Fascia & Organ Health
Explore the vital connection between fascia and organ health. Learn and understand how Stecco Fascial Manipulation at INPEAK addresses IBS, gastritis, constipation, diarrhea, and painful periods for lasting relief.

Fascial Manipulation for Organ Health: Relieving IBS, Gut Issues & Menstrual Pain
The human body is an intricate, interconnected marvel, enveloped by a continuous web of connective tissue known as fascia. This dynamic matrix surrounds and penetrates everything – muscles, bones, nerves, blood vessels, and crucially, your internal organs. For a deeper understanding of this fundamental tissue, read our article: Understanding Fascia: Your Body's Hidden Network for Pain Relief & Movement. Emerging research highlights that fascia is not just structural support; it's richly innervated with sensory receptors and plays a vital role in organ function, for instance, aiding the rhythmic contractions (peristalsis) in your gut.
At INPEAK in Alderley Edge, we specialize in the Stecco Fascial Manipulation (FM) method, a precise approach developed by Luigi Stecco. This method targets specific points of "densification" – areas where fascia has become stiff or restricted. Importantly, this includes points where internal organs attach to the trunk.
By carefully releasing these fascial restrictions, the Stecco method aims to restore normal tissue slide and organ function. This approach can improve not only musculoskeletal pain but also a range of internal organ dysfunctions, thanks to fascia's intimate connections with both the visceral (organ) and autonomic (involuntary nervous) systems. Below, we explore the evidence and clinical insights for how Fascial Manipulation can offer a complementary solution for conditions like IBS, gastritis, constipation, diarrhea, and dysmenorrhea.
Irritable Bowel Syndrome (IBS) & Fascial Manipulation
Irritable Bowel Syndrome (IBS) is a common functional bowel disorder characterized by chronic abdominal pain, bloating, and altered bowel habits. Given the fascial system’s profound role in gut motility and nervous system regulation, fascial manipulation is emerging as a promising complementary approach for IBS relief.
Practitioners often report that fascial restrictions in the abdominal and pelvic regions can significantly exacerbate IBS symptoms. The Stecco method’s "internal dysfunction model" identifies key fascial points along the abdominal wall and diaphragms that directly correspond to the digestive tract. By precisely releasing densified fascia at these points, the therapy aims to normalize visceral nerve signaling, improve blood flow, and enhance peristalsis. If you are keen on fixing your IBS, visit our IBS page for more detail in how to get started.
Evidence & Insights: Research in manual therapy, including systematic reviews of osteopathic visceral techniques, has shown significant reductions in IBS-related abdominal pain and improvements in quality of life. These studies suggest that fascial and visceral techniques are safe and potentially effective for IBS pain management. Anecdotal reports from clinicians also illustrate rapid and complete relief of chronic abdominal pain and urgent diarrhea in some patients after gentle fascial release therapy to the abdomen, underscoring how freeing adhesions can quickly reduce IBS symptoms. Current clinical trials are further investigating abdominal myofascial release for IBS in adolescents, reflecting a growing scientific interest in fascial therapy for gut health.
Gastritis (Stomach Inflammation) & Fascial Connections
Gastritis involves inflammation of the stomach lining, often causing upper abdominal pain, indigestion, or reflux. While conventional treatments focus on diet and medication, the Stecco fascial manipulation approach investigates whether fascial restrictions around the stomach and diaphragm could contribute to persistent gastric symptoms.
Anatomically, the stomach is suspended by intricate fascial connections. These investing fasciae are densely supplied with nerves. Stecco's research highlights that microscopic nerve ganglia within the stomach’s fascial layers help coordinate stomach function. If this delicate fascial network becomes stiff or adhesed, it can disrupt the stomach’s normal motility or nerve signaling.
Evidence & Insights: Stecco-trained practitioners explicitly include gastritis and related issues like reflux as visceral dysfunctions that can respond to fascial treatment. The theoretical mechanism is that restoring fluid slide in the stomach’s fascia can improve vagal nerve communication and blood supply to the gastric lining, thereby reducing inflammation and pain. Although direct clinical research on "fascial manipulation for gastritis" is sparse, case reports and expert opinion suggest benefits. Anatomical research by Carla Stecco, MD, further supports this by revealing how deeply the fascia integrates with organs, providing a structural basis for how stiffened gastric fascia could impair stomach function or pain sensitivity. Clinicians note that gently loosening the fascial "sleeve" around the stomach and diaphragm can improve symptoms like nausea, bloating, and acid reflux when conventional approaches fall short.
