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Let’s talk about Diastasis Recti (aka abdominal separation) and ways to safely heal your abdominal separation at home without an expensive gym or major surgery!
First off, you might be thinking "diastasis what?!" You aren't alone in that feeling - many people who are told they may have an abdominal separation think the same thing.
Diastasis Recti Abdominis (DRA) is the separation of the two rectus abdominal muscles (six pack ab muscles) along the middle of the abdominal wall. This occurs when the abdominal muscles are stretched in the middle at the linea alba (a connective structure for each layer of the abdominal muscles to attach to). The linea alba serves to provide structure and stability to the abdominal wall and trunk through its attachment of abdominal muscles.
It is common for pregnant folx to experience an abdominal separation - in fact, a recent cross-sectional study found the prevalence of DRA to be 57%. (1) However, abdominal separation can also occur without pregnancy, in men and even in infants.
As seen in the graphic below, this separation can happen anywhere along the abdominal muscles/linea alba. Typically it will decrease with time and safe, appropriate exercises but occasionally it will require surgery to put these muscles back together in the middle.
While the research behind defining a DRA is always evolving, in clinic it is still commonly defined by distance between the two rectus abdominis muscles and the depth of the gap between these two muscles. There is a variety of measurements for this gap found in literature, with the most common separation distance being greater than 2 cm. (2) It is best practice to have a clinician check you for a diastasis recti prior to beginning an exercise routine.
Once you have been cleared to return to exercise, it is time to start thinking about what kind of movements you will be doing. If you have a new baby this means a lot of lifting. Managing intra-abdominal pressure (pressure in your abdomen/belly) with movement is very important!
The graphic below helps to show that the diaphragm makes the top or ceiling, the abdominal muscles create the walls to the abdomen, and the pelvic muscles create the floor to contain all of our abdominal contents. As we breathe in, the diaphragm will lower down increasing the pressure in the belly.
We need to be able to safely manage this pressure without it pushing against our weak spot - our Diastasis Recti. Our recommendation: start with diaphragmatic breathing (Exercise #1 below). Each exercise after that will build on this diaphragmatic breathing to help increase abdominal muscle strength and decrease your abdominal separation.
Don't forget this is just the start. From here exercises will need to be progressed into sitting and standing as these are our most functional positions. We must be able to manage our intra-abdominal pressure and engage our abdominal muscles in standing and walking to return to full function and heal our abdominal separation.
For more information or to see videos of these exercises check out Pelvic Pride on Instagram.
Please keep in mind it is always best to seek clearance from your OBGYN that you can safely resume exercise. This information is not intended to diagnose or treat and is for educational purposes only. If you have questions about any of these exercises please consult your healthcare professional. If you
need help finding one in your area please reach out to us!
Where to find treatment in Maryland
At Pelvic Pride Physical Therapy & Wellness, we specialize in the treatment of ALL pelvic floor conditions, including diastasis recti, so you are in the right place! We are conveniently located in the Federal Hill neighborhood in Baltimore MD. Fill out our contact form & our Patient Care Specialist will reach out to you ASAP!
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