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Writer's pictureDr. Sarah Kaderka

A Dive Into Diastasis Recti: What It Is and How To Treat It

Diastasis recti is a condition that affects many individuals, especially postpartum women. Through this article, we aim to shed light on what diastasis recti is, the crucial role of intra abdominal pressure, and effective ways to treat this common issue.


Understanding a Diastasis Recti

When a diastasis recti is present, the rectus abdominis muscles, commonly known as the six-pack muscles, separate along the middle line, also known as the linea alba. This separation causes the midline of the abdomen to widen, leading to a visible bulge and possibly symptoms of discomfort or bloating when the person performs certain movements like sitting up or after eating a heavy meal. This separation happens in 100% of pregnancies due to the need for the abdominal muscles to separate to make room for the growing baby. It can also happen in individuals who experience significant weight fluctuations or those with chronic conditions that increase abdominal pressure, such as chronic coughing or constipation. Athletes and bodybuilders may also be at risk if they perform exercises that place excessive strain on the core muscles without proper form or conditioning. While this condition is most commonly associated with pregnancy, it can affect a wide range of individuals due to various factors that compromise the integrity of the abdominal wall.


The Role of Intra Abdominal Pressure

Intra abdominal pressure (IAP) plays a significant role in the development and treatment of diastasis recti. When the abdominal muscles are unable to work cohesively due to the separation at the linea alba, the body's ability to control the changes in abdominal pressure that happen throughout the day, diminishes. Examples of activities that increase intra abdominal pressure include sneezing, coughing, laughing, blowing your nose, or lifting something heavy. This heightened pressure can contribute to the separation of the rectus abdominis muscles, making the diastasis recti more pronounced.


Identifying Diastasis Recti

To check for diastasis recti, lie on your back with your knees bent, lift your head slightly, and feel along the midline of your abdomen for a separation or a gap.


A Dive Into Diastasis Recti: What It Is and How To Treat It
A woman with a diastasis recti.

Treatment Options

  1. Seeking Physical Therapy or Pelvic Floor Physical Therapy

    Consulting with a physical therapist, especially one specialized in pelvic floor therapy, can be highly beneficial for managing diastasis recti. These professionals can guide patients through individualized exercises that strengthen the deep core and pelvic floor muscles, such as the transverse abdominis, while ensuring safe and effective movement patterns to support recovery.


  2. Targeted Core Exercises and Breath Work

    Targeted core exercises combined with breath work are essential in healing diastasis recti. Exercises that focus on the deep core muscles, paired with diaphragmatic breathing, help engage the core without straining the abdominal wall. This approach promotes proper muscle function and aids in reducing the gap between the rectus abdominis muscles.


  3. Lifestyle Modifications

    Incorporating lifestyle changes can help manage diastasis recti and prevent worsening of the condition. This includes learning how to retrain or modify activities that increase diastasis recti symptoms, and being mindful of body mechanics during daily tasks. Simple adjustments like proper lifting techniques, gentle transitions when getting up, and maintaining a healthy weight can contribute to the healing process.


Conclusion

Diastasis recti is a common condition that can impact individuals of all ages and genders. By understanding the role of intra abdominal pressure and the available treatment options, individuals can effectively manage and improve diastasis recti. Remember, always consult with a healthcare professional or a physical therapist for personalized advice and guidance on managing diastasis recti effectively.


Take the first step towards better core health and well-being today!




The Health Lab Team (Tanya Liscio, APRN, Loren Wooldridge, DPT, and Sarah Kaderka, DPT).
The Health Lab Team (Tanya Liscio, APRN, Loren Wooldridge, DPT, and Sarah Kaderka, DPT).



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