Dr Bramati-Castellarin uses visceral osteopathic techniques in a holistic manner, aiming to re-establish good health. These techniques are low-invasive and may be used in all age groups. To book an assessment please call 0207 792 4499 or use our online booking service.
The awareness of visceral Osteopathic treatment is not yet widely spread. Some people are aware that Psychological stresses may potentially threaten GI homeostasis by affecting the gut-brain axis, consequently becoming a precursor of functional GI diseases, such as IBDs and IBS. Konturek et al. (2011) state that several areas of gut physiology could be affected by stress, including gut mobility, GI secretion, gut permeability, blood flow in the gut mucosa, and visceral sensitivity. These factors were also implicated in a study on the effects of stress on functional dyspepsia, where the authors suggested that psychological distress is directly linked to GI symptoms (Aro et al., 2009). According to Blomhoff et al. (2001), the co-morbidity of the GI system and anxiety has a direct effect on severity and duration of IBS symptoms, possibly explaining the mind and body relationship. Blomhoff et al. (2001), showed that increased activity in the gut-brain axis affects the ENS and the CNS nerve receptors and it seems that phobic anxiety hyper-activates the visceral frontal region of the cortex influencing IBS symptomatology (Blomhoff et al., 2001). The gut-brain axis has also been proposed in a recent study where depression-like symptoms were induced in mice. According to Park et al. (2013), symptoms of depression alter both colonic motor activity and the microbial profile, most likely via the hypothalamic-pituitary axis.
Visceral osteopathy is used to optimise blood and lymphatic supply to the internal organs. The viscera are a collection of organs in the abdominal cavity that generally respond to the internal physiological motion guided by the involuntary movement of the diaphragm in respiration; the internal motility of the viscera such as peristaltic movement; cardiac movement and blood and lymph circulation; and via skeletal movement such as walking, running or exercising (Barral and Mercier, 2006, Barral and Mercier, 2007, Stone, 1999). This motion and motility and the influence on the viscera is constantly present throughout life.
A recent study on the effectiveness of visceral osteopathic techniques (VOTs) was performed on IBS patients with positive results. Attali et al. (2013) considered 31 IBS patients in a randomized cross-over placebo controlled study. The qualitative effects of depression, constipation, diarrhoea, abdominal distension and abdominal pain using visual analogue scales (VAS), and rectal sensitivity using a distension balloon, before and after treatment were evaluated. The treatment group received general visceral osteopathy sessions as well as locally applied techniques in specifically sensitive areas of the abdomen and gentle manipulation to the sacral area. The placebo group received treatment in the same areas of the abdomen with a light, non-therapeutic, pressure. The authors reported that VOT ameliorates diarrhoea, abdominal distension and pain as well as rectal sensitivity. The positive effects of the therapy were long lasting and the symptom scores continued to be low at one year follow-up with no further treatment Attali et al. (2013).
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