Diastasis Recti – Solutions for Abdominal Separation After Pregnancy

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Can Diastasis Recti be Fixed?

Pregnancy can result in significant changes to a woman’s body, a persistent bulge around the tummy area, which may be associated with excess fullness in the lower abdomen, also known as a post-pregnancy pouch. Abdominal muscles may become permanently separated after childbirth, known as diastasis recti or abdominal separation. Abdominal separation can be effectively treated with a to achieve a toned and flat abdomen.

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What is abdominal separation?

Abdominal separation is also known as diastasis recti. The abdominal muscles are primarily composed of the rectus abdominis which are the muscles located near the midline of the stomach. During pregnancy, the enlarging uterus expands outwards and results in the separation of the two parallel muscles, which lie on either side of the . As the baby begins to enlarge during the later stages of pregnancy, the increased intra-abdominal pressure causes the overlying abdominal muscles to undergo abdominal separation. It is exacerbated by the hormonal surges which occur during the second half of pregnancy.

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The vast majority of women who undergo develop diastasis recti in the postpartum period. Certain women are more likely to abdominal separation, including:

What is Diastasis Recti?

Diastasis recti is a condition where the two large parallel bands of muscles that make up the rectus abdominis (commonly known as the "six-pack" muscles) separate along the midline of the . This is caused by the thinning and stretching of the linea alba, a tissue that runs vertically between the left and right sides of the abdominal muscles.

Diastasis recti is most commonly with pregnancy, as the growing uterus can cause the abdominal muscles to stretch and separate to accommodate the growing baby. However, it can also occur in men and women due to obesity, improper exercise techniques, or other factors that put excessive strain on the abdominal muscles.

Symptoms of diastasis recti may include a bulging or protruding abdomen, lower back pain, poor posture, and difficulty with certain movements that engage the core muscles. In some cases, diastasis recti can resolve on its own, but physical therapy, exercises, or in more severe cases, surgery may be recommended to correct the issue.

What causes a bulging tummy after childbirth?

A bulging tummy after childbirth is a common concern for many women. Several factors contribute to this issue, and understanding these causes can help in addressing and managing the effectively. Here are the primary causes of a bulging tummy after childbirth:

To address a bulging tummy after childbirth, a combination of lifestyle changes, such as a healthy diet, regular exercise, and targeted strengthening exercises for the abdominal and pelvic floor muscles, may be helpful. In some cases, medical intervention, such as physiotherapy or surgery, may be necessary to correct issues like diastasis recti or excess skin. It is essential to consult a plastic surgeon for personalised advice and guidance on managing a bulging tummy after childbirth.

What are the clinical features of diastasis recti?

Abdominal separation is most characterised by an obvious bulge located in the middle part of the abdomen which has not gone away after childbirth. Some women may be able to visualise a clear gap between the two parts of the rectus abdominous muscles. This gap between the two muscles can be accentuated when women lie on their backs and raise their heads. Bulging of the abdominal may also lead to women developing back pain. Weakened abdominal muscles are less able to stabilise the lower back. Many women may also develop urinary incontinence or pelvic floor dysfunction due to damage to the pelvic floor during childbirth.

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How can I tell if I have abdominal separation?

Diastasis recti can be easily identified by lying on your back with your knees bent and feet placed firmly on the floor. Your head should be gently raised whilst you place a hand along the middle part of your abdomen, both above and below the umbilicus. With abdominal separation, a distinct gap can be felt in between your abdominal muscles, which may be more than 2 to 3 fingerbreadths in width.

We would recommend having an in-person consultation with a plastic surgeon to determine whether you have diastasis recti.

Are there complications from diastasis recti?

Diastasis recti itself is not a life-threatening condition, but it can lead to some complications and discomfort if left untreated or not properly managed. Some potential and associated issues include:

What does diastasis recti feel like?

Diastasis recti can feel different for each person, and some may not experience any noticeable symptoms. However, common sensations and symptoms associated with diastasis recti include:

Does diastasis recti go away on its own?

Whilst regular exercise and healthy eating can help to tone your body following pregnancy. Persistent abdominal bulging caused by abdominal separation can be affected by several factors, including:

More than one-third of women who have undergone childbirth experience symptoms of diastasis recti. Diastasis recti does not go away on its own and cannot be improved in most cases by eating healthily and exercising regularly. The only way to repair weakened abdominal muscles after childbirth is to have an abdominoplasty with muscle repair.

