releasing tension and improving the function of the pelvic floor muscles and surrounding structures.

Understanding Visceral Manipulation

Definition and Principles

Visceral manipulation is a manual therapy technique that focuses on releasing restrictions and tension in the internal organs, also known as the viscera. It is based on the principle that the organs in our body are not only responsible for their specific functions, but also play a role in the overall health and well-being of the body. Visceral manipulation aims to restore proper movement and function to the organs, which can have a positive impact on the surrounding tissues and structures.

Techniques Used in Visceral Manipulation

There are various techniques used in visceral manipulation, but they all involve gentle, specific movements and pressure applied to the abdomen and pelvis. The therapist will use their hands to assess the mobility and tension of the organs, and then use specific techniques to release any restrictions or adhesions. These techniques may include stretching, compression, and mobilization of the organs and surrounding tissues.

How Visceral Manipulation Affects the Pelvic Floor

The pelvic floor is a group of muscles, ligaments, and connective tissue that support the pelvic organs and play a role in bladder and bowel control. When the organs in the abdomen are not functioning properly, it can lead to tension and restrictions in the pelvic floor muscles. Visceral manipulation can help release this tension and improve the mobility and function of the pelvic floor. This can be beneficial for those experiencing pelvic floor dysfunction, such as urinary incontinence or pelvic pain.

Indications for Visceral Manipulation Pelvic Floor Therapy

Conditions and Symptoms Treated

Visceral manipulation pelvic floor therapy is a specialized form of manual therapy that focuses on the internal organs and their surrounding structures. It can be used to treat a variety of conditions and symptoms related to the pelvic floor, including:

• Urinary incontinence

• Pelvic pain

• Constipation

• Endometriosis

• Interstitial cystitis

• Prostatitis

By addressing the underlying dysfunction in the pelvic floor and surrounding organs, visceral manipulation can help alleviate these symptoms and improve overall pelvic health.

Who Can Benefit from Visceral Manipulation Pelvic Floor Therapy

Visceral manipulation pelvic floor therapy can benefit a wide range of individuals, including:

• Women who have recently given birth

• Individuals with chronic pelvic pain

• Those with digestive issues or urinary dysfunction

• People with scar tissue or adhesions in the pelvic area

• Individuals with a history of trauma or surgery in the pelvic region

It can also be beneficial for athletes or individuals who engage in activities that put strain on the pelvic floor, such as weightlifting or long-distance running.

Contraindications and Precautions

While visceral manipulation pelvic floor therapy can be highly effective, there are some contraindications and precautions to be aware of. This therapy may not be suitable for individuals with:

• Acute infections or inflammation in the pelvic area

• Recent abdominal or pelvic surgery

• Pregnancy

• Severe osteoporosis

• Active cancer

It is important to consult with a qualified practitioner before undergoing visceral manipulation pelvic floor therapy to ensure it is safe and appropriate for your specific condition.

The Process of Visceral Manipulation Pelvic Floor Therapy

Initial Assessment and Evaluation

The first step in the process of visceral manipulation pelvic floor therapy is an initial assessment and evaluation. This involves a thorough examination of the patient's medical history, symptoms, and any previous treatments they may have undergone. The therapist will also perform a physical examination, which may include palpation of the pelvic floor muscles and internal pelvic floor assessment.

Treatment Plan and Goals

Based on the assessment and evaluation, the therapist will develop a treatment plan tailored to the individual needs of the patient. The goals of the treatment plan may include reducing pain and discomfort, improving pelvic floor muscle function, and addressing any underlying issues that may be contributing to the symptoms.

Techniques Used in Visceral Manipulation Pelvic Floor Therapy

Visceral manipulation pelvic floor therapy involves a variety of techniques to address the specific needs of each patient. These may include manual manipulation of the pelvic organs, soft tissue mobilization, myofascial release, and stretching exercises. The therapist may also use tools such as biofeedback to help the patient better understand and control their pelvic floor muscles.

Frequency and Duration of Treatment

The frequency and duration of treatment will vary depending on the severity of the patient's symptoms and their response to therapy. In general, patients may require multiple sessions over a period of several weeks to achieve optimal results. The therapist will work closely with the patient to determine the best treatment schedule for their individual needs.

Follow-up and Maintenance

After the initial treatment plan is completed, the therapist will schedule follow-up appointments to monitor the patient's progress and make any necessary adjustments to the treatment plan. It is also important for patients to continue with maintenance exercises and techniques to prevent a recurrence of symptoms. The therapist may provide guidance on self-care techniques that the patient can incorporate into their daily routine to maintain the benefits of the therapy.

Combining Visceral Manipulation Pelvic Floor Therapy with Other Modalities

Visceral manipulation can also be combined with other modalities such as biofeedback and pelvic floor exercises. This combination can provide a more comprehensive approach to treating pelvic floor dysfunction, as each modality targets different aspects of pelvic floor health. Dry needling (acupuncture), which is offered at Pelvic Health Physical Therapy, can also be used help to relax and strengthen the muscles of the pelvic floor, as well as improve overall pelvic floor function.

If you are experiencing pelvic floor dysfunctions, please reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.

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