Winning Hands Massage
Visceral Manipulation and Chi Nei Tsang
Visceral Manipulation and Chi Nei Tsang are two other very useful
modalities, especially when done energetically. Visceral Manipulation was
developed by French Osteopath Jean Pierre Barral. Personally, I view it
as a Westernized form of Chi Nei Tsang, which is essentially Tibetan
visceral organ massage.
Because of the interrelationships of the visceral organs and their
various ligamentous attachments to the diaphragm and abdominal walls,
restrictions and/or adhesions involving the visceral organs can translate
into some surprising dysfunctions totally removed from the abdomen. As
just one example, restrictions in the cecum area of the ascending colon
can put pressure on nerves passing through the pelvis, which can result
in unexplained pain in the right knee. Other restrictions can cause
problems in different vertebral segments because of attachments to the
posterior abdominal wall along the spine. There are techniques in VM that
are useful for treating hietal hernias, acid reflux, uterine and bladder
prolapse, and the release of deep abdominal adhesions post-surgery.
Conversely some of the mechanical, manual release techniques are far
too aggressive for anyone with tissue fragility. For someone with “basic”
hypermobility, not involving tissue fragility, I would consider the
techniques safe to perform, even at level 1 training. For someone with
VEDS, however, I consider ALL of the mechanical, manual, organ
mobilization techniques to be ABSOLUTELY CONTRAINDICATED, regardless of
the level of training. My reason is very simple – they involve a
physical, manual stretching of the organ or structure. And since many of
the organs are deep within the abdominal cavity, this also means fairly
deep and sometimes somewhat invasive palpation. I consider the potential
risk of tissue or organ trauma to be excessive, with no possible benefit
that outweighs that potential risk.
I do not consider the WORK to be contraindicated, far from it. I think
it has definite potential, even for someone with VEDS. It is just some of
the techniques that I feel are contraindicated. Personally, I would have
no qualms at all about doing any of the work myself on someone with VEDS,
even with only level 1 training, because I would do all of it
energetically. The “touch” would either be extremely light, with no deep
pressure or physical movement at all, or it would be done totally
off-body.
The issue is finding a practitioner who can, and will, do it
energetically. There were 30 students in the class I attended, plus four
teaching assistants, and one teacher. Backgrounds included three chiros,
several LMT’s, PT’s, OT’s, a Rolfer, and a self-proclaimed “certified
torturer.” Each of these people will tend to approach the work based on
their training and mind-set. The more physical or aggressive their
background, the more physical and aggressive their working approach is
apt to be.
Two key components of VM involve organ mobility and motility. Mobility
is movement of the organ via external force, such as gravity, fascial
pulls, manual pressure, etc. Motility is the inherent rhythms and cycles
within the organ itself. These run at a rate of about 7-8 cycles per
minute and involve clockwise and counterclockwise oscillations, lateral
and medial rolls versus mid-line of the body, superior/inferior glides
(head to foot), or anterior/posterior rolls (front to back), depending on
the specific organ.
Motility work is far more gentle than mobility work, but the degree of
invasiveness still depends on depth of the organ and how aggressively the
practitioner palpates to reach the organ. Because of this, I would still
rule out BOTH mobility and motility work for someone with VEDS, UNLESS it
is done energetically. Superficial motility work shouldn’t be a problem,
whereas deep mobilization work definitely presents excessive risk. Even
so, I still feel the safest approach where VEDS is concerned is for an
absolute contraindication for all of the mechanical, manual releases,
regardless of tissue depth, and whether it is VM or Chi Nei Tsang.
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