Visceral Osteopathic manipulation of the viscera began with Dr Still. He described treating many different digestive, respiratory and urogenital complaints . For Dr Still, almost all medical conditions had an osteopathic treatment, in some cases curative, in some cases supportive.
Dr Still palpated for organs that were” out of place”, specifically ptosis of the liver, kidneys, bladder and uterus. He mostly treated the organs by lifting them superiorly. In general, Dr. Still’s approach for visceral problems was to treat the spine, then lift the organs.
• Dr. Still s’ ideas are clear:
all tissues need adequate fluid, nutritional and neurological exchange to be healthy. These components come through the blood vessels, lymphatics, an d the autonomic nervous system, which all are covered by the peritoneum and pleura, in the form of visceral ligaments. When the attachments are tight, fluid exchange is compromised (tissue perfusion), the nervous system is irritated, and less than optimum function is the result. By treating the attachments, function can be improved. These principles apply to the viscera as well as all other tissues.
Visceral dysfunctions are connected to somatic dysfunctions through connective tissues, nerves (viscerosomatic reflexes, somatovisceral reflexes) and fluids (blood, lymph, interstitial).