05/08/2025
Today I want to share a quick story about helping my client Cailin with shoulder pain and limited range of motion– and explain a little bit about one of my favorite bodywork techniques, called Visceral Manipulation.
First of all, let's talk a little bit about Visceral Manipulation.
This osteopathic technique combines a deep understanding of human anatomy and gentle hands-on therapy to realign and release fascial restrictions in the body. These restrictions can appear anywhere in the body from the neck, shoulder, abdomen, pelvis, individual organs, etc.
Done correctly, Visceral Manipulation can reintroduce normal movement and function to a problem area. Among other things, our skeletal structure is made up of muscles and a connective tissue that forms an outer shell to protect the internal organs. All organs are supposed to slide and glide with each other (you can see some of this in the video above) and when they don’t, adhesions form– which can be felt as pain, tension and a limited range of motion.
This tissue is commonly known as fascia (and peritoneum) that seals and surrounds all organs and structures of the body. The fascia connects everything in your body; it compensates around restrictions and the associated nerves will be triggered, sending pain signals to the brain to let us know there is a problem that requires our attention and correction. However, because the tissues, blood vessels, nervous system, ligaments, organs and fascia are interconnected, a pain in a particular area may be caused from another area.
Using gentle palpation "listening" to the body, practitioners can find the source of the restriction and pain– and it might not be where the patient/ client is having symptoms!
And now, back to our story. 🙂
Cailin had a long history of shoulder pain and injuries, including surgeries and bone spurs. Although the issue coming up again didn't surprise her, it was still really painful and inconvenient. She couldn't raise her right arm much at all, and told me that she had been having to bend her neck over to her right side to wash her hair, since she couldn't reach it.
When someone has a really long history of a joint issue, I think beyond the muscles. My go-to with her this week was to feel how her liver was moving, and whether it was restricted. In the image/ video I posted above, you can see how the liver (the big trianglular shape on the left side of the image under the heart) moves with the breath. When the liver is restricted, it can refer nerve pain in to the right shoulder and limit the shoulder's motion through tight fascia.
I checked Cailin's shoulder range of motion right before and right after mobilizing her liver in different directions. It worked like magic! After I worked with her liver, she could raise her arm all of the way up, and move better in other directions, as well! When I checked in with her the next day, she told me that the movement is still great! She did have some remaining pain (lugging suitcases and children on an adventure had not helped) but I expected that to resolve with a little more time and rest.
For me, using this type of technique is just FUN! It's not painful, and the treatment itself is quick and efficient. Almost every week, I have an experience like this one– a person comes in with a joint issue, and the solution is found by releasing the restrictions in an internal organ.
Some common relationships are:
Right shoulder: liver
Left shoulder: stomach
Neck: liver, stomach, or diaphragm
Hip or knee: kidneys
Pelvic floor: uterus and/or diaphragm
I find this really fascinating and exciting! If you have long-standing problems that don't seem to be improving with standard treatment, including massage and exercises, I would suggest looking for someone who does Visceral Manipulation in your area.
Of course, if you are local to me, send me a note. I love to help!