Constipation & Fascial Balance
Chronic constipation – defined as infrequent or difficult bowel movements – can stem from various causes, including dysmotility or pelvic floor dysfunction. Fascial dysfunction is an emerging area of consideration: the colon and pelvic organs are ensheathed in fascia, and tension in these structures might directly impede normal bowel motility or reflexes.
In the Stecco model, constipation is recognized as one of the internal dysfunctions linked to fascial imbalances. For instance, densification in the fascia along the colon’s path could hypothetically restrict peristalsis or cause pain during bowel movements. Releasing those restrictions aims to improve colon mobility and coordination.
Evidence & Insights: Early clinical evidence supports fascial approaches for constipation. A recent pilot study applied Fascial Manipulation on women with chronic constipation, finding notable improvements in severity and quality of life after just a few sessions. This suggests that targeted fascial work can positively influence bowel function. Mechanistically, manual fascia treatment may relieve extrinsic pressure on the intestines, enhance neural signaling, and increase circulation to the gut. An osteopathic randomized controlled trial also found significant improvements in constipation frequency and symptoms after visceral manipulation of abdominal organs and fascia. Clinicians report that loosening the abdominal myofascial tissues can effectively relieve constipation when conventional GI treatments are insufficient.
Diarrhea & Restoring Gut Harmony
Diarrhea, particularly chronic or functional diarrhea, can be a component of IBS or other gastrointestinal disorders. From a fascial standpoint, the principles for diarrhea overlap with those for IBS and constipation: the objective is to rebalance the autonomic nervous system and relieve any mechanical stresses on the intestines. While constipation involves sluggish motility, chronic diarrhea often involves hyper-motility and heightened visceral sensitivity. Fascial dysfunction, such as adhesions from surgery or inflammation, can irritate visceral nerves and potentially trigger reflex hyperactivity of the gut, contributing to diarrhea urgency.
Manual fascial techniques strive to normalize these responses. Therapists often work on the mesenteric root fascia, abdominal wall, and pelvic floor fascia in patients with diarrhea-predominant IBS or idiopathic diarrhea.
Evidence & Insights: While clinical research specifically on "fascial manipulation for diarrhea" is limited, insights from IBS trials suggest benefits. The reasoning is that by easing fascial tension, the vagus nerve and sympathetic nerves to the intestines are modulated, leading to more regulated peristalsis and reduced gut hypermotility. Case observations, such as a patient with chronic IBS-related diarrhea whose symptoms ceased after abdominal fascial release, underscore how visceral fascia tension can contribute to functional diarrhea. Fascia experts emphasize that the millions of nerve endings in fascia can directly influence gut function, and addressing restrictions can calm aberrant signals in the enteric nervous system. Patients often report not only firmer stools but also less abdominal cramping and urgency after a series of treatments.
Dysmenorrhea (Menstrual Pain) & Pelvic Fascia
Primary dysmenorrhea refers to painful menstrual cramps in the absence of an underlying pelvic pathology. The connection between dysmenorrhea and the fascial system is an area of growing interest and evidence. The uterus and ovaries are supported by ligamentous fascia (uterine ligaments, pelvic floor fascia, etc.), and these structures are rich in autonomic nerves. The Stecco method posits that restrictions in the pelvic fascial network can exacerbate menstrual pain, and that treating these restrictions may significantly alleviate dysmenorrhea. For a more in-depth discussion on this topic, read our article: Understanding Dysmenorrhea & The Role of Fascia. Hormonal Hormonal changes during the menstrual cycle cause fluid shifts in fascia and can alter tissue tension, potentially triggering pain if the fascia is inelastic. Additionally, years of injuries or surgeries might create fascial densifications that contribute to pelvic congestion and cramping.
