Diastasis Recti (Abdominal Separation): Symptoms & Treatment

Diastasis Recti (Abdominal Separation): Symptoms & Treatment

By Stephen Bell
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Published on May 20, 2024

Introduction

Diastasis recti, a condition often referred to as abdominal separation, occurs when the rectus abdominis muscles, commonly known as the "six-pack" muscles, separate at the linea alba, the connective tissue that runs down the middle of the abdomen. This separation can create a bulge or gap in the midline of the abdomen, which can be particularly noticeable when straining or engaging the abdominal muscles. While commonly associated with pregnancy, diastasis recti can affect anyone, including infants and men.

This condition is typically caused by excessive intra-abdominal pressure, which can occur during pregnancy as the uterus expands to accommodate the growing fetus. Other factors that can contribute to diastasis recti include rapid weight gain or loss, excessive abdominal exercises, and certain medical conditions.

Symptoms of Diastasis Recti

The most prominent symptom of diastasis recti is a visible bulge or separation in the midline of the abdomen. This bulge may be more apparent when straining or engaging the abdominal muscles. Other symptoms can include:

  • Lower back pain: The weakened abdominal muscles can lead to poor posture and lower back pain.
  • Bloating: The separation of the abdominal muscles can contribute to a bloated appearance.
  • Constipation: Weakened abdominal muscles can make it difficult to effectively engage the core muscles necessary for bowel movements.
  • Umbilical hernia: In severe cases, the separation can lead to an umbilical hernia.

Treatment for Diastasis Recti

Treatment for diastasis recti depends on the severity of the condition and the individual's symptoms. In many cases, conservative treatment options are effective in improving symptoms and strengthening the abdominal muscles.

  • Physical Therapy: A physical therapist specializing in postpartum rehabilitation can provide guidance on specific exercises that help to strengthen the abdominal muscles and improve core stability.
  • Exercises: Targeted exercises focusing on strengthening the transverse abdominis, the deep abdominal muscle that acts as a natural corset, can be highly beneficial.
  • Bracing: In some cases, wearing a supportive abdominal brace can help to support the weakened muscles and reduce strain on the back.
  • Surgery: While surgery is rarely necessary, it may be considered in severe cases where conservative treatment options have been unsuccessful. Surgical intervention involves stitching the separated muscles back together.

It is crucial to consult with a healthcare professional to receive a proper diagnosis and determine the best treatment plan for your specific condition.

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