What is Rectus Diastasis?
Rectus diastasis, also known as diastasis recti abdominis or abdominal separation, is a condition characterized by the stretching of the linea alba, the connective tissue separating the rectus abdominis muscles, which are the muscles that run vertically along the front of the abdomen and are often referred to as the "six-pack" muscles. During pregnancy, it's common for these muscles to stretch and separate to accommodate the growing uterus and baby.
Causes of Rectus Diastasis:
Pregnancy: The most common cause of rectus diastasis is pregnancy, as the growing uterus puts pressure on the abdominal muscles, causing them to stretch and separate.
Abdominal Strain: Activities or conditions that put excessive strain on the abdominal muscles, such as heavy lifting, can contribute to rectus diastasis.
Symptoms of Rectus Diastasis:
A visible bulge or "pooch" in the middle of the abdomen, especially when the abdominal muscles are engaged
A gap between the left and right sides of the rectus abdominis muscles, typically measured in finger-widths
Lower back pain
Poor posture
Weakness in the abdominal muscles
Digestive issues, such as bloating or constipation
Diagnosis and Assessment:
Rectus diastasis can usually be diagnosed through a physical examination by a healthcare provider or physical therapist. During the examination, the healthcare provider will typically measure the width of the gap between the separated abdominal muscles and assess the strength and integrity of the abdominal muscles.
Management and Treatment of Rectus Diastasis:
Physical Therapy: A physical therapist specializing in prenatal and postnatal care can provide exercises, stretches, and techniques to strengthen the abdominal muscles, improve muscle coordination, and reduce the separation of the rectus abdominis muscles.
Core Strengthening Exercises: Specific exercises targeting the deep abdominal muscles, pelvic floor muscles, and oblique muscles can help support and stabilize the core, reducing the strain on the rectus abdominis muscles.
Proper Body Mechanics: Learning and practicing proper body mechanics and lifting techniques can help reduce strain on the abdominal muscles and prevent further separation.
Use of Supportive Devices: Wearing a postpartum support garment or abdominal binder can provide support to the abdominal muscles and help bring the separated muscles back together.
Avoiding Strain: Avoiding activities that put excessive strain on the abdominal muscles, such as heavy lifting or intense abdominal exercises, can help prevent further separation.
Surgery: In severe cases where conservative treatments are not effective, surgical intervention may be considered to repair the separated abdominal muscles. However, surgery is usually reserved for cases that do not improve with other treatments and is typically performed several months postpartum to allow for natural healing.
It's important for women experiencing symptoms of rectus diastasis to consult with their healthcare provider for an accurate diagnosis and appropriate management plan tailored to their individual needs. With proper care, guidance, and exercises, rectus diastasis can be effectively managed and improved, allowing women to regain strength and function in their abdominal muscles postpartum.
