What is Diastasis Recti & Did Someone Mention Surgery?

Diastasis Recti often occurs during pregnancy when the growing baby stretches the abdominal muscles and tissues. Some women’s abdominal area heals on its own after the baby is born, but approximately 33% of women’s don’t heal completely postpartum by 6-8 weeks. So is your belly pooch because of diastasis or is there another underlying issue?  A proper self-assessment or seeing a Physical Therapist is key to finding out.

Click here to try our free self-assessment tool

I do hear quite a bit from women that they were told they need surgery to repair diastasis. I would like to inform you THERE IS HELP for this without surgery!  

This is not something your OB/GYN will always assess at your 6 week post delivery visit and more moms are inquiring and searching “Google” for solutions.

THE FACTS…

Physical Problems Caused By Diastasis Recti:

The separation of the abdominal muscles can cause a number of problems including:

  • Difficulty restoring the tone in their abdomen (i.e. abdominal bulge)
  • Lower back problems
  • Pelvic instability/Hip pain (i.e. sacroiliac and/or pubic symphysis)
  • Pelvic floor problems (e.g. decreased bladder control)

Want a guided exercise program by a women’s health physical therapist?  Sign up for the “Restore Your Core & Pelvic Floor” 6 week series at CAP Wellness Center starting August 14

Which Abdominal Muscles To Start Exercising?

Diastasis healing starts with restoring control of the deep abdominal (Transverse Abdominis) muscles. These are the deepest layer of the 3 layers of abdominal muscles.

When the Transverse Abdominis (TA) muscles contract they draw the diastasis or separation together thereby promoting diastasis healing and repair.

It’s important NOT to focus on solely exercising the outer Rectus Abdominis muscles with intense core exercises during the initial stages of repair. (Planks, crunches, oblique crunches, and double leg exercises)

How To Start Diastasis Exercises?

Start your diastasis exercises by learning to correctly activate your deepest abdominal muscles. When you know how to activate these muscles you can start to use them during your everyday activities to promote your diastasis healing and avoid further separation.

Exercise Technique

The correct technique to start exercising your deepest abdominal muscles:

  • Start sitting on your exercise ball or a chair.
  • If you’re sitting on a chair move forward from the back rest.
  • Set your posture by lifting the crown of your head and lengthening your spine.
  • Maintain the inward curve in your lower back throughout.
  • Place your hands over your lower abdomen.
  • Gently contract and draw your lower abdomen inwards towards your spine while maintaining your breathing.
  • Maintain this gentle contraction up to 10 seconds.
  • Breathe normally throughout.
  • Relax and release your lower abdominal muscles.

*The deep abdominal muscles work gently – avoid over bracing these muscles to avoid placing strain on your diastasis.

Mistakes To Avoid With Diastasis Exercises

Avoid these commonly made mistakes:

 

  1. Over bracing the abdominal muscles – less is more when it comes to contracting the deepest abdominal muscles
  2. Breath holding – breathe normally throughout these exercises
  3. Slumping forwards – maintain good upright posture to encourage deep abdominal activation
  4. Crunches and intense core abdominal exercises – these exercises can delay or worsen diastasis recti separation.

Where To Practice Your Exercises?

When starting out, perform your exercises either sitting, standing, or when you are on your back with knees bent.

When you’re confident in your exercise technique, practice activating your deep abdominal muscles when you move. Try to use your deep abdominal muscles during your everyday activities e.g. when carrying your baby or pushing the stroller.

Key Points For Diastasis Recti Repair

  • Regular daily deep abdominal exercises guided by a physical therapist can help to draw the diastasis closer and change the quality of the tissue beneath the separation to encourage healing and repair.
  • Practice using your deep abdominal muscles during your everyday activities when you’re confident in your technique.
  • No matter how long after pregnancy, proper training can still make a difference in healing, which is great news!  Surgery should not be an option until proper rehab has been exhausted.
  • Think of it as "healing diastasis" not necessarily "closing the gap" to make you fully functional and to prevent further issues.

By Dr. Dawn D. Andalon, DPT, MTC, CPI

**WATCH THIS VIDEO ABOUT SAFE RETURN TO EXERCISE AFTER HAVING A BABY…** 

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Dawn Andalon, DPT, MTC, CPI

Dawn Andalon, DPT, MTC, CPI

Dr. Dawn Andalon is a physical therapist, educator, author, and co-founder of Level4 Physio-Wellness-Performance. She is known as a leading spine and women’s health specialist in the San Diego area.

Prior to living in Carlsbad, CA, she worked at Nike Headquarters in Portland, OR as a physical therapist and consultant. She has always enjoyed fitness and working with the athletic population as a former dancer and gymnast. Dawn has also completed certification through Polestar Pilates which she has implemented with elite and Olympic athletes, surfers, golf pros, and the weekend warrior to enhance their chosen sport. After having 2 kids she saw a need for more highly skilled programs for women who are struggling with common body struggles after having a baby so she went on to seek more training in Pelvic floor rehab and the female athlete through Herman & Wallace Institute. As a spine specialist with a Manual Therapy Certification from University of St. Augustine and Pilates background she has helped men and women of all ages stay active and feel their best.This combined with her passion to educate Pregnant and Postpartum women, she is now reaching a larger audience with her Postnatal rehab coaching series, helping to bridge the gap from labor/delivery back to an active lifestyle.
Dawn Andalon, DPT, MTC, CPI