What Happens If I Don’t Get Treated for Diastasis Recti?

If diastasis recti is left untreated, the condition may persist and lead to several long-term issues. Some potential of not treating diastasis recti include:

It is essential to consult a plastic surgeon at Centre for Surgery if you suspect diastasis recti, as early intervention can help manage the symptoms and prevent complications. A healthcare provider can recommend appropriate exercises, physiotherapy, or, in some cases, surgical interventions to address the and improve core strength and stability.

Which are beneficial for diastasis recti?

Exercises that focus on strengthening the deep abdominal muscles, the transverse abdominis, can be beneficial for diastasis recti. However, it is essential to consult a healthcare professional or a fitness expert before starting any exercise program to ensure that the exercises are appropriate for your specific condition. Some beneficial exercises for diastasis recti include:

What exercises should I avoid if I have abdominal separation?

Certain exercises and activities should be avoided to prevent diastasis recti from getting worse, including:

How common is diastasis recti in the UK?

There is limited data on the exact prevalence of diastasis recti in the UK. However, studies from various countries have shown that diastasis recti is a common condition, especially among pregnant women and postpartum . suggest that about 33% to 60% of women may experience diastasis recti during pregnancy or after giving birth.

Can diastasis recti be corrected?

Abdominal separation can be effectively corrected with a tummy tuck or an abdominoplasty combined with muscle repair when regular physical exercise or physiotherapy has failed to achieve improvement.

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Can you fix diastasis recti without surgery?

In some cases, diastasis recti can be improved or resolved without surgery through conservative treatments such as therapy, targeted exercises, and lifestyle modifications. The goal of non-surgical is to strengthen the abdominal muscles, improve core stability, and promote the healing of the connective tissue (linea alba). Some treatment options include:

an abdominal binder or support garment: In some cases, wearing a support garment or binder may provide temporary relief and support for the abdominal muscles. It’s essential to consult a healthcare professional or physical therapist for recommendations and proper usage.

Can I get diastasis recti again?

Yes, it is possible to develop diastasis recti again after it has been resolved or improved, especially if the factors that initially caused the condition are still present. Some situations and factors that may increase the risk of diastasis recti recurrence include:

A subsequent pregnancy can cause the abdominal muscles and connective tissue to stretch and separate again, to the recurrence of diastasis recti.

Engaging in activities that place strain on the abdominal muscles, such as heavy lifting, improper exercise techniques, or intense core workouts, can contribute to the recurrence of diastasis recti.

Gaining a significant amount of weight in a short period or being obese can put pressure on the abdominal muscles and connective tissue, increasing the risk of diastasis recti recurrence.

As people age, their muscles and connective tissues can weaken, making them more susceptible to diastasis recti. Hormonal changes may also play a role in the weakening of the connective tissue.

Centre for Surgery is your premier destination for plastic surgery treatments in London, specialising in a wide range of procedures including treatment for diastasis recti. Our highly qualified surgeons use state-of-the-art techniques to achieve optimal results.

We understand that every patient is unique. That’s why we offer bespoke treatment plans tailored to your specific condition, ensuring you get the best care possible.

Our clinic is equipped with the latest to provide the highest standard of care. Whether you opt for surgical or non-surgical treatment, you can be assured of the most advanced methods in diastasis recti care.

Our commitment to your well-being doesn’t end after the procedure. We excellent aftercare services to monitor your recovery and offer continued support.

Centre for Surgery is fully accredited by all relevant regulatory bodies, that you are in safe hands throughout your journey.

"I can’t recommend Centre for Surgery enough! After years of feeling self-conscious, they’ve given me a new lease on life." – Emily, Diastasis Recti Treatment

"The surgeons and staff at Centre for Surgery are truly exceptional. They took great care of me from start to finish." – Sarah, Abdominoplasty

"After my pregnancy, I was worried I’d have to live with my abdominal separation forever. Thanks to Centre for Surgery, I’m back to feeling like myself again." – Jane, Diastasis Recti Treatment

Take the first step towards a more confident you. Schedule a consultation with our expert surgeons to discuss your treatment options for diastasis recti.