Diastasis recti, also known as abdominal separation, is a condition where the left and right sides of the rectus abdominis muscle (the "six-pack" muscle) become separated along the midline of the abdomen.

This separation occurs due to the stretching of the connective tissue (linea alba) that holds these muscles together.

Diastasis Recti

Causes

Pregnancy

The most common cause of diastasis recti is pregnancy. As the uterus expands, it puts increased pressure on the abdominal muscles, causing them to stretch and potentially separate.

Obesity

Excess weight can put additional strain on the abdominal muscles.

Repeatedly lifting heavy objects can stress the abdominal muscles and contribute to separation.

Heavy Lifting

Improper Exercise

Certain exercises, especially those involving excessive abdominal pressure, can exacerbate or contribute to the condition.

Symptoms

A noticeable bulge or dome in the middle of the abdomen, especially when straining or contracting the muscles.

Visible Bulge

Back Pain

Lower back pain due to a lack of core support.

Weakness

A feeling of weakness or a lack of core strength.

Poor Posture

Difficulty maintaining good posture.

Diagnosis

Physical Examination

A healthcare provider can often diagnose diastasis recti through a physical examination. They may ask you to perform certain movements, like a crunch, to assess the separation.

Ultrasound or MRI

In some cases, imaging may be used to assess the extent of the separation and the condition of the connective tissue.

Treatment Options

Physical Therapy:

  • Core Strengthening Exercises: Focus on exercises that strengthen the deep core muscles without straining the abdominal muscles further. Examples include pelvic tilts, modified planks, and gentle abdominal exercises.

  • Avoidance of Strain: Avoid exercises and movements that put excessive pressure on the abdominal muscles.

  • Electromagnetic Stimulation: an EMS machine that simulates the abdominal muscle fibers at a higher concentration 

Supportive Garments:

  • Abdominal Binders or Splints: These can provide support to the abdominal muscles and help manage symptoms.

Surgical Intervention:

  • Abdominoplasty: In severe cases or when conservative treatments are ineffective, surgery may be considered to repair the separation.

    This is typically done through a procedure called abdominoplasty (tummy tuck), which can involve repairing the separated muscles and tightening the abdominal wall.

Lifestyle Modifications:

  • Proper Lifting Techniques: Use proper body mechanics when lifting heavy objects.

  • Weight Management: Maintaining a healthy weight can help reduce abdominal pressure.

When to Seek Help?

If you suspect you have diastasis recti, or if you experience symptoms like a visible bulge, persistent back pain, or difficulty with core strength, consult a healthcare provider.

They can provide an accurate diagnosis and recommend an appropriate treatment plan.