Visceral Manipulation

Visceral Manipulation was developed by French Osteopath, Jean-Pierre Barral. At optimal health, the relationship between the organs (viscera) and structures of the body (muscles, membranes, fasciae and bones) remains stable despite the body's endless varieties of motion. But when one organ can't move in harmony with its surrounding viscera due to abnormal tone, adhesions or displacement, it works against all the body's organs and structures. This disharmony creates fixed, abnormal points of tension that the body is forced to move around. That chronic irritation, in turn, paves the way for disease and dysfunction.

Visceral Manipulation (VM) is a gentle hands-on therapy that works through the body's visceral system (the heart, liver, intestines and other internal organs) to locate and alleviate these abnormal points of tension throughout the body.

VM employs specifically placed manual forces that work to encourage the normal mobility, tone and motion of the viscera and their connective tissues. Trained practitioners use the rhythmic motions of the visceral system to evaluate how abnormal forces interplay, overlap and affect the normal body forces at work. These gentle manipulations can potentially improve the functioning of individual organs, the systems the organs function within, and the structural integrity of the entire body.

Jean Pierre Barral, the developer of Visceral Manipulation is the author of:

Visceral Manipulation
Visceral Manipulation II
The Thorax
Urogenital Manipulation
Manual Thermal Evaluation
Understanding the Messages of Your Body

Jean Pierre Barral and Alain Croibier, the co-developers of Visceral Vascular Manipulation are the authors of:

Osteopathic Approach to Trauma: Focus on Whiplash
Visceral Vascular Manipulation

Alain Croibier is the author of:

From Manual Evaluation to General Diagnosis


Neural Manipulation

Neural Manipulation as developed by Barral and Croibier examines mechanical relationships between the cranium/spine hard frame to the dura and neural elements. It provides assessment and treatment approaches to address restrictions of the dural and neural components not commonly focused on with musculoskeletal symptoms. Neural Manipulation identifies and releases local nerve restrictions while at the same time examines the effect these local fixations have on the rest of the body, and by accessing this relationship, resolves the more comprehensive (global) dysfunctional patterns.

Jean Pierre Barral and Alain Croibier, the co-developers of Neural Manipulation are the authors of:

Manual Therapy for the Peripheral Nerves
Manual Therapy for the Cranial Nerves


New Manual Articular Approach

New Manual Articular Approach (MAA) is a manual therapy modality that applies a comprehensive approach to the treatment of joints. It integrates all aspects of the joint including the nerve, artery, bone, capsule, and ligaments, as well as visceral and emotional connections. MAA delves into the joints like never before. It examines the nerves of each joint, along with the arteries, meniscus, ligaments, capsule attachments and folds. It incorporates soft tissue mobilization of the associated bones, while looking at direct and indirect relationships between the bones of the body. The relationship between the viscera and the joints is not widely understood. MAA shows how interconnected they are and that without addressing this visceral connection many joint issues may not fully resolve.