Exploring the Impact of Visceral Manipulation on Uterine Fibroid Treatment
- Jason Scoppa
- Mar 22
- 4 min read
Updated: Apr 2
Uterine fibroids, also known as leiomyomas, affect many women and often cause symptoms such as heavy menstrual bleeding and discomfort. Traditional treatments range from medication to surgery, but some patients seek alternative approaches. A 1992 case report by Cook and Rasmussen explored how visceral manipulation, combined with specific chiropractic adjustments, helped two women with uterine fibroids and related symptoms. This blog post examines their findings and what they suggest about the potential role of visceral manipulation in managing fibroids.

Understanding Uterine Fibroids and Related Symptoms
Uterine fibroids are benign tumors that develop in the muscular wall of the uterus. While many women experience no symptoms, others suffer from:
Profuse menstrual bleeding
Pelvic pain or pressure
Benign breast cysts linked to hormonal changes
These symptoms can significantly affect quality of life. Conventional treatments include hormonal therapy, uterine artery embolization, or surgery. However, some patients look for less invasive options that address underlying causes rather than just symptoms.
What Is Visceral Manipulation?
Visceral manipulation is a hands-on therapy focusing on the mobility and function of internal organs. It aims to restore normal movement and alignment of the viscera (internal organs) and their connective tissues. The technique involves gentle manual pressure and mobilization to release restrictions and improve organ function.
In the case report, the authors used a specific visceral manipulation technique called the "total mesenteric apron" treatment. This approach targets the mesentery, a fold of tissue that supports the intestines and connects them to the abdominal wall. The mesentery’s mobility can influence the position and function of nearby organs, including the uterus.
The Case Studies: Treatment and Outcomes
The report describes two female patients with uterine fibroids and associated symptoms:
Patient 1: Experienced heavy menstrual bleeding and benign breast cysts.
Patient 2: Had similar symptoms with uterine fibroids confirmed by medical imaging.
Both patients received visceral manipulation focused on the total mesenteric apron, combined with Sacro Occipital Technique (S.O.T.) chiropractic adjustments. S.O.T. is a chiropractic method that addresses the relationship between the sacrum and occiput to improve nervous system function.
Treatment Process
Gentle manual manipulation of the mesenteric tissues to improve visceral mobility.
S.O.T. adjustments to support spinal and nervous system alignment.
Sessions were spaced over several weeks, allowing time for tissue response and symptom monitoring.
Results
Both patients reported significant improvement in symptoms.
Menstrual bleeding reduced substantially or stopped being profuse.
Breast cysts either disappeared or became less problematic.
Fibroid size and uterine mobility improved based on clinical assessment.
These outcomes suggest that improving visceral mobility and spinal alignment may positively influence uterine health and related symptoms.
How Visceral Mobility May Affect Uterine Fibroids
The authors propose that restrictions in the mesentery and surrounding tissues can impair blood flow and nerve function to the uterus. This may contribute to fibroid growth and symptom severity. By restoring mobility through visceral manipulation, circulation and nervous system signals improve, potentially reducing fibroid-related symptoms.
This approach highlights the interconnectedness of the body's systems. The uterus does not function in isolation; its health depends on the surrounding tissues and their ability to move freely.
Practical Considerations for Patients and Practitioners
While this report is based on only two cases, it opens the door to considering visceral manipulation as part of a broader treatment plan for uterine fibroids. Patients interested in this approach should:
Consult with healthcare providers to rule out serious conditions.
Seek practitioners trained in visceral manipulation and S.O.T. chiropractic techniques.
Understand that visceral manipulation is complementary and not a replacement for conventional medical care.
Monitor symptoms carefully and maintain open communication with all healthcare providers.
Practitioners should assess each patient individually, considering the full clinical picture and combining visceral techniques with other therapies as appropriate.
The Role of Chiropractic Care in Women's Health
This case report also highlights the potential benefits of chiropractic care beyond musculoskeletal issues. Techniques like S.O.T. adjustments may support nervous system function that influences organ health. Integrating chiropractic care with visceral manipulation could offer a holistic approach to managing conditions like uterine fibroids.
Uterine Fibroid Treatment: Summary
The 1992 case report by Cook and Rasmussen provides valuable insight into how visceral manipulation, combined with chiropractic adjustments, may help reduce symptoms associated with uterine fibroids. By focusing on the total mesenteric apron and improving visceral mobility, patients experienced less menstrual bleeding and relief from benign breast cysts.
While more research is needed to confirm these findings, this approach encourages exploring the body's interconnected systems when addressing fibroid symptoms. Women seeking alternative or complementary treatments might consider visceral manipulation as part of a comprehensive care plan, always under professional guidance.
Cook K, Rasmussen S, "Visceral Manipulation and the Treatment of Uterine Fibroids: A Case Report", ACA Journal of Chiropractic Dec 1992; 29(12): 39-41.
This is a report of two case studies of female patients with uterine fibroids (leiomyomas), and related symptoms such as profuse menstrual bleeding and benign breast cycsts. The efficacy of a chiropractic treatment known as the "total mesenteric apron" in treating these conditions will be described. The symptoms of each of these patients either completely disappeared or were greately improved using this treatment together with S.O.T. chiropractic adjustments. A discussion of visceral mobility, manipulation and the etiology of these symptoms is suggested.




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