PREGNANCY & THE EFFECTS OF INTERNAL ORGANS

The purpose of visceral manipulation is to recreate, harmonize, and increase proprioceptive communication in the body, in order to enhance its internal mechanism for optimum health.

We are familiar with the concept that our bodies need movement to be healthy. This same principle applies to every structure in the body including the viscera. Our organs have two types of physiologic motion, mobility and motility. Mobility refers to movement of the viscera in response to an external force. This force can be voluntary, such as when you are performing a pelvic floor contraction or involuntary, like the contraction of your diaphragm with respiration.

Let’s use surgery, a Cesarean section, as an example. A C-section requires cutting through the abdominal fascia to access the uterus. The connective tissue or scar tissue that replaces this incision is less elastic than the tissue that was previously there. Early on postpartum, the C-section scar may be sensitive which may encourage the mother to move in a flexed trunk position. At first this may not seem problematic but could lead to a cascade of dysfunctions in the future. If we extrapolate Woff’s law to the fascia, the body will continue to lay down less elastic connective tissue in areas of tension. This flexed trunk position overtime could create weakness and decrease support of the abdominal muscle and back extensors leading to back pain. It could also potentially create myofascial trigger points in the adjacent muscles that refer to areas such as the clitoris or urethra. And what about the nearby viscera? This restriction in motion could impact the bladder or bowels leading to symptoms of urinary urgency, incontinence and constipation.
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