Evidence & Insights: Evidence is building that manual fascial techniques can significantly reduce dysmenorrhea severity. A recent randomized controlled trial found that a structured myofascial release (MFR) program led to significant reductions in menstrual pain intensity and improved pain threshold. This reinforces the idea that fascial-muscular dysfunction is part of dysmenorrhea's pathology, making it a logical target for treatment. Clinical experiences from therapists trained in Fascial Manipulation consistently report that freeing restrictions in the uterine-supporting fascia, abdominal fascia, or pelvic floor connections can ease menstrual cramping and reduce reliance on painkillers.
Conclusion: Addressing Visceral Dysfunction with Fascial Manipulation at InPeak
The emerging understanding of the fascial system as a critical network – via its biomechanical and neurofunctional links – profoundly impacts conditions beyond just muscles and joints. As explored above, addressing fascial dysfunction through the Stecco Fascial Manipulation method offers a compelling complementary approach for a range of visceral conditions, including IBS, gastritis, constipation, diarrhea, and dysmenorrhea.
At INPEAK in Alderley Edge, our tailored fascial assessment and precise treatment approach helps to uncover and address these deeper, often overlooked, causes of persistent internal discomfort. By restoring the natural mobility and health of your fascia, we aim to normalize organ function, reduce pain, and significantly improve your overall well-being. If you're experiencing chronic discomfort related to your digestive, reproductive, or other internal systems and haven't found lasting relief, Fascial Manipulation could be the missing link. Ready to explore a new path to better visceral health? Contact INPEAK Alderley Edge today to book your initial consultation.
Extra resources
What is Fascial Manipulation? - Myopain Seminars
https://myopainseminars.com/resources/blog/what-is-fascial-manipulation/
longdom.org
https://www.longdom.org/conference-abstracts-files/2329-9096.S1.010-002.pdf
The Connection Between Fascia and Gut Health | Natural Awakenings Sarasota /
Manatee / Charlotte
https://www.nasrq.com/2024/07/31/499188/the-connection-between-fascia-and-gut-health
Healthcare | Topical Collection : Osteopathic and Manual Therapy Healthcare
Reconceptualization: Health Needs and New Evidence
https://www.mdpi.com/journal/healthcare/topical_collections/Osteopathic_Manipulative_Treatment
Fascial Manipulation for Internal Dysfunction® (FMID) – Fearfully Wonderfully
Made
https://fearfullywonderfullymade.life/fascial-manipulation-for-internal-dysfunction-fmid/
Myofascial Release Therapy in IBS | CHOP Research Institute
https://research.chop.edu/myofascial-release-therapy-in-ibs
A Narrative Review on the Viability of Osteopathic Manipulative ...
treating-irritable-bowel-syndrome-with-constipation-ibs-c
The Stecco method: a breakthrough in the treatment of chronic pain
https://sherlockrehab.hu/stecco-fascial-manipulation
The FM Method - Manipolazione Fasciale
https://www.fascialmanipulation.com/en/the-fm-method-2/
Fascial Manipulation Association
https://www.nuhs.edu/media/892884/fascial_manip_workshop_outline.pdf
Fascial Manipulation in Musclular Problems Related to the Digestive System -
Manipolazione Fasciale
Effects of Fascial Manipulation on chronic constipation symptoms
https://www.jstage.jst.go.jp/article/ans/62/1/62_39/_article/-char/en
Effect of osteopathic visceral manipulation for individuals ... - PubMed
https://pubmed.ncbi.nlm.nih.gov/37301564/
Visceral Manipulation: A Manual Therapy Technique for Relieving ...
constipation/
Exploring manual therapy in the management of irritable bowel ...
https://www.sciencedirect.com/science/article/pii/S0965229925000111
Effectiveness of structured myofascial release in the treatment of ...
https://www.sciencedirect.com/science/article/abs/pii/S030121152500301X
Myofascial Pain Syndrome in Women with Primary Dysmenorrhea: A Case-Control Study - PMC
https://pmc.ncbi.nlm.nih.gov/articles/PMC9689409/
Comparison of connective tissue massage and myofascial release
https://jsurgmed.com/article/view/7503
Treatment of Women With Primary Dysmenorrhea With Manual ...
https://academic.oup.com/ptj/article/104/5/pzae019/7609503