Diastasis Recti

Posted: June 29, 2015 in Uncategorized

Diastasis recti is The distance between the right and left rectus abdominis muscles,created by the stretching of the linea alba, a connective collagen sheath.
In pregnant or postpartum women, the condition is caused by the stretching of the rectus abdominis by the growing uterus. It is more common in multiparous women due to repeated episodes of stretching. When the defect occurs during pregnancy, the uterus can sometimes be seen bulging through the abdominal wall beneath the skin.
Women are more susceptible to develop diastasis recti when over the age of 35, high birth weight of child, multiple birth pregnancy, and multiple pregnancies.A small amount of widening of the mid line happens in all pregnancies and is normal. Diastasis recti occurs in about 30% of all pregnancies. About 70% of women with a diastasis, it will heal itself during the first few post natal months. For others, it will only heal with dedicated rehabilitation exercises.
Some postpartum women’s mid lines close to less than 2 finger-widths spontaneously, but for many, the tissue remains too wide. It can contribute to the ‘mummy tummy’ pouch and weaken your postural support, resulting in back pain.
It’s usually never too late to heal your abdominals and it’s certainly never too late to start building a stronger core. In very extreme circumstances where there is no improvement with dedicated rehabilitation exercises, surgery may be required.

The condition can be diagnosed by physical exam, and must be differentiated from an epigastric hernia or incisional hernia, if the patient has had abdominal surgery.Examination is performed with the subject lying on their back, knees bent at 90° with feet flat, head slightly lifted placing chin on chest. With muscles tense, examiners then place fingers in the ridge that is presented. Measurement of the width of separation is determined by the number of fingertips that can fit within the space between the left and right rectus abdominis muscles. Separation consisting of a width of 2 fingertips (approximately 1 1/2 centimeters) or more is the determining factor for diagnosing diastasis recti.

Unfortunately, flurries of misconception swirl around diastasis recti and abdominal exercise during and after pregnancy in general. You’re likely to encounter a broad range of contradictory opinions and advice about how to recondition your abdominal wall and how to restore the midline after childbirth. Some of these assertions can cause unnecessary alarm, while another common piece of advice-do a lot of “crunches”-can actually worsen diastasis recti/abdominal separation.
Nevertheless, the following exercises are often recommended to help build abdominal strength, which may or may not help reduce the size of diastasis recti.Core contraction,Seated squeeze,Head lift,Upright push-up,Squat against the wall.Some research found success with the Tupler technique. It involves certain exercises done while wearing a belly splint, which protects and holds the ab muscles together.

With dedication to abdominal rehabilitation exercises you can begin to reconnect the muscles. The correct rehab exercises teach you to isolate contraction of your transverse abdominal muscles (the deepest layer of muscle that runs horizontally).


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